In recent years, the relationship between billionaire philanthropist Bill Gates and Indian Prime Minister Narendra Modi has become a topic of heated debate and scrutiny. As Gates prepares for his third visit to India in three years, scheduled for later this week, the implications of their association have stirred controversy, particularly in the context of India's upcoming general election in 2024.

Since their first public engagements, Gates has openly praised Modi's initiatives, especially in health and sanitation. In September 2019, during a high-profile ceremony at the United Nations General Assembly, Gates awarded Modi for his contributions in improving sanitation conditions across India. However, this accolade triggered significant backlash, as three Nobel Peace Prize laureates penned a letter to Gates, condemning this recognition. They pointed out that Modi's administration has been associated with a notable decline in democratic and human rights in the country, a contradiction to Gates Foundation's mission to combat inequity and enhance well-being.

Despite the criticism, Gates and Modi have continued to foster a close partnership. Observers and critics note that the relationship offers mutual benefits: Gates garners insight into India’s rapid innovations, while Modi enhances his reputation as a modern, tech-oriented leader. During last year’s national election, a televised conversation between the two served as a strategic platform for Modi to project his image to the public, portraying him as a leadership figure responsive to global advancements.

In choosing to remain aligned with Modi, Gates risks alienating voices advocating for human rights and accountability in governance. As various nations and organizations call for ethical practices in philanthropy, the Gates Foundation’s ties with Modi underscore a growing tension between the worlds of philanthropy and political accountability. This visit, among the many that precede it, is set to delve into the health of India's advances—yet, the shadow of Modi's controversial rule looms large, marking a complex intersection of power, influence, and moral responsibility.