The article presents a classic case of constrained optimization within a complex global system, exhibiting elements of ARC-0043 Motte-and-Bailey, where the core concern—vulnerable children—is superficially addressed while simultaneously shifting the fundamental problem to a longer, more uncertain timeline. Gavi’s decision to prioritize budget reduction through a truncated vaccination schedule reveals a deep-seated failure of systems thinking – they're attempting to manage a cascading effect by s...