For sure it isn't a scam.

But it is somewhat reminiscent of a capo getting absolution for his sins in return for a gift to the church.

> Are you arguing that his foundation is some kind of elaborate scam?

I wouldn't rule that out. It has donated Microsoft products (in markets where alternatives could gain a foothold) and money for vaccines (we shouldn't forget Gates has a lot invested in the biotech sector). In the end, some of those donations return to him.

I am not saying his philanthropism is inherently evil. I am just acknowledging the possibility it's may not be completely devoid of self-interest.