SB. Bill Gates and Elon Musk Clash Over Foreign Aid Cuts and Global Health Priorities

Two of the world’s most influential tech billionaires, Bill Gates and Elon Musk, are once again making headlines—this time over sharp differences in global aid, public health, and the role of government funding. The public attention comes after Bill Gates shared his ambitious new philanthropic plans, including concerns about recent U.S. foreign aid policy shifts. Elon Musk’s reaction to the claims has sparked widespread media coverage and public debate.

Bill Gates Pledges to Donate Majority of Fortune by 2045

On May 8, 2025, Bill Gates announced an updated commitment to donate “virtually all” of his estimated $108 billion net worth by 2045 through the Bill & Melinda Gates Foundation. In an interview with CBS News, Gates stated that his intention is to accelerate giving in order to address global poverty, health disparities, and preventable deaths.

“By deciding to spend all this money in the next 20 years, we can get a lot more done,” Gates told CBS. “This could save tens of millions of lives.”

Gates elaborated further in a personal blog post, citing Andrew Carnegie’s 1889 essay, “The Gospel of Wealth”, as a key inspiration for his decision. Carnegie’s philosophy emphasizes the responsibility of wealthy individuals to use their resources for the betterment of society. Gates reiterated:

“People will say a lot of things about me when I die, but I am determined that ‘he died rich’ will not be one of them.”

Source: CBS News – Gates Pledges Wealth to Global Health

Bill Gates accuses Elon Musk of killing poor children by cutting foreign  aid and says he's giving away his wealth

Focus on Global Health and Preventable Deaths

In his May 8 blog post, Gates wrote that he hopes accelerated giving will help end preventable deaths of mothers and children, reduce poverty, and strengthen communities globally.

“I believe we can leave the next generation better off and better prepared to fight the next set of challenges,” Gates wrote.

However, Gates expressed concern over recent changes to the U.S. Agency for International Development (USAID). The Gates Foundation has historically partnered with USAID on initiatives such as global vaccination programs, maternal health, and food security.

Source: Gates Notes Blog – Philanthropy and Responsibility

Elon Musk. Credit / Getty Images

USAID Restructuring Raises Concerns

In early 2025, major structural changes were introduced to USAID. As reported by the Associated Press (AP), the agency’s foreign aid programs were significantly scaled back, and many of its development contracts were terminated. The reforms were initiated under the direction of the Department of Government Efficiency (DOGE)—a newly formed federal agency.

According to the AP, over 90% of USAID’s humanitarian and development contracts were canceled, resulting in the reallocation of more than $60 billion in overseas assistance.

Critics of the move argue that the sudden withdrawal of aid could disrupt decades of progress in global health and development. Gates voiced his concern in an interview with Reuters, saying that these funding cuts could result in a measurable increase in preventable deaths among vulnerable populations.

“The number of deaths will start going up for the first time,” Gates said. “Resources being pulled back could put millions of lives at risk.”

Source: Reuters – Gates on Foreign Aid Cuts

Bill Gates Accuses Elon Musk of 'Killing Children' by Cutting Foreign Aid -  The New York Times

Elon Musk’s Response to Foreign Aid Debate

Following Gates’ comments, Elon Musk, CEO of Tesla and SpaceX, appeared to respond via social media. While not directly referencing Gates, Musk posted a brief statement on X (formerly Twitter):

“Gates is a huge liar,” Musk wrote on May 8, without providing specific context.

Musk has long advocated for innovation-driven solutions, favoring private-sector leadership in addressing global challenges such as climate change, energy access, and space exploration. In previous interviews, Musk has suggested that government programs often lack efficiency and transparency, and he has expressed skepticism toward large-scale foreign aid structures.

The Department of Government Efficiency (DOGE), which some media outlets have attributed to Musk’s policy influence, has not officially responded to the statements made by Gates.

Source: X.com – Elon Musk (@elonmusk)

Bill Gates accuses Elon Musk of killing children with DOGE USAID cuts

Philosophical Divide: Philanthropy vs. Private Sector Innovation

The exchange between Gates and Musk highlights a deeper philosophical debate in modern philanthropy and governance. While Bill Gates supports systemic, large-scale government collaboration to improve global health and social equity, Elon Musk has consistently advocated for free-market innovation, technological development, and a reduced reliance on centralized government programs.

Bill Gates’ Approach:

  • Focus: Ending preventable diseases, poverty alleviation, maternal and child health.
  • Method: Partnerships with governments, nonprofits, and multilateral institutions.
  • Belief: Large-scale philanthropy should complement and reinforce government-led aid.

Elon Musk’s Approach:

  • Focus: Space exploration, sustainable energy, artificial intelligence.
  • Method: Private-sector-led research, decentralized innovation, and entrepreneurship.
  • Belief: The private market is more effective at delivering long-term solutions.

Both individuals have committed vast resources to their respective causes. As of 2025:

  • Gates Foundation has disbursed over $70 billion since its founding.
  • Musk Foundation has pledged funds toward renewable energy, disaster relief, education, and interplanetary research.

Source: Bill & Melinda Gates Foundation
Source: Musk Foundation

Gates is a huge liar': Elon Musk shreds Bill Gates after Microsoft  co-founder's 'killing children' remark | Trending - Hindustan Times

Public Reaction and Media Coverage

The interaction between the two billionaires has drawn mixed reactions across social platforms and news outlets. Some commentators defend Gates’ focus on humanitarian aid, while others support Musk’s emphasis on technology and innovation.

Critics argue that the public nature of the disagreement risks overshadowing the urgent challenges being addressed—such as global food insecurity and child mortality.

Experts have urged a balanced approach that leverages both public and private funding, collaboration between sectors, and a shared commitment to outcomes that prioritize the world’s most vulnerable populations.

Conclusion

While Bill Gates and Elon Musk may disagree on the best path to global progress, their actions continue to shape critical conversations around health equity, foreign policy, and the future of philanthropy. Gates remains committed to distributing his wealth through targeted public health initiatives, while Musk continues to invest in technologies aimed at reshaping civilization.

As the world faces complex global issues, the differing strategies of two of the world’s most powerful figures serve as a reminder that innovation, compassion, and accountability must all play a role in building a sustainable future.

Verified Sources:

  • CBS News – Bill Gates Philanthropy Interview
  • Gates Foundation – Blog and Initiatives
  • Reuters – Gates on Foreign Aid Cuts
  • Associated Press – USAID Program Restructuring
  • X.com – Elon Musk’s Social Media Response
  • Musk Foundation – Program Funding