The Bill and Melinda Gates Foundation is a 501c3 and I'd expect that even the most techno-futurist free-market types on HN would agree that no matter what alleged impact it has, it is also in practice creating profitable overseas contracts for US corporations that ultimately provide downstream ROI to the Gates estate.
Most people just tend to go about it more intelligently than Trump but "charitable" or "non-profit" doesn't mean the organization exists to enrich the commons rather than the moneyed interests it represents.