The GiveWell Blog

Our business is your business

The Clear Fund has no secrets. If I’m ever being a jerk about disclosing information, you can quote me on that.

I’ve just added a Board records section to the Clear Fund website. It includes a link to the full minutes and audio recording for our last Board meeting, along with all the written materials we used in the meeting. I was late to the meeting and out of breath, and I say many stupid things in the meeting, and those materials were for our use rather than public disclosure, but we’re publishing it all anyway. We’ll see what horrible things come of showing such weakness. I’m willing to take the risk; I figure that we’re taxpayer-subsidized to operate in the public interest, so everything we do should be public. Foundations, I am looking suggestively at you and coughing and clearing my throat violently right now.

So that stuff is sort of in lieu of a long blog post for tonight. I predict a doozy on Tuesday: I’ve spent a day combing through academic research relating to Cause 3, and after another day or two, I’m going to share my first impressions and opinions of what we should be looking for within this cause.

Diving in

As quickly and efficiently as I possibly can, I’m now trying to read up on our five causes, and ask the question: “What is the evidence – independent of particular nonprofits – for and against different methods of helping people?” Given the enormity of the topics and how little time I have, this is difficult, to say the least. That’s why I’d like to keep you posted and get thoughts from anyone who’s interested.

Here’s what I’m thinking right now:

1. I’ve been surprised by how foreign the question above seems to foundations and grantmakers. I’ve had long conversations with several major foundations known for “results-oriented” grantmaking, where I’ve asked this question, and have gotten referred either nowhere or to very general sites where I can start digging in. I’ve gotten practically no concrete statements along the lines of “We believe Method X is more promising than Method Y” (I got exactly one, and it was couched in about 200 caveats about how it’s just a generalization, and I’m not allowed to disclose to anyone what the generalization was or who said it). I would expect a foundation that makes grants in education to have written up its own opinions on what works (preschool? Tutoring? Longer hours? Teacher training? Etc.), with footnotes to the research that makes it believe this. We certainly will.

2. But, there’s certainly plenty of research out there to create this kind of writeup. More than I can realistically cover thoroughly in 2007. I’m doing the best I can to focus on very current research, and methods that are common among charities.

3. Causes 2, 3, and 4 are all very amenable to this sort of research, because “How do we fight poverty in the developing world?” and “How do we improve education?” are both discrete, established topics that academics like to fight over. Cause 1 and 5 is much harder: people tend to ask not “How can we save lives in Africa?” but “How can we fight malaria?” or “How can we fight AIDS?” If I went through all of these papers, I could eventually build up a picture, but I don’t believe I can find literature reviews that directly compare all the different ways of saving lives (for the record, the way I would do this would be to rely heavily on the triage approach). Let me know if I’m wrong. Cause 5 is a very similar situation: people argue about how to help ex-convicts and how to help substance abusers, but directly comparing the two (again, I would do this using the triage approach) seems pretty rare.

So, I’m going to focus my research for now on Causes 2-4; I’ll attack Causes 1 and 5 later, when we know who our strongest applicants are (in terms of their ability to report and evaluate what they do, our main criteria for Round One), and focus on comparing the specific strategies that our strongest applicants engage in.

Escaping the bubble

This blog has become part of a blogging “community.” We read each other, we refer to each other, we comment on each others’ posts, and we probably think of each other as the “other charity bloggers.” I’m talking mostly about:

I think all of the blogs above are intelligent, sometimes entertaining, and generally worth reading for a charity nerd such as myself. I like having people to respond to and people responding to me; being part of this community is been a reliable way to get dialogue, as well as pick up readers. That’s cool. But I have two major problems with this set of people.

1. It’s just too small, and I think the people are too similar to each other. That’s been driven home to me by Sean’s recent interview with William Schambra. Read it, if someone holds a gun to your head and forces you to. In brief, the participants are acting like the fact that this guy affiliates with “conservatives” rather than “liberals” means that this affiliation is the only thing worth discussing about or around him, that every word he says must be nothing more than snake oil designed to protect conservative interests. They’ve used their stereotypes to come up with ludicrous, implausible interpretations of his motives, rather than challenging what he says to get at whatever biases he does have. There’s no recognition that conservatives sometimes think about things other than cutting taxes and oppressing minorities (and that some conservatives support neither of these things). To me, that’s a sign of insulation from other points of view.

(Can you tell I’m annoyed? Guys, if you’re reading this, I’ll get over it. Here’s an e-hug: (). But I do think you’re insulated.)

2. More importantly, none of these blogs ever talk about how to help people, which is an odd quality for a group of “philanthropy blogs.” My original vision for this blog was as a place to discuss tutoring vs. charter schools, bednets vs. water pipes. It hasn’t happened so far, mostly because we had to halt our research on these issues in order to focus on the business side of The Clear Fund. It still may not happen for a little while, because I’m just starting to learn about these issues myself, and at this point anything I wrote about them would largely be in a vacuum. But as we shift our focus to research, I expect this to change.

So, I don’t want to ditch the friends I have, but I want some new ones too. I do read a ton of other blogs, but the only ones I know of that discuss how to help people are Beyond Philanthropy and the Google.org blog (which is showing early signs of flakiness). Any suggestions?

The triage approach

One of the things we need to do, as a transparent grantmaker, is to take the intuitions and biases that make us prefer one charity over another and make them explicit, so that everyone is aware (as much as possible) of the principles that drive us. I’m going to be doing this “out loud” on our blog; please bear in mind that what I write here is unfiltered and personal (i.e., I am expressing my own views, not those of The Clear Fund, whose short-term decisions involve Elie and whose ultimate decisions involve the entire Board).

As I explore different approaches to our five causes, I’m realizing that many of the most difficult calls to make are between organizations that serve fundamentally different populations with different needs – for example, how do you choose between an organization that provides job training for people right on the brink of employability and one that provides a comprehensive set of services for people with more complex issues (including substance abuse, mental health issues, etc.)? When I run up against these questions, the approach that keeps popping into my head is that of a wartime triage.

We’re all familiar with the idea of helping those who need it most, but when resources are scarce (as in wartime, and charity), that’s not all there is to it. As Wikipedia so helpfully explains, there are times when the protocol is instead to help people who have better odds of survival (i.e., people who need less help) – because more lives can be saved that way. That means diverting resources from most wounded to those whose injuries are more treatable. The question becomes not just “What will happen to you if I don’t help?”, but also “What will happen to you if I do?”

You might think a charity that seeks out people who need just a little help is “cherry-picking.” But to me, this seems like a great approach. If we have one set of people stuck in poverty for a simple, stupid, easily fixed reason and another stuck in poverty for a whole complex of reasons – it makes sense to focus on the first group first.

This is cold, of course, and it’s unnerving to think of things that way. That’s why you rarely hear the idea of “helping those who can benefit more easily” – it’s a concept reserved for the direst of conditions, when there’s really no other choice. But to me, the state of the world is exactly that. There are more people in need than we can help. We need to think of charity not as a service to ease our guilt or give us warm feelings, but as a war on suffering. That means making tough choices, and this general approach – help the people who can benefit the most from the least – seems like a good way of making them. Thoughts?

Philanthropy strikes back

If you’re here to read the latest update on the GiveWell project, see this post.

There are a lot of possible objections to my last post; to voice them, I’m bringing back our old friend, the Straw Man, for an exclusive interview.

Straw Man: When you say you prefer charity (helping individuals) to philanthropy (addressing root causes), do you mean you ALWAYS prefer short-term to long-term solutions, and that all research/advocacy/outreach programs should be illegal?

Holden: No. But I think there’s value in making charity the default mode, asking for a higher burden of proof before switching to more difficult and ambitious methods. I think most foundations go in the opposite order, jumping straight to “How can we wipe out this problem?” The two examples I gave in my last post seem like really good ones.

Straw Man: But don’t you think that by helping individuals, you’ll be perpetuating the very problems you seek to address??

Holden: How so?

Straw Man: Hang on, I’m still recovering from how cool I sounded just now. OK. There are a couple different arguments that charity perpetuates the very problems it seeks to address. First, the lefty one: by helping people, you’ll give the government an excuse to ignore them.

Holden: Are there any instances in recorded history where a popular social program lost support because of the argument that charity takes care of it? I doubt it, and here’s why. A charity isn’t a reasonable candidate to replace the government until it’s covering all affected parties (which generally is not a possibility, even in the long term) – and until that point, the charity’s successes are just evidence that more of its activities are needed. If a charity addresses 1%-95% of the needy population, and it’s clear that what it’s doing is working and that that 1%-95% is far better off for it, that seems to me like it helps rather than hurts the case for universalizing the program. Anecdotally, I’ve already seen this with NYC education – the state is willing to partner in “experimental” initiatives (small schools, for example) that already have some track record thanks to the voluntary sector.

“This is a great program, it clearly works, it’s clearly good for our society, but we shouldn’t allocate government funding to it because 501(c)(3)’s already have it covered” doesn’t sound like an argument that would fly in an actual political contest (let me know if there are any examples of this happening). It sounds like the kind of argument that people are afraid “other people” will be snookered by.

Straw Man: OK, now the righty argument that charity perpetuates the very problems it seeks to address. By providing people with free health care, education, etc., you remove the incentive for them to pull themselves up by their own bootstraps.

Holden: I don’t think I’ll ever understand where people get the idea that depriving someone of basic needs is a necessary, or appropriate, way to motivate them to work. All of the most driven, entrepreneurial, hard-working people I know have never had to worry about having food, shelter, health care, or education. In fact, most of them have never had to worry about anything much. People want more than they have, period (whether we’re talking about money, meaning, or anything else you get from hard work). So what if food surpluses mean farmers don’t have to grow food anymore? They’ll do something else useful – just like the rest of us who’ve never had to grow food.

Straw Man: But what about sustainability? By providing free medicine, we could be stopping programs that seek to provide cheap medicine. That’s not just a waste of money – it could be stopping people from providing services in much more sustainable, expandable ways.

Holden: This is a real concern. It’s one of many reasons that charity has to be researched carefully and monitored constantly. In fact, I think one of the questions any charity has to ask itself is, “How much can our clients pay for our services?” They should charge as much as possible, until the point where they’d be pricing out people who need help. And they should always be revisiting this question.

That said, leaving people to rot until/unless “the market” solves their problems is irresponsible. There’s no question that there are people out there who need help they can’t afford to pay for, and this fact isn’t going away anytime soon (especially if nobody’s providing them with the things every human needs to become self-supporting). Serving people who need help, while constantly reassessing how much they need it, seems like the only appropriate road to take.

Straw Man: So to sum up: you just like Band-Aids, and you don’t want to see real change in the world.

Holden: First off, every person helped is real change; secondly, I do want to see large-scale change, but I’d rather learn as we go than spend 20 years trying to implement an untried master plan. What I really want to see is a kind of “research” grounded in reality: donors simultaneously helping people and learning how best to help people, by documenting and discussing what they’ve done. This approach – transparent, heavily evaluated, results-oriented charity – can’t solve all our problems or fully replace direct assaults on “root causes,” but it has the potential to build the evidence and knowledge we need for enormous changes, as well as making sure that we’re doing some actual good along the way.