The GiveWell Blog

Thank God I don’t have HDTV

(updated on: ) | by Holden

Corrective surgery organizations love to make generalizations: $250 can save a child’s smile, $10000 makes children smile for miles, smiles are magical, frowns are a leading cause of death, etc. I asked the organizations I was looking at for more details, because there are all kinds of ways that numbers like that can be ambiguous … when I’m quoted $250 to fix a child’s cleft, does that include overhead? Donated supplies? Is it an average, or is it what I would actually be funding with a donation? Is it just for the initial surgery, and is that initial surgery enough to make the child smile/be functional for life?

My questions got a variety of responses, from actual information (more detailed budgets, information on followup surgery, etc.) to hostile accusations (I’ll talk about that one later) to … a movie (“In response to your request for added info, I wish to mail you a DVD”). Well, I’m a sucker for movies, so I was pretty pumped about this, and even talked myself into how a movie can capture what you can’t put into words etc. When the DVD arrived, I insisted to my GiveWell buddies that we get out some pretzels and watch it together.

Within seconds, the room was filled with moans: “Holden, what the !@#$?” “You’re going to give me nightmares, you !@#$!” “What are you making us watch?” I should have seen it coming, really. There has often been a disconnect between what I want to see and what nonprofits want me to see, but this is as big as it’s gotten, because I most definitely do not want to see this, and that movie was nothing but slide after slide of it. I went easy on you with that link, too–we were looking at closeups, surgeries in progress, the whole deal.

“Look, the guy told me to watch this video, he saw the questions I was asking, there must be something useful here,” I pleaded. “Just let me fast forward.” I fast-forwarded through more horrifying pictures, and more, and more … and we realized that we were basically looking at rotten.com, and there was no end in sight. Finally, with about 2 minutes left in the 10-minute video, we started seeing post-surgery pictures: smiling children with little scars on their lips. Great. I shut off the video and took out the DVD, which we voted to destroy.

Having a cleft sucks. I get it. Worse than not looking good is a host of other problems: feeding difficulties leading to malnutrition, speech defects, and societies that are often superstitious and ostracize deformed people in ways that the developed world doesn’t. I’ve been told that Chinese children with clefts are commonly left by the side of the road; on other regions, they’re believed to be supernaturally evil and are feared and shunned; in most places, they don’t go to school at all. I don’t need to spend 10 minutes trying not to puke up my dinner to understand this. I’ve moved on from “Can you have a reasonable life despite a cleft?” (you can’t) to a host of other questions about cost-effectiveness of methods, needs for followup surgeries, and most importantly: what ultimately happens to a person who gets his/her cleft fixed? What kinds of lives are made possible by these nonprofits’ activities?

With some exceptions, cleft nonprofits don’t market around these questions; they market around before-and-after pictures. It’s what I call Guilt Marketing: making someone feel bad, and reach for their wallet to ease the pain. It’s the wrong reason to give to charity. If you think of giving as something you have to do, you’ll treat it the same way you treat other things you have to do, like homework or taxes: you’ll wait until someone asks you to do it, and then you’ll basically do what you’re told.

I don’t think of charity as an obligation—none of this stuff is my fault, or yours—but as an opportunity, a chance to buy a better life for someone for about the same cost as a PlayStation. And just like buying a PlayStation, this is a decision I can’t make based on a picture.

Nice to meet you

(updated on: ) | by Holden

I’m Holden, and I’m the guy who will be making sure this blog gets updated twice a week (Tuesday and Saturday) at a minimum. So if you’ve been wishing there were more blogs to read, you’ll be getting to know me well. Right now I’m talking to no one, because we haven’t told anyone about the blog launch, but we’ll start tomorrow with friends and relatives and it shouldn’t take long before we’re outdrawing Deadspin.

We’re starting the blog for a few reasons. One is transparency. One of our biggest frustrations in researching the nonprofit sector, and figuring out where to give our money, is that we generally have no sense of what the heck is going on at these places. For a great example, I’ll pick on Oxfam: look at their website and you’ll see a mind-numbing array of regions, programs, examples, and vague descriptions, but it’s almost impossible to picture what people are literally spending money your money on over in, say, Bolivia, and totally impossible to picture what’s happening at the Oxfam office–how are they deciding what to do? What’s going through their heads? You won’t have this problem with GiveWell: this blog is going to be way more information on how we think than a reasonable person would want.

Hopefully you’ll read it anyway, because you like reading random stuff, which brings me to the second purpose for the blog: to keep people interested in our project, despite slow progress on our main website (which represents researched and edited content, and just can’t change as fast as your favorite websites tend to). Personally, I know that no matter how pressed for time I am, I still read random crap online. Now I want to be your crap.

“But why would I read this? I like reading about sports and sex and high-fiving. This is about charity.” Well. That statement of yours comes from a mentality I hope to change, which is the third purpose of this blog. A lot of people–not everyone–seem to hold various impressions of charitable giving that don’t make any sense to me. This include things like “giving to charity is an act of self-sacrifice,” “no one helps others without ulterior motives,” “you can’t devote your life to charity until you’re disgustingly wealthy and have nothing else to do,” “I don’t have enough money to make a difference,” “There’s no point in giving if I don’t make a difference,” and “charity is all about the goodness of your heart.” I’ll go into my gripes with all of these thoughts, in depth, in later entries. For now I just want to put it to you that I think deciding where to give is a huge, challenging, fascinating problem. I like to think about it, yap about it, and argue about it. I think it’s a topic that can be funny, weird, and fun. I hope you’ll read this blog and end up agreeing.

So bookmark this page, or add it to your RSS feed (if you have no idea what this is, check this out). And bookmark the actual website of GiveWell, too. So far this project is just a bunch of friends doing research in their spare time, so progress will be especially slow in the near future; but in a few months, I’m going to be leaving my job to work on it full-time, and then, well … let’s just say malaria shouldn’t be getting too comfortable. Meanwhile, we want your opinions on everything, so please share, even if the only person you are at this point is my mom.