Today's Bill Gates' pathology isn't greed, but guilt. You can't trust him to do what's best for us, but you can trust him to (try to) do what's best for his public image as a philanthropist. These goals don't always coincide, but they often do.
Why do you need to trust Gates on anything? You can think for yourself and reason to the correct conclusion. He’s not dropping some secret knowledge here. All he is doing is helping move the Overton window to bring “very bad outcomes from AI” out of “sci fi” and into policymakers permitted discourse.