Bill Gates sets 2045 sunset for foundation, eyes final $200B push for global health

Bill Gates announces that the Gates Foundation will wind down by 2045, aiming to spend over $200 billion in its final 20 years to advance global health and human development. (Wikimedia Creative Commons)

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MANILA, Philippines โ€“ Bill Gates marked the 25th anniversary of the Bill & Melinda Gates Foundation with a sweeping announcement: the philanthropic giant will close its doors on December 31, 2045. In the next two decades, the foundation aims to disburse more than $200 billion to advance global health and human development โ€” a final push in a mission that has already transformed lives across the globe.

Since its inception in 2000, the foundation has committed over $100 billion to health, education, and poverty alleviation programs, especially in the Global South. With its eventual closure now on the horizon, Gates sees this final chapter as the most critical.

Gates: ‘Not Timely’

โ€œYou could say this announcement is not very timely,โ€ Gates told The New York Times on Thursday, May 2. โ€œOver the last 25 years, we achieved far more than I โ€” or I think anyone โ€” expected. The world invented new tools, we made them cheap, we got them out. We went from 10 million childhood deaths to five million.โ€

He added, โ€œOver the next 20 years, can you cut that in half again? The answer is: Absolutely.โ€

But looming political headwinds, particularly cuts to U.S. foreign aid under former President Donald Trump, have tempered the billionaireโ€™s hopes for consistent global progress.

โ€œOn childhood deaths, which over the next few years should have gone from five million to four million โ€” now, unless thereโ€™s a big reversal, weโ€™ll probably go from five million to six million,โ€ Gates said.

He pointed to the often invisible nature of the foundationโ€™s success โ€” and the consequences of political decisions made far from the communities affected.

โ€œYou have to go to Africa and see a malaria ward at the height of the malaria season. Or you have to see kids who are stunted,โ€ Gates said. โ€œThey cut the money to Gaza Province in Mozambique. That is really for drugs, so mothers donโ€™t give their babies HIV. But the people doing the cutting are so geographically illiterate, they think itโ€™s Gaza and condoms.โ€

Hopeful

Despite the setbacks, Gates remains hopeful that a shift in global leadership and priorities could correct course.

โ€œI donโ€™t think weโ€™re going to have administration after administration who cuts and cuts and cuts and cuts these things. I see it as a four- to six-year interruption,โ€ he said. โ€œAnd if we zoom out and think about 20 years from now โ€” I do think weโ€™ll cut childhood deaths, despite all this, because the Golden Rule was not repealed.โ€

As the clock starts ticking on the foundationโ€™s final 20 years, Gates said his faith in science โ€” and in people โ€” remains unshaken.

โ€œMy optimism hasnโ€™t been shaken,โ€ he said. โ€œIf itโ€™s brought to them, if they get to see it, people do care about childrenโ€™s deaths. And science โ€” thank God science doesnโ€™t go backward as we invent these tools.โ€

The Gates Foundationโ€™s farewell may be two decades away, but for Gates, the countdown has already begun โ€” not as an end, but as a determined sprint toward an audacious finish line.

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