Bill Gates argues that state budgets are disguising the true costs of healthcare and pensions through accounting tricks, resulting in worsening deficits that negatively impact education funding. He says states like California are borrowing money and deferring school payments, leading to budget shortfalls. Gates asserts that without solving the mis-accounting of long-term costs like healthcare, pension plans will be threatened. He suggests improving accounting standards to prevent cutting education spending in half and address state budget issues.