Mal James Melbourne Australia
Masters Graduate (with distinction) RMIT Blockchain for Enabled Business Melbourne Australia
MoreChildSurgeries.com Child Surgeries Tanzanian Foundation and Proofofcare.org
December 2022 Updated December 2024
Marian’s surgical journey
In Sub-Saharan Africa, a striking paradox exists: while Coca-Cola consistently delivers beverages to the most remote locations, life-saving medical care remains frustratingly out of reach for millions of children. Proof of Care resolves this paradox by reimagining medical aid as a self-sustaining, technology-driven ecosystem that delivers the same reliability as a global consumer brand.
Our platform transforms traditional medical aid through three core innovations:
First, we create a sustainable funding cycle. Using blockchain technology and smart contracts, we split each donation: 25-50% directly funds immediate medical interventions, while 50-75% enters an investment pool that generates ongoing returns. This dual-purpose approach ensures both immediate impact and long-term sustainability.
Second, we guarantee verifiable outcomes. Every medical intervention is tokenized and tracked through blockchain technology, with success validated through three-stage video documentation. This creates unprecedented transparency and trust, allowing donors to witness their impact directly and participate in a secondary market for social impact trading.
Third, we align stakeholder interests through our unique token system. Medical providers receive performance-based incentives, donors gain both social and potential financial returns, and children receive life-changing care. This alignment creates a self-reinforcing cycle that drives continuous improvement and expansion.
The results speak for themselves. Take Marian from Tanzania – once a child in medical poverty, now a thriving young woman.
Her transformation demonstrates our vision: a system where medical care is as reliable and accessible as a bottle of Coca-Cola, creating measurable impact for all participants:
Proof of Care aims to enable $1 billion in annual medical interventions through our scalable, self-sustaining model. We’re not just funding surgeries – we’re building a new healthcare economy that transforms each dollar into a renewable resource for continuous impact.
Proof of Care is still in development, but we are real and on the ground in Africa, latest news here. We run our current 3 video verification program at morechildsurgeries.com on googlesheets. Morechildsurgeries.com has completed over 1000 child surgeries and is tax deductible through Rotary International in Australia. Financials for morechildsurgeries.com here. Reports from Child Surgeries Tanzania here. In 2025/26 we are moving partially to blockchain, crypto payments and beginning to set up the endowment fund as proposed in the Proof of Care whitepaper.
Over 5 Billion live in some form of medical poverty:
The challenge isn’t the demand, nor the solution (healthcare and money)—the problem is delivering those solutions at scale, effectively and sustainably just as Coke does.
The Coca-Cola distribution model versus medical aid distribution reveals deep-rooted issues in logistics, incentive structures, and perceived value.
Supply Chain Motivation
Psychological Value Proposition
Cultural and Economic Friction
Extreme medical poverty in Africa • 38 times less doctors • 22 times fewer nurses •135 times less health $ spent per capita. Tanzania v Australia
Sources: Lancet Global Surgery 2015
World Bank
Global Surgery 2030: Building Solutions Through Innovation
The groundbreaking 2015 Lancet Commission on Global Surgery, led by Dr. John G. Meara of Harvard Medical School and Dr. Andy Leather of King’s College London, revealed a critical global healthcare crisis: 5 billion people lack access to safe, affordable surgical care. Their comprehensive research, involving experts from over 110 countries, projected a staggering $12.3 trillion economic impact in low- and middle-income countries by 2030 due to untreated surgical conditions.
The Scale: The Commission identified that 143 million additional surgical procedures are needed annually to prevent unnecessary deaths and disabilities. Most critically, 33 million individuals face catastrophic health expenditures from surgical costs alone, often pushing entire families into poverty. This financial barrier creates a devastating cycle where treatable conditions become life-altering disabilities.
Key Scientific Recommendations The commission’s research emphasizes four crucial interventions:
Innovative Solutions Emerging This is where new technologies and funding models like Proof of Care are beginning to address these challenges. By leveraging blockchain technology and smart contracts, these innovations directly support the Commission’s recommendations through:
Real-World Implementation The Commission’s findings have guided practical solutions in Tanzania and beyond. Working with established medical centers like Selian Ngaramtoni, new funding models are demonstrating how technology can bridge the gap between global resources and local surgical needs. These implementations follow WHO surgical safety protocols while building sustainable local capacity.
Looking Forward as Dr. Meara and Dr. Leather’s research shows, addressing the global surgery crisis requires innovative approaches to both funding and delivery. The emergence of blockchain-based healthcare funding platforms represents one way forward, combining the Commission’s emphasis on financial protection with transparent, verifiable surgical outcomes.
The science is clear: millions of lives can be transformed through access to essential surgery. Through continued innovation in healthcare funding and delivery, guided by rigorous research like the Lancet Commission’s work, we can begin to close this critical global healthcare gap.
We make helping others as compelling and repeatable as purchasing your favorite drink.
Our Approach
Transform medical aid into an engaging experience by:
Key points on How It Works
Our beta platform combines powerful technologies:
The Benefits
Proof of Care multiplies value compared to traditional one-off donations:
Value for the Child and Family Traditional one surgery, one time versus Proof of Care Enhancement:
Value for the Donor
Traditional single donation, unknown outcome versus Proof of Care Enhancement:
Value for Medical Providers
Traditional one-time payment for service versus Proof of Care Enhancement:
Value for the Community
Traditional single intervention versus lasting infrastructure Proof of Care Enhancement:
Each donation in the Proof of Care system works multiple times: funding immediate care, generating potential returns, building capacity, and creating a verified success record that attracts more investment. It’s like transforming a single-use resource into a perpetual engine for healthcare delivery.
Proof of Care Vision
Just as Coca-Cola reaches every corner of Africa, Proof of Care aims to make quality healthcare equally accessible. By making each dollar work multiple times, we’re building a self-sustaining system targeting $1 billion in annual medical care.
Creating a future where accessing healthcare is as reliable as buying a Coca-Cola.
“If Coca-Cola can track every bottle, we can track every treatment”
Every Coca-Cola bottle has a value that’s instantly recognized worldwide. Similarly, our digital tokens represent real medical treatments with verifiable worth. Like tracking your Coke from factory to fridge, our blockchain technology follows every step of medical care, creating a transparent journey from donor to patient.
“Just as you know a Coke tastes the same everywhere”
When you open a Coca-Cola anywhere in Africa, you know exactly what you’re getting. We bring that same consistency to healthcare. Every medical facility follows standardized protocols, with verified practitioners and real-time outcome tracking. Performance rewards ensure quality stays high, just like Coke’s quality control.
“Following the Coca-Cola route map to medicine delivery”
Coca-Cola’s secret isn’t just its formula – it’s getting cold drinks to the hottest villages. We’re using those same supply chain lessons for medicine: Collaboration with existing medical supply chains. Cost control through competition and scale. Tiered hospital solutions (Levels 1, 2, and 3)
“Building brand loyalty in healthcare”
Just as Coca-Cola builds trust through local vendors and community presence, we’re creating a healthcare network that people trust. Our health ambassadors program, education initiatives, and digital platform connect everyone involved. Each success story builds confidence, just like each satisfying Coke builds brand loyalty.
“Making helping as reliable as stocking Coca-Cola”
Coca-Cola’s success comes from its sustainable business model. Our financial approach is similarly smart: we split funds between immediate care (25-50%) and future growth (50-75%). Like a Coke vendor restocking their shop, our investment pool ensures continuous care through multiple revenue streams: token trading, investment returns, and direct donations.
“As simple as buying a Coke, as impactful as saving a life”
“Growing like Coca-Cola”
Our goal is $1 billion in annual surgeries through:
Just as Coca-Cola grew from one drink to billions served, we’re building a healthcare revolution that grows with every child helped.
PLEASE NOTE SOME IMAGES OF CHILDREN’S OPERATIONS MAY NOT BE SUITABLE FOR ALL AGES. WE DO GET PARENTAL PERMISSIONS FOR PHOT0S TO GO UP WHICH HELPS KEEP TRACK OF WHERE CHILDREN ARE AT AND REDUCE MISTAKES Go direct to public surgery google sheet click here
We fund via % of our income every month – low-cost, high-impact, safe, local, family-permissioned, life-changing surgeries when no other satisfactory option for the child, is available to the family, due to poverty.
Trained surgeons. No one religion, no politics. No further intervention after this one magic life-changing moment.
1. Work is referred between business
2. Instead of fee, sponsor surgeries
3. Client sign up and work done
4. Paid and %$ go to child surgeries
5. %$ sits in morechildsurgeries a/c
6. Child found who needs surgery
7. Child video to morechildsurgeries
8. Agree to fund child surgery
9. Child to Diagnosis – Video
10. Child to Surgery fix – Checklist
11. Child to Village – Aftercare video
12. We Verify & Pay Medicals
Proof of Care: Proven Implementation in Tanzania
Over a decade of ground operations, Proof of Care has developed and tested a robust healthcare delivery system, focusing on children’s surgical needs in Tanzania. Here’s our validated approach:
Operational Infrastructure
Verified Process Implementation
Quality Assurance System
Financial Management
Impact Measurement
Drawing inspiration from successful models like One Acre Fund, Living Goods, and Kiva, we’ve built a system that prioritizes local empowerment while maintaining rigorous verification standards. Our approach uses widely available technology platforms, avoiding costly bespoke solutions while ensuring scalability and accessibility.
This proven operational foundation now forms the basis for our blockchain-enabled expansion, demonstrating our commitment to practical, implementable solutions for children’s surgical care in Sub-Saharan Africa.
Lobikieki
Magda
Rahman
Proof of Care is still in development, but we are real and on the ground in Africa, latest news here. We run our current 3 video verification program at morechildsurgeries.com on googlesheets. Morechildsurgeries.com has completed over 1000 child surgeries and is tax deductible through Rotary International in Australia. Financials for morechildsurgeries.com here. Reports from Child Surgeries Tanzania here. In 2025/26 we are moving partially to blockchain, crypto payments and beginning to set up the endowment fund as proposed in the Proof of Care whitepaper.
This is where we are up to now: Stage Two
The Technical Foundation of Proof of Care
Proof of Care’s blockchain architecture transforms humanitarian healthcare funding through a sophisticated yet streamlined verification and delivery system. This isn’t just technology for technology’s sake – it’s a carefully designed process that ensures every dollar maximizes its impact through verified surgical outcomes.
Core Technical Infrastructure The system operates through a 29-step blockchain-validated journey, from initial outreach to final verification. Here’s how it works:
Initial Engagement and Verification (Steps 1-7)
Surgical Delivery Process (Steps 8-20)
Final Verification and Value Creation (Steps 21-29)
This infrastructure creates a “proof of outcome” system where funds are only released upon verified surgical completion. Unlike traditional donation models, every step is tracked, verified, and permanently recorded on the blockchain, creating unprecedented transparency and accountability.
Built on the Solana network and utilizing regulated stablecoins, the system minimizes costs while maximizing security and efficiency. The result is a technical framework that:
The Technology Behind Proof of Care
Blockchain Foundation
Secure Digital Transactions
Verification System
Streamlined Local Implementation
Financial Architecture
This infrastructure creates a lightweight, mobile-first system that prioritizes accessibility and verification while minimizing complexity at the local level. By leveraging existing technology rather than building new systems, Proof of Care maintains focus on its core mission: funding and verifying life-changing surgeries.
The key innovation is combining these established technologies into a seamless system that:
Proof of Care Tokens: Value Through Verified Impact
This model transforms traditional donations into a new form of digital asset, where every token represents both verified impact and trading potential. Unlike traditional cryptocurrencies, each Proof of Care token is backed by a real-world surgical outcome, creating a unique blend of humanitarian achievement and digital value.
Building an Endowment Fund
Key Points on Cryptocurrency Investment Strategy:
Analysis
Scalability: Determine whether the cryptocurrency’s technology can handle increased usage and transactions, which is crucial for long-term growth.
Innovation: Identify projects that offer unique solutions or improvements over existing technologies, as innovation can drive adoption and value appreciation.
Understand the Business
Implementation
Embrace a Contrarian Mindset
Adopt strategies that align with our objectives and market conditions:
Prioritise Long-Term Holding Over Speculation?
Given the extreme volatility of cryptocurrencies, adopting a long-term perspective can help investors weather short-term price fluctuations. However, it’s crucial to recognize that the long-term viability of many cryptocurrencies remains uncertain, and this strategy carries inherent risks.
Review
Secure the Investments
Prioritise Security Measures
Focus on Low-Cost Investments Cost vs Security
Implement Risk Parity
This is difficult?
Maintain Liquidity
Thrilling, Helping Others, Making Money
Adventure Investing through Proof of Care creates a unique bridge between direct impact and digital assets. When you purchase Proof of Care tokens, you’re triggering two distinct events: funding a life-changing surgery for a child in Sub-Saharan Africa and receiving a tradeable digital token that can be held or exchanged on major cryptocurrency markets.
Here’s how it works: Your initial investment directly funds a verified child’s surgery. Once the surgery is completed and verified, you receive Proof of Care tokens that can be traded on major exchanges. The token’s value is determined by market forces, similar to other cryptocurrency assets, creating potential for both social impact and trading opportunities.
What makes someone an Adventure Investor? Adventure Investors are pioneers who understand the power of combining immediate social impact with blockchain innovation. They’re drawn to our model because it offers:
Our token system maintains integrity through limited issuance – tokens are only minted when surgeries are funded and verified, creating natural scarcity. While the separate investment pool helps sustain the Proof of Care ecosystem, token holders are investing in the tokens themselves, whose value will be determined by market forces.
This isn’t traditional investing or pure philanthropy – it’s an adventure in combining verified humanitarian impact with the dynamics of cryptocurrency markets. Each token represents both a child’s completed surgery and your participation in a revolutionary approach to funding healthcare.
Impact-First Crypto Investors
Philanthropic Innovators
ESG and Social Impact Investors
Digital Collectors
Crypto Traders
Healthcare Innovation Supporters
Next Generation Philanthropists
Identifying potential risks and challenges, along with strategies to mitigate them, demonstrates Proof of Care’s preparedness and transparency.
Regulatory Uncertainties
The regulatory landscape for cryptocurrencies is continually evolving. Governments worldwide are developing new regulations to address the unique challenges posed by digital assets. This dynamic environment can impact the legality and profitability of crypto investments, as policies may change rapidly, affecting market conditions and investor confidence.
Security Vulnerabilities
Despite blockchain’s reputation for security, the ecosystem is not immune to cyber threats. Cryptocurrency exchanges and wallets have been targets of hacks, leading to significant financial losses for investors.
Technological Risks
The rapid development of blockchain technology introduces potential technical challenges. Issues such as scalability, interoperability, and the risk of obsolescence can affect the viability of blockchain projects.
Market Manipulation and Fraud
The relatively unregulated nature of the cryptocurrency market makes it susceptible to manipulation and fraudulent schemes. Investors may encounter pump-and-dump schemes, Ponzi schemes, and other deceptive practices that can lead to significant financial losses.
Environmental Concerns
Certain cryptocurrencies, particularly those using proof-of-work consensus mechanisms like Bitcoin, have been criticized for their environmental impact due to high energy consumption. This has led to increased scrutiny and potential regulatory actions aimed at mitigating environmental harm, which could affect the future viability of such cryptocurrencies.
Liquidity Risks
The liquidity of some cryptocurrencies can be limited, especially for lesser-known tokens. This can make it challenging to buy or sell assets without significantly impacting their price, potentially leading to losses or difficulties in exiting positions.
Proof of Care represents a paradigm shift in healthcare funding for Sub-Saharan Africa, moving beyond traditional donation models to create a self-sustaining ecosystem for children’s surgical care. By combining blockchain technology, smart contracts, and innovative financial mechanisms, we’re creating a system that not only funds immediate surgical needs but builds long-term capacity through compounding returns.
The triple verification system and outcome-based funding ensure transparency and accountability at every step, while our token economy creates alignment between all stakeholders. As the investment pool grows, so does the ability to fund more surgeries, creating a virtuous cycle of increasing impact.
More than just a funding mechanism, Proof of Care is a blueprint for transforming how you approach humanitarian healthcare challenges. With the potential to fund $1 billion in annual surgeries, Proof of care is not just changing individual lives – it’s creating a scalable solution that could revolutionise healthcare delivery across the continent.
By joining Proof of Care, you become part of a movement that turns every dollar into an enduring force for positive change, ensuring that life-changing surgeries remain accessible for generations to come.
Our Clear Role in Proof of Care:
3 Goals of Proof of Care Coin:
Call to Action:
For those interested in learning more about how Proof of Care can benefit both affluent and impoverished communities, or to join the waiting list for Proof of Care coins, please contact Mal at [email protected] or 0408 107 988.