Today, Gates Foundation CEO Mark Suzman released his 2026 Annual Letter, The Road to 2045, warning that the recent reversal in global health progress raises urgent moral choices and outlining a 20-year agenda to accelerate impact as the foundation works toward completing its mission.
Mr Suzman’s reflections come at a consequential moment for global health and development and for the foundation itself. After years of stalled progress, foreign aid has fallen sharply by more than 25 per cent, with low income countries also facing mounting debt that is constraining investment in their people.
Against this backdrop, the Gates Foundation has moved to accelerate its work and sharpen it
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