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The
World’s 50
Greatest
Leaders
The List27
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FORTUNE.COM // MAY.1.19
Health workers often
struggle for access to
essential generic drugs,
thwarted by price hikes,
shortages, and drug-
industry whims. Enter
Harrison, CEO of a top
Utah health system,
with a bold fix: With six
partners, he formed an
independent nonprofit
drugmaker, Civica Rx.
The venture has signed
up some 800 health
systems as customers;
it should be producing
generics by year’s end.
Ireland’s youngest
ever Taoiseach—and
first openly gay and
first ethnic-minority
leader—stands out on
all fronts. But it’s how
he has positioned Ire-
land to win big in Brexit
that’s most notewor-
thy. Varadkar’s com-
mitment to low taxes
and low-drama politics
has wooed the likes of
Bank of America Merrill
Lynch and Barclays to
move their European
bases to Dublin while
securing Ireland’s title
as Europe’s fastest-
growing economy.
IN 2016, A GLASS CEILING WAS BROKEN in the world’s most popular sport
when Senegal’s Fatma Samoura was named the first female secretary
general of FIFA, soccer’s world-governing body. Samoura, a veteran
of the United Nations, was brought on board to help haul FIFA out of a
corruption scandal that resulted in dozens of indictments and guilty
pleas for wire fraud, racketeering, and money laundering. On her watch,
FIFA has taken financial oversight responsibility back from its hitherto
unreliable member organizations. The proportion of women within
FIFA’s administration has risen to 48% from 32% in 2016. She’s helping
women gain on the field too: Three years ago, FIFA established its first-
ever women’s soccer division; it more recently launched its first global
strategy for realizing the commercial potential of the women’s game.leo varadkar
Prime Minister, Irelandmark harrison
President and CEO,
Intermountain Healthcare