Risk-free interest rates are currently very low. Therefore, patient philanthropy can only work with risky assets, such as stocks.
This isn't necessarily true. If you expect risk-free rates to increase in the future, then the long-term average interest rate could still be high enough to justify investing.
If impatient actors dominate the market, then the risk-free rate will always be high enough such that patient actors prefer to invest. This is true regardless of what the risk-free rate is currently. Although I don't know how to reconcile a positive pure time preference with the fact that real risk-free rates are currently negative or extremely low.
Thank you for the certainty equivalent calculations, that was interesting.