Gates also acts as an economic enforcer for the IMF, quite literally using his charitable giving as a carrot/stick to force nations to accept policy decisions and often crippling loans from the IMF. But you don't have to take my word for it, listen to the man himself:

During the panel, Bill Gates and Jim Yong Kim concurred on the need to leverage increased private sector financing in development through business-friendly policies. While the World Bank President hailed countries who made “unpopular” policy choices, critical to “let private sector investors feel comfortable,” Gates hammered away the need to “reform the system” and underlined development aid’s capacity to influence the process.

Both ignored their co-panellist and Governor of the Reserve Bank of India, Raghuram Rajan, who called for development efforts to support the policies that developing countries want. Rajan also noted that global transparency on taxes and removal of barriers imposed by rich countries on exports from the developing countries would help build a more equitable world.

https://www.oaklandinstitute.org/blog/little-help-bill-gates...