Tim Schwab’s book, "The Bill Gates Problem: Reckoning with the Myth of the Good Billionaire," argues that the Gates Foundation is not a philanthropy but rather an unregulated political actor which shapes government spending and priorities in profound ways, particularly in global health. A growing body of independent experts, and the foundation’s own intended beneficiaries, today argue that Bill Gates’s charitable crusade is doing more harm than good. We are long overdue to have an open, honest public debate about the Gates Foundation and to interrogate the model of extreme wealth and undemocratic power it represents.