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Competition doesn't have to be between individuals, though - there could be a level in between that gets the best of both worlds. For instance, getting companies to compete against each other could provide an excellent drive to increase donations - particular amongst rival firms - without singling out individuals. The total amounts would be significant enough that they aren't underwhelming on the national or global scale. Alternatively, a local area authority level. Just because the cause is good doesn't mean that competing is bad or inappropriate - surely XPRIZE exemplifies this?