But eventually, this would be an opportunity for the US government to create a dynamic institution that can shift it’s priorities and funding as it cost-effectiveness changes or as our understanding of what matters evolves.

Earmarking government funds for an institution like this makes much more sense to me than earmarking for one specific cause or issue (like Malaria, for example).

This institution would be able to easily adjust it’s focus to the most tractable and important concern without the need to assume that one specific issue will be