Gates Foundation reviews

There is nearly constant re-organizing that means the job you signed up to do may change drastically or disappear. Higher level staff seem blind to the costs of this churn.

People work a lot. People work so hard and so often that the company has "quiet weeks" which ensure that people can't do meetings and are forced to focus on work and take it easy. Management definitely tries to get people to work less but if your work is "saving the world" it becomes harder and harder to justify taking time off. That said, much effort is made to ensure that employees have a good work life balance.