ABOUT THE SPEAKER
Melinda Gates - Philanthropist
Melinda French Gates is co-chair of the Bill & Melinda Gates Foundation, where she puts into practice the idea that every life has equal value.

Why you should listen

The Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. As co-chair, Melinda French Gates helps shape and approve strategies, review results, advocate for foundation issues and set the overall direction. In developing countries, the foundation focuses on improving people's health with vaccines and other life-saving tools and giving them a chance to lift themselves out of hunger and extreme poverty. In the United States, it seeks to dramatically improve education so that all young people have the opportunity to reach their full potential. Based in Seattle, Washington, the foundation is led by CEO Jeff Raikes and co-chair William H. Gates Sr., under the direction of Bill Gates, Melinda Gates and Warren Buffett.

In recent years, Melinda French Gates has become a vocal advocate for access to contraception, advancing the idea that empowering women to decide whether and when to have children can have transformational effects on societies. In 2012, Gates spearheaded the London Summit on Family Planning, with the goal of delivering contraceptives to 120 million women in developing countries by 2020. When asked why she got involved in this issue, Gates said, "We knew that 210 million women were saying they wanted access to the contraceptives we have here in the United States and we weren't providing them because of political controversy in our country. To me, that was just a crime. I kept looking around trying to find the person to get this back on the global stage. I realized I just had to do it."

 

More profile about the speaker
Melinda Gates | Speaker | TED.com
TEDxChange

Melinda Gates: Let's put birth control back on the agenda

멜린다 게이츠:

Filmed:
1,260,206 views

Contraception. The topic has become controversial in recent years. But should it be? Melinda Gates believes that many of the world's social change issues depend on ensuring that women are able to control their rate of having kids. In this significant talk, she makes the case for the world to re-examine an issue she intends to lend her voice to for the next decade. (Filmed at TEDxChange.)
- Philanthropist
Melinda French Gates is co-chair of the Bill & Melinda Gates Foundation, where she puts into practice the idea that every life has equal value. Full bio

Double-click the English transcript below to play the video.

00:04
Today오늘, I'd like to talk with you
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오늘 여러분께
00:05
about something that should be
a totally전적으로 uncontroversial논쟁의 여지가없는 topic이야기.
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전혀 논란이 되지 않아야할 주제에 대해 이야기하고 싶습니다.
00:11
But, unfortunately운수 나쁘게,
it's become지다 incredibly엄청나게 controversial논쟁의 여지가있는.
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그런데 안타깝게도 매우 논란이 되고 있습니다.
00:17
This year, if you think about it,
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올해에
00:19
over a billion십억 couples커플
will have sex섹스 with one another다른.
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00:23
Couples커플 like this one,
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이러한 부부와
00:26
and this one,
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이런 부부,
00:27
and this one,
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그리고 이런 부부,
00:29
and, yes,
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네 그렇습니다.
00:31
even this one.
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심지어 이 부부도요.
00:32
(Laughter웃음)
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(웃음)
00:34
And my idea생각 is this --
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제 생각은 이렇습니다.
00:36
all these men남자 and women여자들
should be free비어 있는 to decide결정하다
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이 모든 남성과 여성들은
00:41
whether인지 어떤지 they do or do not
want to conceive배다 a child어린이.
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임신에 대해 결정할 자유가 있어야 합니다.
00:45
And they should be able할 수 있는 to use
one of these birth출생 control제어 methods행동 양식
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그렇게 할 수 있도록 피임법을 사용할 수 있어야 합니다.
00:49
to act행위 on their그들의 decision결정.
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.
00:53
Now, I think you'd당신은 have a hard단단한 time
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이런 생각에 반대할 사람들을
00:55
finding발견 many많은 people
who disagree동의하지 않는다 with this idea생각.
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거의 찾기 어려울 거라고 생각하는데요.
01:00
Over one billion십억 people use birth출생 control제어
without없이 any hesitation주저 at all.
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10억명이 넘은 사람들이 전혀
거리낌없이 피임법을 사용합니다.
01:07
They want the power
to plan계획 their그들의 own개인적인 lives
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그들은 스스로의 삶을 계획하고
01:11
and to raise증가 healthier더 건강한, better educated교육받은
and more prosperous번영하는 families가족들.
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건강하고 교양있으며 보다 풍요로운
가족을 이룰 권리를 원합니다.
01:18
But, for an idea생각 that is
so broadly대체로 accepted받아 들인 in private은밀한,
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01:24
birth출생 control제어 certainly확실히 generates생성하다
a lot of opposition반대 in public공공의.
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01:29
Some people think
when we talk about contraception피임
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01:32
that it's code암호 for abortion유산,
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01:35
which어느 it's not.
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01:36
Some people -- let's be honest정직한 --
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01:39
they're uncomfortable앉기 불편한 with the topic이야기
because it's about sex섹스.
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01:43
Some people worry걱정
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01:45
that the real레알 goal of family가족 planning계획
is to control제어 populations인구.
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01:50
These are all side측면 issues문제
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01:54
that have attached붙여진 themselves그들 자신
to this core핵심 idea생각 that men남자 and women여자들
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02:00
should be able할 수 있는 to decide결정하다
when they want to have a child어린이.
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02:05
And as a result결과, birth출생 control제어 has
almost거의 completely완전히 and totally전적으로 disappeared사라진
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02:11
from the global글로벌 health건강 agenda비망록.
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02:14
The victims피해자 of this paralysis마비
are the people of sub-Saharan사하라 사막 이남의 Africa아프리카
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02:20
and South남쪽 Asia아시아.
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02:23
Here in Germany독일, the proportion비율 of people
that use contraception피임
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02:27
is about 66 percent퍼센트.
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02:29
That's about what you'd당신은 expect배고 있다.
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02:31
In El엘자 Salvador살바도르, very similar비슷한, 66 percent퍼센트.
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02:35
Thailand태국, 64 percent퍼센트.
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02:39
But let's compare비교 that to other places장소들,
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02:41
like Uttar우타르 Pradesh프라 데쉬,
one of the largest가장 큰 states in India인도.
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02:45
In fact, if Uttar우타르 Pradesh프라 데쉬
was its own개인적인 country국가,
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02:49
it would be the fifth다섯 largest가장 큰
country국가 in the world세계.
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02:53
Their그들의 contraception피임 rate -- 29 percent퍼센트.
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02:58
Nigeria나이지리아, the most가장 populous인구가 많은
country국가 in Africa아프리카, 10 percent퍼센트.
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03:04
Chad차드, 2 percent퍼센트.
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03:09
Let's just take one country국가
in Africa아프리카, Senegal세네갈.
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03:12
Their그들의 rate is about 12 percent퍼센트.
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03:14
But why is it so low낮은?
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03:17
One reason이유 is that the most가장 popular인기 있는
contraceptives피임약 are rarely드물게 available유효한.
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03:23
Women여자들 in Africa아프리카 will tell you
over and over again
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03:26
that what they prefer취하다 today오늘
is an injectable주사 가능한.
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03:29
They get it in their그들의 arm --
and they go about four times타임스 a year,
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03:33
they have to get it every...마다 three months개월 --
to get their그들의 injection주입.
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03:36
The reason이유 women여자들 like it so much in Africa아프리카
is they can hide숨는 장소 it from their그들의 husbands남편,
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03:42
who sometimes때때로 want a lot of children어린이.
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03:45
The problem문제 is every...마다 other time
a woman여자 goes간다 into a clinic진료소 in Senegal세네갈,
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that injection주입 is stocked재고가있는 out.
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03:53
It's stocked재고가있는 out 150 days out of the year.
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03:58
So can you imagine상상하다 the situation상태 --
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04:00
she walks걷다 all this way
to go get her injection주입.
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04:03
She leaves이파리 her field,
sometimes때때로 leaves이파리 her children어린이,
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04:06
and it's not there.
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04:07
And she doesn't know
when it's going to be available유효한 again.
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04:11
This is the same같은 story이야기
across건너서 the continent대륙 of Africa아프리카 today오늘.
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04:16
And so what we've우리는 created만들어진 as a world세계
has become지다 a life-and-death삶과 죽음 crisis위기.
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04:21
There are 100,000 women여자들 [per year]
who say they don't want to be pregnant충만한
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04:27
and they die주사위 in childbirth출산 --
100,000 women여자들 a year.
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04:32
There are another다른 600,000 women여자들 [per year]
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04:34
who say they didn't want to be pregnant충만한
in the first place장소,
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04:37
and they give birth출생 to a baby아가
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04:39
and her baby아가 dies죽다
in that first month of life.
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04:43
I know everyone각자 모두 wants to save구하다
these mothers어머니 and these children어린이.
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04:50
But somewhere어딘가에 along...을 따라서 the way,
we got confused혼란스러워하는 by our own개인적인 conversation대화.
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04:56
And we stopped멈춘 trying견딜 수 없는 to save구하다 these lives.
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05:01
So if we're going to make
progress진행 on this issue발행물,
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05:04
we have to be really clear명확한
about what our agenda비망록 is.
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05:08
We're not talking말하는 about abortion유산.
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05:11
We're not talking말하는
about population인구 control제어.
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05:14
What I'm talking말하는 about is giving주는 women여자들
the power to save구하다 their그들의 lives,
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05:21
to save구하다 their그들의 children's아이들의 lives
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05:23
and to give their그들의 families가족들
the best베스트 possible가능한 future미래.
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05:28
Now, as a world세계,
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there are lots of things we have to do
in the global글로벌 health건강 community커뮤니티
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if we want to make the world세계
better in the future미래 --
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things like fight싸움 diseases질병.
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05:38
So many많은 children어린이 today오늘 die주사위 of diarrhea설사,
as you heard들었던 earlier일찍이, and pneumonia폐렴.
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05:42
They kill죽이다 literally말 그대로
millions수백만 of children어린이 a year.
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05:45
We also또한 need to help small작은 farmers농부 --
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05:47
farmers농부 who plow쟁기
small작은 plots플롯 of land in Africa아프리카 --
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so that they can grow자라다 enough충분히 food식품
to feed먹이 their그들의 children어린이.
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05:54
And we have to make sure that
children어린이 are educated교육받은 around the world세계.
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05:59
But one of the simplest가장 단순한
and most가장 transformative변형 적 things we can do
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is to give everybody각자 모두 access접속하다
to birth출생 control제어 methods행동 양식
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06:08
that almost거의 all Germans독일인 have access접속하다 to
and all Americans미국인, at some point포인트,
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06:13
they use these tools도구들 during...동안 their그들의 life.
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06:17
And I think as long as we're really clear명확한
about what our agenda비망록 is,
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there's a global글로벌 movement운동
waiting기다리는 to happen우연히 있다
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06:25
and ready준비된 to get behind뒤에
this totally전적으로 uncontroversial논쟁의 여지가없는 idea생각.
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06:32
When I grew자랐다 up,
I grew자랐다 up in a Catholic구교도 home.
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I still consider중히 여기다 myself자기
a practicing연습하는 Catholic구교도.
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My mom's엄마의 great-uncle위대한 삼촌 was a Jesuit예수회 priest성직자.
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06:43
My great-aunt큰 이모 was a Dominican도미니카 공화국 사람 nun수녀.
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06:46
She was a schoolteacher교원
and a principal주요한 her entire완전한 life.
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06:50
In fact, she's the one who taught가르쳤다 me
as a young어린 girl소녀 how to read독서.
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06:55
I was very close닫기 to her.
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06:57
And I went갔다 to Catholic구교도 schools학교
for my entire완전한 childhood어린 시절
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07:00
until...까지 I left home to go to university대학.
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07:03
In my high높은 school학교, Ursuline우르술 Academy학원,
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the nuns수녀 made만든 service서비스 and social사회적인 justice정의
a high높은 priority우선 순위 in the school학교.
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07:14
Today오늘, in the [Gates게이츠] Foundation's재단 work,
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07:16
I believe I'm applying신청 the lessons수업
that I learned배운 in high높은 school학교.
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07:22
So, in the tradition전통 of Catholic구교도 scholars학자,
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07:25
the nuns수녀 also또한 taught가르쳤다 us
to question문제 received받은 teachings가르침.
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07:31
And one of the teachings가르침 that we girls여자애들
and my peers동료 questioned의문을 가진
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07:36
was is birth출생 control제어 really a sin?
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07:41
Because I think one of the reasons원인
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07:43
we have this huge거대한 discomfort불쾌
talking말하는 about contraception피임
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07:47
is this lingering오래 끄는 concern관심사
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that if we separate갈라진 sex섹스 from reproduction생식,
we're going to promote승진시키다 promiscuity뒤범벅.
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07:55
And I think that's a reasonable합리적인 question문제
to be asked물었다 about contraception피임 --
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07:59
what is its impact충격 on sexual성적 morality도덕?
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08:05
But, like most가장 women여자들,
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my decision결정 about birth출생 control제어
had nothing to do with promiscuity뒤범벅.
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08:11
I had a plan계획 for my future미래.
I wanted to go to college칼리지.
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08:15
I studied공부 한 really hard단단한 in college칼리지,
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08:17
and I was proud교만한 to be one of the very few조금
female여자 computer컴퓨터 science과학 graduates졸업생
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08:22
at my university대학.
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08:24
I wanted to have a career직업,
so I went갔다 on to business사업 school학교
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08:27
and I became되었다 one of the youngest최연소자
female여자 executives경영진 at Microsoft마이크로 소프트.
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08:33
I still remember생각해 내다, though그래도,
when I left my parents'부모님' home
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to move움직임 across건너서 the country국가
to start스타트 this new새로운 job at Microsoft마이크로 소프트.
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08:40
They had sacrificed희생 된 a lot
to give me five다섯 years연령 of higher더 높은 education교육.
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08:46
But they said, as I left home --
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08:47
and I literally말 그대로 went갔다 down the front steps걸음,
down the porch현관 at home --
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08:51
and they said,
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"Even though그래도 you've had
this great education교육,
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08:55
if you decide결정하다 to get married기혼
and have kids아이들 right away,
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that's OK by us, too."
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09:03
They wanted me to do the thing
that would make me the very happiest가장 행복한.
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09:08
I was free비어 있는 to decide결정하다 what that would be.
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09:11
It was an amazing놀랄 만한 feeling감각.
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09:14
In fact, I did want to have kids아이들 --
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09:18
but I wanted to have them
when I was ready준비된.
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09:22
And so now, Bill계산서 and I have three.
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And when our eldest가장 나이 많은 daughter was born타고난,
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we weren't하지 않았다, I would say,
exactly정확하게 sure how to be great parents부모님.
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Maybe some of you know that feeling감각.
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And so we waited기다린 a little while
before we had our second둘째 child어린이.
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And it's no accident사고
that we have three children어린이
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that are spaced이격 된 three years연령 apart떨어져서.
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Now, as a mother어머니, what do I want
the very most가장 for my children어린이?
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I want them to feel the way I did --
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like they can do anything
they want to do in life.
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And so, what has struck쳤다 me
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as I've travelled여행 한 the last decade로사리오 염주
for the foundation기초 around the world세계
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is that all women여자들 want that same같은 thing.
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Last year, I was in Nairobi나이로비, in the slums빈민굴,
in one called전화 한 Korogocho코로 고쵸 --
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which어느 literally말 그대로 means방법 when translated번역 된,
"standing서 있는 shoulder어깨 to shoulder어깨."
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And I spoke with this women's여자 group그룹
that's pictured그려진 here.
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And the women여자들 talked말한 very openly공공연히
about their그들의 family가족 life in the slums빈민굴,
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what it was like.
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And they talked말한 quite아주 intimately친밀하게
about what they did for birth출생 control제어.
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Marianne마리안, in the center센터 of the screen화면
in the red빨간 sweater스웨터,
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she summed합계 된 up that entire완전한
two-hour2 시간 conversation대화
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in a phrase that I will never forget잊다.
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She said, "I want to bring가져오다
every...마다 good thing to this child어린이
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before I have another다른."
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And I thought -- that's it.
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That's universal만능인.
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We all want to bring가져오다
every...마다 good thing to our children어린이.
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But what's not universal만능인 is our ability능력
to provide~을 제공하다 every...마다 good thing.
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So many많은 women여자들 suffer참다
from domestic하인 violence폭력.
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And they can't even
broach꼬챙이 the subject제목 of contraception피임,
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11:15
even inside내부 their그들의 own개인적인 marriage결혼.
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There are many많은 women여자들
who lack결핍 basic기본 education교육.
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Even many많은 of the women여자들
who do have knowledge지식 and do have power
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don't have access접속하다 to contraceptives피임약.
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For 250 years연령, parents부모님 around the world세계
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have been deciding결정
to have smaller더 작은 families가족들.
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This trend경향 has been steady확고한
for a quarter쿼터 of a millennium천년기,
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across건너서 cultures문화 and across건너서 geographies지리학,
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with the glaring현란한 exception예외
of sub-Saharan사하라 사막 이남의 Africa아프리카 and South남쪽 Asia아시아.
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The French프랑스 국민 started시작한 bringing데려 오는 down
their그들의 family가족 size크기 in the mid-중간 -1700s.
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And over the next다음 것 150 years연령,
this trend경향 spread전파 all across건너서 Europe유럽.
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The surprising놀라운 thing to me,
as I learned배운 this history역사,
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was that it spread전파 not along...을 따라서 socioeconomic사회 경제적 인
lines윤곽 but around cultural문화적 lines윤곽.
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People who spoke the same같은 language언어
made만든 that change변화 as a group그룹.
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They made만든 the same같은 choice선택
for their그들의 family가족,
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whether인지 어떤지 they were rich풍부한
or whether인지 어떤지 they were poor가난한.
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12:26
The reason이유 that trend경향
toward...쪽으로 smaller더 작은 families가족들 spread전파
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was that this whole완전한 way
was driven주행하는 by an idea생각 --
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12:33
the idea생각 that couples커플
can exercise운동 conscious의식이있는 control제어
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12:38
over how many많은 children어린이 they have.
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12:41
This is a very powerful강한 idea생각.
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It means방법 that parents부모님 have
the ability능력 to affect감정 the future미래,
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not just accept받아 들인다 it as it is.
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12:54
In France프랑스, the average평균 family가족 size크기
went갔다 down every...마다 decade로사리오 염주
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for 150 years연령 in a row
until...까지 it stabilized안정된.
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It took~했다 so long back then because
the contraceptives피임약 weren't하지 않았다 that good.
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13:08
In Germany독일, this transition전이 started시작한
in the 1880s, and it took~했다 just 50 years연령
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13:14
for family가족 size크기
to stabilize안정시키다 in this country국가.
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And in Asia아시아 and Latin라틴어 America미국,
the transition전이 started시작한 in the 1960s,
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13:22
and it happened일어난 much faster더 빠른
because of modern현대 contraception피임.
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I think, as we go through...을 통하여 this history역사,
it's important중대한 to pause중지 for a moment순간
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and to remember생각해 내다 why this has become지다
such이러한 a contentious논쟁의 issue발행물.
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It's because some family가족 planning계획 programs프로그램들
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13:42
resorted의지가있는 to unfortunate불행한 사람 incentives인센티브
and coercive강제적 인 policies정책들.
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13:48
For instance, in the 1960s, India인도
adopted채택 된 very specific특유한 numeric숫자의 targets표적
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13:55
and they paid유료 women여자들 to accept받아 들인다
having an IUDIUD placed배치 된 in their그들의 bodies시체.
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14:00
Now, Indian옥수수 women여자들 were
really smart똑똑한 in this situation상태.
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14:03
When they went갔다 to get an IUDIUD inserted삽입 된,
they got paid유료 six rupees루피.
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14:07
And so what did they do?
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14:08
They waited기다린 a few조금 hours시간 or a few조금 days,
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14:11
and they went갔다 to another다른 service서비스 provider공급자
and had the IUDIUD removed제거 된 for one rupee루피.
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14:18
For decades수십 년 in the United유나이티드 States,
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14:21
African-American아프리카 계 미국인 women여자들
were sterilized멸균 된 without없이 their그들의 consent동의.
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14:26
The procedure순서 was so common공유지
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14:29
it became되었다 known알려진 as
the Mississippi미시시피 appendectomy충수 절제 --
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14:33
a tragic비참한 chapter in my country's나라의 history역사.
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14:37
And as recently요새 as the 1990s, in Peru페루,
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14:40
women여자들 from the Andes안데스 산맥 region부위
were given주어진 anesthesia마취
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14:43
and they were sterilized멸균 된
without없이 their그들의 knowledge지식.
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14:48
The most가장 startling깜짝 놀라게하는 thing about this
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14:50
is that these coercive강제적 인 policies정책들
weren't하지 않았다 even needed필요한.
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14:53
They were carried운반 된 out in places장소들
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14:55
where parents부모님 already이미
wanted to lower보다 낮은 their그들의 family가족 size크기.
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15:00
Because in region부위 after region부위,
again and again,
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15:03
parents부모님 have wanted
to have smaller더 작은 families가족들.
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15:07
There's no reason이유 to believe
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15:09
that African아프리카 사람 women여자들
have innately선천적으로 different다른 desires욕망.
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15:13
Given주어진 the option선택권,
they will have fewer적은 children어린이.
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15:18
The question문제 is:
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15:19
will we invest사다 in helping거들기
all women여자들 get what they want now?
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15:25
Or, are we going to condemn비난하다 them
to some century-long1 세기 길이의 struggle노력,
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15:30
as if this was still revolutionary혁명적 인 France프랑스
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15:33
and the best베스트 method방법
was coitus성교 interruptus방해?
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2800
15:39
Empowering능력을 키우다 parents부모님 --
it doesn't need justification정당화.
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15:44
But here's여기에 the thing -- our desire염원
to bring가져오다 every...마다 good thing to our children어린이
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15:51
is a force for good throughout전역 the world세계.
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15:54
It's what propels추진력 societies사회 forward앞으로.
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15:58
In that same같은 slum빈민굴 in Nairobi나이로비,
I met만난 a young어린 businesswoman비즈니스 우먼,
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16:02
and she was making만들기 backpacks배낭
out of her home.
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16:04
She and her young어린 kids아이들
would go to the local노동 조합 지부 jeans청바지 factory공장
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16:08
and collect수집 scraps쓰레기 of denim.
247
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16:09
She'd흘리다 create몹시 떠들어 대다 these backpacks배낭
and resell재판매하다 them.
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16:12
And when I talked말한 with her,
she had three children어린이,
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16:14
and I asked물었다 her about her family가족.
250
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16:16
And she said she and her husband남편 decided결정적인
251
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16:18
that they wanted to stop
having children어린이 after their그들의 third제삼 one.
252
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16:21
And so when I asked물었다 her why,
she simply간단히 said,
253
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16:24
"Well, because I couldn't할 수 없었다 run운영
my business사업 if I had another다른 child어린이."
254
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16:27
And she explained설명하다 the income수입
that she was getting점점 out of her business사업
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16:31
afforded여유가있는 her to be able할 수 있는 to give
an education교육 to all three of her children어린이.
256
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16:35
She was incredibly엄청나게 optimistic낙관적 인
about her family's가족의 future미래.
257
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16:41
This is the same같은 mental지적인 calculus계산법
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16:43
that hundreds수백 of millions수백만
of men남자 and women여자들 have gone지나간 through...을 통하여.
259
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16:47
And evidence증거 proves증명하다
that they have it exactly정확하게 right.
260
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16:52
They are able할 수 있는 to give their그들의 children어린이
more opportunities기회
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16:56
by exercising운동 control제어
over when they have them.
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17:01
In Bangladesh방글라데시,
263
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17:02
there's a district지구 called전화 한 MatlabMatlab.
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17:04
It's where researchers연구원 have collected모은 data데이터
on over 180,000 inhabitants주민 since이후 1963.
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17:11
In the global글로벌 health건강 community커뮤니티,
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17:12
we like to say it's one of the longest가장 긴
pieces조각들 of research연구 that's been running달리는.
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17:16
We have so many많은 great health건강 statistics통계.
268
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17:18
In one of the studies연구, what did they do?
269
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17:21
Half절반 the villagers마을 사람들
were chosen선택된 to get contraceptives피임약.
270
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17:25
They got education교육
and access접속하다 to contraception피임.
271
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17:28
Twenty스물 years연령 later후에,
following수행원 those villages마을,
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17:31
what we learned배운 is that they had a better
quality품질 of life than their그들의 neighbors이웃.
273
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17:35
The families가족들 were healthier더 건강한.
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1051920
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17:37
The women여자들 were less적게 likely아마도
to die주사위 in childbirth출산.
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17:40
Their그들의 children어린이 were less적게 likely아마도
to die주사위 in the first thirty서른 days of life.
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17:44
The children어린이 were better nourished영양이되는.
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17:47
The families가족들 were also또한 wealthier더 부유 한.
278
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17:49
The adult성인 women's여자 wages임금 were higher더 높은.
279
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17:51
Households가계 had more assets자산 --
things like livestock가축 or land or savings저금.
280
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17:56
Finally마침내, their그들의 sons자제 and daughters
had more schooling훈련.
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18:01
So when you multiply곱하다 these types유형
of effects효과 over millions수백만 of families가족들,
282
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18:07
the product생성물 can be large-scale대규모
economic간결한 development개발.
283
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3280
18:11
People talk about the Asian아시아 사람
economic간결한 miracle기적 of the 1980s --
284
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18:15
but it wasn't아니었다. really a miracle기적.
285
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18:17
One of the leading주요한 causes원인
of economic간결한 growth성장 across건너서 that region부위
286
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3536
18:21
was this cultural문화적 trend경향
towards...쪽으로 smaller더 작은 families가족들.
287
1097280
3840
18:26
Sweeping청소 changes변화들 start스타트
at the individual개인 family가족 level수평 --
288
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18:30
the family가족 making만들기 a decision결정
about what's best베스트 for their그들의 children어린이.
289
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18:35
When they make that change변화
and that decision결정,
290
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18:38
those become지다 sweeping청소
regional지역의 and national전국의 trends동향.
291
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18:43
When families가족들 in sub-Saharan사하라 사막 이남의 Africa아프리카
are given주어진 the opportunity기회
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18:47
to make those decisions결정들 for themselves그들 자신,
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18:50
I think it will help spark불꽃
a virtuous덕 있는 cycle주기 of development개발
294
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18:53
in communities커뮤니티 across건너서 the continent대륙.
295
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18:58
We can help poor가난한 families가족들
build짓다 a better future미래.
296
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19:01
We can insist고집 that all people
have the opportunity기회
297
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19:05
to learn배우다 about contraceptives피임약
298
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1936
19:07
and have access접속하다
to the full완전한 variety종류 of methods행동 양식.
299
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3280
19:12
I think the goal here is really clear명확한:
300
1148040
2856
19:14
universal만능인 access접속하다 to birth출생 control제어
that women여자들 want.
301
1150920
4880
19:20
And for that to happen우연히 있다, it means방법 that
both양자 모두 rich풍부한 and poor가난한 governments정부 alike서로 같은
302
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19:25
must절대로 필요한 것 make contraception피임 a total합계 priority우선 순위.
303
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19:29
We can do our part부품,
in this room and globally전 세계적으로,
304
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19:33
by talking말하는 about the hundreds수백
of millions수백만 of families가족들
305
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19:37
that don't have access접속하다
to contraception피임 today오늘
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19:39
and what it would do to change변화
their그들의 lives if they did have access접속하다.
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19:44
I think if Marianne마리안
and the members회원 of her women's여자 group그룹
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19:48
can talk about this openly공공연히
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19:50
and have this discussion토론
out amongst사이에 themselves그들 자신 and in public공공의,
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19:54
we can, too.
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19:56
And we need to start스타트 now.
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19:59
Because like Marianne마리안, we all want
to bring가져오다 every...마다 good thing to our children어린이.
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20:06
And where is the controversy논쟁 in that?
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20:10
Thank you.
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20:11
(Applause박수 갈채)
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20:14
Chris크리스 Anderson앤더슨: Thank you.
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20:22
I have some questions질문들 for Melinda멜린다.
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20:26
(Applause박수 갈채 ends끝이다)
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(박수)
20:27
Thank you for your courage용기
and everything else그밖에.
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20:31
So, Melinda멜린다, in the last few조금 years연령
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20:34
I've heard들었던 a lot of smart똑똑한 people
say something to the effect효과 of,
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20:39
"We don't need to worry걱정
about the population인구 issue발행물 anymore더 이상.
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20:42
Family가족 sizes크기 are coming오는 down
naturally당연히 all over the world세계.
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3496
20:46
We're going to peak피크
at nine아홉 or 10 billion십억. And that's it."
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20:50
Are they wrong잘못된?
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20:51
Melinda멜린다 Gates게이츠: If you look
at the statistics통계 across건너서 Africa아프리카,
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20:54
they are wrong잘못된.
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20:56
And I think we need to look at it,
though그래도, from a different다른 lens렌즈.
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20:59
We need to look at it
from the ground바닥 upwards위로 향하여.
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21:01
I think that's one of the reasons원인
we got ourselves우리 스스로 in so much trouble수고
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21:04
on this issue발행물 of contraception피임.
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21:06
We looked보았다 at it from top상단 down
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21:07
and said we want to have different다른
population인구 numbers번호 over time.
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21:11
Yes, we care케어 about the planet행성.
Yes, we need to make the right choices선택.
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21:14
But the choices선택 have to be made만든
at the family가족 level수평.
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21:17
And it's only by giving주는 people access접속하다
and letting시키는 them choose고르다 what to do
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21:21
that you get those sweeping청소 changes변화들
that we have seen globally전 세계적으로 --
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21:24
except for sub-Saharan사하라 사막 이남의 Africa아프리카 and those
places장소들 in South남쪽 Asia아시아 and Afghanistan아프가니스탄.
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21:31
CA캘리포니아 주: Some people on the right in America미국
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크리스:
21:34
and in many많은 conservative전통적인 cultures문화
around the world세계
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21:39
might say something like this:
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21:41
"It's all very well to talk about saving절약
lives and empowering권한을 부여하는 women여자들 and so on.
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3667
21:44
But, sex섹스 is sacred신성한.
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1960
21:48
What you're proposing제안하다
is going to increase증가하다 the likelihood있을 수 있는 일
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21:52
that lots of sex섹스 happens일이 outside외부 marriage결혼.
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1308040
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21:54
And that is wrong잘못된."
347
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21:56
What would you say to them?
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21:58
MGMG: I would say
that sex섹스 is absolutely전혀 sacred신성한.
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1314680
3256
멜린다:
22:01
And it's sacred신성한 in Germany독일,
and it's sacred신성한 in the United유나이티드 States,
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3096
22:05
and it's sacred신성한 in France프랑스
and so many많은 places장소들 around the world세계.
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1321080
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22:08
And the fact that 98 percent퍼센트 of women여자들
in my country국가 who are sexually성적으로 experienced경험있는
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4896
22:13
say they use birth출생 control제어
doesn't make sex섹스 any less적게 sacred신성한.
353
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4176
22:17
It just means방법 that they're getting점점
to make choices선택 about their그들의 lives.
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22:20
And I think in that choice선택,
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22:21
we're also또한 honoring명예를주는
the sacredness신성함 of the family가족
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22:24
and the sacredness신성함 of the mother's어머니의 life
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2256
22:27
and the childrens'어린이 ' lives
by saving절약 their그들의 lives.
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22:29
To me, that's incredibly엄청나게 sacred신성한, too.
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2280
22:32
CA캘리포니아 주: So what is your foundation기초
doing to promote승진시키다 this issue발행물?
360
1348760
4736
크리스:
22:37
And what could people here
and people listening청취 on the web편물 --
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4016
22:41
what would you like them to do?
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22:43
MGMG: I would say this --
join어울리다 the conversation대화.
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2143
22:45
We've우리는 listed열거 된 the website웹 사이트 up here.
Join어울리다 the conversation대화.
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1361287
4169
22:49
Tell your story이야기 about how contraception피임
has either어느 한 쪽 changed변경된 your life
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3816
22:53
or somebody's누군가 life that you know.
366
1369320
2016
22:55
And say that you're for this.
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1381
22:56
We need a groundswell그 라운즈 웰
of people saying속담, "This makes~을 만든다 sense감각.
368
1372765
2715
22:59
We've우리는 got to give all women여자들 access접속하다 --
no matter문제 where they live살고 있다."
369
1375504
3392
23:02
And one of the things
that we're going to do
370
1378920
2096
23:05
is do a large event행사 July칠월 11 in London런던,
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1381040
3176
23:08
with a whole완전한 host숙주 of countries국가,
a whole완전한 host숙주 of African아프리카 사람 nations민족 국가,
372
1384240
3376
23:11
to all say we're putting퍼팅 this back
on the global글로벌 health건강 agenda비망록.
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3136
23:14
We're going to commit범하다 resources자원 to it,
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1856
23:16
and we're going to do planning계획
from the bottom바닥 up with governments정부
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3136
23:19
to make sure that women여자들 are educated교육받은 --
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1395840
2096
23:21
so that if they
want the tool수단, they have it,
377
1397960
2456
23:24
and that they have
lots of options옵션들 available유효한
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2096
23:26
either어느 한 쪽 through...을 통하여
their그들의 local노동 조합 지부 healthcare건강 관리 worker노동자
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2096
23:28
or their그들의 local노동 조합 지부 community커뮤니티 rural시골의 clinic진료소.
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1404680
1880
23:31
CA캘리포니아 주: Melinda멜린다, I'm guessing짐작 that some
of those nuns수녀 who taught가르쳤다 you at school학교
381
1407920
4576
크리스:
23:36
are going to see
this TED테드 Talk at some point포인트.
382
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2640
23:39
Are they going to be horrified소름 끼치는,
or are they cheering응원 you on?
383
1415960
2896
23:42
MGMG: I know they're going
to see the TED테드 Talk
384
1418880
2096
멜린다:
23:45
because they know that I'm doing it
and I plan계획 to send보내다 it to them.
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1421000
3136
23:48
And, you know, the nuns수녀 who taught가르쳤다 me
were incredibly엄청나게 progressive진보적 인.
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1424160
3136
23:51
I hope기대 that they'll그들은 할 것이다 be very proud교만한 of me
387
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1896
23:53
for living생활 out what they taught가르쳤다 us
about social사회적인 justice정의 and service서비스.
388
1429240
3936
23:57
I have come to feel
incredibly엄청나게 passionate열렬한 about this issue발행물
389
1433200
3896
24:01
because of what I've seen
in the developing개발 중 world세계.
390
1437120
2776
24:03
And for me, this topic이야기
has become지다 very close닫기 to heart심장
391
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4856
24:08
because you meet만나다 these women여자들
and they are so often자주 voiceless무성의.
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3056
24:11
And yet아직 they shouldn't해서는 안된다. be --
393
1447880
1336
24:13
they should have a voice목소리,
they should have access접속하다.
394
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2536
24:15
And so I hope기대 they'll그들은 할 것이다 feel
395
1451800
1256
24:17
that I'm living생활 out
what I've learned배운 from them
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2816
24:19
and from the decades수십 년 of work
that I've already이미 done끝난 at the foundation기초.
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1455920
3286
24:24
CA캘리포니아 주: So, you and your team brought가져온 together함께
today오늘 an amazing놀랄 만한 group그룹 of speakers연설자
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크리스:
24:28
to whom누구에게 we're all grateful기분 좋은.
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2560
24:31
Did you learn배우다 anything?
400
1467680
1816
뭘 배우셨습니까?
24:33
(Laughter웃음)
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1469520
1216
(웃음)
24:34
MGMG: Oh my gosh어리석은, I learned배운 so many많은 things.
I have so many많은 follow-up후속 조치 questions질문들.
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24:38
And I think a lot
of this work is a journey여행.
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2256
24:40
You heard들었던 the discussion토론
about the journey여행 through...을 통하여 energy에너지,
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3856
24:44
or the journey여행 through...을 통하여 social사회적인 design디자인,
405
1480760
2336
24:47
or the journey여행 in the coming오는 and saying속담,
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1920
24:49
"Why aren't있지 않다. there any women여자들
on this platform플랫폼?"
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2152
24:51
And I think for all of us who work
on these development개발 issues문제,
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3376
24:54
you learn배우다 by talking말하는 to other people.
409
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1776
24:56
You learn배우다 by doing.
You learn배우다 by trying견딜 수 없는 and making만들기 mistakes실수.
410
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2856
24:59
And it's the questions질문들 you ask청하다.
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1496
25:00
Sometimes때때로 it's the questions질문들 you ask청하다
that helps도움이된다. lead리드 to the answer대답
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3376
25:04
the next다음 것 person사람
that can help you answer대답 it.
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25:06
So I have lots of questions질문들
for the panelists패널리스트 from today오늘.
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2696
25:09
And I thought it was just an amazing놀랄 만한 day.
415
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2056
25:11
CA캘리포니아 주: Melinda멜린다, thank you for inviting초대하다
all of us on this journey여행 with you.
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3334
크리스: 멜린다, 저희를 이 여정에
초대해 주셔서 감사합니다.
25:14
Thank you so much.
MGMG: Great. Thanks감사, Chris크리스.
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1510518
2048
대단히 감사합니다.
멜린다: 크리스, 고마워요.

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ABOUT THE SPEAKER
Melinda Gates - Philanthropist
Melinda French Gates is co-chair of the Bill & Melinda Gates Foundation, where she puts into practice the idea that every life has equal value.

Why you should listen

The Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. As co-chair, Melinda French Gates helps shape and approve strategies, review results, advocate for foundation issues and set the overall direction. In developing countries, the foundation focuses on improving people's health with vaccines and other life-saving tools and giving them a chance to lift themselves out of hunger and extreme poverty. In the United States, it seeks to dramatically improve education so that all young people have the opportunity to reach their full potential. Based in Seattle, Washington, the foundation is led by CEO Jeff Raikes and co-chair William H. Gates Sr., under the direction of Bill Gates, Melinda Gates and Warren Buffett.

In recent years, Melinda French Gates has become a vocal advocate for access to contraception, advancing the idea that empowering women to decide whether and when to have children can have transformational effects on societies. In 2012, Gates spearheaded the London Summit on Family Planning, with the goal of delivering contraceptives to 120 million women in developing countries by 2020. When asked why she got involved in this issue, Gates said, "We knew that 210 million women were saying they wanted access to the contraceptives we have here in the United States and we weren't providing them because of political controversy in our country. To me, that was just a crime. I kept looking around trying to find the person to get this back on the global stage. I realized I just had to do it."

 

More profile about the speaker
Melinda Gates | Speaker | TED.com

THE ORIGINAL VIDEO ON TED.COM