As I see it, most major philanthropists have been bullied into giving. They feel social pressure to give. It has become a cost of doing business.
People don't like it, but inevitably we need to think about both the costs and the benefits of health care. We cannot avoid the financial consequences.
Good social media is authentic. What makes social media work is actually having something to say.
The major challenge facing most foundations is that they are risk averse. This inhibits their ability to experiment and commit to the experimentation and innovation process.
I think the problem with schools is not too many incentives but too few. Because of tenure, teachers' unions, and the fact that teachers generally aren't observed in their classrooms, they can do whatever they want in class.