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Bill Gates

@billgates.bsky.social

40 Following9.7k Followers

Global Health. Energy Innovation. Alzheimer’s. https://gatesnot.es/tgn

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@billgates.bsky.socialOct 29, 2025, 2:55 AM

Equally important, especially given the pressure on aid budgets, we must protect funding for health and development—programs that save lives, strengthen economies, and help people stay resilient in a warming world. gatesnot.es/3Jru8UO

ANEW WAY TO LOOK AT THE PROBLEM
Three tough truths about
climate
What want everyone at COP30 to know.
By Bill Gates published day ago
Home
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@billgates.bsky.socialOct 29, 2025, 2:55 AM

Climate change is one of the most serious challenges we face, and I’m committed as ever to supporting breakthroughs that will help the world reach net-zero. ​

136
@billgates.bsky.socialOct 12, 2025, 6:47 PM

U.S. funding for global health saves an estimated 3.3 million lives each year. From HIV treatment to malaria prevention, the impact is real and measurable: b-gat.es/3KP8yd6

US foreign aid saved millions every year
Researchers estimate that American foreign aid saved around
3.3 million lives per year from the following programs alone.
Figures are rounded to two significant figures.
1.6 million lives saved per year
Humanitarian
Vaccines
Tuberculosis
Malaria
Note: Shown in the chart are the central estimates; according to the authors, plausible
estimates range from 2.3 to 5.6 million lives saved. This does not include other potentially
life-saving forms of aid, such as water and sanitation, nutrition, and family planning.
Estimates from Kenny Sandefur (2025). How many lives does US foreign aid save? CC BY
36
@billgates.bsky.socialSep 6, 2025, 8:19 PM

Affordable, reliable energy has often come at the cost of higher emissions. But geothermal can change that—delivering around-the-clock, low-cost electricity without contributing to climate change.

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@billgates.bsky.socialAug 8, 2025, 8:44 PM

In the U.S., tuberculosis deaths are rare. In some parts of Africa, they’re thousands of times more common. We have better tools than ever, but they remain out of reach for too many. What’s missing is equitable access.

b-gat.esThe world left its fight against tuberculosis unfinished — how can we complete the job?If we get it right, the world could save more than 1.2 million lives every year.
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@billgates.bsky.socialJul 23, 2025, 11:41 PM

Learning how many kids were dying from diarrhea back in 1997—when I never worried about it with my own kids—led me to get involved in global health: gatesnot.es/4kNtugR

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@billgates.bsky.socialJul 3, 2025, 11:28 PM

To me, this is the most remarkable thing about global health: With a relatively small amount of money, you can do a great deal of good for a great many people. This is money well spent, and we should go back to spending it—now.

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@billgates.bsky.socialJul 3, 2025, 11:28 PM

Health aid is a small piece of America’s foreign aid, which is itself a small piece of the federal budget. In 2023, the US spent less than one percent of the federal budget on lifesaving global health programs: b-gat.es/4l9AyW1

Health aid is 0.2% of
the federal budget
$12.4bn
Health aid
Source: KFF and US Treasury Fiscal Data. Note: Figures shown for 2024. Federal budget excludes health aid.
4
@billgates.bsky.socialJul 3, 2025, 11:26 PM

According to a UNAIDS analysis, ending PEPFAR-supported programs for people living with HIV could result in an additional 4.2 million deaths by 2029: b-gat.es/4lbD4Lw

The human cost of cutting HIV aid by 2030
Additional new
HIV infections
Additional
HIV-related
deaths
Source: The Lancet
3
@billgates.bsky.socialJul 3, 2025, 11:25 PM

Since 2000, Gavi has helped get vaccines to 1.1 billion children. The U.S. announced that, after this year, it’s pulling out all its money. If that happens, Gavi estimates that 75 million children will miss vaccinations over the next five years—and of those, 1.2 million children will die.​

75m
children denied access
to routine vaccinations
over the next five years
GAVI warns US
vaccine aid cuts
to
1.2 million child
deaths
1.2m
children
will die
Source: The New York Times
7
@billgates.bsky.socialJul 3, 2025, 11:22 PM

A study in the Lancet recently looked at the cumulative impact of reductions in American aid. It found that, by 2040, 8 million more children will die before their fifth birthday. b-gat.es/44wCCQO

b-gat.esThe Effects of Reductions in United States Foreign Assistance on Global HealthBackground: The United States (US) has traditionally been the largest donor to health programs in low- and middle-income countries. In January 2025 almost all s
12
@billgates.bsky.socialJul 3, 2025, 11:21 PM

The facts are simple and devastating: Aid cuts have already cost lives, and the number of deaths will continue to rise. Here’s the evidence. ​

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@billgates.bsky.socialJul 1, 2025, 10:18 PM

​U.S. global health and development aid is estimated to have saved 92 million lives over the past 20 years. We can't afford to let that kind of progress unravel: b-gat.es/4kjSUCG

Estimate (95% Cl)
Tuberculosis
Low USAID per capita 0-86 (0-76-0-97)
Medium USAID per capita 0-84 (0-72-0-97)
High USAID per capita 0-71 (0-60-0-84)
Deaths prevented: 4728 983 (14%)
HIV/AIDS
Low USAID per capita 0-82 (0-70-0-96)
Medium USAID per capita 0:57 (0-49-0-66)
High USAID per capita 0-35 (0:29-0-42)
Deaths prevented: 25 547337 (52%)
Maternal
Low USAID per capita 0-93 (0-86-0-99)
Medium USAID per capita 0-90 (0-82-0-99)
High USAID per capita 0-76
Deaths prevented: 657 363 (11%)
Lower respiratory infections
Low USAID per capita 0-85 (0:74-0-98)
Medium USAID per capita 0-81 (0:70-0-93)
High USAID per capita 0-69 (0-57-0-83)
Deaths prevented: 903053 (16%)
Nutritional deficiencies
Low USAID per capita 0-82 (0:70-0-98)
Medium USAID per capita 0-74
High USAID per capita 0-57
Deaths prevented: 2093120 (26%)
Diarrhoeal diseases
Low USAID per capita 0-73 (0:58-0-92)
Medium USAID per capita 0-70 (0-54-0-90)
High USAID per capita 0-54 (0-42-0-71)
Deaths prevented: 11225 295 (24%)
Malaria
Low USAID per capita 0-76 (0-69-0-83)
Medium USAID per capita 0-71 (0-58-0-87)
High USAID per capita 0-49 (0-39-0-61)
Deaths prevented: 8019 681 (32%)
Neglected tropical diseases
Low USAID per capita 0-76
Medium USAID per capita 0-71 (0-58-0-87)
High USAID per capita 0-50 (0-40-0-62)
Deaths prevented: 873 267 (32%)
Injuries
Low USAID per capita 0-99 (0-90-1-08)
Medium USAID per capita 1-02 (0-88-1-17)
High USAID per capita 1.08
0.2 06 08 12 14
Statistical significance
p<0:01 Op<0-05 Notsignificant
9
@billgates.bsky.socialJun 27, 2025, 1:20 AM

There’s never been a point in the past 25 years when more lives hung in the balance. gatesnot.es/4loJLJM

11
@nickkristof.bsky.socialJun 26, 2025, 1:24 AMReposted by @billgates.bsky.social

A child dies of malnutrition every 15 seconds, as 185,535 boxes of special food for starving children are stacked in a warehouse in Rhode Island, paid for by American taxpayers. After shutting USAID, the Trump administration is just sitting on the boxes. www.nytimes.com/2025/06/25/o...

nytimes.comOpinion | ‘The U.S. Cannot Solve All the World’s Problems’
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@billgates.bsky.socialJun 25, 2025, 6:31 PM

When the United States and other governments suddenly cut their aid budgets, I know for a fact that more children will die. Here’s the proof I’m showing Congress: gatesnot.es/4nnV8Us

13
@billgates.bsky.socialMay 20, 2025, 6:35 PM

A big step forward in the fight against Alzheimer’s: The FDA approved the first blood test to help diagnose the disease. Breakthroughs like this will make earlier, easier diagnosis possible—bringing us closer to better treatments and, someday, a cure.

b-gat.esFDA OKs first blood test that can help diagnose Alzheimer's diseaseU.S. health officials have endorsed the first blood test that can help diagnose Alzheimer’s. The test would help identify patients who may benefit from drugs that can modestly slow the memory-destroyi...
14
@billgates.bsky.socialMay 15, 2025, 6:12 PM

The last 25 years have shown us what’s possible. The next 25 will depend on whether the world keeps showing up for the children who need it most: gatesnot.es/43gTIl5

Child deaths have fallen by more than half since 1990
Under-5 deaths, globally
12
1990 2000 2022
Source: Institute for Health Metrics Evaluation. Used with permission. All rights reserved.
12
@billgates.bsky.socialMay 8, 2025, 2:50 PM

We have an opportunity to save more lives around the world than ever before—and I want to do even more to help. That's why I'm giving away virtually all of my wealth through the Gates Foundation over the next 20 years.

Bill Gates: “My net worth will drop 99%
over the next 20 years.”
$150bn
Net worth today
$100bn $108bn
Nearly all
my wealth
will go to
$50b society
-99%
1985 1995 2005 2015 2025 2045
Source: Gates Notes
78
@billgates.bsky.socialMay 8, 2025, 2:50 PM

No mother or child should die from a preventable cause. No generation should live in fear of deadly infectious diseases. And no one should be denied the chance to thrive because of where they were born. gatesnot.es/4m5pSc3

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