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{
"title": "The turbulent AI era is here. The choices we make now are critical.",
"url": "https://www.gatesnotes.com/work/make-ai-work-for-everyone/reader/a-turbulent-ai-era-and-critical-choices-to-make",
"text": "Explore work\n\nSave lives\n\nAccelerate energy innovation\n\nMake AI work for everyone\n\nProvide quality education\n\nCure Alzheimer’s\n\nVisit the Gates Foundation \nSign up to get my newsletter\nMeet Bill\n\nSource Code\n\nMy philanthropy\n\nMicrosoft\n\nFamily and friends\n\nGames I love\n\nMy podcasts\n\nSign up to get my newsletter\nExplore books\n\nAll book reviews\n\nEconomics\n\nEducation\n\nFiction\n\nHistory\n\nPeople\n\nScience\n\nScience fiction\n\nSociety\n\nMovies and TV\n\nReading lists\n\nBooks I wrote\n\nSign up to get my newsletter\n\nAN EPOCHAL SHIFT\n\nThe turbulent AI era is here. The choices we make now are critical.\n\nWe need a plan to ensure that the good outweighs the bad.\n\nBy Bill Gates published 12 hours ago\nMake AI Work For Everyone\n\nDuring my entire life I’ve only had two jobs. In the first one, I played a role in developing software to empower people through my work at Microsoft.\n\nIn my second one, which I started full time in 2008, I am giving back the wealth I made at Microsoft with the goal of making the world a healthier, better educated, and more equitable place. This is the job I will have for the rest of my life.\n\nBoth of these experiences inform my perspective on artificial intelligence. When I first learned about computers at age 13 I was fascinated by the idea of making them more intelligent and able to perform things that, at the time, only humans could do. Although the term “AI” was used from around the time I was born, the technology has only made significant progress in the last decade. It is now incredibly capable and it is continuing to improve at a mind-blowing rate. AI for the first time can replace and even exceed human cognition.\n\nIn terms of equity, AI will either be the greatest equalizer ever invented, or the worst source of injustice. The challenge is monumental. Even under the best circumstances, the transition to this new AI era will be one of the most turbulent times in human history. How will we use this technology to make the world a fairer place and keep it from widening the divide between rich and poor? How will we protect the people who are most vulnerable to the harms caused by artificial intelligence, including those who lose their livelihoods and the sense that they are in control of their future?\n\nI believe that answering these questions and acting on the answers should be the world’s top priority. If the world takes the right steps AI will be a force for good and leave everyone better off.\n\nUnfortunately, right now we are not preparing for it. I don’t see evidence that leaders, experts, and communities are confronting the challenges adequately. There is no plan to ease the entry into the AI era.\n\nPart of the reason for this is that many commentators underestimate the extent of the impact AI will have. I think there are a few reasons why.\n\nOne is the fact that AI models still make mistakes. It is hard to envision any of them replacing human cognition when, not long ago, they couldn’t solve a simple Sudoku puzzle or figure out how many R’s are in the word strawberry.\n\nBut the reliability problem is being fixed quickly, as researchers create models that can check their own work and improve themselves. Soon they will be substantially better than humans at many tasks.\n\nAnother reason people underestimate AI is that analogies to the effects of past innovations are misleading. We have no experience with a technology that can be adopted quickly or that can think and move like a human. When the PC came along, it took twenty years to significantly change how we worked because the software had to be developed, the price had to come down, and people had to learn how to use the tools and incorporate them into their business processes. AI, on the other hand, runs on the devices we already have, and it uses natural language. We don’t have to adapt to it because it can adapt to us. It can watch the same training video that is used to train human workers and learn from existing data.\n\nI want to acknowledge a potential bias. I have benefited enormously from the technology industry. Although I have diversified my portfolio quite a bit, I still have financial ties to it. I am working with Microsoft and other AI companies in my role as chairman of the Gates Foundation to try and ensure AI is deployed in ways that will truly benefit people around the world.\n\nHowever, my views on AI are not motivated by the potential to make money for myself. Any profits generated by my investments, including those related to technology, will go to the Gates Foundation to tackle global inequity. Of course, readers will have to decide for themselves whether this clouds my view.\n\n\n\n\nThis time really is different.\n\nFor as long as I can remember, I’ve wished innovation could happen faster. With AI, my feelings are more complicated.\n\nI wish the world could get the benefits rapidly and delay the problems it will cause as long as possible, but the benefits and problems are arriving at the same time. I believe we need time to prepare for the period of social, political, and economic upheaval we are about to enter. The people who need the most time are the ones who have the least—the accounting worker who’s replaced by a bot or the $20-an-hour worker who loses their job to a $10-an-hour robot.\n\nMany observers say that this technology transition will be like previous ones. They give the example of how jobs in the United States shifted from agriculture to office work. However, that proceeded over several generations and created new jobs where human cognition was required. In this case, the technology can substitute for human cognition.\n\nBecause it can see, listen, speak, and reason and will eventually do physical work just as smoothly as any human, it will not just affect one sector. AI will take on work in law, customer service, medicine, software, and manufacturing. It will hit these industries rapidly, over the course of a decade rather than a few generations. There will be some new jobs, but without the right policies there will be far fewer than exist today.\n\nIf someone had a credible plan for slowing down AI advances globally, I would likely support it. However, I don’t think that’s going to happen. The geopolitical and economic incentives are pushing too hard to go full speed ahead.\n\nTo make sure we maximize the positive effects of this unprecedented technology and minimize the bad so we are better off overall, we need to understand both the benefits and the risks. I’ll start with the risks.\n\n\n\n\nThe transition to AI comes with three big risks.\n\nI plan to write about each of these in more detail in the future, so I’ll touch briefly on them for now.\n\nMany jobs will disappear forever.\n\nIn 1933, during the Great Depression, unemployment in the United States was roughly 25 percent. It remained in double digits for much of the following decade. It ultimately recovered as demand, investment, and growth returned.\n\nAI may not reach this level, but its impact will not go away with an economic cycle. The jobs at most risk are entry- and mid-level, and the new jobs being created will mostly require skills that take many years to learn.\n\nWhite-collar jobs are already being hit modestly. After the widespread adoption of generative AI, employment fell significantly among young workers in jobs that are especially vulnerable to replacement, but not among their older colleagues.\n\nI think this trend will continue, but it will not be confined to a handful of industries or occupations. Jobs in sales and customer support (online and over the phone), software engineering, and paralegal work may be among the first affected, but the disruption will reach much further as AI takes on tasks that today still require trained workers: things like assessing loan applications, doing data analysis, and even triaging patients. A few areas like software engineering will generate new demand as the costs go down, so the net job loss in those areas will be less than in others as long as some tasks, such as design, are better done by humans.\n\nBlue-collar jobs will be affected as well. Although robots are not as far along as AI, eventually their cost will be dramatically lower too. Many Americans I talk to don’t realize how fast dexterous robots are advancing because much of the advanced work is being done in other countries, primarily China. Or they may be confused by those videos of robots dancing badly that have been going viral lately. I think “smart” robots will begin to compete with people on some physical tasks—in the construction and hospitality industries, for example—by the end of the decade.\n\nRobots and AI combined can create a vicious cycle. After one company adopts them and uses the savings to lower its prices, its competitors will feel immense pressure to do the same. If existing companies don’t adopt them, then start-ups will. Many people will shift to other jobs, but the turmoil of losing work, getting retrained, and finding other work will be significant. Market forces will make adoption go faster and faster and, unless we intervene, there will be fewer good jobs available and the benefits will accrue to a small group.\n\nI’m especially worried about young people, who will enter a workforce with fewer entry-level openings. They understand the challenge because they are the most active users of AI and see both the capabilities and the rate of improvement. It’s no wonder that so many of them feel negatively about AI.\n\nThe biggest shift for workers will happen when AI provides nearly error-free work. At that point, it will be able to function on its own without a human checking in on it, and companies will have every economic incentive to let it.\n\nThis will lead to a fundamental change in how we think about work, income, and economic security. How will an economy that’s been built around employment operate if fewer people are working, or if many people are working fewer hours?\n\nIn a capitalist society, employment is the way most people get the money they need to pay for the basics of life as well as being a key source of dignity and social connection.\n\nWhen a community has high unemployment, the ripple effects can be pervasive. Research suggests that in some parts of the United States, factory closures contribute to a rise in deaths from opioid overdoses. Now imagine similar pressures on both white-collar and blue-collar workers nationwide.\n\nWe have to think now about how to reduce job losses so that everyone can share in the prosperity that AI creates. Waiting until people are already displaced or underemployed will be too late. AI is a structural challenge to the way our economy is organized, and it requires thinking and action now.\n\nAI will empower people (and perhaps AIs) to do more harm.\n\nLong before AI entered the mainstream, there was information online about how to create weapons like bombs, bioweapons, even computer viruses. AI will make it much easier to not only get this information but act on it. Even criminals with very limited skills will be able to target victims at every scale: individuals, companies, and governments.\n\nAI-enabled fraud, disinformation, deepfakes, and surveillance are the harms that many people will feel most keenly in their everyday lives.\n\nAI capabilities are starting to be used for cyberattacks. The smartest cybersecurity experts I know are scared about the next few years, because the attackers are getting powerful new capabilities faster than the defenders can fix all the weaknesses. After all, the same AI model that can find a flaw in software so a company can fix it can also help a criminal exploit it. The resources needed to make an attack are going down significantly and we haven’t been able to separate those abilities from benign usage.\n\nThink about the infrastructure that will be vulnerable: hospitals, financial institutions, water systems, power grids, systems for managing government benefits. When these institutions are attacked, it’s the patients, customers, and benefits recipients who stand to lose.\n\nThe same goes for bioterrorism. Although AI will lead to lifesaving advances in drugs and vaccines, it will also make it easier to design a deadly new disease. Again, the positive capabilities are hard to separate from the dangerous ones. This is a global problem.\n\nThe risks I’ve just mentioned are all about how AI will empower bad actors who have relatively little power now. The same tools will also concentrate power in places where it already exists. Autonomous weapons, for example, will make governments even more capable of using deadly force without a human being part of the decision. Monitoring and manipulating public opinion will be easier and cheaper, and more effective too.\n\nEventually, the power to use AI to harm people will not be limited to people or institutions. AI systems themselves already occasionally act in ways their designers didn’t intend. The technology is improving faster than anyone expected and in surprising ways, and as the models become more powerful, they could begin to act against our interests and we could lose control. I’ll have more to say about this in the future.\n\nAI could stunt our kids’ development and replace human relationships.\n\nWhen I was growing up in Seattle, I didn’t have that many friends aside from a few other boys who were like me. It took hard work and a lot of help from my mom to develop my social skills so I could relate to different kinds of people. I still draw on those lessons today at the age of 70.\n\nI doubt I would have put in the same work if I had had an AI companion back then. They talk to you in ways you’re already comfortable with. They don’t push you outside your comfort zone. They are always available and never get mad at you. This gives them the potential to become highly addictive and to rob us of the lessons we learn from connecting with other people.\n\nThe body of evidence on this subject is still small and a bit mixed, but there are signs that we should be very concerned. For example, in one study of more than 1,100 people who use AI companions, researchers at Stanford and Carnegie Mellon found that those with smaller social networks were the most likely to turn to a chatbot for companionship. And the heavier and more emotionally personal that use became, the worse they felt.\n\nYoung people could be affected for their entire lives. In his book The Anxious Generation, Jonathan Haidt makes an observation about the effect of social media that is even more true for AI: “Like young trees exposed to wind, children who are routinely exposed to small risks grow up to become adults who can handle much larger risks without panicking. Conversely, children who are raised in a protected greenhouse sometimes become incapacitated by anxiety before they reach maturity.”\n\nAn AI companion designed to never upset you is a big, protected greenhouse.\n\nWe are only beginning to understand the dangers that the internet—especially social media—can pose to young people’s development. We’re seeing compulsive use, disrupted sleep, cyberbullying, and exposure to harmful content. AI could magnify many of these risks by making them more persuasive and difficult to escape, and we should not wait another generation to start taking them seriously. Countries including Australia, the United Kingdom, and Norway are adopting protections for children online. China has gone the furthest. Its rules restrict AI companion apps broadly, bar designs that foster emotional dependence, and ban virtual relatives and romantic partners for minors.\n\nI’m also worried about AI’s impact on education. Ironically, the same tool that will allow people to learn more than ever could also lead to many people learning less. One preliminary survey suggested that heavier AI use was associated with less critical thinking. The effect was stronger for younger people.\n\nThis would be the worst possible time for humans to lose their critical thinking skills. In an era of deepfakes and misinformation that can be tailored to you individually, the ability to tell what is true from what is not becomes an essential life skill.\n\nIt’s unclear where to draw the line on these psychosocial problems. In some cases, AI may help people understand how to do better in their human relationships. It may be the only contact with the outside world for isolated elderly people and people with limited mobility, and it will be better than nothing. Wherever we end up drawing the line, it should be our decision, made intentionally.\n\n\n\n\nThe good things we do with AI could be very, very good.\n\nIt’s often said that we overestimate how much will change in the short term and underestimate how much will change in the long term.\n\nWith AI, I see something different going on. Some people see only the upside of AI and do not focus enough on the negatives. Others make the opposite mistake, which is to focus exclusively on the dangers—which are real—at the cost of missing the potential benefits.\n\nWe need both: deep concern about the AI harms we need to minimize, and grounded optimism about the positives if we maximize them for everyone.\n\nMaximizing the benefits is just as important as minimizing the harms. If people see how AI makes their lives easier, it will help build the public trust that is necessary for managing the harder parts of the transition. If the first thing AI does in most people’s lives is take away their job, those who are already skeptical about it will outright reject it. This will make it harder to ever deliver on the benefits and it is another reason why governments, industries including the medical industry, and AI companies should be working together now.\n\nWith its ability to synthesize knowledge from every scientific field, AI can accelerate innovation in the world’s toughest technical challenges: providing reliable clean energy for everyone, combating climate change, growing enough food, eradicating diseases, and more. Researchers working on cancer treatments or nuclear energy can use AI to search through massive amounts of scientific literature. It can help them identify patterns that a human might miss and decide which experiments offer the most promise. When intelligence is no longer the limiting factor that it is today, smaller companies will be able to compete with organizations that have far larger research budgets. R&D and innovation will be supercharged.\n\nHealthcare is one area where AI can help solve real-world problems. Many small American hospitals lack on-site specialists who can quickly diagnose a patient during a life-threatening emergency. In those places, AI could make sure a heart attack is caught in time and a family avoids the crushing expense of a medical emergency. Viz.ai is one example. It analyzes scans to detect strokes and other emergencies and helps medical teams coordinate their patients’ care. It is being used in nearly 2,000 U.S. hospitals.\n\nAI will also help primary-care doctors make better diagnoses and keep in touch with their patients when they’re not in the clinic. It will help patients understand test results and complicated schedules for taking their medicine.\n\nI surprise a lot of people when I tell them that a second area—agriculture—is where I see the fastest impact of AI in low-income countries. In most low-income countries, farmers don’t get reliable weather forecasts or advice on what seeds to plant, how to protect their crops and livestock from disease, or how to improve their soil. With population growth in these countries and the challenges of climate change, these farmers need more help than ever. Using AI, low-income farmers will soon be able to get better advice about all these things than even the richest farmers get today and increase their output substantially.\n\nGovernment services are a third area where AI can make people’s lives easier. In the United States, I’ve met families who, understandably, were overwhelmed by the process of applying for health insurance, student aid, or food assistance. Faced with a huge stack of complicated bureaucratic forms, many felt like giving up. AI can streamline things dramatically so they get the help they need faster and the government can operate more efficiently. Governments can make the citizen’s experience far better, starting with those who need its safety net services the most.\n\nDespite my concerns about its impact on our mental health, I think AI can also help a lot there. Most communities have too few counselors, psychiatrists, and addiction specialists. With the right privacy safeguards in place, AI tools could help people recognize warning signs. Then, if needed, they can offer evidence-based coping strategies and team up with a human to provide more responsive treatment.\n\nAI can be a boon for education as well, despite the concerns I mentioned earlier. It can free teachers up to spend more time working with students one on one or in small groups and give them a clearer view of where the whole class is struggling. For students, an AI tool that preserves what researchers call “productive struggle”—the cognitive work that builds understanding—can strengthen learning. When a student first encounters a new idea, the AI gives substantive explanations and offers both questions and answers. Later, when it’s checking their comprehension, it holds the answer back and helps them arrive at it on their own.\n\nTaken together, the advances in all these areas could make everyday life easier, more affordable, and less constrained by a person’s income or connections.\n\nAI could give individuals and small businesses access to capabilities that today require expensive professional help or large staffs, while making products and services better and cheaper. It could help people with disabilities live more independently and enable workers and entrepreneurs with good ideas to accomplish far more than they can today.\n\nMost importantly, it could give people back some of the time and attention now consumed by paperwork, bureaucracy, searching for reliable information, and tasks they cannot afford to pay someone else to handle. These benefits may seem modest, but multiplied across millions of lives, they would be profound: more people getting good advice when they need it and having greater freedom to focus on the lives they want to build.\n\nIn all these areas, the operative word is “can”—AI can improve life for people at every income level. But it won’t do that automatically. As with any new technology, we have to be deliberate about ensuring that it benefits everyone and not just a wealthy few. This will require governments and philanthropy to play a strong role so that less wealthy citizens and low-income countries are full beneficiaries.\n\nThe Gates Foundation has 19 years left of the 20 years in which it will spend its remaining $200 billion. AI will help it achieve its ambitious goals by both accelerating the discovery of vaccines and medicines for HIV, TB, malaria, and malnutrition and helping the healthcare workforce and patients know how to use those tools. The foundation’s goals include cutting the number of children who die every year in half again, as was done from 2000 to 2024. All of our work, not just health but also agriculture and education, will take full advantage of AI.\n\nI will write much more about these efforts next month in the foundation’s annual Goalkeepers report—including our focus on making sure that AI models are available in the languages spoken by people in all the countries where we support work, and not just the ones that are common in rich and middle-income countries. Many of the leading AI companies, including OpenAI, Anthropic, Google, and Microsoft, are partnering with the foundation on all of these initiatives, which is making a big difference.\n\n\n\n\nThe world needs a plan.\n\nIt is great that some AI companies are proposing solutions to challenges raised by their own technology, but we should not expect them to lead the charge. Some of the issues are outside their area of expertise, and in a democratic society it’s not their role to decide these things.\n\nInstead, solutions should be developed through a public democratic process that includes elected officials, policymakers, educators, health workers, local officials, and community leaders. Millions of people will have their lives disrupted, and we’ll need a stronger, more flexible social safety net to help them manage the transition. Local communities are already raising concerns about the energy and water needed for data centers. Without solutions, some groups will push for stopping AI development and deployment altogether.\n\nThe solutions should be shaped by our answers to the profound questions raised by AI, including how we preserve our humanity in a time when machines can out-think us. As people who spend their lives thinking about what it means to be human, religious leaders can play a key role in this. I was fascinated by Pope Leo XIV’s encyclical on AI, “On Safeguarding the Human Person in the Time of Artificial Intelligence.” It lays a strong foundation for the work that needs to be done.\n\nIn the coming months, I will share more ideas for making sure that AI’s benefits outweigh the harm it causes. Here are three to start, beginning with what I think is the most important one.\n\n\n\n\nBuild a new system for managing the transition.\n\nThe highest priority is a monumental task: creating a domestic and international framework for dealing with AI.\n\nNone of our current institutions were designed to handle a technology that spreads so fast and touches so many parts of our lives. So we’ll need to make new ones.\n\nIt’s hard to overstate what an enormous undertaking this will be. After the attacks of 9/11, the U.S. government went through its biggest reorganization since World War II for the purpose of improving just one function, national security.\n\nAI will require much, much more. It will affect national security as well as employment, education, taxation, energy, elections, air and water, public health, the financial system, law enforcement, transportation, public lands, and IT systems.\n\nThese sectors overlap in ways our existing bureaucracy is not designed to manage. A labor department may understand workforce disruption but not security risk. A business regulator may understand market concentration but not AI’s effects on children and teenagers. Left to themselves, institutions will see only one part of the system, while the consequences of AI will ripple across the entire system.\n\nAt the national level, countries will need bodies that can set priorities across government agencies. The goal will be to make sure that every risk is accounted for. Otherwise, an AI-enabled attack might succeed because no one thought it was their job to stop it.\n\nBut even a country that gets its own house in order will still be exposed to risks that cross borders. This is why an international organization will need to be built in parallel.\n\nIt will be unlike any other institution we have ever created, though it can follow the model of some existing systems. There’s an inspections regime for nuclear weapons, regulations for international aviation, and agreements that protect the ozone layer. A new global organization for AI will need elements of all three and more.\n\nIt is fair to wonder whether the world’s institutions are up to the task of designing and implementing this new architecture. Government moves slowly when it moves at all, and polarization within and between countries makes it harder than ever to get things done. Some cooperation between the U.S. and China will be required.\n\nWe do not have the luxury of moving slowly. The place to start is with a process for building the right institutions before the disruption forces governments into crisis mode. National leaders should convene economists, technologists, labor experts, business leaders, and workers themselves regularly to identify where existing institutions are failing and what new authorities may be needed. Countries will need to learn from each other.\n\nAnd the countries that host the leading AI developers and control critical parts of the supply chain should begin meeting now to set up shared norms, before competitive pressure makes it harder for them to cooperate.\n\nBuilding the framework I’m talking about will take years, which is why we need to start now.\n\n\n\n\nSet aside some jobs for humans.\n\nMy dad died of Alzheimer’s in 2020. In the later stages of his illness, he was cared for day and night by paid caregivers who understood him even when he struggled to express himself. He couldn’t always tell them when he was hungry, but they always knew.\n\nMy family and I will always be grateful to that amazing group of professionals. Something in the care they gave my dad was irreplaceably human. No robot could or should have done it.\n\nI think about that team when the question of which jobs will disappear and which will remain comes up. I believe that as AI and robots improve, we’ll set aside certain things for only people to do. I’ve started calling this domain Human Reserved, and it’s an example of the kinds of ideas we’ll need to consider.\n\nI like the phrase Human Reserved because it makes me think of nature reserves—places where we could put buildings and roads, but we choose not to because the loss would be too great.\n\nWe might set something aside as Human Reserved for economic reasons. For example, we may do it because allowing machines to take over a certain role will displace a large number of people who can’t easily change jobs. You can’t tell a 55-year-old who has worked in construction their whole career that they need to go work at an elder care facility and expect them to find it fulfilling.\n\nSometimes the decision to make something Human Reserved will be driven by other factors. In health, for example, imagine a robot giving you the awful news that you have an incurable disease. There’s no technical reason why it couldn’t. Yet it shouldn’t.\n\nThe Human Reserved domain will evolve over time—for example, we should consider setting aside some jobs now and phasing in AI slowly over years or decades with a commitment to preserve some jobs. Some areas, like education and mental health care, will be a mix, with a human in charge who’s using the technology to extend what they can do.\n\nThe lines will also vary from place to place. Some countries might insist on having humans take care of the elderly. But a country like Japan, which has a shrinking workforce and not enough young people to care for the old, may welcome a caregiving robot.\n\nThe idea of Human Reserved raises a host of questions I don’t have answers to. Who gets to decide what we reserve for humans? What criteria should we use? How do you keep companies from cheating and using robots anyway? What happens to international trade when one country lets robots make something and another country doesn’t? These will need to be worked out in public as part of the transition plan.\n\n\n\n\nRebalance how we tax labor and capital.\n\nAs workers are pushed into different jobs, they will need retraining and other support from the social safety net. But they will be working less, which means they will be paying less in income taxes, and government revenues will drop just when the demand for those services is greatest. The funds will have to come from somewhere at a time when budgets are stretched.\n\nI believe we should tax AI tokens and robots. Right now, if you’re an employer and you hire someone, you pay payroll taxes on their earnings. But if you buy a robot, you can usually write it off right away as a business expense. The tax system nudges you toward replacing people with machines.\n\nA tax would slow the rush away from human labor a little and raise money for retraining and a stronger safety net. It would need to be targeted so it does not slow down the purely beneficial uses of AI, like making medicine and education cheaper.\n\nCritics of this idea point out that it’s not optimally efficient in an economic sense, but they’re not considering the broader value of work for individuals and society. And with all the accelerated innovation we will have, we’ll be able to afford a little inefficiency as the price for keeping people employed.\n\nI proposed a robot tax years ago and most of the reaction was that it was a strange idea. I’m still a big proponent of it. Although it is not the whole solution to the threat of AI, it is part of a wise response.\n\nHowever we raise money for more assistance, it needs to reach the people who need it most, including workers who lose their jobs to AI and robots, people whose hours or wages decline, and communities where the losses are concentrated. We need to start doing that work now so that the systems are ready when the need becomes acute.\n\n\n\n\nWhat I’m doing.\n\nI will use my voice and time to get AI and equity higher on the public agenda. I will raise the issue with lawmakers every time I visit Washington, D.C., and when I meet with leaders around the world. It will be front and center in my conversations with the people who are developing AI models. I will advocate for the national and international framework I described earlier. The Gates Foundation will help drive beneficial usage, including in Africa. Breakthrough Energy, a company I founded, will use AI to help companies develop cheap clean energy and help solve the climate problem. I will also be writing about AI on a regular basis.\n\nMy message to leaders is:\n\nYou have a chance to act now, before unemployment rises sharply, communities are hurting, and public trust has eroded. You can make sure that your government handles the problem holistically, rather than divvying it up into multiple bureaucratic fiefdoms. You can make sure AI benefits everyone. And you can work with other governments to meet this national and global challenge.\n\nFinally, I will try to widen the circle of people shaping this debate. It should include workers, college students who are about to enter the workforce, community leaders, religious leaders and faith-based organizations, parents, educators, and others whose voices often aren’t heard but who have insight into how the transition will affect people’s lives.\n\nHow do we ensure that the benefits of AI reach people who do not already have wealth, influence, and access?\n\nHow do we strengthen the social safety net and help workers and communities thrive even when they’re displaced?\n\nHow should public institutions adapt?\n\nAnd how do we preserve our humanity through all of this?\n\nThis unprecedented technology demands an unprecedented global response. If we get it right, the payoff for humanity will be phenomenal and the world will be a more equitable place.\n\nI rarely stop thinking about AI—not because I have all the answers, but because the questions it raises are too consequential to leave to a small group of technologists. Leaders across academia, business, government, and civil society all have a role to play in shaping what comes next.\n\nShare\nGet my newsletter\n\nTHE DOCTOR CAN SEE YOU NOW\n\nExpanding access to health care through AI\n\nToday’s AI can transform health care systems and support health care workers the world over.\n\nBy Bill Gates published on Wednesday, Jan 21, 2026\nWork\nMake AI Work For Everyone\n\nAcore principle underlying the Gates Foundation’s work is closing the innovation gap between rich countries and everyone else. People in poorer parts of the world shouldn’t have to wait decades for new technologies to reach them. That’s why we've worked for 25 years to accelerate access to life-saving medicines and vaccines in low- and middle-income countries.\n\nIt's also why, today, the Gates Foundation and OpenAI are announcing an initiative called Horizon 1000 to support several countries in Africa, starting in Rwanda, as they apply AI technology to improve their health care systems.\n\nOver the next few years, we will collaborate with leaders in African countries as they pioneer the deployment of AI in health. Together, the Gates Foundation and OpenAI are committing $50 million in funding, technology, and technical support to back their work. The goal is to reach 1,000 primary healthcare clinics and their surrounding communities by 2028.\n\nToday’s AI can help save lives\n\nA few years ago, I wrote that the rise of artificial intelligence would mark a technological revolution as far-reaching for humanity as microprocessors, PCs, mobile phones, and the Internet. Everything I’ve seen since then confirms my view that we are on the cusp of a breathtaking global transformation.\n\nAll over the world, AI, in the form of LLMs and machine learning models, are improving far more quickly than I first anticipated. From science to education to customer service and more, AI tools are reshaping every facet of our lives.\n\nI spend a lot of time thinking about how AI can help us address fundamental challenges like poverty, hunger, and disease. One issue that I keep coming back to is making great health care accessible to all—and that’s why we’re partnering with OpenAI and African leaders and innovators on Horizon 1000.\n\nNot enough doctors in the house\n\nWe have seen amazing successes in global health over the past 25 years: child mortality has been cut in half, and there are now real pathways to eliminating or controlling deadly diseases like polio, malaria, TB, and HIV. But one stubborn problem that keeps slowing progress is the desperate shortage of health care workers in poorer parts of the world.\n\nIn Sub-Saharan Africa, which suffers from the world’s highest child mortality rate, there is a shortfall of nearly 6 million health care workers, a gap so large that even the most aggressive hiring and training efforts can’t close it in the foreseeable future.\n\nThese huge shortages put health care workers in these countries in an impossible situation. They’re forced to triage too many patients with too little administrative support, modern technology, and up-to-date clinical guidance. Partly as a result, the WHO estimates that low-quality care is a contributing factor in 6 to 8 million deaths in low- and middle-income countries every year, and that’s not even counting the millions who die because they aren’t able to access health care at all.\n\nRwanda leads the way\n\nToday’s AI can help save those lives by reaching many more people with much higher-quality care.\n\nRwanda currently has only one health care worker per 1,000 people, far below the WHO recommendation of about four per 1,000. It would take 180 years for that gap to close at the current pace of progress. So, as part of the 4x4 reform initiative, Minister of Health Dr. Sabin Nsanzimana recently announced the launch of an AI-powered Health Intelligence Center in Kigali to help ensure limited health care resources are being used as wisely as possible.\n\nAs part of the Horizon 1000 initiative, we aim to accelerate the adoption of AI tools across primary care clinics, within communities, and in people’s homes. These AI tools will support health workers, not replace them.\n\nOn the horizon\n\nMinister Nsanzimana has called AI the third major discovery to transform medicine, after vaccines and antibiotics, and I agree with his point of view. \n\nIf you live in a wealthier country and have seen a doctor recently, you may have already seen how AI is making life easier for health care workers. Instead of taking notes constantly, they can now spend more time talking directly to you about your health, while AI transcribes and summarizes the visit. Afterwards, AI can handle much of the onerous paperwork, so doctors and nurses can focus on the next patient.\n\nIn poorer countries with enormous health worker shortages and lack of health systems infrastructure, AI can be a gamechanger in expanding access to quality care. I believe this partnership with OpenAI, governments, innovators, and health workers in sub-Saharan Africa is a step towards the type of AI we need more of: systems that help people all over the world to solve generational challenges that they simply didn’t know how to address before. I invite others working on AI to think about how we can put these massively powerful tools to the best use.\n\nThis announcement is a great example of why I remain optimistic about the improvements we can make. I’m looking forward to seeing health workers using some of these AI solutions in action when I visit Africa, and I plan to continue focusing on ways AI technology can help billions of people in low- and middle-income countries meet their most important needs.\n\nShare\nGet my newsletter\n\nTHE YEAR AHEAD\n\nOptimism with footnotes\n\nAs we start 2026, I am thinking about how the year ahead will set us up for the decades to come.\n\nBy Bill Gates published on Friday, Jan 9, 2026\nWork\nMake AI Work For Everyone\n\nIhave always been an optimist. When I founded Microsoft, I believed a digital revolution powered by great software would make the world a better place. When I started the Gates Foundation, I saw an opportunity to save and improve millions of lives because critical areas like children’s health were getting so little money.\n\nIn both cases, the results exceeded my expectations. We are far better off than when I was born 70 years ago. I believe the world will keep improving—but it is harder to see that today than it has been in a long time.\n\nFriends and colleagues often ask me how I stay optimistic in an era with so many challenges and so much polarization. My answer is this: I am still an optimist because I see what innovation accelerated by artificial intelligence will bring. But these days, my optimism comes with footnotes.\n\nThe thing I am most upset about is the fact that the world went backwards last year on a key metric of progress: the number of deaths of children under 5 years old. Over the last 25 years, those deaths went down faster than at any other point in history. But in 2025, they went up for the first time this century, from 4.6 million in 2024 to 4.8 million in 2025—an increase driven by less support from rich countries to poor countries. This trend will continue unless we make progress in restoring aid budgets.\n\nThe next five years will be difficult as we try to get back on track and work to scale up new lifesaving tools. Yet I remain optimistic about the long-term future. As hard as last year was, I don’t believe we will slide back into the Dark Ages. I believe that, within the next decade, we will not only get the world back on track but enter a new era of unprecedented progress.\n\nThe key will be, as always, innovation. Consider this: An HIV diagnosis used to be a death sentence. Today, thanks to revolutionary treatments, a person with HIV can expect to live almost as long as someone without the virus. By the 2040s, new innovations could virtually eliminate deaths from HIV/AIDS.\n\nBudget cuts limit how many people benefit from lifesaving tools, as we saw to devastating effect last year. But nothing can erase the fact that for decades we didn’t know how to save people from HIV, and now we do. Breakthroughs are a bell that cannot be unrung. They ensure that we will never go back to the world in 2000 where over 10 million children died from preventable causes every year—and they form the core of my optimism about where the world is headed.\n\nBut as I mentioned, there are footnotes to my optimism. Although the innovation pipeline sets us up for long-term success, the trajectory of progress hinges on how the world addresses three key questions.\n\n1.\nWill a world that is getting richer increase its generosity toward those in need?\n\nThe “golden rule” precept is more important now than ever with the record disparities in wealth. This idea of treating others as you wish to be treated does not just apply to rich countries giving aid. It must also include philanthropy from the wealthy to help those in need—both domestically and globally—which should grow rapidly in a world with a record number of billionaires and even centibillionaires.\n\nThrough the Giving Pledge, I get to work with a number of incredible philanthropists who set a great example by giving away substantial portions of their wealth in smart ways. However, more needs to be done to encourage higher levels of generosity from the rich and to show how fulfilling and impactful it can be.\n\nTurning to aid budgets for poor countries, I am worried about one number: If funding for health decreases by 20 percent, 12 million more children could die by 2045. I know cuts won’t be reversed overnight, even though aid represented less than 1 percent of GDP even in the most generous countries. But it is critical that we restore some of the funding. The foundation’s Goalkeepers report lays out what is at risk and how the world can best spend the aid it gives.\n\nI will spend much of my year working with partners to advocate for increased funding for the health of the world’s children. I plan to engage with a number of communities, including health care workers, religious groups, and members of diaspora communities to help make this case.\n\n2.\nWill the world prioritize scaling innovations that improve equality?\n\nSome problems require doing far more than just letting market incentives take their course.\n\nThe first critical area is climate change. Without a large global carbon tax (which is, unfortunately, politically unachievable), market forces do not properly incentivize the creation of technologies to reduce climate-related emissions.\n\nYet only by replacing all emitting activities with cheaper alternatives will we stop the temperature increase. This is why I started Breakthrough Energy 10 years ago and why I will continue to put billions into innovation.\n\nThe world has made meaningful progress in the last decade, cutting projected emissions by more than 40 percent. But we still have a lot of innovation and scaling up to do in tough areas like industrial emissions and aviation. Government policies in rich countries are still critical because unless innovations reach scale, the costs won’t come down and we won’t achieve the impact we need.\n\nIf we don’t limit climate change, it will join poverty and infectious disease in causing enormous suffering, especially for the world’s poorest people. Since even in the best case the temperature will continue to go up, we also need to innovate to minimize the negative impacts.\n\nThis is called climate adaptation, and a critical example is helping farmers in poor countries with better seeds and better advice so they can grow more even in the face of climate change. Using AI, we will soon be able to provide poor farmers with better advice about weather, prices, crop diseases, and soil than even the richest farmers get today. The foundation has committed $1.4 billion to supporting farmers on the frontlines of extreme weather.\n\nI will be investing and giving more than ever to climate work in the years ahead while also continuing to give more to children’s health, the foundation’s top priority. The need to ensure money is spent on the most important priorities was the topic of a memo I wrote in the fall.\n\nA second critical area where the world must focus on innovation-driven equality is health care. Concerns about healthcare costs and quality are higher than ever in all countries.\n\nIn theory, people should feel optimistic about the state of health care with the incredible pipeline of innovations. For example, a recent breakthrough in diagnosing Alzheimer’s will revolutionize how we test for—and ultimately prevent—this disease, saving billions of dollars in costs. (Funding Alzheimer’s research is a particular focus for me.) There’s similar progress on obesity and cancer, as well as on problems in developing countries like malaria, TB, and malnutrition.\n\nDespite so much progress, however, the cost and complexity of the system means very few people are satisfied with their care. I believe we can improve health care dramatically in all countries by using AI not only to accelerate the development of innovations but directly in the delivery of health care.\n\nLike many of you, I already use AI to better understand my own health. Just imagine what will be possible as it improves and becomes available for every patient and provider. Always-available, high-quality medical advice will improve medicine by every measure.\n\nWe aren’t quite there yet—developers still have work to do on reliability and how we connect the AI to doctors and nurses so they are empowered to check and override the system. But I’m optimistic we will soon begin to scale access globally. I am following this work so the Gates Foundation and partners can make sure this capability is available in the countries that need it most—where there aren’t enough medical personnel—at the same time it is available elsewhere. We are already working on pilots and making sure that even relatively uncommon African languages are fully supported.\n\nGovernments will have to play a central role in leading the implementation of AI into their health systems. This is another case where the market alone won’t and can’t provide the solution.\n\nA third and final area I will mention briefly is education. AI gives us a chance for the kind of personalized learning to keep students motivated that we have dreamed of in the past. This is now a focus of the Gates Foundation’s spending on education, and I am hopeful it will be empowering to both teachers and students. I’ve seen this firsthand in New Jersey, and it will be game changing as we scale it for the world.\n\nAll three of these areas—climate, health, and education—can improve rapidly with the right government focus. This year I will spend a lot of time meeting with pioneers all over the world to see which countries are doing the best work so we can spread best practices.\n\n3.\nWill we minimize negative disruptions caused by AI as it accelerates?\n\nOf all the things humans have ever created, AI will change society the most. It will help solve many of our current problems while also bringing new challenges very different from past innovations.\n\nWhen people in the AI space predict that AGI or fully humanoid robots will come soon and then those deadlines are missed, it creates the impression that these things will never happen. However, there is no upper limit on how intelligent AIs will get or on how good robots will get, and I believe the advances will not plateau before exceeding human levels.\n\nThe two big challenges in the next decade are use of AI by bad actors and disruption to the job market. Both are real risks that we need to do a better job managing. We’ll need to be deliberate about how this technology is developed, governed, and deployed.\n\nIn 2015, I gave a TED talk warning that the world was not ready to handle a pandemic. If we had prepared properly for the Covid pandemic, the amount of human suffering would have been dramatically less. Today, an even greater risk than a naturally caused pandemic is that a non-government group will use open source AI tools to design a bioterrorism weapon.\n\nThe second challenge is job market disruption. AI capabilities will allow us to make far more goods and services with less labor. In a mathematical sense, we should be able to allocate these new capabilities in ways that benefit everyone. As AI delivers on its potential, we could reduce the work week or even decide there are some areas we don’t want to use AI in.\n\nThe effects of this disruption are hard to model. Sometimes, when a game-changing technology improves rapidly, it drives more demand at lower cost and, by making the world richer, increases demand in other areas. For example, AI makes software developers at least twice as efficient, which makes coding cheaper while also creating demand elasticity for code. (Computing is a good historical example where lower costs actually caused the overall market to grow.)\n\nEven with this complexity, the rate of improvement is already starting to be enough to disrupt job demand in areas like software development. Other areas like warehouse work or phone support are not quite there yet, but once the AIs become more capable, the job disruption will be more immediate.\n\nWe’re already starting to see the impact of AI on the job market, and I think this impact will grow over the next five years. Even if the transition takes longer than I expect, we should use 2026 to prepare ourselves for these changes—including which policies will best help spread the wealth and deal with the important role jobs play in our society. Different political parties will likely suggest different approaches.\n\nBy including these footnotes, particularly the last one, some readers may find my continued optimism even more surprising. But as we start 2026, I remain optimistic about the days ahead because of two core human capabilities.\n\nThe first is our ability to anticipate problems and prepare for them, and therefore ensure that our new discoveries make all of us better off. The second is our capacity to care about each other. Throughout history, you can always find stories of people tending not just to themselves or their clan or their country but to the greater good.\n\nThose two qualities—foresight and care—are what give me hope as the year begins. As long as we keep exercising those abilities, I believe the years ahead can be ones of real progress.\n\nShare\nGet my newsletter\n\nTHE FUTURE OF AGENTS\n\nAI is about to completely change how you use computers\n\nAnd upend the software industry.\n\nBy Bill Gates published on Thursday, Nov 9, 2023\nWork\nMake AI Work For Everyone\n\nIstill love software as much today as I did when Paul Allen and I started Microsoft. But—even though it has improved a lot in the decades since then—in many ways, software is still pretty dumb.\n\nTo do any task on a computer, you have to tell your device which app to use. You can use Microsoft Word and Google Docs to draft a business proposal, but they can’t help you send an email, share a selfie, analyze data, schedule a party, or buy movie tickets. And even the best sites have an incomplete understanding of your work, personal life, interests, and relationships and a limited ability to use this information to do things for you. That’s the kind of thing that is only possible today with another human being, like a close friend or personal assistant.\n\nIn the next five years, this will change completely. You won’t have to use different apps for different tasks. You’ll simply tell your device, in everyday language, what you want to do. And depending on how much information you choose to share with it, the software will be able to respond personally because it will have a rich understanding of your life. In the near future, anyone who’s online will be able to have a personal assistant powered by artificial intelligence that’s far beyond today’s technology.\n\nThis type of software—something that responds to natural language and can accomplish many different tasks based on its knowledge of the user—is called an agent. I’ve been thinking about agents for nearly 30 years and wrote about them in my 1995 book The Road Ahead, but they’ve only recently become practical because of advances in AI.\n\nAgents are not only going to change how everyone interacts with computers. They’re also going to upend the software industry, bringing about the biggest revolution in computing since we went from typing commands to tapping on icons.\n\n\n\n\nA personal assistant for everyone\n\nSome critics have pointed out that software companies have offered this kind of thing before, and users didn’t exactly embrace them. (People still joke about Clippy, the digital assistant that we included in Microsoft Office and later dropped.) Why will people use agents?\n\nThe answer is that they’ll be dramatically better. You’ll be able to have nuanced conversations with them. They will be much more personalized, and they won’t be limited to relatively simple tasks like writing a letter. Clippy has as much in common with agents as a rotary phone has with a mobile device.\n\nAn agent will be able to help you with all your activities if you want it to. With permission to follow your online interactions and real-world locations, it will develop a powerful understanding of the people, places, and activities you engage in. It will get your personal and work relationships, hobbies, preferences, and schedule. You’ll choose how and when it steps in to help with something or ask you to make a decision.\n\nTo see the dramatic change that agents will bring, let’s compare them to the AI tools available today. Most of these are bots. They’re limited to one app and generally only step in when you write a particular word or ask for help. Because they don’t remember how you use them from one time to the next, they don’t get better or learn any of your preferences. Clippy was a bot, not an agent.\n\nAgents are smarter. They’re proactive—capable of making suggestions before you ask for them. They accomplish tasks across applications. They improve over time because they remember your activities and recognize intent and patterns in your behavior. Based on this information, they offer to provide what they think you need, although you will always make the final decisions.\n\nImagine that you want to plan a trip. A travel bot will identify hotels that fit your budget. An agent will know what time of year you’ll be traveling and, based on its knowledge about whether you always try a new destination or like to return to the same place repeatedly, it will be able to suggest locations. When asked, it will recommend things to do based on your interests and propensity for adventure, and it will book reservations at the types of restaurants you would enjoy. If you want this kind of deeply personalized planning today, you need to pay a travel agent and spend time telling them what you want.\n\nThe most exciting impact of AI agents is the way they will democratize services that today are too expensive for most people. They’ll have an especially big influence in four areas: health care, education, productivity, and entertainment and shopping.\n\n\n\n\nHealth care\n\nToday, AI’s main role in healthcare is to help with administrative tasks. Abridge, Nuance DAX, and Nabla Copilot, for example, can capture audio during an appointment and then write up notes for the doctor to review.\n\nThe real shift will come when agents can help patients do basic triage, get advice about how to deal with health problems, and decide whether they need to seek treatment. These agents will also help healthcare workers make decisions and be more productive. (Already, apps like Glass Health can analyze a patient summary and suggest diagnoses for the doctor to consider.) Helping patients and healthcare workers will be especially beneficial for people in poor countries, where many never get to see a doctor at all.\n\nThese clinician-agents will be slower than others to roll out because getting things right is a matter of life and death. People will need to see evidence that health agents are beneficial overall, even though they won’t be perfect and will make mistakes. Of course, humans make mistakes too, and having no access to medical care is also a problem.\n\nMental health care is another example of a service that agents will make available to virtually everyone. Today, weekly therapy sessions seem like a luxury. But there is a lot of unmet need, and many people who could benefit from therapy don’t have access to it. For example, RAND found that half of all U.S. military veterans who need mental health care don’t get it.\n\nAI agents that are well trained in mental health will make therapy much more affordable and easier to get. Wysa and Youper are two of the early chatbots here. But agents will go much deeper. If you choose to share enough information with a mental health agent, it will understand your life history and your relationships. It’ll be available when you need it, and it will never get impatient. It could even, with your permission, monitor your physical responses to therapy through your smart watch—like if your heart starts to race when you’re talking about a problem with your boss—and suggest when you should see a human therapist.\n\n\n\n\nEducation\n\nFor decades, I’ve been excited about all the ways that software would make teachers’ jobs easier and help students learn. It won’t replace teachers, but it will supplement their work—personalizing the work for students and liberating teachers from paperwork and other tasks so they can spend more time on the most important parts of the job. These changes are finally starting to happen in a dramatic way.\n\nThe current state of the art is Khanmigo, a text-based bot created by Khan Academy. It can tutor students in math, science, and the humanities—for example, it can explain the quadratic formula and create math problems to practice on. It can also help teachers do things like write lesson plans. I’ve been a fan and supporter of Sal Khan’s work for a long time and recently had him on my podcast to talk about education and AI.\n\nBut text-based bots are just the first wave—agents will open up many more learning opportunities.\n\nFor example, few families can pay for a tutor who works one-on-one with a student to supplement their classroom work. If agents can capture what makes a tutor effective, they’ll unlock this supplemental instruction for everyone who wants it. If a tutoring agent knows that a kid likes Minecraft and Taylor Swift, it will use Minecraft to teach them about calculating the volume and area of shapes, and Taylor’s lyrics to teach them about storytelling and rhyme schemes. The experience will be far richer—with graphics and sound, for example—and more personalized than today’s text-based tutors.\n\n\n\n\nProductivity\n\nThere’s already a lot of competition in this field. Microsoft is making its Copilot part of Word, Excel, Outlook, and other services. Google is doing similar things with Assistant with Bard and its productivity tools. These copilots can do a lot—such as turn a written document into a slide deck, answer questions about a spreadsheet using natural language, and summarize email threads while representing each person’s point of view.\n\nAgents will do even more. Having one will be like having a person dedicated to helping you with various tasks and doing them independently if you want. If you have an idea for a business, an agent will help you write up a business plan, create a presentation for it, and even generate images of what your product might look like. Companies will be able to make agents available for their employees to consult directly and be part of every meeting so they can answer questions.\n\nWhether you work in an office or not, your agent will be able to help you in the same way that personal assistants support executives today. If your friend just had surgery, your agent will offer to send flowers and be able to order them for you. If you tell it you’d like to catch up with your old college roommate, it will work with their agent to find a time to get together, and just before you arrive, it will remind you that their oldest child just started college at the local university.\n\n\n\n\nEntertainment and shopping\n\nAlready, AI can help you pick out a new TV and recommend movies, books, shows, and podcasts. Likewise, a company I’ve invested in, recently launched Pix, which lets you ask questions (“Which Robert Redford movies would I like and where can I watch them?”) and then makes recommendations based on what you’ve liked in the past. Spotify has an AI-powered DJ that not only plays songs based on your preferences but talks to you and can even call you by name.\n\nAgents won’t simply make recommendations; they’ll help you act on them. If you want to buy a camera, you’ll have your agent read all the reviews for you, summarize them, make a recommendation, and place an order for it once you’ve made a decision. If you tell your agent that you want to watch Star Wars, it will know whether you’re subscribed to the right streaming service, and if you aren’t, it will offer to sign you up. And if you don’t know what you’re in the mood for, it will make customized suggestions and then figure out how to play the movie or show you choose.\n\nYou’ll also be able to get news and entertainment that’s been tailored to your interests. CurioAI, which creates a custom podcast on any subject you ask about, is a glimpse of what’s coming.\n\n\n\n\nA shock wave in the tech industry\n\nIn short, agents will be able to help with virtually any activity and any area of life. The ramifications for the software business and for society will be profound.\n\nIn the computing industry, we talk about platforms—the technologies that apps and services are built on. Android, iOS, and Windows are all platforms. Agents will be the next platform.\n\nTo create a new app or service, you won’t need to know how to write code or do graphic design. You’ll just tell your agent what you want. It will be able to write the code, design the look and feel of the app, create a logo, and publish the app to an online store. OpenAI’s launch of GPTs this week offers a glimpse into the future where non-developers can easily create and share their own assistants.\n\nAgents will affect how we use software as well as how it’s written. They’ll replace search sites because they’ll be better at finding information and summarizing it for you. They’ll replace many e-commerce sites because they’ll find the best price for you and won’t be restricted to just a few vendors. They’ll replace word processors, spreadsheets, and other productivity apps. Businesses that are separate today—search advertising, social networking with advertising, shopping, productivity software—will become one business.\n\nI don’t think any single company will dominate the agents business--there will be many different AI engines available. Today, agents are embedded in other software like word processors and spreadsheets, but eventually they’ll operate on their own. Although some agents will be free to use (and supported by ads), I think you’ll pay for most of them, which means companies will have an incentive to make agents work on your behalf and not an advertiser’s. If the number of companies that have started working on AI just this year is any indication, there will be an exceptional amount of competition, which will make agents very inexpensive.\n\nBut before the sophisticated agents I’m describing become a reality, we need to confront a number of questions about the technology and how we’ll use it. I’ve written before about the issues that AI raises, so I’ll focus specifically on agents here.\n\n\n\n\nThe technical challenges\n\nNobody has figured out yet what the data structure for an agent will look like. To create personal agents, we need a new type of database that can capture all the nuances of your interests and relationships and quickly recall the information while maintaining your privacy. We are already seeing new ways of storing information, such as vector databases, that may be better for storing data generated by machine learning models.\n\nAnother open question is about how many agents people will interact with. Will your personal agent be separate from your therapist agent and your math tutor? If so, when will you want them to work with each other and when should they stay in their lanes?\n\nHow will you interact with your agent? Companies are exploring various options including apps, glasses, pendants, pins, and even holograms. All of these are possibilities, but I think the first big breakthrough in human-agent interaction will be earbuds. If your agent needs to check in with you, it will speak to you or show up on your phone. (“Your flight is delayed. Do you want to wait, or can I help rebook it?”) If you want, it will monitor sound coming into your ear and enhance it by blocking out background noise, amplifying speech that’s hard to hear, or making it easier to understand someone who’s speaking with a heavy accent.\n\nThere are other challenges too. There isn’t yet a standard protocol that will allow agents to talk to each other. The cost needs to come down so agents are affordable for everyone. It needs to be easier to prompt the agent in a way that will give you the right answer. We need to prevent hallucinations, especially in areas like health where accuracy is super-important, and make sure that agents don’t harm people as a result of their biases. And we don’t want agents to be able to do things they’re not supposed to. (Although I worry less about rogue agents than about human criminals using agents for malign purposes.)\n\n\n\n\nPrivacy and other big questions\n\nAs all of this comes together, the issues of online privacy and security will become even more urgent than they already are. You’ll want to be able to decide what information the agent has access to, so you’re confident that your data is shared with only people and companies you choose.\n\nBut who owns the data you share with your agent, and how do you ensure that it’s being used appropriately? No one wants to start getting ads related to something they told their therapist agent. Can law enforcement use your agent as evidence against you? When will your agent refuse to do something that could be harmful to you or someone else? Who picks the values that are built into agents?\n\nThere’s also the question of how much information your agent should share. Suppose you want to see a friend: If your agent talks to theirs, you don’t want it to say, \"Oh, she’s seeing other friends on Tuesday and doesn’t want to include you.” And if your agent helps you write emails for work, it will need to know that it shouldn’t use personal information about you or proprietary data from a previous job.\n\nMany of these questions are already top-of-mind for the tech industry and legislators. I recently participated in a forum on AI with other technology leaders that was organized by Sen. Chuck Schumer and attended by many U.S. senators. We shared ideas about these and other issues and talked about the need for lawmakers to adopt strong legislation.\n\nBut other issues won’t be decided by companies and governments. For example, agents could affect how we interact with friends and family. Today, you can show someone that you care about them by remembering details about their life—say, their birthday. But when they know your agent likely reminded you about it and took care of sending flowers, will it be as meaningful for them?\n\nIn the distant future, agents may even force humans to face profound questions about purpose. Imagine that agents become so good that everyone can have a high quality of life without working nearly as much. In a future like that, what would people do with their time? Would anyone still want to get an education when an agent has all the answers? Can you have a safe and thriving society when most people have a lot of free time on their hands?\n\nBut we’re a long way from that point. In the meantime, agents are coming. In the next few years, they will utterly change how we live our lives, online and off.\n\nShare\nGet my newsletter\n\nNUTS AND BOLTS\n\nThe start-ups making robots a reality\n\nHere’s why I’m excited about the potential of robotics technology.\n\nBy Bill Gates published on Tuesday, Jan 23, 2024\nWork\nMake AI Work For Everyone\n\nIs it harder for machines to mimic the way humans move or the way humans think? If you had asked me this question a decade ago, my answer would have been “think.” So much of how the brain works is still a mystery. And yet, in just the last year, advancements in artificial intelligence have resulted in computer programs that can create, calculate, process, understand, decide, recognize patterns, and continue learning in ways that resemble our own.\n\nBuilding machines that operate like our bodies—that walk, jump, touch, hold, squeeze, grip, climb, slice, and reach like we do (or better)—would seem to be an easier feat in comparison. Surprisingly, it hasn’t been. Many robots still struggle to perform basic human tasks that require the dexterity, mobility, and cognition most of us take for granted.\n\nBut if we get the technology right, the uses for robots will be almost limitless: Robots can help during natural disasters when first responders would otherwise have to put their lives on the line—or during public health crises like the COVID pandemic, when in-person interactions might spread disease. On farms, they can be used instead of toxic chemical herbicides to manually pull weeds. They can work long days lugging hundred- or thousand-pound loads around factory floors. A good enough robotic arm will also be invaluable as a prosthesis.\n\nI understand concerns about robots taking people’s jobs, an unfortunate consequence of almost every new innovation—including the internet, which (for example) turned everyone into a travel agent and eliminated much of the vacation-planning industry. If robots have a similar impact on employment, governments and the private sector will have to help people navigate the transition. But given present labor shortages in our economy and the dangerous or unrewarding nature of certain professions, I believe it’s less likely that robots replace us in jobs we love and more likely that they’ll do work people don’t want to be doing. In the process, they can make us safer, healthier, more productive, and even less lonely.\n\nThat’s why I’m so excited about the companies across the country and around the world that are at the forefront of robotics technology, working to usher in a robotics revolution. Some of their robots are humanoid or human-like—constructed so they can interact easily in environments built for people. Others have super-human traits like flight or extendable arms that can supplement an ordinary person’s abilities. Some move around on legs. Others have wheels. Some navigate using sensors. Others are operated by remote controls.\n\nDespite their differences, though, one thing is certain: In healthcare, hospitality, agriculture, manufacturing, construction, and even our homes, robots have the potential to transform the way we live and work. In fact, a few of them already are.\n\nHere are some of the cutting-edge robotics start-ups and labs that I’m excited about:\n\nAgility Robotics\n\nIf we want robots to operate in our environments as seamlessly as possible, perhaps those robots should be modeled after people. That’s what Oregon-based Agility Robotics decided when creating Digit, what they call the “first human-centric, multi-purpose robot made for logistics work.” It’s roughly the same size as a person—it’s designed to work with people, go where we go, and operate in our workflows—but it’s able to carry much heavier loads and extend its “arms” to reach shelves we’d need ladders for.\n\nTevel\n\nFor farmers in some rich countries, around 40 percent of costs can come from labor—with workers spending entire days out in the hot sun and then stopping at night. But given the labor shortage in agriculture, farms often have to throw away fruit that’s not harvested in time. That’s why Tevel, founded in Tel Aviv, has created flying autonomous robots that can scan tree canopies and pick ripe apples and stone fruits around the clock, while simultaneously collecting comprehensive harvesting data in real time.\n\nApptronik\n\nWhat’s more useful: multiple robots that can each do one task over and over, or one robot that can do multiple tasks and learn to do even more? To Apptronik, an Austin-based start-up that spun out of the human-centered robotics lab at the University of Texas, the answer is obvious. So they’re building “general-purpose” humanoid bi-pedal robots like Apollo, which can be programmed to do a wide array of tasks—from carrying boxes in a factory to helping out with household chores. And because it can run software from third parties, Apollo will be just a software update away from new functionalities.\n\nRoMeLa\n\nBuilding a robot that can navigate rocky and unstable terrain, and retain its balance without falling over, is no small task. But the Robotics and Mechanisms Lab, or RoMeLa, at UCLA is working on improving mobility for robots. They may have cracked the code with ARTEMIS, possibly the fastest “running” robot in the world that’s also difficult to destabilize. ARTEMIS actually competed at the RoboCup 2023, an international soccer competition held in France in July.\n\nField AI\n\nSome robots don’t just need great “bodies”; they need great brains, too. That’s what Field AI—a robotics company based in Southern California that doesn’t build robots—is trying to create. Instead of focusing on the hardware of these machines, Field AI is developing AI software for other companies’ robots that enables them to perceive their environments, navigate without GPS (on land, by water, or in the air), and even communicate with each other.\n\nShare\nGet my newsletter\n\nUNCONFUSE ME WITH BILL GATES\n\nMy conversation with Sam Altman\n\nIn the sixth episode of my podcast, I sat down with the OpenAI CEO to talk about where AI is headed next and what humanity will do once it gets there.\n\nBy Bill Gates published on Thursday, Jan 11, 2024\nWork\nMake AI Work For Everyone\n\nIf you ask people to name leaders in artificial intelligence, there’s one name you’ll probably hear more than any other: Sam Altman. His team at OpenAI is pushing the boundaries of what AI can do with ChatGPT, and I loved getting to talk to him about what’s next. Our conversation covered why today’s AI models are the stupidest they’ll ever be, how societies adapt to technological change, and even where humanity will find purpose once we’ve perfected artificial intelligence.\n\nShare\nGet my newsletter\n\nUNCONFUSE ME WITH BILL GATES\n\nBreaking down the science of AI with Yejin Choi\n\nIn the fifth episode of my podcast, Yejin Choi joined me to talk about her amazing work on AI training systems.\n\nBy Bill Gates published on Thursday, Nov 16, 2023\nWork\nMake AI Work For Everyone\n\nFew people are better at explaining the science of artificial intelligence than Yejin Choi. She’s a computer science professor at the University of Washington, senior research director at the Allen Institute for AI, and the recipient of a MacArthur Fellowship. I thought her recent TED talk was terrific, and I was thrilled to talk to her about how you train a large language model, why it’s so hard for robots to pick tools out of a box, and why universities must play a key role in the future of AI research.\n\nShare\nGet my newsletter\n\nUNCONFUSE ME WITH BILL GATES\n\nCan AI help close the education gap? Sal Khan thinks so\n\nIn the second episode of my new podcast, I sat down with the founder of Khan Academy to talk about how artificial intelligence will transform education.\n\nBy Bill Gates published on Thursday, Aug 10, 2023\nWork\nMake AI Work For Everyone\n\nSal Khan is a true pioneer of harnessing the power of technology to help kids learn. So, when I wanted to learn more about how artificial intelligence will transform education, I knew I had to talk to the founder of Khan Academy. I loved chatting with Sal about why tutoring is so important, how his new service Khanmigo is making the most of ChatGPT, and how we can keep teachers at the center of the classroom in the age of AI. We even found time to talk about our favorite teachers and the subject we wish we’d studied in school.\n\nShare\nGet my newsletter\n\nDOMO ARIGATO\n\nBots, britches, and bees\n\nA Harvard robotics lab challenges popular images of robots.\n\nBy Bill Gates published on Monday, Jan 7, 2019\nWork\nMake AI Work For Everyone\n\nWhen you hear the word “robot” what comes to mind? Probably a metal, humanoid machine—something like C-3PO from Star Wars, Rosie the Robot Maid from The Jetsons, or perhaps one of the menacing Terminator robots.\n\nAt a Harvard University lab, I saw some surprising inventions that challenge our popular images of robots. One robot I wore like a glove. Another you could pull on like a pair of pants. Some robots had spongy arms that coul",
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},
{
"text": "History",
"href": "https://www.gatesnotes.com/books/history"
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"text": "People",
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"href": "https://www.gatesnotes.com/books/science"
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"href": "https://www.gatesnotes.com/books/science-fiction"
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"href": "https://www.gatesnotes.com/books/society"
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"text": "Movies and TV",
"href": "https://www.gatesnotes.com/books/movies-and-tv"
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{
"text": "Reading lists",
"href": "https://www.gatesnotes.com/books/reading-lists"
},
{
"text": "Books I wrote",
"href": "https://www.gatesnotes.com/books/books-i-wrote"
},
{
"text": "Visit the Gates Foundation",
"href": "https://www.gatesfoundation.org/"
},
{
"text": "",
"href": "https://www.gatesnotes.com/account"
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{
"text": "Explore Work",
"href": "https://www.gatesnotes.com/work"
},
{
"text": "Visit the Gates Foundation",
"href": "https://www.gatesfoundation.org/"
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{
"text": "Meet Bill",
"href": "https://www.gatesnotes.com/meet-bill"
},
{
"text": "Visit the Gates Foundation",
"href": "https://www.gatesfoundation.org/"
},
{
"text": "Explore Books",
"href": "https://www.gatesnotes.com/books"
},
{
"text": "Visit the Gates Foundation",
"href": "https://www.gatesfoundation.org/"
},
{
"text": "Heroes",
"href": "https://www.gatesnotes.com/heroes"
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{
"text": "Visit the Gates Foundation",
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"text": "Manage your account",
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{
"text": "Make AI Work For Everyone",
"href": "https://www.gatesnotes.com//make-ai-work-for-everyone"
},
{
"text": "roughly 25 percent",
"href": "https://www.dol.gov/general/aboutdol/history/chapter5"
},
{
"text": "fell significantly",
"href": "https://digitaleconomy.stanford.edu/app/uploads/2025/11/CanariesintheCoalMine_Nov25.pdf"
},
{
"text": "study",
"href": "https://arxiv.org/abs/2506.12605"
},
{
"text": "preliminary survey",
"href": "https://www.mdpi.com/2075-4698/15/1/6"
},
{
"text": "“On Safeguarding the Human Person in the Time of Artificial Intelligence.”",
"href": "https://www.vatican.va/content/leo-xiv/en/encyclicals/documents/20260515-magnifica-humanitas.html"
},
{
"text": "tokens",
"href": "https://blogs.nvidia.com/blog/ai-tokens-explained/"
},
{
"text": "Facebook",
"href": "https://www.facebook.com/sharer/sharer.php?u=https://www.gatesnotes.com/a-turbulent-ai-era-and-critical-choices-to-make?wt.mc-id=00-00-00-share-fb&title=the%20choices%20we%20make%20about%20ai%20now%20are%20critical%20|%20bill%20gates"e=ai%20will%20either%20be%20the%20greatest%20equalizer%20ever%20invented,%20or%20the%20worst%20source%20of%20injustice.%20we%20need%20to%20start%20planning%20now%20so%20it%20makes%20the%20world%20a%20fairer%20place."
},
{
"text": "X",
"href": "https://twitter.com/intent/tweet?text=ai%20will%20either%20be%20the%20greatest%20equalizer%20ever%20invented,%20or%20the%20worst%20source%20of%20injustice.%20we%20need%20to%20start%20planning%20now%20so%20it%20makes%20the%20world%20a%20fairer%20place.&url=https://gatesnot.es/4wcg8dm?wt.mc-id=00-00-00-share-tw&via=billgates"
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"text": "LinkedIn",
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"text": "Get my newsletter",
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"text": "Work",
"href": "https://www.gatesnotes.com/work"
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{
"text": "Make AI Work For Everyone",
"href": "https://www.gatesnotes.com/work/make-ai-work-for-everyone"
},
{
"text": "would mark a technological revolution as far-reaching for humanity",
"href": "https://www.gatesnotes.com/The-Age-of-AI-Has-Begun"
},
{
"text": "science",
"href": "https://www.ft.com/content/b93286a9-be6c-4e0f-8896-026b78c2e279"
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"text": "education",
"href": "https://www.gatesnotes.com/home/home-page-topic/reader/my-trip-to-the-frontier-of-ai-education"
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"text": "customer service",
"href": "https://www.linkedin.com/posts/williamhgates_ive-entered-the-startup-world-again-when-activity-7351288702796533761-hEOz/"
},
{
"text": "the world’s highest child mortality rate",
"href": "https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/child-mortality-and-causes-of-death"
},
{
"text": "shortfall of nearly 6 million health care workers",
"href": "https://gh.bmj.com/content/7/Suppl_1/e015972"
},
{
"text": "WHO estimates",
"href": "https://www.who.int/news-room/fact-sheets/detail/quality-health-services"
},
{
"text": "4x4 reform initiative",
"href": "https://www.moh.gov.rw/strategic-plans-priorities/4x4-reform"
},
{
"text": "launch of an AI-powered Health Intelligence Center",
"href": "https://www.moh.gov.rw/news-detail/new-health-intelligence-center-to-drive-real-time-evidence-based-decisions"
},
{
"text": "the third major discovery to transform medicine",
"href": "https://www.umusanzunews.rw/2025/10/14/rwanda-demonstrates-how-it-is-leveraging-ai-to-improve-healthcare/"
},
{
"text": "Facebook",
"href": "https://www.facebook.com/sharer/sharer.php?u=https://www.gatesnotes.com/expanding-access-to-health-care-through-ai?wt.mc-id=00-00-00-share-fb&title=a%20big%20announcement%20on%20ai%20in%20africa%20|%20bill%20gates"e=the%20government%20of%20rwanda%20is%20partnering%20with%20the%20gates%20foundation%20and%20openai%20on%20an%20effort%20to%20help%20health%20clinics%20improve%20care%20using%20ai."
},
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"text": "X",
"href": "https://twitter.com/intent/tweet?text=the%20government%20of%20rwanda%20is%20partnering%20with%20the%20gates%20foundation%20and%20openai%20on%20an%20effort%20to%20help%20health%20clinics%20improve%20care%20using%20ai.&url=https://gatesnot.es/45i03yk?wt.mc-id=00-00-00-share-tw&via=billgates"
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"text": "LinkedIn",
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"text": "Make AI Work For Everyone",
"href": "https://www.gatesnotes.com/work/make-ai-work-for-everyone"
},
{
"text": "new innovations",
"href": "https://www.gatesnotes.com/work/save-lives/reader/hiv-prep"
},
{
"text": "the world in 2000 where over 10 million children died from preventable causes every year",
"href": "https://www.gatesnotes.com/work/save-lives/reader/how-to-cut-child-mortality-in-half-again"
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