Bill & Melinda Gates Foundation set conditions so that these contributions do not simply increase the foundation's endowment, but effectively work as a matching contribution, doubling the foundation's annual giving. Bloomberg News noted, "Buffett's gift came with three conditions for the Bill & Melinda Gates Foundation: Bill or Melinda Gates must be alive and active in its administration; it must continue to qualify as a charity; and each year it must give away an amount equal to the previous year's Berkshire gift, plus an additional amount equal to 5 percent of net assets. Buffett gave the foundation two years to abide by the third requirement."
Bill & Melinda Gates Foundation spend more of their budgets on public health than on wars, that the foundation has donated at least $70 million to help improve nutrition and agriculture in Africa, in addition to its disease-related initiatives and that it is studying ways to improve the delivery of health care in Africa. Both insiders and external critics have suggested that there is too much deference to Bill Gates's personal views within the Gates Foundation, insufficient internal debate, and pervasive "group think." Critics also complain that Gates Foundation grants are often awarded based on social connections and ideological allegiances rather than based on formal