It could be worse - it could be like the Ford Foundation and support all kinds of idiot liberal causes (diametrically opposed to the ideas Ford himself supported, btw).
I’m willing to bet that there’s no one person right now who knows exactly what every arm of the Bill & Melinda Gates Foundation is doing and where all those billions are going.
It’s probably true that Bill & Melinda went in with no idea what they wanted to accomplish—beyond some nebulous do-gooder ideals—probably the malaria thing and some of the educational stuff. The rest is standard PC charity boilerplate. I’m starting to understand how the conservative givers like Olin Foundation, the Coors and Koch Brothers have accomplished so much more with their carefully targeted millions.