Health
Bill Gates Explains His Plans to Close the Gates Foundation in 2045

Donald Trump is the face of these cuts, but the cruelty of his administration is not the only story. After leaping upward in the 2000s, global giving for health grew very slowly through the 2010s. The culture of philanthropy has changed somewhat, too, with the age of the Giving Pledge — in which hundreds of the world’s richest people promised to donate more than half of their great fortunes to charity — yielding first to the upstart movement called Effective Altruism and then to a new age of extreme wealth defined less by altruism than by grandiosity. After the Gateses’ divorce in 2021, Melinda eventually left the foundation to establish her own philanthropy; Warren Buffett, a longtime supporter, recently announced his plans to leave most of his remaining fortune in the hands of a charitable trust his own children will administer, and to give no additional money to the Gates Foundation beyond his death. After a few years of slow post-Covid decline, this has been the year that foreign aid — as the Gates Foundation’s chief executive, Mark Suzman, wrote recently in The Economist — “fell off a cliff.”
On the ground, progress has been bumpy, too, particularly in the aftermath of the pandemic emergency, when many routine vaccination programs were paused and the world’s poorest countries were thrown, en masse, into extreme debt distress. The share of the world’s population living in extreme poverty fell by almost three-quarters between 1990 and 2014, but it has hardly shrunk since.
To hear Gates and his team tell it, this is the time to go all in — given the yawning gaps produced by post-pandemic setbacks and the Trump assault, and given the promise of biomedical tools and other lifesaving innovations now in the development pipeline, and given A.I., a subject Gates returns to again and again. They even talk excitedly about a world in which the Gates Foundation has made itself unnecessary. That world sounds tremendously appealing. But — given the obstacles — can it be built?
Over two days in late April, I spoke with Gates about the state and legacy of his philanthropic endeavor, its achievements and disappointments thus far and what lies ahead. What follows is an edited and condensed version of those conversations, in which he was sunny, detailed and confident, sometimes to the point of brusque certainty, that the next few decades would yield even more radical improvements in global development than what he called, in retrospect, “our miraculous period.”
I. ‘Millions of Additional Deaths of Kids’
Let’s talk about the very present tense, with the Trump administration completely turning its back on foreign aid and leaving not just many millions of people but also most of the world’s global institutions in the lurch. How bad is it?

Health
This Is the Best Bread for Weight Loss, Say Experts (Hint: It’s Not Sourdough)

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Health
Robots power breakthrough in pregnancy research, boosting IVF success rates

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Starting a family may involve some robotic assistance in the near future.
AI-powered in-vitro fertilization (IVF) is the newest application for artificial intelligence, as labs and health centers around the world have adopted the new technology.
This includes Columbia University Fertility Center in New York. Its Sperm Tracking and Recovery (STAR) method uses AI to identify viable sperm in men who struggle with infertility.
BREAST CANCER THAT HIDES FROM SCANS TARGETED IN BREAKTHROUGH TECH
The fertility center also developed a robot to assist in the IVF lab, preparing specialized plates to sustain embryos.
Research published in the journal Fertility and Sterility found that this robot is 10 times more precise in preparing these embryo culture plates than humans.
Conceivable’s AURA automated technology assists embryologists in the IVF process, the CEO told Fox News Digital, like Dr. Alejandro Chavez-Badiola, co-founder and Conceivable CMO, pictured above. (Conceivable Life)
Dr. Zev Williams, director of Columbia University Fertility Center, said in a statement to Fox News Digital that these technologies have been “truly transformative” for patients.
“There are literally babies being conceived because of our innovations who otherwise could not have been,” he said. “We’re offering tangible solutions to couples who have struggled with infertility for years, even decades.”
AI in action
Two other companies, Overture Life in California and Conceivable Life in New York, have developed AI-powered robotics to carry out IVF processes.
Conceivable Life CEO Alan Murray told Fox News Digital how the company’s AURA AI-powered IVF technology brings “robotics precision” to a delicate process.
THREE-PERSON IVF TECHNIQUE SHOWN TO PREVENT INHERITED GENETIC DISEASES
“IVF requires extraordinary precision, but human hands introduce variability, no matter how skilled,” he said.
The AI technology “automates everything,” Murray said, including sperm selection, egg preparation, sperm injection, embryo culture and egg freezing.

The Columbia University Fertility Center has introduced automated IVF systems. (Columbia University Fertility Center)
The technology is not intended to replace embryologists, he noted, but to support them with technology that helps eliminate human error.
Murray said the technology is showing “early but promising data.” In a pilot study, it achieved 51% pregnancy rates and led to 19 healthy babies from trial participants.
AURA is targeting a clinical launch in the U.S. in 2026, pending testing and validation.
Overture Life has created a similar system of products that are beginning to yield “healthy live babies,” CEO Hans Gangeskar told Fox News Digital in an interview.
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Overture’s key product, the DaVitri, is a handheld device that automates egg-freezing. The company also offers other technologies for embryo selection and fertilization.
Gangeskar said its clinical trials have had “very good results,” with the technology expected to launch in Europe “imminently.”
Cutting high costs
Last week, President Donald Trump announced a plan to slash IVF costs for American families and expand access, as a single round in the U.S. can cost up to $25,000.
Although it takes an average of three cycles to have a baby, some women may undergo up to 15 cycles before achieving a viable pregnancy, according to Dr. Stephanie Kuku, chief knowledge officer of Conceivable Life.

The AI-powered robots can help with egg freezing, as well as choosing viable embryos and insemination precision. (Conceivable Life)
It takes 200 manual steps to create an embryo in a lab, the expert noted — but a robotic assistant could help an embryologist make “complex decisions” with more precision and potentially reduce the number of cycles.
Murray said that AI is “reimagining the laboratory” to increase efficiency, reduce the number of cycles and improve IVF success rates.
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“Right now, IVF outcomes depend on which clinic you go to, which embryologist is on duty and whether you can afford multiple cycles,” he said. “Our vision is to change the technology that doctors use so they can do it without that big investment.”
The CEO noted this technology could also remove some of the grief for families who have experienced multiple failed IVF cycles.
“Everybody has their limit on how much of that pain they can take before they give up,” he said. “It’s incredibly personal.”

An Overture Life scientist is pictured in the lab using the DaVitri device. (Overture Life)
Religious red flags
For those with certain religious beliefs, taking the IVF route may raise concerns.
“Different religious traditions have different perspectives on assisted reproduction,” Murray said. “It’s a very personal thing.”
He pointed out that “infertility does not discriminate,” as one in six people experiences issues globally.
“Our role isn’t to make those decisions for families — it’s to provide technology that makes family building possible for those who choose this path,” Murray said.
Gangeskar acknowledged that religion “comes up all the time” when speaking with patients about IVF options, noting that “Christian IVF” has surfaced as an alternative option.
“AI may assist in creating life, but it must also respect it.”
Instead of retrieving many eggs, fertilizing all of them and then freezing the embryos, Christian IVF historically involves freezing and fertilizing them one by one, so there are never embryos left over.
“This is something that the DaVitri can actually be very helpful with, because you know that your eggs were frozen in the best possible way,” Gangeskar said.

“The goal is to make IVF more accessible by making it more efficient, and ideally more affordable,” one expert said. (iStock)
Potential risks
Dr. Harvey Castro, an ER physician and AI expert in Texas, who was not involved in this IVF research, told Fox News Digital he considers this an “industrial revolution of reproductive medicine.”
Castro warned, however, that there may be room for algorithm error when making important decisions such as classifying an embryo. This calls into question who’s accountable — the clinician, the developer or the AI vendor, for example.
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He said most AI systems are validated on limited patient data, which means large, diverse, multi-center trials are required before expanding these machines for clinical use.
“AI may assist in creating life, but it must also respect it,” he said. “As both a physician and an AI futurist, I believe our goal is not just more births, but healthier beginnings — achieved responsibly, ethically and equitably.”
Health
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