Comment by jltsiren

Framing it as charity misses the point.

Power is always based on reciprocal obligations. Everywhere in the world, at every point in history. While modern societies try to formalize the obligations, there are plenty of informal expectations that are equally important.

Because infectious diseases do not respect international borders, someone must be in charge of international surveillance and response to outbreaks. When someone does what must be done for the common good, people tend to see them as a leader. If they stop doing their job as a leader, people interpret it as abandoning their responsibilities. And when someone fails to do what is expected from them, people will think poorly of them.