Bill Gates Shifts from Climate Change Advocacy to Creating More Access to Vaccines

• by Amber Baker

• Published November 26, 2025
• Vaccines  
•  

• Opinion | Microsoft co-founder Bill Gates announced in a new memo that nations should pivot from fighting climate change to preventing infectious diseases through mass vaccination. The Oct. 27, 2025 memo urges readers not to subscribe to a “doomsday outlook” that accepts that nothing can be done to offset the significant impacts of climate change, but to “put human welfare at the center of our climate strategies.” To do that, Gates says, nations should redirect their efforts to improving vaccine access for those living in the poorest countries, interventions that he believes more directly improve human life amidst what he calls the devastating effects of “a warming world.”^{1 2}

  “Unfortunately, the doomsday outlook is causing much of the climate community to focus too much on near-term emissions goals, and it’s diverting resources from the most effective things we should be doing to improve life in a warming world,” Gates says. “Although climate change will have serious consequences—particularly for people in the poorest countries—it will not lead to humanity’s demise.”²

  Framing climate pessimism as a barrier to addressing what he says is more immediate suffering, Gates argues that many people underestimate the scale of preventable disease and hardship that exists today. In his view, redirecting effort and resources toward disease prevention offers clearer and more measurable progress than incremental gains in emissions reductions. “If given a choice between eradicating malaria and a tenth of a degree increase in warming, I’ll let the temperature go up 0.1 degree to get rid of malaria,” he says.²

  His comments represent a marked shift from earlier years, when his climate messaging emphasized aggressive emissions reduction and technological innovation. Gates founded Breakthrough Energy in 2015 to accelerate clean-energy investment, and the Bill & Melinda Gates Foundation has been involved in climate-related development work for over 25 years.³

  The Credibility Problem Facing Climate’s Loudest Voices

  Gates’ pivot from climate to vaccines comes at a time when his credibility is already under scrutiny, further complicating his role as a self-appointed public-health authority whose influence straddles philanthropy, corporate capital, and policy. Gates has long been part of the same class of leaders and influencers who insist the world must urgently cut emissions while personally generating them at a scale inaccessible to ordinary people.

  Gates acknowledges this juxtaposition: “I know that some climate advocates will disagree with me, call me a hypocrite because of my own carbon footprint (which I fully offset with legitimate carbon credits), or see this as a sneaky way of arguing that we shouldn’t take climate change seriously. To be clear: Climate change is a very important problem. It needs to be solved, along with other problems like malaria and malnutrition. Every tenth of a degree of heating that we prevent is hugely beneficial because a stable climate makes it easier to improve people’s lives.”²

  Influence Without Accountability: A Pandemic Case Study

  As world governments tried to navigate the chaos of the COVID-19 pandemic, a small cluster of private, non-governmental organizations stepped into the driver’s seat of the global response, operating with extraordinary authority but none of the accountability expected of such public institutions. According to a joint POLITICO and WELT investigation, four groups in particular shaped international COVID policy and vaccine distribution decisions. Three of those four were created, funded, or effectively controlled by Gates.⁴

  Organizations working in lower-income countries, including Doctors Without Borders, warned that handing life-and-death decision-making power to a handful of Western elites risked sidelining the needs of the very populations governments were meant to protect. Their concerns were heightened when the Gates Foundation actively opposed intellectual-property waivers for COVID shots—a move critics said protected pharmaceutical companies and their investors at the expense of poorer nations desperate for access. As Kate Elder, senior vaccines policy adviser for Doctors Without Borders’ Access Campaign, asked:

  What makes Bill Gates qualified to be giving advice and advising the U.S. government on where they should be putting the tremendous resources?⁴

  The Gates Foundation played a significant role in the development, production, and distribution of COVID shots through funding and providing technical expertise, donating more than $2 billion to the global COVID response. According to its website, the foundation has also “helped to accelerate the development and introduction of many new vaccines—including vaccines against polio, pneumococcal pneumonia, rotavirus, measles, meningitis A, cholera, and HPV.”⁵

  “Best Investment I’ve Ever Made”: Bill Gates on Vaccines

  Critics argue that Gates’ messaging can resemble the pitch of a used-car salesman—confidently assuring the public a product is safe and reliable while glossing over the potential dangers and defects. In a 2019 CNBC interview, Gates called expanding vaccine access “the best investment [he’s] ever made,” celebrating an “over a 20-to-1 return,” meaning his $10 billion investment had produced roughly $200 billion in economic value over two decades. Yet in the same interview, he chastised parents who worry about the widely documented side effects, saying they were misled by “misinformation” and were “putting [their] kid at risk, as well as all the other kids around them.”

  For critics, this contrast—between the extraordinary economic returns Gates celebrates and his dismissal of public concerns about risk—has continued to shape debate over the scope of his influence in global health.⁶

  Bill Gates Could End World Hunger—But There’s No ROI in Feeding Children

  Gates heralds vaccines as “the undisputed champion of lives saved per dollar spent” in his memo. He also emphasizes a global focus on efforts that “prevent suffering, particularly for those in the toughest conditions in the world’s poorest countries.”² But according to the United Nations World Food Program (WFP), three million children die from hunger every year (or one child every 10 seconds)—roughly one million more than Gates says die annually from vaccine-preventable diseases. Ending world hunger by 2030 would cost roughly $40 billion per year, meaning Gates’ estimated $200 billion economic return could have fully funded the effort for multiple years.^{7 8}

  Gates’ preference for vaccines—an arena where he holds decades of influence, deep institutional partnerships, and a well-defined investment logic—over comparable investments in hunger relief highlights a broader divide between high-ROI global health strategies and basic, lifesaving human needs—like access to food—that offer no financial return.

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