
Donald Trump is the face of these cuts, but the cruelty of his administration is not the only story. After jumping upwards in the 2000s, global health donations have grown very slowly in 2010. Filantropy culture has also changed in some way, with the age of the pledge to give – in which hundreds of richest people in the world have promised to give more than half of their great fortunes to charity – giving first to the starting movement called effective altruism and then to a new era of extremely wealth. from altruism that from grandeur. After the divorce of the Gates in 2021, Melinda eventually left the Foundation to establish his philanthropy; Warren Buffett, a longtime supporter, recently announced his plans to leave most of his remaining fortune in the hands of a charity trust that his children administer and not to give any additional money to the Gates Foundation beyond his death. After a few years of slow post-croce decline, this was the year in which foreign aids-as recently wrote the CEO of the Gates Foundation, Mark Suzman, recently in the Economist- “has fallen from a cliff”.
On the ground, progress has also been rough, in particular to the consequences of the pandemic emergency, when many routine vaccination programs were paused and the poorest countries in the world were launched, in mass, in debt difficulty. The percentage of the world population that lives in extreme poverty has decreased by almost three quarters between 1990 and 2014, but has not just been reduced since then.
To listen to Gates and his team, this is the time to go to the darkest the yawn gaps produced by post-Pandemic setbacks and the assault of Trump, and given the promise of biomedical tools and other saved innovations now in the development pipeline and, given to, a topic that Gates still returns and again. They also speak with enthusiasm of a world in which the Gates Foundation has made itself useless. That world seems tremendously attractive. But – given obstacles – can it be built?
Over two days to the end of April, I spoke with Gates of the state and the inheritance of his philanthropic effort, his successes and disappointments so far and what awaits us. What follows is a version by the cured and condensed of those conversations, in which it was sunny, detailed and confident, sometimes to the point of brusque certainty, that the next decades would have produced even more radical improvements in the global development of what she called, in retrospective, “our miraculous period”.
I. “Millions of additional deaths of children”
We are talking about the time very present, with the Trump administration that has completely shot on foreign aid and leaving not only many millions of people, but also most of the global institutions of the world in the jump. How serious is it?