When Bill Gates rolls out his “philanthropic” agenda in Africa, caution is warranted — especially when OpenAI is now part of the effort. The Gates Foundation’s push into African healthcarehealth care reflects a familiar pattern of imposing Western industrial models that have already failed farmers and communities. The same foundation that drove AGRA’s disastrous green revolution — increasing hunger by 31% while degrading soil and locking farmers into costly corporate inputs — now seeks to reshape health systems with Global North AI, sidelining local knowledge, accountability, and sovereignty.
RwandaAI hasoffers justa onepragmatic response to Africa’s severe health care worker per 1shortage,000 people,an farapproach belowpromoted theby WorldBill HealthGates Organizationto benchmarkscale care where human capacity is limited. PaulaThese Ingabiretools can improve diagnosis, reduce administrative burden and extend services to underserved communities without waiting decades for new staff. Rwanda'’s MinisterAI-powered forHealth InformationIntelligence andCenter Communicationsshows Technologyhow andtechnology innovation,can saidclose thegaps AIthat initiativetraditional aimshiring would take generations to easeaddress. workloadsIn overstretched health systems, improveAI carecan qualitycompress time, andamplify reachexpertise moreand patientssave responsiblylives.
There is a 44% chance that there will be a major AI-related health care class action lawsuit before 2028, according to the Metaculus prediction community.
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