I remember a few years ago, before the end of the dot com boom, reading an article about a bunch of newfound millionaires - and Bill Gates - talking about how the new information economy was going to completely revolutionize the economies of third world nations. To his credit, Gates was dismissive, stressing repeatedly that "the Internet" wasn't going to magically transform poverty stricken countries rife with malaria into paradises of soy-latte sipping professionals in Kenneth Cole shoes. With countries as with people there's a hierarchy of needs, and basic health and safety come way before widespread deployment of broadband.
It's odd that he saw that so clearly when it comes to other countries, but has trouble getting it closer to home.
(Also if anyone else remembers the article I'm referring to, I'd love a URL - gracias in advance.)