The Gates Foundation’s new AI initiative: attempting to leapfrog global health inequalities?
Abstract:
The Bill & Melinda Gates Foundation has long been criticised for championing the trend of socially reductive, ‘magic bullet’ technical ‘solutions’ to the complex, histori- cally shaped, politically conflicted problems at root of global health inequities.1–5 Their August 9th announcement of the launch of a new US$5 million, 48 project funding push6 to launch new ‘artificial intelligence (AI) large language models (LLM) in low-income and middle-income countries to improve the livelihood and well-being of communities globally’ is set to continue this hegemonic global health trend. And, as much as ‘magic bullets’ can solve issues, they, as bullets, are also capable of wounding and causing harm. There are at least three reasons to believe that the unfettered imposition of these tools into already fragile and fragmented health- care delivery systems risks doing far more harm than good.