Megan Twohey, an investigative reporter for The New York Times focusing on the pandemic, and Nicholas Kulish, an enterprise correspondent covering philanthropy, explore Bill Gates' influence on global health. They discuss Gates' transition from tech mogul to health philanthropist and the creation of Gavi. The podcast also dives into the challenges of vaccine distribution through COVAX, emphasizing the struggle for equitable access in developing countries. Ghana and Ivory Coast's leadership in vaccination efforts is highlighted, revealing both logistical wins and ongoing inequalities.