• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
FeaturesGates Foundation

The philanthropy world weighs in on Bill Gates’ $200 billion bet on global health: ‘People will be watching this as an example’

By
Alexa Mikhail
Alexa Mikhail
Senior Reporter, Fortune Well
Down Arrow Button Icon
By
Alexa Mikhail
Alexa Mikhail
Senior Reporter, Fortune Well
Down Arrow Button Icon
May 10, 2025, 7:00 AM ET
Bill Gates announced that he'll be giving away most of his remaining fortune to the Gates Foundation.
Bill Gates announced that he'll be giving away most of his remaining fortune to the Gates Foundation.

The world of philanthropy is abuzz this week following the Gates Foundation’s announcement Thursday that it will ramp up its spending to $200 billion over a 20-year period—then close its doors at the end of 2045. 

Recommended Video

Bill Gates told Fortune that the commitment will help the foundation eradicate or dramatically reduce the world’s deadliest diseases and cut maternal and child mortality rates to a fraction of what they are. “By spending the money sooner than later, it allows us to be very ambitious,” he said. 

While “spend down” foundations are becoming more popular, the decision by the world’s largest private foundation is a marked departure from other such large organizations. The charitable endeavors of the industrialists of old, such as the Fords and Carnegies, were set up to endure for generations.  

“This is by far the most significant kind of example that we’ll have of a spend-down foundation,” Michael Moody, a professor of philanthropic studies at the Lilly Family School of Philanthropy,  says. “People will be watching this as an example.” 

The move comes at a fraught time for global public health and the charitable sector more broadly, with the Trump administration dismantling the country’s international aid infrastructure and the agency that oversees it, while also cutting domestic programs designed to help the most vulnerable.

For Wendy McGrady, Chair of Giving USA, a nonprofit organization founded by the Giving Institute to advance research, education, and public understanding of philanthropy, the news signaled that the moment we’re in calls for bold action. “Perhaps there is a line in the sand to say, let’s not do it incrementally,” she said. “Let’s go all out.” 

Una Osili, associate dean for research at the Lilly Family School of Philanthropy, agreed. When global health progress is being threatened, she said, it doesn’t make sense to save money until it’s “too late.” “The idea is, if you want that to be around for the future, you have to invest now,” she said.

“It was inspiring,” she said of Gates’ decision. “This is a bold step for the Gates Foundation and for the field.” 

Cari Tuna, chair of Open Philanthropy, who spoke at a Gates Foundation event following the announcement in New York City, said the fragility of the sector requires fast action. “The gains of the past few decades aren’t guaranteed to continue; right now, they’re at risk,” she said, “unless more of us step up and get involved.”

Alongside the optimism, however, there was some anxiety. As the Chronicle of Philanthropy put it, the decision “​​could unnerve nonprofits grappling with how to respond to the Trump administration’s near-total elimination of international aid and efforts to roll back funding for domestic causes such as higher education and affordable housing—areas the Gates Foundation has funded over the years.” And Gates himself admits that how much he can get done in the 20 years is “probably the biggest unknown,” given the pullbacks of foreign aid. 

The Fortune 500 Innovation Forum will convene Fortune 500 executives, U.S. policy officials, top founders, and thought leaders to help define what’s next for the American economy, Nov. 16-17 in Detroit. Apply here.
About the Author
By Alexa MikhailSenior Reporter, Fortune Well
LinkedIn iconTwitter icon

Alexa Mikhail is a former senior health and wellness reporter for Fortune Well, covering longevity, aging, caregiving, workplace wellness, and mental health.

See full bioRight Arrow Button Icon

Latest in Features

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Features

Intel Chief Exec, Lip-Bu Tan, on stage
EuropeIntel
Intel’s share price just blew the doors off. One man thinks he knows the reason why
By Kamal AhmedApril 27, 2026
3 days ago
Who owns ideas in the AI age?
MagazinePublishing
Who owns ideas in the AI age?
By Francesca CassidyApril 8, 2026
22 days ago
The Walmart billionaires next door: Quiet backlash is brewing against the heirs who remade the retailer’s hometown
MagazineWalmart
The Walmart billionaires next door: Quiet backlash is brewing against the heirs who remade the retailer’s hometown
By Jessica MathewsApril 3, 2026
27 days ago
Have a strong brand in a world of noise—it’s like having the only red T-shirt in a stadium full of white ones
MagazineVolvo
Have a strong brand in a world of noise—it’s like having the only red T-shirt in a stadium full of white ones
By Kamal AhmedApril 2, 2026
28 days ago
Ken Griffin wants to reshape Miami—and maybe American politics
MagazineKen Griffin
Ken Griffin wants to reshape Miami—and maybe American politics
By Shawn TullyMarch 31, 2026
1 month ago
The world’s consumers are ready for robotaxis. James Peng of Pony AI wants to make sure they’re riding in his
MagazineChina
The world’s consumers are ready for robotaxis. James Peng of Pony AI wants to make sure they’re riding in his
By Nicholas GordonMarch 26, 2026
1 month ago

Most Popular

Apple cofounder Ronald Wayne—whose stake would be worth up to $400 billion had he not sold it in 1976—says that at 91, he has no regrets
Success
Apple cofounder Ronald Wayne—whose stake would be worth up to $400 billion had he not sold it in 1976—says that at 91, he has no regrets
By Preston ForeApril 27, 2026
3 days ago
Jamie Dimon gets candid about national debt: ‘There will be a bond crisis, and then we’ll have to deal with it’
Economy
Jamie Dimon gets candid about national debt: ‘There will be a bond crisis, and then we’ll have to deal with it’
By Eleanor PringleApril 29, 2026
1 day ago
‘They left me no choice’: Powell isn’t going anywhere—blocking Trump from another Fed appointee
Banking
‘They left me no choice’: Powell isn’t going anywhere—blocking Trump from another Fed appointee
By Eva RoytburgApril 29, 2026
20 hours ago
‘The cost of compute is far beyond the costs of the employees’: Nvidia executive says right now AI is more expensive than paying human workers
AI
‘The cost of compute is far beyond the costs of the employees’: Nvidia executive says right now AI is more expensive than paying human workers
By Sasha RogelbergApril 28, 2026
2 days ago
‘Take the money and run’: Johns Hopkins economist Steve Hanke on why the UAE quit OPEC
Energy
‘Take the money and run’: Johns Hopkins economist Steve Hanke on why the UAE quit OPEC
By Shawn TullyApril 29, 2026
1 day ago
Google Cloud revenue is now 18% of Alphabet's business. Is this the beginning of the end of Google's search identity?
Big Tech
Google Cloud revenue is now 18% of Alphabet's business. Is this the beginning of the end of Google's search identity?
By Alexei OreskovicApril 29, 2026
13 hours ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.