Only in America does half of every dollar spent on brand medicines go to entities that don't make

them. While PBMs and 340B hospitals drive up costs, America's biopharmaceutical companies are doing

what these middlemen don't, investing $500 billion in new infrastructure and manufacturing

here at home and helping patients buy medicines directly at lower prices.

Tell Washington to end middlemen markups and put American patients first.

Visit phrm.org slash middlemen.

I am connected to vaccines. I plead guilty to, you know, being involved in that miracle.

Hello, hello, and welcome to The Conversation.

I'm Dasha Burns, Politico's White House Bureau Chief,

and every week on this show,

I invite one of the most compelling and sometimes unexpected power players in Washington

and beyond in for a chat. to find out how they're navigating

and shaping this incredible era of American politics.

This week, marks our final episode in our second season.

And my guest is someone who I've been looking forward to having on the show for quite a while,

we finally got the chance to sit down just at the right time.

The Gates Foundation recently released its annual Gold Keepers report,

and it comes with a sobering fact.

2025 will be the year that child deaths increase for the first time this century.

The report covers how to reduce these deaths amid cuts

to global health funding. I sat down with none other than Bill Gates. In our interview, he shared

his foundation's framework for doing more with less and what he calls a turning point in global

...