A crowdfunding model to raise money for surgical treatments in Zambia and Sierra Leone is built on the premise that donors are more likely to give if they know the individual who will benefit. But some wonder about the ethical implications of placing such critical decisions in the hands of the public. “This speaks to the potential of private charity, but also to its limitations.” said UTMB’s Dr. Howard Brody, director of the Institute for the Medical Humanities. “I can see the motive of people to have the reassurance [their money] is going to the right place. The unintended consequence is that it invites judgment of who is deserving and who is not. What about someone who has every bit a medical need but just doesn’t take a nice picture?”