I'm a doctor working towards the dream that every human will have access to high quality healthcare. I'm a medic and director of OneDay Health, which has launched 53 simple but comprehensive nurse-led health centers in remote rural Ugandan Villages. A huge thanks to the EA Cambridge student community in 2018 for helping me realise that I could do more good by focusing on providing healthcare in remote places.
Understanding the NGO industrial complex, and how aid really works (or doesn't) in Northern Uganda
Global health knowledge
Thanks @mal_graham🔸 this is super helpful and makes more sense now. I think it would make your argument far more complete if you put something like your third and fourth paragraphs here in your main article.
And no I'm personally not worried about interventions being ecologically inert.
As a side note its interesting that you aren't putting much effort into making interventions happen yet - my loose advice would be to get started trying some things. I get that you're trying to build a field, but to have real-world proof of this tractability it might be better to try something sooner rather than later? Otherwise it will remain theory. I'm not too fussed about arguing whether an intervention will be difficult or not - in general I think we are likely to underestimate how difficult an intervention might be.
Show me a couple of relatively easy wins (even small-ish ones) an I'll be right on board :).
Thanks @SiobhanBall I've definitely learned a bunch too from the other perspectie. Was talking to a French Canadian today and he was telling me how he feels like he can now put a whole bunch of bullet points and ideas down, then AI can draft something that he knows is correct English. After that he modifies it to make sure it is actually making his arguments (because it often adds slightly different arguments) and to add some of his own voice. Makes a lot of sent.
He used to be too nervous because of English being his second language, but AI helped him overcome some of that fear.
Hey there yes that's a great review. I'm not sure how relevant to this development stuff it is though, because
I would love a similar review for development studies but I doubt there would be enough good quality research to do a similar comparison
Wow around 100 million each for Europe and USA is crazy low - really illustrates how important EA money is to this cause. In the global health world this amount could have been spent on 3 fairly useless USAID projects (but no more). 3 GiveWell orgs spend 100million+ each. Crazy levels of success on these small budgets for the last 10 years as well.
This is a big part of why I (and many other global health folks) voted for marginal dollars going to animal welfare, even though I'm hugely skeptical about animal sentience and welfare ranges.
Yeah to be clear i definitely don't think it can have anywhere near the mass public appeal hor positive effect as something like the civil rights movement. But I think he's already been partially proved right by the media response in the last week
My LinkedIn is blowing up right now with anti Open AI/pro Anthropic stuff
From the text itself, I think that i find compelling is
The positive media storm for Anthropic is bigger than I thought it would be.
Almost every major news network has featured them and almost all of it puts a halo on Amodei (which feels a bit icky but hey).
And every 4th post on my linkedin is along the lines of
"Claude hits no. 1 on App store"
"the idea that no big tech has morals is dead,"
"my 3 year love affair with GPT Is over"
"I made the switch to Claude and I'll never look back"
As much as refusing the govt. contact might delay their IPO and give their valuation a temporary hit, they could hardly have hoped for a better PR flood. Every new user that switches more only helps them but hurts their biggest competitor. It's also good timing for them because right now their product is probably better than Open AI's which wasn't the case a year ago and might not be the case 6 months from now.
It's still unclear whether this will be a good business decision as well as a "moral" one but I suspect it will.
Love this SO much. I agree with this mindset completely, and I think that enormous consumption reductions compared to the average Jo(sephine) can be made at very little cost to efficiency and life satisfaction, like you've stated. I agree it can be taken too far, but I think very few people do and its easier to course correct up a little in consumption than have to go back down.
Respect.
Where I live in Uganda, there's a huge amount of giving already - in fact depending on how you define giving, people use far higher percentages of their income on other people than most westerners. But it works very differently. Local giving fits into something like these 3 categories
1. Giving within families (the majority). I estimate 1/4 of our nurses' income goes towards supporting their family members with things like school fees, medical bills and even just cash for their paren Aspects of this system have has been pejoritvely called a "black tax" at times
2. "Patronage" giving. Politicians buy ambulances and put their photo on it, wealthy people sponsor orphans, Rich businesses pay for "health camps". Most of this giving is directly connected to the
work and life of the "giver" and buys them status and good will in their communities. I put CSR in this category too - A local microfinance company built a maternity unit for us a few years ago which is great. I would rate this giving as more effective than most Western Giving but obviously not EA level.
3. Religious giving. People give to support local poor people, local hospitals or prisoners because they believe its the right thing to do, and a responsibility. For example the local Pentecostal church sponsored sitting benches for one of our health centers, even though they have nothing to do with the health facility at all which was pretty cool.
I know countries like Nigeria do have somewhat of a "philanthropy" system in the western sense, but I imagine a lot of this is heavily connected to patronage too.
I have never heard of a local here giving money to an international NGO. That's completely off the radar. NGOs are usually seen as often ineffective sources of money for local people, not something that you would spend your own precious money on. How could you justify giving money to an org that pays someone an absurd $3,000 dollars a month when your cousin needs money for school fees? At least that's how I see the logic working.
I struggle to see how giving to animal welfare could plausibly fit these categories. I would doubt whether there are really any significant number of richer Africans who care about animal welfare enough to give money. But I only know the Ugandna context well.
Is that the argument? I've never seen that written on any org website or in an official announcement.
If that is the main argument then I think especially given the current fraught situation, that needs to be made explicit so we can have real discussions about whether that's a good idea or not. I would feel better if the 80k site said something like.
1."There's a good chance that OpenAI creates an ASI, and so it's important that they have a good safety team."
2. Open AI have repeatedly proved to be untrustworthy, to so if you work there you will need to have strong moral resistance to much of the rhetoric you will hear from inside the company. Otherwise there's s high chance you will forget the reason you joined and cease to be an effective worker for AI safety.
3. You'll need to be eyes wide open that working inside an org which you disagree with many of their objectives and where you can't share all your intentions will be emotionally and psychologically taxing.
I didn't do the best job there but you get the idea.
Also my objections aren't only about trusting the company or their decisions, it's about them proving themselves repeatedly to be a bad actor and having done a series of bad things! from sacking their EA influence, to dissolving the initial non profit founders intent, to now signing up to operate mass surveillance and autonomous weapons. I think the problem with this company is far bigger than policy and intentions.
Thanks for the update, and the reasons for the name change make s lot of sense
Instinctively i don't love the new name. The word "coefficient" sounds mathsy/nerdy/complicated, while most people don't know what the word coefficient actually means. The reasoning behind the name does resonate through and i can understand the appeal.
But my instincts are probably wrong though if you've been working with an agency and the team likes it too.
All the best for the future Coefficient Giving!