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Research priorities and plans

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  • Elie Hassenfeld
    In this email, I want to give a brief overview of our research plans for the coming year and also update this group on our plans for one particular area of
    Message 1 of 6 , Mar 11, 2010
      In this email, I want to give a brief overview of our research plans for the coming year and also update this group on our plans for one particular area of research: disaster relief. 

      Overview of our research plans

      Our research focus areas for the coming year are:
      1. Fleshing out additional areas in our international aid report. This includes (a) disaster relief, (b) a search for microfinance institutions (MFIs) in regions aside from Sub-Saharan Africa (the region we've looked at already), (c) looking into the causes of orphans and vulnerable children and sex slavery and human trafficking, and (d) continuing to review high-potential international charities regardless of focus area as we come across them. This work will largely be done by Natalie and Alanna Shaikh (who's going to be working with us a contractor).
      2. Completing a more comprehensive evaluation of US Equality of Opportunity. This work is intended to build out the report that already exists on our site (http://www.givewell.net/united-states) along the lines of how we improved our international aid report from our first release in December 2007 to our updated release in July 2009. This work will largely be done by Simon Knutsson, a graduate student who's going to be working with us as a contractor over the summer).
      3. Disease research. This work will largely be done by Holden and me. We've laid out some of our thoughts in a previous email: http://groups.yahoo.com/group/givewell/message/163
      We intend to complete items #1 and #2 this year. We're not sure how much of time we'll able to devote to #3, and completing items #1 and #2 will take precedence over #3.

      Update on plans for disaster relief

      Why disaster relief

      We believe that disaster relief is a good area for us to focus on because disasters generate a large amount of interest in the media and from donors who both (a) want to give and (b) don't already have a specific organization in mind to give to and are therefore looking for recommendations. If we do high quality research, this is an opportunity to influence a large amount of giving towards more effective options and an opportunity to engage in the conversation of how to think about effective giving at a time when there is significant attention. 

      In addition, we believe that many of the issues involved in disaster relief overlap with work we've done on international aid.

      We think that these reasons to investigate disaster relief outweigh the downside that based on what we know, we would not guess that disaster relief charities will offer donors a better option than giving to our top-rated international charities (e.g., VillageReach, Stop TB).

      What we've done so far

      First, we've blogged some of our thoughts about the Haiti disaster and disaster relief in general at http://blog.givewell.net/category/disaster-relief/

      Since then, we've reviewed the websites of 10 big-name organizations as well as sites that publish reports on disaster relief (e.g., http://www.alnap.org/) looking for monitoring and evaluation reports from their responses to the 2004 Tsunami. We did not find particularly useful information.

      We've also spoken with Saundra Schimmelpfennig (of http://informationincontext.typepad.com/) and Alanna Shaikh (of http://bloodandmilk.org/) to get their thoughts on the best ways to evaluate disaster relief activities.

      Some preliminary thoughts
      • Our goal is to be in a position to recommend an organization when a disaster hits. That means we have to find an organization that works in lots of different parts of the world. So, even though a local organization might offer better relief, it's not feasible for us to recommend one ahead of time. (It's also not realistic that we could evaluate local organizations in the day or so following a disaster.)
      • It makes sense to us to distinguish between two phases of the relief effort: (a) immediate relief to provide for basic, short-term needs (e.g., food, water, medical) and (b) longer-term rebuilding. 
        • My instinct (not Holden's) is that A likely offers donors a better opportunity than B as because A includes providing for very basic needs like health, food, water. My instinct is that long-term aid post-disaster could easily be a case of over-funded, "general" international aid projects.
        • On the other hand, it's possible that long-term aid for disasters provides for longer-term basic needs (e.g., roads, shelter) and is therefore likely to be more effective than "normal" international aid. There are people we respect who point to long-term aid as important and potentially under-funded relative to short-term aid: (see #4 at http://www.philanthropyaction.com/nc/advice_for_donors_to_haiti/)
      • We should be able to evaluate organizations based on (a) their focus on immediate vs. long-term relief, (b) documentation of past relief efforts (plans and evaluations reports), (c) country-level or regional plans for responding to future disasters, and (d) what they can tell us about their process for deciding to respond to particular disasters; deciding how much money to raise; and what they do if/when they receive more money than they can use.
      • We'll also considered "alternative" disaster-focused charities, for example, those that focus on disaster preparedness. This isn't an area we've looked into at all yet.
      Our plans

      Due to the fact that we want to find an organization we can recommend for disasters in different regions, we think the most likely place to start is with "big-name" charities like Doctors Without Borders, Oxfam, UNICEF, etc. 

      We're particularly interested in Doctors Without Borders (MSF) because of their past refusal of emergency response funds (they said they already had enough money raised); our understanding that they almost entirely focus their disaster response efforts on short-term relief; and they have a reputation for critical evaluation of their work (which may be indicated in the report of a program failure that earned them a 1-star rating from us).

      Our next step is to contact organizations directly and see what answers we can get. We've put together a specific list of questions to ask MSF (and others) on our MSF review page: http://www.givewell.net/international/charities/doctors-without-borders

      Alanna Shaikh who's going to be working with us as a contractor is going to be leading our research here.

      Please share any thoughts you have on our plans as we're at an early stage in this process and feedback would be very useful.

      Best,
      Elie
    • Phil Steinmeyer
      Good thoughts. I m glad to see that environmental charities do not make the cut at this time (they had been discussed previously). I think that environmental
      Message 2 of 6 , Mar 11, 2010
        Good thoughts. 
         
        I'm glad to see that environmental charities do not make the cut at this time (they had been discussed previously).  I think that environmental charities don't really fit the template of what GiveWell has done so far, and would introduce a lot of political messiness. 
         
        Disaster relief, US equality of opportunity, and, if possible, disease research all seem like good areas for GiveWell to explore.  Personally, I'm more interested in disease research than US equality of opportunity, but given the interests of a wide variety of donors and potential GiveWell readers, I can certainly see value in researching US equality of opportunity as well.
         
         
         
        ----- Original Message -----
        Sent: Thursday, March 11, 2010 11:56 AM
        Subject: [givewell] Research priorities and plans

         

        In this email, I want to give a brief overview of our research plans for the coming year and also update this group on our plans for one particular area of research: disaster relief. 

        Overview of our research plans

        Our research focus areas for the coming year are:
        1. Fleshing out additional areas in our international aid report. This includes (a) disaster relief, (b) a search for microfinance  institutions  (MFIs) in regions aside from Sub-Saharan Africa (the region we've looked at already), (c) looking into the causes of orphans and vulnerable  children and sex slavery and human trafficking, and (d) continuing to review high-potential international charities regardless of focus area as we come across them. This work will largely be done by Natalie and Alanna Shaikh (who's going to be working with us a contractor).
        2. Completing a more comprehensive evaluation of US Equality of Opportunity. This work is intended to build out the report that already exists on our site (http://www.givewell .net/united- states) along the lines of how we improved our international aid report from our first release in December 2007 to our updated release in July 2009. This work will largely be done by Simon Knutsson, a graduate student who's going to be working with us as a contractor over the summer).
        3. Disease research. This work will largely be done by Holden and me. We've laid out some of our thoughts in a previous email: http://groups. yahoo.com/ group/givewell/ message/163
        We intend to complete items #1 and #2 this year. We're not sure how much of time we'll able to devote to #3, and completing items #1 and #2 will take precedence over #3.

        Update on plans for disaster relief

        Why disaster relief

        We believe that disaster relief is a good area for us to focus on because disasters generate a large amount of interest in the media and from donors who both (a) want to give and (b) don't already have a specific organization in mind to give to and are therefore looking for recommendations. If we do high quality research, this is an opportunity to influence a large amount of giving towards more effective options and an opportunity to engage in the conversation of how to think about effective giving at a time when there is significant attention. 

        In addition, we believe that many of the issues involved in disaster relief overlap with work we've done on international aid.

        We think that these reasons to investigate disaster relief outweigh the downside that based on what we know, we would not guess that disaster relief charities will offer donors a better option than giving to our top-rated international charities (e.g., VillageReach, Stop TB).

        What we've done so far

        First, we've blogged some of our thoughts about the Haiti disaster and disaster relief in general at http://blog. givewell. net/category/ disaster- relief/

        Since then, we've reviewed the websites of 10 big-name organizations as well as sites that publish reports on disaster relief (e.g., http://www.alnap. org/) looking for monitoring and evaluation reports from their responses to the 2004 Tsunami. We did not find particularly useful information.

        We've also spoken with Saundra Schimmelpfennig (of http://informationi ncontext. typepad.com/) and Alanna Shaikh (of http://bloodandmilk .org/) to get their thoughts on the best ways to evaluate disaster relief activities.

        Some preliminary thoughts
        • Our goal is to be in a position to recommend an organization when a disaster hits. That means we have to find an organization that works in lots of different parts of the world. So, even though a local organization might offer better relief, it's not feasible for us to recommend one ahead of time. (It's also not realistic that we could evaluate local organizations in the day or so following a disaster.)
        • It makes sense to us to distinguish between two phases of the relief effort: (a) immediate relief to provide for basic, short-term needs (e.g., food, water, medical) and (b) longer-term rebuilding. 
          • My instinct (not Holden's) is that A likely offers donors a better opportunity than B as because A includes providing for very basic needs like health, food, water. My instinct is that long-term aid post-disaster could easily be a case of over-funded, "general" international aid projects.
          • On the other hand, it's possible that long-term aid for disasters provides for longer-term basic needs (e.g., roads, shelter) and is therefore likely to be more effective than "normal" international aid. There are people we respect who point to long-term aid as important and potentially under-funded relative to short-term aid: (see #4 at http://www.philanth ropyaction. com/nc/advice_ for_donors_ to_haiti/)
        • We should be able to evaluate organizations based on (a) their focus on immediate vs. long-term relief, (b) documentation of past relief efforts (plans and evaluations reports), (c) country-level or regional plans for responding to future disasters, and  (d) what they can tell us about their process for deciding to respond to particular disasters; deciding how much money to raise; and what they do if/when they receive more money than they can use.
        • We'll also considered "alternative" disaster-focused charities, for example, those that focus on disaster preparedness. This isn't an area we've looked into at all yet.
        Our plans

        Due to the fact that we want to find an organization we can recommend for disasters in different regions, we think the most likely place to start is with "big-name" charities like Doctors Without Borders, Oxfam, UNICEF, etc. 

        We're particularly interested in Doctors Without Borders (MSF) because of their past refusal of emergency response funds (they said they already had enough money raised); our understanding that they almost entirely focus their disaster response efforts on short-term relief; and they have a reputation for critical evaluation of their work (which may be indicated in the report of a program failure that earned them a 1-star rating from us).

        Our next step is to contact organizations directly and see what answers we can get. We've put together a specific list of questions to ask MSF (and others) on our MSF review page: http://www.givewell .net/internation al/charities/ doctors-without- borders

        Alanna Shaikh who's going to be working with us as a contractor is going to be leading our research here.

        Please share any thoughts you have on our plans as we're at an early stage in this process and feedback would be very useful.

        Best,
        Elie

      • Jonah Sinick
        Overall your research plans look good and seems coherent to me. One thing that I m unclear on is why disease research looks to GiveWell to be a potentially
        Message 3 of 6 , Mar 11, 2010
          Overall your research plans look good and seems coherent to me.

          One thing that I'm unclear on is why disease research looks to GiveWell to be a potentially strong opportunity to change lives relative to other causes. I'm not expressing skepticism, I just don't have a clear idea of what your train of thought on this point is. On the face of things, the estimate of $32,000 to save two lives of (> 64 year olds) and one life of a (< 64 year old) doesn't seem competitive with the VillageReach and StopTB figures.

          Is the point that you have an eye toward neglected tropical diseases which may be relatively cheap to develop cures for on account of having been...well...neglected? Or do you have in mind finding cheaper cures/immunizations which can be more practically implemented in poor countries where? Or the fact that improvements in medical technology will (hopefully) yield returns for many subsequent years, raising the number of lives saved/improved for a fixed cost (an effect which must be balanced against the fact that with the passage of time it's more likely that somebody else would have discovered a cure without additional funding?)
           

          On Thu, Mar 11, 2010 at 12:18 PM, Phil Steinmeyer <psteinmeyer@...> wrote:
           

          Good thoughts. 
           
          I'm glad to see that environmental charities do not make the cut at this time (they had been discussed previously).  I think that environmental charities don't really fit the template of what GiveWell has done so far, and would introduce a lot of political messiness. 
           
          Disaster relief, US equality of opportunity, and, if possible, disease research all seem like good areas for GiveWell to explore.  Personally, I'm more interested in disease research than US equality of opportunity, but given the interests of a wide variety of donors and potential GiveWell readers, I can certainly see value in researching US equality of opportunity as well.
           
           
           
          ----- Original Message -----
          Sent: Thursday, March 11, 2010 11:56 AM
          Subject: [givewell] Research priorities and plans

           

          In this email, I want to give a brief overview of our research plans for the coming year and also update this group on our plans for one particular area of research: disaster relief. 

          Overview of our research plans

          Our research focus areas for the coming year are:
          1. Fleshing out additional areas in our international aid report. This includes (a) disaster relief, (b) a search for microfinance institutions (MFIs) in regions aside from Sub-Saharan Africa (the region we've looked at already), (c) looking into the causes of orphans and vulnerable children and sex slavery and human trafficking, and (d) continuing to review high-potential international charities regardless of focus area as we come across them. This work will largely be done by Natalie and Alanna Shaikh (who's going to be working with us a contractor).
          2. Completing a more comprehensive evaluation of US Equality of Opportunity. This work is intended to build out the report that already exists on our site (http://www.givewell.net/united-states) along the lines of how we improved our international aid report from our first release in December 2007 to our updated release in July 2009. This work will largely be done by Simon Knutsson, a graduate student who's going to be working with us as a contractor over the summer).
          3. Disease research. This work will largely be done by Holden and me. We've laid out some of our thoughts in a previous email: http://groups.yahoo.com/group/givewell/message/163
          We intend to complete items #1 and #2 this year. We're not sure how much of time we'll able to devote to #3, and completing items #1 and #2 will take precedence over #3.

          Update on plans for disaster relief

          Why disaster relief

          We believe that disaster relief is a good area for us to focus on because disasters generate a large amount of interest in the media and from donors who both (a) want to give and (b) don't already have a specific organization in mind to give to and are therefore looking for recommendations. If we do high quality research, this is an opportunity to influence a large amount of giving towards more effective options and an opportunity to engage in the conversation of how to think about effective giving at a time when there is significant attention. 

          In addition, we believe that many of the issues involved in disaster relief overlap with work we've done on international aid.

          We think that these reasons to investigate disaster relief outweigh the downside that based on what we know, we would not guess that disaster relief charities will offer donors a better option than giving to our top-rated international charities (e.g., VillageReach, Stop TB).

          What we've done so far

          First, we've blogged some of our thoughts about the Haiti disaster and disaster relief in general at http://blog.givewell.net/category/disaster-relief/

          Since then, we've reviewed the websites of 10 big-name organizations as well as sites that publish reports on disaster relief (e.g., http://www.alnap.org/) looking for monitoring and evaluation reports from their responses to the 2004 Tsunami. We did not find particularly useful information.

          We've also spoken with Saundra Schimmelpfennig (of http://informationincontext.typepad.com/) and Alanna Shaikh (of http://bloodandmilk.org/) to get their thoughts on the best ways to evaluate disaster relief activities.

          Some preliminary thoughts
          • Our goal is to be in a position to recommend an organization when a disaster hits. That means we have to find an organization that works in lots of different parts of the world. So, even though a local organization might offer better relief, it's not feasible for us to recommend one ahead of time. (It's also not realistic that we could evaluate local organizations in the day or so following a disaster.)
          • It makes sense to us to distinguish between two phases of the relief effort: (a) immediate relief to provide for basic, short-term needs (e.g., food, water, medical) and (b) longer-term rebuilding. 
            • My instinct (not Holden's) is that A likely offers donors a better opportunity than B as because A includes providing for very basic needs like health, food, water. My instinct is that long-term aid post-disaster could easily be a case of over-funded, "general" international aid projects.
            • On the other hand, it's possible that long-term aid for disasters provides for longer-term basic needs (e.g., roads, shelter) and is therefore likely to be more effective than "normal" international aid. There are people we respect who point to long-term aid as important and potentially under-funded relative to short-term aid: (see #4 at http://www.philanthropyaction.com/nc/advice_for_donors_to_haiti/)
          • We should be able to evaluate organizations based on (a) their focus on immediate vs. long-term relief, (b) documentation of past relief efforts (plans and evaluations reports), (c) country-level or regional plans for responding to future disasters, and (d) what they can tell us about their process for deciding to respond to particular disasters; deciding how much money to raise; and what they do if/when they receive more money than they can use.
          • We'll also considered "alternative" disaster-focused charities, for example, those that focus on disaster preparedness. This isn't an area we've looked into at all yet.
          Our plans

          Due to the fact that we want to find an organization we can recommend for disasters in different regions, we think the most likely place to start is with "big-name" charities like Doctors Without Borders, Oxfam, UNICEF, etc. 

          We're particularly interested in Doctors Without Borders (MSF) because of their past refusal of emergency response funds (they said they already had enough money raised); our understanding that they almost entirely focus their disaster response efforts on short-term relief; and they have a reputation for critical evaluation of their work (which may be indicated in the report of a program failure that earned them a 1-star rating from us).

          Our next step is to contact organizations directly and see what answers we can get. We've put together a specific list of questions to ask MSF (and others) on our MSF review page: http://www.givewell.net/international/charities/doctors-without-borders

          Alanna Shaikh who's going to be working with us as a contractor is going to be leading our research here.

          Please share any thoughts you have on our plans as we're at an early stage in this process and feedback would be very useful.

          Best,
          Elie


        • Elie Hassenfeld
          I want to quickly respond to the points made by Jonah and Phil. Regarding environmental causes. This is still an area we do want to look into because it s one
          Message 4 of 6 , Mar 12, 2010
            I want to quickly respond to the points made by Jonah and Phil.

            Regarding environmental causes. This is still an area we do want to look into because it's one that a lot of donors care about and we would guess that we'll be able to offer some useful analysis.

            Part of the reason we've decided to delay on environmental causes is that we think that we will end up reviewing organizations focused on researching new approaches to reducing global warming, and thinking through the issues regarding researching research this year will help with that.

            Regarding Jonah's point about the case for disease research as a cost-effective option for donors. First, we recognize that donors have different philosophical priorities and some prefer to support people in the U.S. rather than those abroad. For this group (which in our experience is significant), distinguishing between disease research organizations will be useful. Second, we think there's a reasonable argument that strictly comparing the dollars-per-life-saved in Africa to the U.S. misses something -- for example, helping people in the U.S. may be more "leveraged" in terms of enabling them to help others across the globe.

            On Thu, Mar 11, 2010 at 4:45 PM, Jonah Sinick <jsinick2@...> wrote:
             

            Overall your research plans look good and seems coherent to me.

            One thing that I'm unclear on is why disease research looks to GiveWell to be a potentially strong opportunity to change lives relative to other causes. I'm not expressing skepticism, I just don't have a clear idea of what your train of thought on this point is. On the face of things, the estimate of $32,000 to save two lives of (> 64 year olds) and one life of a (< 64 year old) doesn't seem competitive with the VillageReach and StopTB figures.

            Is the point that you have an eye toward neglected tropical diseases which may be relatively cheap to develop cures for on account of having been...well...neglected? Or do you have in mind finding cheaper cures/immunizations which can be more practically implemented in poor countries where? Or the fact that improvements in medical technology will (hopefully) yield returns for many subsequent years, raising the number of lives saved/improved for a fixed cost (an effect which must be balanced against the fact that with the passage of time it's more likely that somebody else would have discovered a cure without additional funding?)


             

            On Thu, Mar 11, 2010 at 12:18 PM, Phil Steinmeyer <psteinmeyer@...> wrote:
             

            Good thoughts. 
             
            I'm glad to see that environmental charities do not make the cut at this time (they had been discussed previously).  I think that environmental charities don't really fit the template of what GiveWell has done so far, and would introduce a lot of political messiness. 
             
            Disaster relief, US equality of opportunity, and, if possible, disease research all seem like good areas for GiveWell to explore.  Personally, I'm more interested in disease research than US equality of opportunity, but given the interests of a wide variety of donors and potential GiveWell readers, I can certainly see value in researching US equality of opportunity as well.
             
             
             
            ----- Original Message -----
            Sent: Thursday, March 11, 2010 11:56 AM
            Subject: [givewell] Research priorities and plans

             

            In this email, I want to give a brief overview of our research plans for the coming year and also update this group on our plans for one particular area of research: disaster relief. 

            Overview of our research plans

            Our research focus areas for the coming year are:
            1. Fleshing out additional areas in our international aid report. This includes (a) disaster relief, (b) a search for microfinance institutions (MFIs) in regions aside from Sub-Saharan Africa (the region we've looked at already), (c) looking into the causes of orphans and vulnerable children and sex slavery and human trafficking, and (d) continuing to review high-potential international charities regardless of focus area as we come across them. This work will largely be done by Natalie and Alanna Shaikh (who's going to be working with us a contractor).
            2. Completing a more comprehensive evaluation of US Equality of Opportunity. This work is intended to build out the report that already exists on our site (http://www.givewell.net/united-states) along the lines of how we improved our international aid report from our first release in December 2007 to our updated release in July 2009. This work will largely be done by Simon Knutsson, a graduate student who's going to be working with us as a contractor over the summer).
            3. Disease research. This work will largely be done by Holden and me. We've laid out some of our thoughts in a previous email: http://groups.yahoo.com/group/givewell/message/163
            We intend to complete items #1 and #2 this year. We're not sure how much of time we'll able to devote to #3, and completing items #1 and #2 will take precedence over #3.

            Update on plans for disaster relief

            Why disaster relief

            We believe that disaster relief is a good area for us to focus on because disasters generate a large amount of interest in the media and from donors who both (a) want to give and (b) don't already have a specific organization in mind to give to and are therefore looking for recommendations. If we do high quality research, this is an opportunity to influence a large amount of giving towards more effective options and an opportunity to engage in the conversation of how to think about effective giving at a time when there is significant attention. 

            In addition, we believe that many of the issues involved in disaster relief overlap with work we've done on international aid.

            We think that these reasons to investigate disaster relief outweigh the downside that based on what we know, we would not guess that disaster relief charities will offer donors a better option than giving to our top-rated international charities (e.g., VillageReach, Stop TB).

            What we've done so far

            First, we've blogged some of our thoughts about the Haiti disaster and disaster relief in general at http://blog.givewell.net/category/disaster-relief/

            Since then, we've reviewed the websites of 10 big-name organizations as well as sites that publish reports on disaster relief (e.g., http://www.alnap.org/) looking for monitoring and evaluation reports from their responses to the 2004 Tsunami. We did not find particularly useful information.

            We've also spoken with Saundra Schimmelpfennig (of http://informationincontext.typepad.com/) and Alanna Shaikh (of http://bloodandmilk.org/) to get their thoughts on the best ways to evaluate disaster relief activities.

            Some preliminary thoughts
            • Our goal is to be in a position to recommend an organization when a disaster hits. That means we have to find an organization that works in lots of different parts of the world. So, even though a local organization might offer better relief, it's not feasible for us to recommend one ahead of time. (It's also not realistic that we could evaluate local organizations in the day or so following a disaster.)
            • It makes sense to us to distinguish between two phases of the relief effort: (a) immediate relief to provide for basic, short-term needs (e.g., food, water, medical) and (b) longer-term rebuilding. 
              • My instinct (not Holden's) is that A likely offers donors a better opportunity than B as because A includes providing for very basic needs like health, food, water. My instinct is that long-term aid post-disaster could easily be a case of over-funded, "general" international aid projects.
              • On the other hand, it's possible that long-term aid for disasters provides for longer-term basic needs (e.g., roads, shelter) and is therefore likely to be more effective than "normal" international aid. There are people we respect who point to long-term aid as important and potentially under-funded relative to short-term aid: (see #4 at http://www.philanthropyaction.com/nc/advice_for_donors_to_haiti/)
            • We should be able to evaluate organizations based on (a) their focus on immediate vs. long-term relief, (b) documentation of past relief efforts (plans and evaluations reports), (c) country-level or regional plans for responding to future disasters, and (d) what they can tell us about their process for deciding to respond to particular disasters; deciding how much money to raise; and what they do if/when they receive more money than they can use.
            • We'll also considered "alternative" disaster-focused charities, for example, those that focus on disaster preparedness. This isn't an area we've looked into at all yet.
            Our plans

            Due to the fact that we want to find an organization we can recommend for disasters in different regions, we think the most likely place to start is with "big-name" charities like Doctors Without Borders, Oxfam, UNICEF, etc. 

            We're particularly interested in Doctors Without Borders (MSF) because of their past refusal of emergency response funds (they said they already had enough money raised); our understanding that they almost entirely focus their disaster response efforts on short-term relief; and they have a reputation for critical evaluation of their work (which may be indicated in the report of a program failure that earned them a 1-star rating from us).

            Our next step is to contact organizations directly and see what answers we can get. We've put together a specific list of questions to ask MSF (and others) on our MSF review page: http://www.givewell.net/international/charities/doctors-without-borders

            Alanna Shaikh who's going to be working with us as a contractor is going to be leading our research here.

            Please share any thoughts you have on our plans as we're at an early stage in this process and feedback would be very useful.

            Best,
            Elie



          • Jason
            ... I think this is very interesting, and it s something that had not occurred to me until reading Holden s post about giving to Stop TB rather than
            Message 5 of 6 , Mar 12, 2010
              > Regarding Jonah's point about the case for disease research as a
              > cost-effective option for donors. First, we recognize that donors have
              > different philosophical priorities and some prefer to support people in the
              > U.S. rather than those abroad. For this group (which in our experience is
              > significant), distinguishing between disease research organizations will be
              > useful. Second, we think there's a reasonable argument that strictly
              > comparing the dollars-per-life-saved in Africa to the U.S. misses something
              > -- for example, helping people in the U.S. may be more "leveraged" in terms
              > of enabling them to help others across the globe.


              I think this is very interesting, and it's something that had not occurred to me until reading Holden's post about giving to Stop TB rather than Villagereach. His quote: "(a) I put more weight on preventing adult deaths than on preventing child deaths (and tuberculosis affects adults more than vaccine-preventable diseases do); (b) VillageReach works in the most remote areas, while Stop TB works in a great variety of areas. I prefer (all else equal) to help people in less remote areas, who I believe have more opportunities (for themselves and for helping others)."

              This is probably true and seems similar to what Elie is saying about "leveraged" aid. Just as I don't (and shouldn't) give equal weight to saving an infant vs. a 30 year old vs. a 90 year old, saving a subsistence farmer in rural Mozambique who will never contact anyone outside his village in his whole life is very different than saving a person in a western nation with potential to have a greater effect on the world. Think of Bill Clinton, who has now had a heart bypass as well as a cardiac catheterization at age 63. The world will almost certainly be better off having Bill Clinton around for a few more decades running his foundation, thanks to all that cardiovascular research we've been discussing.
            • rnoble@sas.upenn.edu
              I may have missed this issue being addressed and apolgize if so: I think most medical research is probably very cost-effective given a long enough time
              Message 6 of 6 , Mar 13, 2010
                I may have missed this issue being addressed and apolgize if so:

                I think most medical research is probably very cost-effective given a long
                enough time horizon. The discussion I've seen focuses on benefits to date.
                Once knowledge exists it will presumably be useful as long as the human race
                exists. Treatment of individuals on the other hand have their direct benefit
                only during individual lifetimes.

                Of course, the research will probably be done eventually anyway, so it may be
                that what you'd really want to estimate is the lives or quality of lives saved
                by doing it earlier rather than later.

                Greater uncertainty also comes in to play here too. Each individual research
                project is a gamble. It may be a total dead end. On the other hand a few
                projects may have huge benefits.

                Ok, end of my thoughts for now.

                Ron


                Quoting Jason <fehrjason@...>:

                >
                >
                >
                > > Regarding Jonah's point about the case for disease research as a
                > > cost-effective option for donors. First, we recognize that donors have
                > > different philosophical priorities and some prefer to support people in the
                > > U.S. rather than those abroad. For this group (which in our experience is
                > > significant), distinguishing between disease research organizations will be
                > > useful. Second, we think there's a reasonable argument that strictly
                > > comparing the dollars-per-life-saved in Africa to the U.S. misses something
                > > -- for example, helping people in the U.S. may be more "leveraged" in terms
                > > of enabling them to help others across the globe.
                >
                >
                > I think this is very interesting, and it's something that had not occurred to
                > me until reading Holden's post about giving to Stop TB rather than
                > Villagereach. His quote: "(a) I put more weight on preventing adult deaths
                > than on preventing child deaths (and tuberculosis affects adults more than
                > vaccine-preventable diseases do); (b) VillageReach works in the most remote
                > areas, while Stop TB works in a great variety of areas. I prefer (all else
                > equal) to help people in less remote areas, who I believe have more
                > opportunities (for themselves and for helping others)."
                >
                > This is probably true and seems similar to what Elie is saying about
                > "leveraged" aid. Just as I don't (and shouldn't) give equal weight to saving
                > an infant vs. a 30 year old vs. a 90 year old, saving a subsistence farmer in
                > rural Mozambique who will never contact anyone outside his village in his
                > whole life is very different than saving a person in a western nation with
                > potential to have a greater effect on the world. Think of Bill Clinton, who
                > has now had a heart bypass as well as a cardiac catheterization at age 63.
                > The world will almost certainly be better off having Bill Clinton around for
                > a few more decades running his foundation, thanks to all that cardiovascular
                > research we've been discussing.
                >
                >


                Ronald Noble, Ph. D.
                University of Pennsylvania
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