If you look into What Bill Gates' attention is focused on (massive landholder, wants the world fed synthetic beef, hopes the next pandemic will be centrally managed and controlled, ownership stakes in media, connected to Epstein), regardless of intent these things have 'scarier' implications than Musk's electric vehicles, rockets and Twitter ownership.
As long as you don't foresee any issue with massive central control of food supply, medical response or synthetic products, sure, there's no implications whatsoever. But handing over that sort of control should never be done 'for free.'
Then there's the obvious question, why is Gates so focused on emerging economies when there are many, many local problems to solve, albeit more expensive and not so easily monetizable...