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Bill Gates tells Gideon that a climate of fear has taken hold in the US business community under the Trump administration: \u201cPeople are afraid to speak out about being afraid to speak out.\u201d He discusses falling aid budgets, why philanthropy cannot replace government funding, and an ambitious new collaboration with OpenAI to improve access to healthcare in Africa. Gates also reflects on the more destabilising uses of artificial intelligence and his past association with the disgraced financier and sex offender Jeffrey Epstein. Clips: NBC4, Bill Gates<\/em><\/p>\n Free links to read more on this topic: <\/strong><\/p>\n Bill Gates and OpenAI back $50mn AI rollout in African health clinics<\/a><\/p>\n Tech titans lined up for Trump\u2019s second inauguration. Now they\u2019re even richer<\/a><\/p>\n Bill Gates and Sergey Brin among newly released Epstein photos<\/a><\/p>\n Bill Gates warns aid cuts risk big increase in child deaths<\/a><\/p>\n Subscribe to The Rachman Review wherever you get your podcasts – please listen, rate and subscribe.<\/p>\n Presented by Gideon Rachman. Produced by Fiona Symon. Sound design is by Breen Turner and the executive producer is Flo Phillips.<\/p>\n Follow Gideon on Bluesky or X @gideonrachman.bsky.social<\/a>, @gideonrachman<\/a><\/p>\n Read a transcript of this episode on FT.com<\/strong><\/a><\/p>\n