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Bill Gates reportedly warned Trump his foundation won’t be able to fund global health gaps if the administration keeps making major cuts

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  • Foundations are no replacement for government funding, some philanthropists are arguing. Bill Gates has reportedly warned the Trump administration the Gates Foundation will be unable to fill the gaps left by the dissolution of the U.S. Agency for International Development, which distributed $43.8 billion in aid in fiscal 2023. 

Bill Gates has reportedly warned President Donald Trump’s administration that his philanthropic endeavors are no replacement for the U.S. government’s funding of global health care efforts. 

The Microsoft co-founder-turned-billionaire philanthropist is petitioning the Trump administration to continue funding worldwide health programs Reuters reported, citing two anonymous sources. He has met with legislators and the National Security Council about his concerns.

The Trump administration effectively dissolved the U.S. Agency for International Development, the body responsible for mass public-health campaigns, including carrying out mass measles vaccination efforts. Last month, the administration dissolved 90% of the agency’s foreign aid contracts and put the majority of its workers on leave, firing 1,600 others. USAID distributed $43.8 billion in aid in fiscal 2023, according to Pew Research. 

“President Trump will support polices [sic] that bolster our public health, cut programs that do not align with the agenda that the American people gave him a mandate in November to implement, and keep programs that put America First,” White House deputy press secretary Anna Kelly told Fortune in a statement.

Public-health experts fear the White House’s USAID scrapping could have devastating global consequences, such as a rise in global malaria cases and deaths and the spread of HIV and tuberculosis (TB). 

“Without immediate action, hard-won progress in the fight against TB is at risk,” Dr. Tereza Kasaeva, director of the WHO’s Global Programme on TB and Lung Health, said in a statement earlier this month.

The Gates Foundation, founded by Bill Gates and ex-wife Melinda French Gates in 2000, has a nearly $9 billion budget for 2025 and has funded malaria vaccine testing and the Gavi Alliance’s childhood immunization efforts.

The foundation did not respond to Fortune’s request for comment, but told Reuters in a statement, “Bill was recently in Washington D.C. meeting with decision makers to discuss the life-saving impact of U.S. international assistance and the need for a strategic plan to protect the world’s most vulnerable while safeguarding America’s health and security.”

Foundations refuse to step in

Trump’s mission to curb global foreign aid would increase pressure on private organizations to pick up the slack, something philanthropic groups seem unwilling to do. Gates met with Trump at the White House in early February, calling on the administration to continue funding USAID. The Gates Foundation has made it clear that no private philanthropic effort would be able to replace government-funded foreign aid.

“There is no foundation—or group of foundations—that can provide the funding, workforce capacity, expertise, or leadership that the United States has historically provided to combat and control deadly diseases and address hunger and poverty around the world,” Rob Nabors, the North America director for the Gates Foundation, told media outlets earlier this month.

The Novo Nordisk Foundation, one of the wealthiest charities in the world, likewise shied away from committing additional funding to foreign aid and will continue to focus on addressing non-communicable diseases like heart disease and diabetes.

“Of course, more people are contacting us…We don’t have plans of stepping in, of filling gaps,” Flemming Konradsen, the Novo Nordisk Foundation’s scientific director of global health, said in a February interview with Reuters.

These foundations are turning away from taking on the government’s role in global health care aid because they aren’t designed to do so, according to Jesse Lecy, associate professor of data science and nonprofit studies at Arizona State University.

“The capital needed to sustain an initiative dwarfs the levels of capital needed for pilot programs that can establish the efficacy of new approaches,” he told Fortune in an email. “Scaling viable solutions requires partnerships.”

Philanthropic efforts are most effective when they invest in early research or pilot initiatives that are more risky, but less expensive. Then, nonprofits can build out and sustain successful projects in the long term, Lecy argued. Scaling nonprofits projects is something far more expensive than what foundations have resources for.

“What people misunderstand about foundations is that they are the venture capital arm of philanthropy, not the long-term capital that sustains programming,” he said.

This story was originally featured on Fortune.com



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I’m a mining industry CEO. Let’s talk about Trump and Greenland

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With more than 35 years of experience working in sectors focused on extracting valuable materials from the ground, I have always been on the lookout for the next big thing. I like to think we are after the “future metals,” the ones that are going to power our global economy and help make our world a cleaner and greener place. Several years ago, I came into contact with elements that have the potential to redefine the geopolitical landscape: rare earth elements. 

President-elect Donald Trump has his eye (again) on buying Greenland, which also happens to possess one of the world’s largest known rare earth deposits. 

Coincidence? I think not. Of course, there may be more to the story, and I have no direct access to Trump or his inner circle, but I do have the perspective of a mining CEO—I lead Critical Metals Corp.—which in this case matters.

Chinese bans and a Trump visit

Today, we can’t talk about rare earth elements without talking about China, the world’s dominant producer of rare earths, controlling more than 90% of the market. Last month China announced a ban on the export of certain rare earth minerals and metals to the United States. China banned shipments of gallium (essential for the production of computer chips and defense applications), germanium, antimony, and other materials that have both military and civilian uses.

This is amidst a significant amount of buzz about Trump and his interest in buying Greenland, which Donald Trump Jr. recently visited. I believe this is in part due to the Tanbreez Project, a foundational rare earth asset located in Greenland with more than 4.8 billion tons of potential material. This is among the largest rare-earths assets in the world; one of the highest concentrations of gallium was discovered there this past fall. 

And now a necessary disclaimer: My company, founded last year through a merger, is focused on critical metals and minerals, and acquired a controlling interest in Tanbreez last summer. That also means I’m well familiar with Greenland’s underground riches.

The Mighty 17, and why they matter

Although the roots of rare earth elements (“rare earths”)—a group of 17 elements on the periodic table, which I sometimes fondly refer to as the “mighty 17”—can be traced back to their discovery in the 18th century, they remain widely misunderstood. Despite their namesake, they are actually quite common in occurrence. However, due to their typically low concentration in many ores and rapid oxidation, they can be extremely difficult to extract. They are broken up into two broader categories: light rare earth elements and heavy rare earth elements—and for refining capacity, the latter is limited.

Importantly, these elements are key enablers for next-generation technologies. They contribute to lower emissions, reduced energy consumption, and enhanced overall energy efficiency, performance, and safety. They are also essential for making products lighter and smaller. 

Bolstering national security in the West

At the end of the day, I think, Trump believes in the importance of rare earth elements because they are crucial to the U.S. defense industry and the country’s national security as a whole. This is because the U.S. defense industry is in dire need of rare earths. 

Light rare earth elements are primarily used in the manufacturing of magnets, which are used in electric vehicle motors, medical equipment, wind turbines, and data storage systems. These are the applications that have made many of the headlines. However, the more limited heavy rare earth elements are critical for heavy weaponry and, in turn, national defense.

The heavy rare earth elements are key components for a range of defense applications, including advanced military systems like the F-35 Lightning II aircraft, unmanned aerial vehicles, and Virginia and Columbia class submarines. 

As such, the Defense Department has been increasing its focus on domestic supply chains to ensure continued access to the rare earth materials needed to manufacture critical weapons systems.

With the Pentagon planning a substantial increase in F-35 procurement in the coming decades, ensuring a reliable supply of heavy rare earth elements will be crucial. For reference, Tanbreez in Greenland has a particularly high concentration of heavy rare elements.

The U.S. remains strong and powerful. However, future battles may be won or lost based not on our current strength, but rather on access to—and utilization of—the Mighty 17.

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The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.

This story was originally featured on Fortune.com



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Critical minerals processing will be the equivalent of 19th-century oil refineries—at a Rockefeller moment

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Clean technology will prevail despite today’s policy uncertainty

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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.



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