Equally important, especially given the pressure on aid budgets, we must protect funding for health and development—programs that save lives, strengthen economies, and help people stay resilient in a warming world. gatesnot.es/3Jru8UO

U.S. funding for global health saves an estimated 3.3 million lives each year. From HIV treatment to malaria prevention, the impact is real and measurable: b-gat.es/3KP8yd6

Affordable, reliable energy has often come at the cost of higher emissions. But geothermal can change that—delivering around-the-clock, low-cost electricity without contributing to climate change.

Health aid is a small piece of America’s foreign aid, which is itself a small piece of the federal budget. In 2023, the US spent less than one percent of the federal budget on lifesaving global health programs: b-gat.es/4l9AyW1

According to a UNAIDS analysis, ending PEPFAR-supported programs for people living with HIV could result in an additional 4.2 million deaths by 2029: b-gat.es/4lbD4Lw

Since 2000, Gavi has helped get vaccines to 1.1 billion children. The U.S. announced that, after this year, it’s pulling out all its money. If that happens, Gavi estimates that 75 million children will miss vaccinations over the next five years—and of those, 1.2 million children will die.​

​U.S. global health and development aid is estimated to have saved 92 million lives over the past 20 years. We can't afford to let that kind of progress unravel: b-gat.es/4kjSUCG

The last 25 years have shown us what’s possible. The next 25 will depend on whether the world keeps showing up for the children who need it most: gatesnot.es/43gTIl5

We have an opportunity to save more lives around the world than ever before—and I want to do even more to help. That's why I'm giving away virtually all of my wealth through the Gates Foundation over the next 20 years.