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Sorry, Mr Gates, your billions won’t save Africa

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"[T]here will be far greater jobs" thanks to AI and "the jobs of today will get better."

AI will probably "take over a lot of jobs," but could also "create new kinds of jobs"

"[W]e might witness the creation of a massive new unworking class."

AI "is not going to put a lot of people out of work permanently" but work will change.

AI might take away more than just "drudge work."

"AI software will be in direct competition with a lot of people for jobs."

"Automation and AI will take away pretty much all of our jobs."

Eventually, "AI will be able to do everything" and jobs will exist only for "personal satisfaction."

Will AI Replace All Jobs?

The Gates Foundation and OpenAI announced a $50 million partnership called Horizon1000 to deploy artificial intelligence tools in African health systems, beginning with Rwanda as the pilot country. The initiative aims to reach 1,000 primary healthcare clinics and surrounding communities across multiple African nations by 2028.

The Gates Foundation and OpenAI announced a $50 million partnership called Horizon1000 to deploy artificial intelligence tools in African health systems, beginning with Rwanda as the pilot country. The initiative aims to reach 1,000 primary healthcare clinics and surrounding communities across multiple African nations by 2028.

Bill Gates described AI as a potential game changer for countries facing severe health worker shortages and infrastructure gaps, noting that sub-Saharan Africa faces a deficit of approximately six million healthcare professionals. The AI tools are designed to support existing health workers with tasks like clinical decision support, disease surveillance and administrative efficiency rather than replace them.

Bill Gates described AI as a potential game changer for countries facing severe health worker shortages and infrastructure gaps, noting that sub-Saharan Africa faces a deficit of approximately six million healthcare professionals. The AI tools are designed to support existing health workers with tasks like clinical decision support, disease surveillance and administrative efficiency rather than replace them.

The launch of Horizon1000 comes as international aid budgets have been cut, with global development assistance for health falling by nearly 27% in 2025 compared to 2024 according to Gates Foundation estimates. Gates warned that such reductions contributed to the first rise in preventable child deaths this century.

The launch of Horizon1000 comes as international aid budgets have been cut, with global development assistance for health falling by nearly 27% in 2025 compared to 2024 according to Gates Foundation estimates. Gates warned that such reductions contributed to the first rise in preventable child deaths this century.

Rwanda currently has only one healthcare worker per 1,000 people, significantly below the World Health Organization recommendation of four per 1,000. Paula Ingabire, Rwanda's minister of information and communications technology and innovation, stated the initiative focuses on using AI responsibly to reduce burdens on healthcare workers, improve care quality and reach more patients.

Rwanda currently has only one healthcare worker per 1,000 people, significantly below the World Health Organization recommendation of four per 1,000. Paula Ingabire, Rwanda's minister of information and communications technology and innovation, stated the initiative focuses on using AI responsibly to reduce burdens on healthcare workers, improve care quality and reach more patients.

The partnership will provide funding, technology and technical support as African nations integrate AI into their health infrastructure, with a focus on improving care for pregnant women and HIV patients. Gates said AI could help patients receive advice before reaching clinics and streamline administrative tasks to make typical visits approximately twice as fast with better quality.

The partnership will provide funding, technology and technical support as African nations integrate AI into their health infrastructure, with a focus on improving care for pregnant women and HIV patients. Gates said AI could help patients receive advice before reaching clinics and streamline administrative tasks to make typical visits approximately twice as fast with better quality.

Researchers have raised concerns about AI adoption in the medical field, including potential fabrications AI can generate, patient data privacy issues and language barriers since most AI models use English. The Gates Foundation said it will assess AI models for discrepancies and plans to launch features accounting for cultural and contextual factors.

Researchers have raised concerns about AI adoption in the medical field, including potential fabrications AI can generate, patient data privacy issues and language barriers since most AI models use English. The Gates Foundation said it will assess AI models for discrepancies and plans to launch features accounting for cultural and contextual factors.

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