Bill & Melinda Gates Foundation

Definition: A private charitable foundation, founded in 2000 and headquartered in Seattle, which aids in global health

Establishment and Purpose

In January 2000, Microsoft founder and former chief executive officer (CEO) Bill Gates and his ex-wife Melinda established what has become the world’s most lavishly funded charitable foundation. The Gateses earmarked $5 billion for the foundation in June 1999, following this with a contribution of $106 million in 2000. By June 2006, with additional funding from the Gateses, the foundation’s endowment reached $29.2 billion. According to the foundation's website, the endowment had reached more than $46 billion by the end of 2018. At the end of 2022, the Foundation’s endowment had reached $67.3 billion.

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The endowment was enhanced substantially on June 25, 2006, when Warren Buffett pledged to the Gates Foundation ten million shares of Berkshire Hathaway class B stock worth $30.7 billion—the most substantial charitable donation in American history. This contribution, spread over several years, gave the Gates Foundation the largest endowment of any existing foundation. Even before Buffett’s gift, its assets exceeded the gross national product (GNP) of more than one hundred nations.

The Gates Foundation provides funding in the categories of global health, global development, global growth and opportunity, global policy and advocacy, and the United States. Its outreach, particularly in health, is worldwide, with special emphasis on improving medical facilities, training medical personnel, and enhancing medical education. It emphasizes prevention through education, inoculation, and therapeutic management of such endemic diseases as acquired immunodeficiency syndrome (AIDS), malaria, and poliomyelitis.

Organization and Management

Despite its size and complexity, the Gates Foundation controls overhead expenses scrupulously. Its emphasis is on assisting those who most need help, with minimal bureaucratic interference. With high yearly worldwide death tolls from malaria, HIV/AIDS, and tuberculosis, a daunting task has faced the Gateses’ global health outreach.

Buffett’s contribution stipulates that the foundation must continue qualifying as a charitable organization and must distribute an annual amount of at least 5 percent more than the previous year’s Berkshire contribution. Federal laws governing charitable foundations require them to distribute 5 percent or more of their assets every year.

Even before Buffett’s contribution, this government regulation forced the Gates Foundation to distribute approximately a billion dollars every year. When Buffett’s total contribution is added to the original endowment, the foundation will be required to distribute over two billion dollars a year to qualify as a charitable foundation.

As the foundation was originally organized, Bill and Melinda Gates were actively involved as cofounders, although the demands on Bill Gates as then-CEO of Microsoft limited the time that he could spend overseeing the foundation. On June 15, 2006, Gates announced that after July 31, 2008, he would reduce his involvement in the day-to-day operation of Microsoft and would direct most of his energies toward overseeing the foundation. In early 2020, he vacated his positions on the boards of Microsoft and Berkshire Hathaway to be able to devote his time to philanthropy.

Gates’s father, William H. Gates Sr., served as cochairperson of the foundation since its founding until his death in September 2020. The Gateses remained co-chairpeople in 2022, serving alongside CEO Mark Suzman. The foundation had over 1,800 employees.

Scope and Impact

The Gates Foundation’s initial priority to sponsor projects affecting the Pacific Northwest region of the United States reflected the presence of Microsoft’s corporate headquarters and the Gateses' home in the area of Seattle Washington. In 2011, the foundation's world headquarters also opened in Seattle. The overall scope of the organization, however, became truly global, with special emphasis on the developing world, with its daunting health problems, notably HIV-AIDS, malaria, diabetes, and polio.

In October 2000, the Gates Cambridge Scholarship Program, established with a grant of more than $200 million, enabled promising graduate students from outside the United Kingdom to study at Cambridge University; the program subsidizes between eighty and one hundred new scholars per year. The Gates Millennium Scholars Program, with funding of over $1 billion, is administered by the United Negro College Fund and provides scholarships for minority students in the United States.

The students in these programs frequently pursue careers related to world health. The foundation’s annual Gates Award for Global Health, given in the amount of $1 million in recognition of efforts to improve health in developing countries, proves that one of the greatest international impacts of the Gates Foundation is in global health.

On October 25, 2005, the foundation gave the Global Alliance for Vaccines and Immunization (GAVI) $750 million to underwrite its vaccination programs. A grant of $30 million helped to establish a new Department of Global Health at the University of Washington, aimed at preparing health professionals—physicians, paramedics, nurses, social workers, and psychologists—to work with the impoverished on the prevention and treatment of diseases prevalent among them. This grant enabled the University of Washington to hire fourteen new faculty members and to support more than four hundred graduate students and staff. In 2010, the foundation announced its pledge of $10 billion over the next ten years to research, develop, and deliver vaccines as part of what it termed the "Decade of Vaccines." In 2011, the foundation, along with the governments of Liberia and the United Kingdom, cohosted the GAVI pledging conference, during which donors from the public and private sectors pledged funding to immunize more than 250 million indigent children by 2015.

The Gates Foundation has contributed over $300 million to be divided among sixteen teams doing HIV/AIDS research throughout the world. This gift requires that all these teams share their findings with other teams.

The foundation provides funds to help organizations dealing with emergencies such as the 2004 Indian Ocean tsunami and the 2005 earthquake in Kashmir. This funding enables medical professionals to deal with the health problems that accompany such disasters.

Some conservative critics fear that the money the foundation awards will fall into the hands of unscrupulous politicians. The wisdom of donating money to help solve problems in the developing world, where graft is rampant and distribution is questionable, has been viewed with skepticism in some quarters. Critics suggest that helping the developing world build stronger infrastructure and develop work opportunities for the unemployed might help more than would giving them money.

Regardless, the foundation has continued to provide organizations and causes, particularly in the area of health, with funds believed necessary to reach important goals and affect change. In 2015, the foundation donated over $168 million to support the PATH Malaria Vaccine Initiative and GlaxoSmithKline Biologicals in their mission to develop the first vaccine for malaria. Additionally, press releases have announced the foundation's continued donations of funds to organizations responsible for collecting the data necessary to determine global health status and needs. In January 2017, the foundation awarded the University of Washington's Institute for Health Metrics and Evaluation $279 million over the next decade to allow staff to collect further crucial health evidence. After an outbreak of a new coronavirus leading to the disease COVID-19 that was initially identified in China in late 2019 continued to spread rapidly to the majority of countries throughout the world into 2020, leading WHO to declare it a public health emergency of international concern in late January, the foundation announced in February 2020 that it was committing as much as $100 million to detection, isolation, and treatment efforts; improving protections for populations at risk in Africa and South Asia; and the development of vaccines and diagnostics. In the 2010s, Bill Gates was noted as prophetically saying the world was not ready for the type of pandemic it experienced with the COVID-19 outbreak of 2020. In 2023, the Gates Foundation remained committed to public global health outcomes and continued to work with scientists, governments, and populations around the world to eliminate the correlation between poverty and healthcare.

Bibliography

Adegbola, Richard A. "Childhood Pneumonia as a Global Health Priority and the Strategic Interest, Bill & Melinda Gates Foundation." Clinical Infectious Diseases, vol. 54, 2012, pp. 89–92.

Ashraf, Haroon. “Bill Gates Throws Down the Gauntlet to Medical Researchers.” The Lancet, 1 Feb. 2003, p. 404.

Birn, Anne-Emanuelle. “Gates’s Grandest Challenge: Transcending Technology as Public Health Ideology.” The Lancet, 6 Aug. 2005, pp. 514–19.

Chase, Marilyn. “Gates Won’t Fund AIDS Researchers Unless They Pool Data.” The Wall Street Journal, 20 July 2006, pp. B1–B2.

Check, Erika. “Global Vaccine Project Gets a Shot in the Arm.” Nature, 27 Jan. 2005.

Enserink, Martin. “Gates Pledges $168 Million for Malaria Research.” Science, 26 Sept. 2003, p. 1828.

“Foundation Fact Sheet (At A Glance).” Bill & Melinda Gates Foundation, 2023, www.gatesfoundation.org/about/foundation-fact-sheet. Accessed 24 July 2023.

Goldberg, Michelle. "Will Melinda Gates Change the Game for Women?" Newsweek, 14 May 2012, pp. 44–49.

Guzman, Joseph. “Bill Gates, Who Predicted the Pandemic, Names the Next Two Monster Disasters that Could Shake our World.” The Hill, 11 Feb. 2021, thehill.com/changing-america/well-being/538426-bill-gates-who-predicted-the-pandemic-names-the-next-two-monster. Accessed 24 July 2023.

Kovacs, Philip E. The Gates Foundation and the Future of US 'Public' Schools. Routledge, 2011.

“Our Work.” Bill & Melinda Gates Foundation, 2023, www.gatesfoundation.org/our-work. Accessed 24 July 2023.

Service, Robert F. “Gates Grows UW’s Genome Program.” Science, 2 May 2003, p. 723.

Toh, Michelle. "The Bill and Melinda Gates Foundation Is Donating $100 Million to Coronavirus Relief Efforts." CNN Business, 6 Feb. 2020, www.cnn.com/2020/02/06/business/bill-melinda-gates-foundation-novel-coronavirus/index.html. Accessed 3 Apr. 2020.

Wattles, Jackie. "Gates Foundation's Latest Giveaway: $279 Million." CNN, 25 Jan. 2017, money.cnn.com/2017/01/25/technology/gates-foundation-donation-university-washington/. Accessed 22 Feb. 2017.

Youde, Jeremy. "The Rockefeller and Gates Foundations in Global Health Governance." Global Society: Journal of Interdisciplinary International Relations, vol. 27, no.2, 2013, pp. 139–58.