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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: “People are afraid to speak out about being afraid to speak out.” 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

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Presented by Gideon Rachman. Produced by Fiona Symon. Sound design is by Breen Turner and the executive producer is Flo Phillips.

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Read a transcript of this episode on FT.com

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