Doesn't everyone deserve a chance at a good life? | Jim Yong Kim

115,240 views ・ 2017-07-19

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譯者: Hui chu Chen 審譯者: Wilde Luo
00:12
I just want to share with you
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我想跟你們分享
00:14
what I have been experiencing over the last five years
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我過去五年來的經歷。
00:16
in having the great privilege of traveling
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那期間,我享受著特權:
00:19
to many of the poorest countries in the world.
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到世界上許多貧窮的國家去旅行。
00:21
This scene is one I see all the time everywhere,
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我走到哪都看得到的是,
00:25
and these young children are looking at a smartphone,
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一群孩子看著一隻智慧型手機,
00:28
and the smartphone is having a huge impact in even the poorest countries.
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智慧型手機甚至對最貧窮的國家 也能產生重大影響。
00:32
I said to my team, you know,
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我跟我的團隊說,你知道嗎,
00:34
what I see is a rise in aspirations all over the world.
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我所看到的是世界各地期望的興起。
00:38
In fact, it seems to me that there's a convergence of aspirations.
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事實上,在我看來 這些期望有著趨同的現象。
00:42
And I asked a team of economists to actually look into this.
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並且,我請了一個經濟學家 團隊來對此做研究。
00:46
Is this true?
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這是真的嗎?
00:47
Are aspirations converging all around the world?
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世界各地的期望真的在趨於一致嗎?
00:50
So they looked at things like Gallup polls about satisfaction in life
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所以他們檢視蓋洛普民意測驗 關於生活滿足度調查,
00:54
and what they learned was that if you have access to the internet,
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他們瞭解到的是如果你能上網,
00:59
your satisfaction goes up.
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你的滿意度會提高。
01:01
But another thing happens that's very important:
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但另外一面要注意的是:
01:04
your reference income,
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你的「參考收入」——
01:05
the income to which you compare your own,
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你把它作為衡量 自己收入高低的標準,
01:08
also goes up.
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也會升高。
01:10
Now, if the reference income of a nation, for example,
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那麼,舉例來說, 如果國家的參考收入
01:13
goes up 10 percent
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與外界相比較
01:14
by comparing themselves to the outside,
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增加了 10% 的話,
01:17
then on average,
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那麼平均而言,
01:19
people's own incomes have to go up at least five percent
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人民的收入必須上漲至少 5%,
01:22
to maintain the same level of satisfaction.
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才能保持和原來一樣水平的滿意度。
01:25
But when you get down into the lower percentiles of income,
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但是如果你屬於較低收入人群, 為了維持滿意度,
01:29
your income has to go up much more
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你的收入需要漲得更多才行——
01:31
if the reference income goes up 10 percent,
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如果參考收入漲 10%,
01:33
something like 20 percent.
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那自身收入或許要漲 20% 。
01:35
And so with this rise of aspirations,
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所以隨著期望被激發,
01:37
the fundamental question is:
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根本的問題是:
01:39
Are we going to have a situation
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會不會產生一種情況,
01:40
where aspirations are linked to opportunity
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期望與機遇相結合,
01:44
and you get dynamism and economic growth,
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你會獲得動力和經濟增長,
01:46
like that which happened in the country I was born in, in Korea?
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就像我出生的國家, 韓國,所發生的那樣?
01:50
Or are aspirations going to meet frustration?
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或者,期望會遭遇挫折?
01:55
This is a real concern, because between 2012 and 2015,
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這真的值得關切, 因為從 2012 年到 2015 年,
02:00
terrorism incidents increased by 74 percent.
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恐怖事件增長了 74%,
02:03
The number of deaths from terrorism went up 150 percent.
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受恐怖主義影響的 死亡人數上升了 150%。
02:07
Right now, two billion people
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現在,有 20 億人口,
02:09
live in conditions of fragility, conflict, violence,
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生活條件是脆弱的、 充斥衝突與暴力,
02:11
and by 2030, more than 60 percent of the world's poor
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到了 2030 年,預計 世界上超過 60% 的窮人
02:17
will live in these situations of fragility, conflict and violence.
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將會活在充斥著脆弱、 衝突與暴力的環境下。
02:21
And so what do we do about meeting these aspirations?
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為了滿足這些期望, 我們能做什麼?
02:24
Are there new ways of thinking
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為了滿足這些期望,
02:26
about how we can rise to meet these aspirations?
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關於「我們該如何努力」, 是否有新的思維方式?
02:29
Because if we don't, I'm extremely worried.
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因為如果我們沒有, 我就非常擔心。
02:32
Aspirations are rising as never before because of access to the internet.
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因為大家都能上網, 期望被激發,到了前所未有的程度。
02:36
Everyone knows how everyone else lives.
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每個人都能知道 其他人是如何生活的。
02:39
Has our ability to meet those aspirations
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我們滿足這些期望的能力
02:41
risen as well?
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也被激發、提升了嗎?
02:43
And just to get at the details of this,
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為了得到更多相關細節,
02:45
I want to share with you my own personal story.
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我想和你分享我自己的個人故事。
02:47
This is not my mother,
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這不是我的母親,
02:49
but during the Korean War,
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但在朝鮮戰爭時期,
02:51
my mother literally took her own sister,
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為了逃離首爾,
02:54
her younger sister, on her back,
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我的母親的確像這樣
02:55
and walked at least part of the way
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揹著自己的妹妹,
02:58
to escape Seoul during the Korean War.
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走過一段路。
03:02
Now, through a series of miracles,
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經過一連串奇蹟,
03:05
my mother and father both got scholarships to go to New York City.
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我的母親和父親都得到了 去紐約市的獎學金。
03:09
They actually met in New York City and got married in New York City.
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實際上,他們在紐約市相遇, 並在紐約市結婚。
03:13
My father, too, was a refugee.
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我的父親也是一個難民。
03:16
At the age of 19, he left his family in the northern part of the country,
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19 歲時,他離開了 在韓國北方的家人,
03:20
escaped through the border
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逃過邊境,
03:22
and never saw his family again.
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再也看不到他的家人。
03:24
Now, when they were married and living in New York,
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那時,他們結了婚並住在紐約,
03:27
my father was a waiter at Patricia Murphy's restaurant.
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我的父親是一個服務生, 在著名的派翠西亞莫非餐廳工作。
03:30
Their aspirations went up.
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他們的期望被激發了。
03:32
They understood what it was like to live in a place like New York City
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他們明白了,在 1950 年代, 住在像紐約市這樣的地方
03:36
in the 1950s.
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是什麼樣子。
03:38
Well, my brother was born and they came back to Korea,
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我的哥哥出生後,他們回到韓國,
03:42
and we had what I remember as kind of an idyllic life,
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在我的印象中,我們當時 過著快樂祥和的生活,
03:46
but what was happening in Korea at that time
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但當時在韓國,
03:49
was the country was one of the poorest in the world
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它是世界上最貧窮的國家之一,
03:52
and there was political upheaval.
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並且發生了政治動盪。
03:54
There were demonstrations just down the street from our house all the time,
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在門口外,總是有示威遊行,
03:57
students protesting against the military government.
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學生抗議反對軍政府。
04:02
And at the time,
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而當時,
04:04
the aspirations of the World Bank Group, the organization I lead now,
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世界銀行, 也就是我現在領導的組織,
04:07
were extremely low for Korea.
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對韓國方面的期望是非常低的。
04:10
Their idea was that Korea would find it difficult without foreign aid
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他們的想法是, 如果沒有來自國外的援助,
04:14
to provide its people with more than the bare necessities of life.
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提供人們更多生活的必需品, 韓國將會很難生存下去。
04:19
So the situation is Korea is in a tough position,
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實情就是韓國處於艱難的位置,
04:22
my parents have seen what life is like in the United States.
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我的父母見識過在美國是如何生活。
04:25
They got married there. My brother was born there.
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他們在那裡結婚,生了我哥哥。
04:28
And they felt that in order to give us an opportunity
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他們覺得,為了給我們一個機會,
04:31
to reach their aspirations for us,
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能讓我們達到他們的期望,
04:34
we had to go and come back to the United States.
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我們不得不回到美國。
04:36
Now, we came back.
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所以我們回來了。
04:38
First we went to Dallas.
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首先我們去了達拉斯。
04:39
My father did his dental degree all over again.
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我的父親重讀他的牙醫學位。
04:42
And then we ended up moving to Iowa, of all places.
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然後我們又到處搬家, 最終在愛荷華州安定。
04:46
We grew up in Iowa.
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我們在愛荷華州長大。
04:47
And in Iowa, we went through the whole course.
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在愛荷華,我們完成學業。
04:50
I went to high school, I went to college.
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我去了高中,又上了大學。
04:52
And then one day, something that I'll never forget,
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然後有一天, 發生一件事讓我永生難忘,
04:57
my father picked me up after my sophomore year in college,
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我父親在我大學二年級 學年結束後來接我,
05:02
and he was driving me home,
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他正在開車載我回家,
05:03
and he said, "Jim, what are your aspirations?
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他說:「吉姆,你的抱負是什麼?
你想學什麼?你想做什麼?」
05:06
What do you want to study? What do you want to do?"
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我說:「爸爸,」——
05:08
And I said, "Dad," --
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我的母親其實是一個哲學家, 並給我們灌輸了很多關於
05:09
My mother actually was a philosopher, and had filled us with ideas
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05:12
about protest and social justice,
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抗議和社會正義方面的想法,
05:15
and I said, "Dad, I'm going to study political science and philosophy,
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於是我說:「爸爸, 我要去學習政治學與哲學,
05:19
and I'm going to become part of a political movement."
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我要成為政治運動的一部分。」
05:22
My father, the Korean dentist,
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我父親,一名韓國牙醫,
05:23
slowly pulled the car over to the side of the road --
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慢慢地把車停在路邊——
05:26
(Laughter)
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(笑聲)
05:28
He looked back at me, and he said,
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他回頭看著我,他說:
05:29
"Jim, you finish your medical residency, you can study anything you want."
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「吉姆,先成為一名醫生, 之後學什麽我都不會管你!」
05:33
(Laughter)
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(笑聲)
05:34
Now, I've told this story to a mostly Asian audience before.
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以前我講過同樣的故事, 聽眾大部分為亞洲人,
05:39
Nobody laughs. They just shake their head.
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沒有人笑,他們只是點頭。
05:42
Of course.
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當然了。
05:43
(Laughter)
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(笑聲)
05:45
(Applause)
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(鼓掌)
05:47
So, tragically, my father died at a young age,
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不幸的是,我父親去世時還很年輕,
05:52
30 years ago at the age of 57,
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30 年前,57 歲的時候,
05:54
what happens to be how old I am right now,
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正巧是我現在的這個年紀,
05:57
and when he died in the middle of my medical and graduate studies --
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他過世的時候我正忙於 醫學課程和研究生課程——
06:00
You see, I actually got around it by doing medicine and anthropology.
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實際上,為了實現我的抱負, 我選了醫學和人類學。
06:03
I studied both of them in graduate school.
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我在研究所雙修這兩個科目。
06:08
But then right about that time, I met these two people,
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但是那時候呢,我遇到這兩個人,
06:11
Ophelia Dahl and Paul Farmer.
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奧菲利亞.達爾和保羅.法默。
06:13
And Paul and I were in the same program.
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而保羅和我在同一門課程中。
06:15
We were studying medicine
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我們都是學醫學的,
06:17
and at the same time getting our PhD's in anthropology.
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並在同一時間 也在博士班攻讀人類學。
06:20
And we began to ask some pretty fundamental questions.
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我們開始探討一些相當基本的問題。
06:23
For people who have the great privilege of studying medicine and anthropology --
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對有幸能同時學習 醫學和人類學的人——
06:27
I had come from parents who were refugees.
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我出生於一個父母都是難民的家庭。
06:30
Paul grew up literally in a bus in a swamp in Florida.
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保羅是在佛羅里達沼澤地的 一輛廢棄巴士上長大的。
06:34
He liked to call himself "white trash."
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他喜歡稱自己為「白人中的垃圾。」
06:37
And so we had this opportunity
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所以我們有這個機會,
06:40
and we said,
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我們說,
06:41
what is it that we need to do?
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我們需要做什麼?
06:42
Given our ridiculously elaborate educations,
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我們接受了這難以置信的菁英教育,
06:45
what is the nature of our responsibility to the world?
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我們對這世界的責任的本質是什麼?
06:48
And we decided that we needed to start an organization.
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我們決定要組織一個機構。
06:52
It's called Partners in Health.
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它被稱為「健康夥伴」。
06:53
And by the way, there's a movie made about that.
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順便說一下, 這還被拍成了一部電影。
06:56
(Applause)
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(掌聲)
06:58
There's a movie that was just a brilliant movie
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他們製作了一部電影, 是一部很精彩的電影,
07:01
they made about it called "Bending the Arc."
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名字是「折轉那弧線。」 (Bending the Arc)
07:03
It launched at Sundance this past January.
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今年一月在日舞影展上映。
07:05
Jeff Skoll is here.
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傑夫.史柯爾在這。
07:06
Jeff is one of the ones who made it happen.
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他是這部電影能出現的功臣之一。
07:09
And we began to think about what it would take for us
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我們開始思考:我們要怎樣才能
07:14
to actually have our aspirations reach the level
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讓我們的期望能符合
07:18
of some of the poorest communities in the world.
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世界上的貧窮社會所要的期望。
07:20
This is my very first visit to Haiti in 1988,
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這是我 1988 年第一次訪問海地,
07:23
and in 1988, we elaborated a sort of mission statement,
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在 1988 年,我們闡述了一個宗旨:
07:29
which is we are going to make a preferential option for the poor
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在健康護理方面,
我們要優先為貧窮的人們著想。
07:33
in health.
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07:34
Now, it took us a long time, and we were graduate students in anthropology.
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我們在這上面花了很長時間, 並且我們是人類學博士。
07:37
We were reading up one side of Marx and down the other.
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我們一方面閱讀馬克思著作, 另一方面,也閲讀了
07:40
Habermas. Fernand Braudel.
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哈貝馬斯、費爾南.布勞岱爾。
07:42
We were reading everything
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我們當時讀了很多書,
07:44
and we had to come to a conclusion of how are we going to structure our work?
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並且我們對於如何組織我們的工作 這個問題得出了結論。
07:48
So "O for the P," we called it,
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我們把它稱之為,「O for the P」,
07:50
a preferential option for the poor.
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即:關愛貧窮為先。
07:53
The most important thing about a preferential option for the poor
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關於「愛貧為先」最重要的事情,
07:56
is what it's not.
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是這個理念「不代表」的東西。
07:58
It's not a preferential option for your own sense of heroism.
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它不是為了喚起 你自己的英雄主義感。
08:02
It's not a preferential option
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它也不是為了驗證
08:03
for your own idea about how to lift the poor out of poverty.
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你那自認為能幫助窮人脫貧的想法。
08:07
It's not a preferential option for your own organization.
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它也不是給你所在的組織帶來利益。
08:10
And the hardest of all,
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所有的一切中,最難的是,
08:12
it's not a preferential option for your poor.
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它所關照的, 不只是你所認為的窮人,
08:15
It's a preferential option for the poor.
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而是所有的窮人們。
08:18
So what do you do?
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所以你會怎麼做?
08:19
Well, Haiti, we started building --
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那麼從海地我們開始建設——
08:23
Everyone told us, the cost-effective thing
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每個人都告訴我們: 成本效益高的方案就是
08:25
is just focus on vaccination and maybe a feeding program.
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專注在接種疫苗或者供膳計劃上。
08:29
But what the Haitians wanted was a hospital.
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但海地人想要的,是醫院。
08:32
They wanted schools.
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他們想要學校。
08:34
They wanted to provide their children with the opportunities
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他們想提供機遇給他們的孩子,
08:36
that they'd been hearing about from others, relatives, for example,
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他們從別人那裡聽說的機遇, 例如來自親戚,
08:41
who had gone to the United States.
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以及去過美國的人。
08:42
They wanted the same kinds of opportunities as my parents did.
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他們想要機會, 如同我雙親享有的那樣。
08:47
I recognized them.
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我認可他們的想法。
08:49
And so that's what we did. We built hospitals.
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所以這就是我們所做的。 我們建立醫院,
08:52
We provided education.
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我們提供教育。
08:54
And we did everything we could to try to give them opportunities.
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我們盡了一切努力 試圖提供機會給他們。
08:57
Now, my experience really became intense
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有些經歷真的很令人難忘,
09:00
at Partners in Health in this community, Carabayllo,
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像「健康夥伴」在祕魯 利馬北部的貧民窟──
09:03
in the northern slums of Lima, Peru.
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卡拉瓦依略社區的行動。
09:08
And in this community,
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在這個社區裡,
09:09
we started out by really just going to people's homes and talking to people,
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我們開始僅僅只是 到人家的家裡和人交談,
09:12
and we discovered an outbreak, an epidemic of multidrug-resistant tuberculosis.
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我們發現了一場爆發的疫情, 極為嚴重的多重耐藥性結核病。
09:18
This is Melquiades.
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這是馬奎斯。
09:19
Melquiades was a patient at that time, he was about 18 years old,
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馬奎斯當時是患者之一, 他大約 18 歲,
09:24
and he had a very difficult form of drug-resistant tuberculosis.
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他患了一類非常難以醫治的 耐藥性結核病。
09:29
All of the gurus in the world, the global health gurus,
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世界上所有的專家,全球健康專家,
09:31
said it is not cost-effective to treat drug-resistant tuberculosis.
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都說治療耐藥性結核病 是不符合成本效益的。
09:36
It's too complicated. It's too expensive.
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它太複雜、太昂貴了。
09:38
You just can't do it. It can't be done.
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你真的做不到。沒辦法完成。
09:41
And in addition, they were getting angry at us,
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除此之外,他們對我們很生氣,
09:44
because the implication was
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因為這其中的隱藏含義是:
09:46
if it could be done, we would have done it.
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如果這可以做到, 我們早就把它解決了。
09:48
Who do you think you are?
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你以為自己有幾斤幾兩?
09:50
And the people that we fought with were the World Health Organization
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我們對抗的是世界衛生組織,
09:53
and probably the organization we fought with most
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我們絕大部分的抗爭對象
09:56
was the World Bank Group.
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是世界銀行集團。
09:58
Now, we did everything we could
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現在,我們竭盡全力
10:02
to convince Melquiades to take his medicines,
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說服馬奎斯按時服藥,
10:05
because it's really hard,
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因為這真的很困難,
10:06
and not once during the time of treatment did Melquiades's family ever say,
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在治療期間,馬奎斯的家人 曾經不只一次說過:
10:10
"Hey, you know, Melquiades is just not cost-effective.
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「嘿,你知道,治療馬奎斯 真的很不符合成本效益。
10:13
Why don't you go on and treat somebody else?"
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你為什麽不去治療其他人呢?」
10:15
(Laughter)
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(笑聲)
10:17
I hadn't seen Melquiades for about 10 years
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我差不多 10 年沒見馬奎斯了,
10:19
and when we had our annual meetings in Lima, Peru
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而在幾年前, 我們在秘魯利馬的年會上
10:22
a couple of years ago,
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終於有機會見面,
10:24
the filmmakers found him
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製片人找到了他,
10:26
and here is us getting together.
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這是我們聚在一起的樣子。
10:28
(Applause)
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(掌聲)
10:35
He has become a bit of a media star because he goes to the film openings,
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他儼然成為一個媒體明星, 因為他去了電影首映會,
10:38
and he knows how to work an audience now.
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他現在學會了如何取悅觀眾。
10:41
(Laughter)
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(笑聲)
10:43
But as soon as we won --
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但是,一旦我們贏了——
10:45
We did win. We won the argument.
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我們的確贏了。 我們在爭論中勝出了。
10:47
You should treat multidrug-resistant tuberculosis --
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你應該治療多重耐藥結核病——
10:49
we heard the same arguments in the early 2000s about HIV.
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在二十世紀初期,關於愛滋病, 我們也聽到同樣的論調:
10:53
All of the leading global health people in the world said
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世界上所有頂尖的醫療人員都說,
10:56
it is impossible to treat HIV in poor countries.
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在貧窮國家治療愛滋病是不可能的。
11:00
Too expensive, too complicated, you can't do it.
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太昂貴了、太複雜了,你做不到。
11:02
Compared to drug-resistant TB treatment,
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但是,與耐藥結核病的治療相比,
11:04
it's actually easier.
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它實際上更容易。
11:06
And we were seeing patients like this.
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我們看到像這樣的病人。
11:09
Joseph Jeune.
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約瑟夫 · 尚恩。
11:10
Joseph Jeune also never mentioned that he was not cost-effective.
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不用說,治療約瑟夫 · 尚恩 也不符合成本效益。
11:14
A few months of medicines, and this is what he looked like.
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幾個月的藥物治療之後, 這就是他的樣子。
11:17
(Applause)
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(掌聲)
11:19
We call that the Lazarus Effect of HIV treatment.
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我們把這稱之為 愛滋病治療的拉撒路效應。
11:21
Joseline came to us looking like this.
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約瑟琳來找我們時看起來像這樣。
11:24
This is what she looked like a few months later.
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這就是她幾個月後的樣子。
11:26
(Applause)
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(掌聲)
11:29
Now, our argument, our battle, we thought,
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我們認為,我們的爭論、 我們的對抗,
11:32
was with the organizations that kept saying it's not cost-effective.
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是針對那些不斷說著 「這不符合成本效益」的組織團體。
11:36
We were saying, no,
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我們表示:不是這樣的。
11:38
preferential option for the poor requires us to raise our aspirations
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「關愛貧窮為先」要求我們 激起我們的期望,
11:42
to meet those of the poor for themselves.
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去滿足貧困人們的期望。
11:44
And they said, well, that's a nice thought but it's just not cost-effective.
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他們說,那是一個很好的想法, 但它是不符合成本效益的。
11:47
So in the nerdy way that we have operated Partners in Health,
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所以,就像我們以一種學究的方式 運營「健康夥伴」一樣,
11:54
we wrote a book against, basically, the World Bank.
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我們寫了一本書來反對── 說穿了就是,世界銀行集團。
11:57
It says that because the World Bank
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書裡寫道,因為世界銀行集團
11:59
has focused so much on just economic growth
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已經花費如此多精力在經濟增長上,
12:03
and said that governments have to shrink their budgets
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並說政府不得不縮減預算,
12:07
and reduce expenditures in health, education and social welfare --
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減少在健康、教育 和社會福利方面的支出──
12:11
we thought that was fundamentally wrong.
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我們認為這是根本性的錯誤。
12:13
And we argued with the World Bank.
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我們為此和世界銀行爭論。
12:15
And then a crazy thing happened.
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然後發生了一件瘋狂的事情。
12:17
President Obama nominated me to be President of the World Bank.
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歐巴馬總統提名我 擔任世界銀行總裁。
12:20
(Applause)
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(掌聲)
12:26
Now, when I went to do the vetting process with President Obama's team,
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在與歐巴馬總統團隊的審查過程中,
12:31
they had a copy of "Dying For Growth," and they had read every page.
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他們拿著我們寫的「渴望增長」, 他們每一頁都讀過了。
12:35
And I said, "OK, that's it, right?
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我說:「好的,就這樣,對吧?
12:36
You guys are going to drop me?"
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你們會剔除我,對吧?」
12:38
He goes, "Oh, no, no, it's OK."
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他說:「哦,不、不、沒關係。」
12:40
And I was nominated,
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而且我被提名,
12:42
and I walked through the door of the World Bank Group in July of 2012,
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我在 2012 年 7 月, 走進世界銀行集團的門,
12:46
and that statement on the wall, "Our dream is a world free of poverty."
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牆上還有聲明:「我們的夢想 是一個沒有貧困的世界。」
12:50
A few months after that, we actually turned it into a goal:
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幾個月後,我們真的把它 當成了一個目標:
12:53
end extreme poverty by 2030,
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2030 年前結束極端貧困,
12:55
boost shared prosperity.
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促進共同繁榮。
12:57
That's what we do now at the World Bank Group.
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這就是我們現在在世界銀行所做的。
12:59
I feel like I have brought the preferential option for the poor
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我覺得我已經把 「關愛貧窮為先」理念
13:03
to the World Bank Group.
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帶到了世界銀行集團。
13:04
(Applause)
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(掌聲)
13:10
But this is TED,
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但這是 TED 講臺,
13:11
and so I want to share with you some concerns,
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所以我想和你們 分享一些共同關注的問題,
13:14
and then make a proposal.
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然後提出建議。
13:16
The Fourth Industrial Revolution,
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第四次工業革命,
13:18
now, you guys know so much better than I do,
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現在,在座各位比我厲害的人很多,
但這是讓我覺得急需關切的事。
13:20
but here's the thing that concerns me.
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當我們聽到失業,大家都聽說過。
13:22
What we hear about is job loss. You've all heard that.
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我們的數據向我們指出, 三分之二的工作崗位,
13:25
Our own data suggest to us that two thirds of all jobs,
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13:27
currently existing jobs in developing countries,
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目前在發展中國家現有的工作崗位,
13:29
will be lost because of automation.
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將會因為自動化而消失。
13:31
Now, you've got to make up for those jobs.
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你必須填補這些消失的工作。
13:33
Now, one of the ways to make up for those jobs
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有一個方法能彌補這些消失的工作,
13:36
is to turn community health workers into a formal labor force.
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就是讓社區衛生工作者 成為正式的勞動力。
13:39
That's what we want to do.
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這就是我們想要做的。
13:41
(Applause)
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(掌聲)
13:42
We think the numbers will work out,
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我們認為這方法會有效,
13:44
that as health outcomes get better and as people have formal work,
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隨著健康結果越來越好, 隨著人們有正式工作,
13:48
we're going to be able to train them
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我們將能夠利用 你加入的軟技能訓練方法
13:50
with the soft-skills training that you add to it
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來訓練他們,
13:52
to become workers that will have a huge impact,
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讓他們成為能產生巨大 影響的工作者,
13:56
and that may be the one area that grows the most.
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這可能是一個發展最快的領域。
13:59
But here's the other thing that bothers me:
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但這裡還有另一件事困擾我:
14:02
right now it seems pretty clear to me that the jobs of the future
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現在對我來說,這一點似乎 再清楚不過:未來的工作方向,
14:05
will be more digitally demanding,
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將會更加高科技數位化,
14:07
and there is a crisis in childhood stunting.
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但在有些地方, 面臨著兒童發育不良的危機。
14:11
So these are photos from Charles Nelson, who shared these with us
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與我們分享這些照片的 是查爾斯.納爾遜,
14:15
from Harvard Medical School.
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來自哈佛醫學院。
14:16
And what these photos show on the one side, on the left side,
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這些照片所展示的是,在左邊,
14:21
is a three-month-old who has been stunted:
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是一個三個月大、發育不良的嬰兒:
14:26
not adequate nutrition, not adequate stimulation.
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營養不足,沒有足夠的生理刺激。
14:28
And on the other side, of course, is a normal child,
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在另一邊,是一個正常的孩子,
14:31
and the normal child has all of these neuronal connections.
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正常的孩子具有 所有這些神經元連接。
14:34
Now, the neuronal connections are important,
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神經元的連接很重要,
14:36
because that is the definition of human capital.
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因為那就是人力資本的定義。
14:39
Now, we know that we can reduce these rates.
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現在,我們知道我們 可以降低這些機率。
14:43
We can reduce these rates of childhood stunting quickly,
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我們可以很快地減少 世界上兒童發育不良的機率,
14:47
but if we don't, India, for example, with 38 percent childhood stunting,
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如果我們不行動,舉印度為例, 38% 的兒童發育遲緩,
14:51
how are they going to compete in the economy of the future
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他們在未來的經濟社會中 要怎樣去同別人競爭?
14:54
if 40 percent of their future workers cannot achieve educationally
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有四成不能在教育上取得成功,
15:00
and certainly we worry about achieving economically
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我們當然也擔心 他們不能在經濟上取得成功,
15:03
in a way that will help the country as a whole grow.
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那麼這些人並不能 幫助國家實現整體的發展。
15:07
Now, what are we going to do?
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但現在,我們要做什麼?
15:10
78 trillion dollars is the size of the global economy.
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全球經濟的規模達到了 78 兆美元。
15:14
8.55 trillion dollars are sitting in negative interest rate bonds.
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8.55 兆美元是投資在負利率債券。
15:18
That means that you give the German central bank your money
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這意味著,你往德國中央銀行存錢,
15:22
and then you pay them to keep your money.
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然後你付錢給他們 讓他們來保管你的錢。
15:25
That's a negative interest rate bond.
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這就是負利率債券。
15:26
24.4 trillion dollars in very low-earning government bonds.
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24.4 兆美元投資在 獲利極低的政府債券。
15:30
And 8 trillion literally sitting in the hands of rich people
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8 兆元握在富人手中,
15:35
under their very large mattresses.
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藏在他們非常大的床墊下。
15:37
What we are trying to do is now use our own tools --
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我們正在努力做的, 是用我們自己的工具——
15:41
and just to get nerdy for a second,
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現在再讓我做個學究,就幾秒──
15:43
we're talking about first-loss risk debt instruments,
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我們在說第一損失風險債務工具,
15:46
we're talking about derisking, blended finance,
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我們在說去風險化、公益金融,
15:48
we're talking about political risk insurance,
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我們在說政治風險保險,
15:51
credit enhancement --
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信用增強——
15:52
all these things that I've now learned at the World Bank Group
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這些是我在世界銀行學到的東西,
15:55
that rich people use every single day to make themselves richer,
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而富人每天都在 用這些使自己更富有,
15:59
but we haven't used aggressively enough on behalf of the poor
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但我們還沒有完全積極地 為貧困的人們著想,
16:03
to bring this capital in.
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把這個資本帶給他們。
16:04
(Applause)
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(掌聲)
16:12
So does this work?
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那麼這個怎樣運作呢?
16:14
Can you actually bring private-sector players into a country
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你真的可以讓一家 私營企業進入一個國家,
16:19
and really make things work?
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真的把事情做成嗎?
16:20
Well, we've done it a couple of times.
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嗯,我們已經有好幾次經驗了。
16:22
This is Zambia, Scaling Solar.
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這是尚比亞太陽能專案 「Scaling Solar」。
16:24
It's a box-set solution from the World Bank
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這是來自世界銀行的一個完整方案。
16:26
where we come in and we do all the things you need
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我們參與進來, 把所有你頭疼的問題都解決了,
16:29
to attract private-sector investors.
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來吸引私營部門投資者。
16:31
And in this case, Zambia went from having a cost of electricity
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在這種情況下, 尚比亞地區電力的成本,
16:35
at 25 cents a kilowatt-hour,
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開始是每度 25 美分,
16:38
and by just doing simple things, doing the auction,
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而通過做些小事,例如做拍賣,
16:42
changing some policies,
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改變一些政策,
16:43
we were able to bring the cost down.
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我們就能夠降低成本。
16:46
Lowest bid,
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在尚比亞,最低的標
16:47
25 cents a kilowatt-hour for Zambia?
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還是每度 25 美分嗎?
16:50
The lowest bid was 4.7 cents a kilowatt-hour. It's possible.
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不,最低標為每度 4.7 美分。 這是可能的。
16:54
(Applause)
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(掌聲)
16:56
But here's my proposal for you.
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但還是聽聽我的建議。
16:58
This is from a group called Zipline,
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這是來自一個叫 Zipline (飛索)的小組,
17:00
a cool company, and they literally are rocket scientists.
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一個很酷的公司, 他們其實是火箭科學家。
17:03
They figured out how to use drones in Rwanda.
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他們探究明白了如何在 盧安達使用無人遙控飛機。
17:05
This is me launching a drone in Rwanda
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這是我在盧安達發射一架無人機,
17:08
that delivers blood anywhere in the country
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它能在不到一個小時內,
去國內的任何地方遞送血液。
17:11
in less than an hour.
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17:12
So we save lives,
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所以我們拯救了生命,
17:14
this program saved lives --
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這個計畫拯救了生命──
17:15
(Applause)
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(掌聲)
17:16
This program made money for Zipline
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這個計畫為「飛索」賺了錢,
17:18
and this program saved huge amounts of money for Rwanda.
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這個計畫也省了 盧安達了大筆的金錢。
17:22
That's what we need, and we need that from all of you.
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這就是我們需要的, 我們需要與你們所有人的合作。
17:25
I'm asking you, carve out a little bit of time in your brains
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我想請你,用一點時間思考一下,
17:28
to think about the technology that you work on,
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思考你正在從事的技術,
17:31
the companies that you start, the design that you do.
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你開的公司,你做的設計。
17:34
Think a little bit and work with us
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想一下,和我們合作,
17:36
to see if we can come up with these kinds of extraordinary win-win solutions.
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看看我們能否提出這些 非凡的雙贏解決方案。
17:41
I'm going to leave you with one final story.
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我要告訴你最後一個故事。
17:44
I was in Tanzania, and I was in a classroom.
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我在坦尚尼亞的一間教室裡,
17:47
This is me with a classroom of 11-year-olds.
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這是我和一群 11 歲的孩子們 在教室裡的樣子。
17:51
And I asked them, as I always do,
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我像往常一樣問他們,
17:52
"What do you want to be when you grow up?"
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你長大後想成為什麼?
17:55
Two raised their hands and said,
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兩個孩子舉手說:
17:56
"I want to be President of the World Bank."
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2016
「我想當世界銀行的總裁。」
17:58
(Laughter)
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(笑聲)
18:00
And just like you, my own team and their teachers laughed.
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就像你們一樣,我自己的團隊、 他們的老師都笑了起來。
18:04
But then I stopped them.
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但是我阻止了他們。
18:05
I said, "Look, I want to tell you a story.
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我說:「看,我想告訴你一個故事。
18:08
When I was born in South Korea, this is what it looked like.
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當我在南韓出生時,這是它的樣子。
18:13
This is where I came from.
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我來自這兒。
18:15
And when I was three years old,
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當我三歲的時候,
18:18
in preschool,
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在幼兒園,
18:20
I don't think that George David Woods, the President of the World Bank,
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我認為喬治 · 戴維 · 伍茲, 當時的世界銀行總裁,
18:23
if he had visited Korea on that day and come to my classroom,
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如果他當天訪問韓國, 來到我的教室,
18:27
that he would have thought
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他絶不會想到,
18:28
that the future President of the World Bank
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2016
未來的世界銀行的總裁,
18:30
was sitting in that classroom.
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就坐在那個教室裡。
18:32
Don't let anyone ever tell you
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不要讓任何人告訴你,
18:34
that you cannot be President of the World Bank."
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你做不了世界銀行的總裁。」
18:37
Now -- thank you.
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現在──謝謝大家。
18:38
(Applause)
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(掌聲)
18:39
Let me leave you with one thought.
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讓我送給大家一個想法。
18:42
I came from a country that was the poorest in the world.
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我出生的國家, 曾經是世界上最貧窮的國家。
18:44
I'm President of the World Bank.
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現在,我是世界銀行總裁。
18:46
I cannot and I will not pull up the ladder behind me.
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我不能、也絶不會過河拆橋、 讓貧苦的孩子無法實現夢想。
18:49
This is urgent.
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現在情況很緊急。
18:51
Aspirations are going up.
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期望正在被激發著。
18:52
Everywhere aspirations are going up.
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夢想正在被點亮,無處不在。
18:54
You folks in this room, work with us.
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在座的各位,和我們一起工作吧。
18:57
We know that we can find those Zipline-type solutions
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我們知道我們可以找到更多 像「飛索」這樣的解決方案,
19:01
and help the poor leapfrog into a better world,
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並幫助窮人大幅跨越, 進入一個更美好的世界。
19:04
but it won't happen until we work together.
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但只有我們團結一致,才可能成功。
19:08
The future "you" -- and especially for your children --
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未來的「你們」── 尤其是為了你們的孩子──
19:10
the future you
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未來的你們
19:12
will depend on how much care and compassion we bring
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將取決於我們給予了 多少關懷及同情心,
19:15
to ensuring that the future "us" provides equality of opportunity
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以確保未來的「我們」 能為世界上的每一個孩子
19:20
for every child in the world.
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提供平等的機會。
19:21
Thank you very much.
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非常感謝各位。
19:22
(Applause)
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(掌聲)
19:24
Thank you. Thank you. Thank you.
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謝謝、謝謝、謝謝。
19:27
(Applause)
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(掌聲)
19:32
Chris Anderson: You'd almost think
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克里斯·安德森:「你似乎在想,
19:34
people are surprised to hear a talk like this
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聽到來自世界銀行總裁這樣的演講,
19:36
from the President of the World Bank.
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人們會很驚訝。
19:38
It's kind of cool.
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這很酷。
19:39
I'd encourage you to even be a little more specific on your proposal.
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我鼓勵你讓你的建議 聽起來更加具體一些。
19:43
There's many investors, entrepreneurs in this room.
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在這個房間裡, 有很多投資者與企業家。
你將如何與他們合作? 你的建議是甚麼?
19:47
How will you partner with them? What's your proposal?
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金墉:我可以再學究一下嗎? 就一秒鐘。
19:50
Jim Yong Kim: Can I get nerdy for just a second.
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克:學究一下。當然的。 金:所以這是我們所做的。
19:52
CA: Get nerdy. Absolutely. JYK: So here's what we did.
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舉個例子,保險公司從來不投資在 發展中國家的基礎設施,
19:54
Insurance companies never invest in developing country infrastructure,
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因為不能承擔風險。
19:58
for example, because they can't take the risk.
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他們拿著支付保險費用人的錢。
20:00
They're holding money for people who pay for insurance.
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所以我們所做的就是,
20:03
So what we did was a Swedish International Development Association
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一家瑞典國際開發協會 給了我們一點點錢,
20:06
gave us a little bit of money,
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20:07
we went out and raised a little bit more money, a hundred million,
425
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3136
我們出去並籌集到了 更多一點的錢,一億美元,
我們實行了第一損失, 意思是說如果這件事情沒有成功,
20:10
and we took first loss, meaning if this thing goes bad,
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我們只需吃下 10% 的損失,
20:13
10 percent of the loss we'll just eat,
427
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1856
20:15
and the rest of you will be safe.
428
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1776
其他部分都會是安全的。
20:17
And that created a 90-percent chunk, tranche
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3736
這樣創造了一個占總量 90% 的資金塊、份額,
20:21
that was triple B, investment-grade, so the insurance companies invested.
430
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3456
達到了 3B 的投資級別, 所以保險公司可以進行投資。
20:24
So for us, what we're doing is taking our public money
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對我們來說,我們在做的就是 拿出我們的公共資金
20:29
and using it to derisk specific instruments
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3536
並使用它來降低特定的 金融工具的風險,
20:32
to bring people in from the outside.
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讓人們從外界加入進來。
所以你們這些 坐擁數萬億美元現金的人,
20:34
So all of you who are sitting on trillions of dollars of cash,
434
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2936
20:37
come to us. Right?
435
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加入我們,好嗎?
20:38
(Laughter)
436
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(笑聲)
20:39
CA: And what you're specifically looking for are investment proposals
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3256
克里斯:你專門在尋找的,
是關於在發展中國家 創造就業機會的投資建議。
20:42
that create employment in the developing world.
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20:45
JYK: Absolutely. Absolutely.
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1376
金墉:當然的,絕對是這樣。
20:46
So these will be, for example, in infrastructure that brings energy,
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3736
所以舉一個例,這些將會 進入基礎設施中,為我們帶來能源,
20:50
builds roads, bridges, ports.
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建設道路、橋樑、港口等。
20:52
These kinds of things are necessary to create jobs,
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2736
這些東西是創造就業機會所必需的,
20:55
but also what we're saying is
443
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而我們說的也是:
20:57
you may think that the technology you're working on
444
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你可能會認為 你正在從事的這項技術,
21:00
or the business that you're working on
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1856
或者你正在開展的業務,
21:02
may not have applications in the developing world,
446
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在發展中國家中可能沒有用途,
21:05
but look at Zipline.
447
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但看看飛索這個例子。
21:06
And that Zipline thing didn't happen
448
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2016
而飛索的成功,
21:08
just because of the quality of the technology.
449
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2176
不只是因為技術卓越,
21:10
It was because they engaged with the Rwandans early
450
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也是因為他們很早與盧安達人 建立了密切的關係,
21:14
and used artificial intelligence --
451
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1856
並使用了人工智慧──
21:16
one thing, Rwanda has great broadband --
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這值得一提, 盧安達有很好的寬頻網路──
21:18
but these things fly completely on their own.
453
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這些無人機能完全自主飛行。
21:21
So we will help you do that. We will make the introductions.
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所以我們會幫助你做到這樣的事。 我們會幫忙做介紹。
21:24
We will even provide financing. We will help you do that.
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我們甚至會提供融資。 我們會幫助你。
克里斯:世界銀行願意部屬多少資本
21:27
CA: How much capital is the World Bank willing to deploy
456
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來支持這些行動?
21:30
to back those kinds of efforts?
457
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1536
21:31
JYK: Chris, you're always getting me to try to do something like this.
458
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3296
金墉:克里斯, 你總是讓我好難做人。
克里斯:我就是來找碴的。 金墉:所以這是我們要做的。
21:34
CA: I'm trying to get you in trouble. JYK: So here's what we're going to do.
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3576
我們現在每年投資給 貧窮國家 250 億美元,
21:38
We have 25 billion a year that we're investing in poor countries,
460
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4736
21:43
the poorest countries.
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1216
是那些最貧窮的國家。
21:44
And as we invest over the next three years,
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2056
當我們在未來三年裡投資,
21:46
25 billion a year,
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一年 250 億美元,
21:48
we have got to think with you
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1856
我們必須和你一起思考,
21:49
about how to use that money more effectively.
465
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如何更有效地使用這筆錢。
21:52
So I can't give you a specific number. It depends on the quality of the ideas.
466
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所以我不能給你一個具體的數字。 它取決於各個方案的品質。
21:55
So bring us your ideas,
467
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所以給我們你的方案,
21:57
and I don't think that financing is going to be the problem.
468
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我不認為融資會是問題。
22:03
CA: All right, you heard it from the man himself.
469
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2336
克里斯:好的, 我們都聽到他說的了。
22:05
Jim, thanks so much. JYK: Thank you. Thank you.
470
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2216
吉姆,非常感謝。
金墉:謝謝、謝謝。
22:07
(Applause)
471
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3400
(掌聲)
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