Bono calls the economist Jeffrey Sachs “the squeaky wheel that roars.” To me, Sachs is the Bono of economics – a guy with impressive intelligence, passion and powers of persuasion who is devoting his gifts to speaking up for the poorest people on the planet. So I was not surprised that a journalist would find Sachs to be a compelling central character for a book – and a good way to draw readers into the potentially dry subject of international development.

In The IdealistVanity Fair writer Nina Munk draws a nuanced portrait of Sachs and his Millennium Villages Project (MVP) – a $120 million demonstration project intended to show the world that it’s possible to lift African villages out of poverty through a massive infusion of targeted assistance. It would have been easy, and perhaps more marketable, for Munk to draw a caricature, overly accentuating Sachs’s negative qualities at the expense of his great gifts. But she doesn’t.

Munk spent six years researching for the book, getting to know Sachs well and living for extended periods in two of the 15 Millennium Villages. She clearly appreciates the importance and difficulty of what Sachs and his team are attempting to do.

Unlike most books about international development, Munk’s book is very readable and not long (260 pages). I’ve told everyone at our foundation that I think it is worth taking the time to read it. It’s a valuable – and, at times, heartbreaking – cautionary tale. While some of the Millennium Villages succeeded in helping families improve their health and incomes, the two villages that Munk spent the most time studying – Dertu, Kenya and Ruhiira, Uganda – did not come close to realizing Sachs’s vision.

When Sachs first started planning the project, he came to the foundation for support. We were already a big supporter of his efforts at Columbia University’s Earth Institute and felt it was invaluable to have him focused on the needs of poor countries.

His pitch was intriguing. He was picking a handful of villages to be the focus of intense interventions in health, education and agriculture – all at once. His hypothesis was that these interventions would be so synergistic that they would start a virtuous upward cycle and lift the villages out of poverty for good. He felt that if you focus just on fertilizer without also addressing health, or if you just go in and provide vaccinations without doing anything to help improve education, progress won’t be sustained without an endless supply of aid.

My colleagues and I had a number of concerns about Sachs’s approach. We questioned his assumptions about how quickly the gains would materialize, what would happen when the minimum viable product (MVP) funding was phased out, how much governments would contribute to offset the high per-person costs, and how feasible it was to measure progress (given the likelihood that people from the surrounding area would stream into their villages once the MVP aid started flowing). So we decided not to invest in the MVP directly, although we were happy to keep supporting his other work.

Now that the project has not gone as planned, I’m not about to throw stones. We have many projects of our own that have come up short. It’s hard to deliver effective solutions, even when you plan for every potential contingency and unintended consequence. There is a natural tendency in almost any kind of investment – business, philanthropic or otherwise – to double down in the face of difficulty and failure. I’ve done it, and I think that most other people have, too.

So what went wrong? For one thing, the villages that Sachs picked experienced all kinds of problems – from drought to political unrest. For another, the MVP took an idealistic “Field of Dreams” approach. MVP leaders encouraged farmers to switch to a series of new crops that were in demand in richer countries, and experts on the ground did a good job of helping farmers to produce good crop yields by using fertilizer, irrigation and better seeds.

But the MVP didn’t simultaneously invest in developing markets for these crops. According to Munk, “Pineapple couldn’t be exported after all, because the cost of transport was far too high. There was no market for ginger, apparently. And, despite some early interest from buyers in Japan, no one wanted banana flour.” The farmers grew the crops, but the buyers didn’t come.

Of course, Sachs knows that it’s critical to understand market dynamics; he’s one of the world’s smartest economists. But in the villages Munk profiled, Sachs seems to be wearing blinders.

Warren Buffett likes to say, “The rearview mirror is always clearer than the windshield.” Through that rearview mirror, we can see that the project never had an economic model that could sustain successes once the MVP dollars ran out.

All of the interventions involved – health, agriculture, infrastructure, education and business seed money – make sense if carried out carefully, over time. But I am surprised by how little Sachs dug into country budgets, and that he didn’t work to convince governments to commit to additional taxation to fund more of these interventions domestically.

Through the rearview mirror, we can also see that many of Sachs’s ideas have proved to be exactly right. Munk details his 2007 fight with international aid donors who were refusing to distribute insecticide-treated bed nets for free because they favoured a market-based approach whereby people would pay a small amount for each net. To put it mildly, Sachs didn’t make any friends in the process of advancing his case for free bed nets.

Through increasingly ruthless tirades, he wound up alienating potential allies who want to defeat malaria just as badly as he does. But history will show that Sachs was absolutely right. We have since seen that the free model has allowed for much broader distribution of bed nets – and much greater reductions in malaria – than market models.

In the end, I hope poverty fighters will not let the MVP experience stop them from investing and taking risks. In the world of venture capital, a 70% or 80% failure rate is considered a great track record. In the world of international development, critics hold up every failure as proof that aid is like throwing money down a rat hole. When you’re trying to do something as hard as fighting poverty and disease, you will never achieve anything meaningful if you’re afraid to fail.

I greatly admire Sachs for putting his ideas and reputation on the line. After all, he could have a good life doing nothing more than teaching two classes a semester and pumping out armchair advice in academic journals. But that’s not his style. He rolls up his sleeves. He puts his theories into action. He drives himself as hard as anyone I know.

I suspect that Sachs, like all relentless thinkers and doers, will learn from his missteps and come back with stronger ideas and approaches. Sachs will always be a squeaky wheel that roars – and the world will be a better place for it.

Published in collaboration with Project Syndicate

Author: William (Bill) H. Gates is founder, technology advisor and board member of Microsoft Corporation, the worldwide leader in software, services and solutions that help people and businesses realize their full potential.  He served as chairman of the board until Feb. 4, 2014.

Image: Congolese refugee children play on wooden fencing erected to secure the Nyakabande refugees transit camp in Kisoro district, 491 km (305 miles) west of Ugandan capital Kampala November 9, 2013. REUTERS/James Akena