The Simplest Way to Save Lives With Your Money | The Ezra Klein Show
1850 segments
It's holiday season [music] and in the
holiday season here at New York Times
Opinion, Nick Kristoff many years ago
kicked off [music] a tradition which I
love. It's one of my favorite parts
about being here where different
columnists and parts of the organization
[music]
offer up their recommendations for
giving trying to make people aware of
charities, philanthropies they might
want to support where money that they
can spare [music] might do a tremendous
amount of good. In my personal giving,
every year I give [music]
some of the money I'm giving to a local
charity, but then I give a lot of it to
give [music] well of every organization
I know of. I have the most [music] trust
in them to vet, to run the experiments,
to read the research, to really figure
out where my money [music] will go the
furthest in helping other people. Give
all has not been around that long, but
in the time they've been around, they've
become a [music] pretty big channeler of
givers funds for this exact reason
because a lot of people trust the work
they do because it is so transparent
because it is so rigorous. Billions of
dollars have ended up [music] being
given through them. And so I am
recommending that if you have money to
spare, you consider giving some of it
[music] through Give Well, which you can
do at givewell.org.
But I thought as a way to talk about
this, rather than writing a column, I
would [music] have Ellie Hassenfeld,
Gwell's CEO and one of its founders on
the show to talk about how Give Well
started, how it does its work, how it
makes some [music] of its very arguable
and very difficult decisions in terms of
what to recommend and what not to
recommend, and how givers [music]
themselves should think about donating
money, to whom, to where, and under what
conditions. [music]
as we all sort of wrestle with how we
can do a little bit more good in a world
that needs a [music] lot more good done.
As always, my email, Ezra Kleinshowny
Times.com.
[music]
Ellie Housefeld, welcome to the show.
Great to be here. So, I want to start a
little bit before your work at Gwell.
When I was looking into this show, you
studied religion at college, which is
not what I would expect necessarily from
somebody who goes on to work at a hedge
fund and then become an apostle of
costbenefit analysis and randomized
controlled trials. So, religion, why?
>> I think in an alternative life, I'm not
doing what I'm doing here at Gwell and
instead I'm a academic studying the
Talmud. It was something that at the
time I was incredibly interested in. And
in college, I spent a lot of time in
Talmud courses, studying other religious
texts and Judaism and otherwise. And I
just found it incredibly fulfilling and
interesting to think about how people
had tried to answer questions about
their lives.
>> What is the Talmud for people who don't
know? And what did you learn from
studying it? It's a huge compendium of
Jewish ideas and thought from roughly
the 500s of the common era. And I think
the thing it taught me most is how
challenging it is to know anything. uh I
spent about a year just studying Talmud
and in that year after high school it
was the it was the first time that I
think I had a really challenging
intellectual experience where I wasn't
able to understand the the text and the
content that I was trying to and uh but
nevertheless found myself drawn to
understand it and to deal with the
layers of challenge that the the text
presented and spent a year doing that.
And then when I was in college, I would
say that this was my main
extracurricular activity outside of
school was spending several hours a day
uh studying studying Tolmood and
thinking about whether that is something
I would do as a career and ultimately
realized it wasn't the right fit for me.
>> And what you move on to is Bridgewater,
a very unusual hedge fund. How what is
that movement for you?
You know, sometime I as I moved through
college, I was thinking about what my
career would be and had the opportunity
to have internships in many different
places. So, my parents are both lawyers.
I got to work at a law firm. That
convinced me not to go to law school
because I didn't think that would be
that would be right for me. I was able
to get a job in finance at a small
company and they were they were
essentially selling research to the big
banks and just trying to figure out how
to ac succeed as an organization. And
because of that, they were willing to
give me, a 21-year-old college kid, a
lot of leeway to try to do things and
help the company grow. That experience
of being in a place where I was needed
and able to do something interesting and
challenging motivated me to look for
jobs in in finance coming out of school.
And so I went to, you know, I was able
to get a job at Bridgewwater Associates,
which in 2004 when I graduated college
was not wellknown at all. Uh, everyone I
talked to said, "Don't don't go work
there. You know, go work at a well-known
investment bank. that'll be better for
your career. But when I interviewed
there, they they asked me about my
senior thesis, which I was a religion
major, so it was about martyrdom in
medieval Islam, Judaism, and
Christianity. And we talked about that
for an hour, and I got a call back. And
it was one of the few places that that
called me back as a you might not be
surprised to hear that religion majors
don't often do so well interviewing for
finance jobs. And because of that, I
thought that this place, Bridgewwater,
was just uh one of the more interesting
places to go work. and I was grateful to
be able to work there.
>> So it later becomes fairly wellnown
because it's Ray Dallio's hedge fund and
Dalia of course is a a sort of I know
public finance intellectual now but had
a very strange and famous management
style. What was working at Bridgewater
like for somebody who doesn't know much
about it? What is unusual about working
at Bridgewwater in that time?
>> So so what Bridgewater is known for is
its culture of [snorts]
radical transparency. just saying what
you think, sharing that with other with
your colleagues, not worrying too much
about how you say it, but just saying
what you believe. And then over time,
>> more about how they'll feel about it
>> or how they'll feel about it. And over
time, Rey developed these principles
that were passed out inside the
organization. The way I described it to
my friends at the time is it felt to me
like working in almost an academic
environment. People didn't wear fancy
clothes. They argued a lot about ideas.
uh you know sure there were ways in
which um I think the culture wasn't
ideal for many you know it was a place
where it was more about getting things
right and then worry about people's
feelings later and if that wasn't the
right fit for you then people moved on
but for me it was an extremely valuable
experience and and the thing that I
appreciated certainly as a young person
in my early 20s is I would go to my boss
sometimes and he was one of the heads of
the company and say hey I think you're
wrong about this and he would listen to
me and not you know sometimes I was
wrong Sometimes I was right, but just to
be taken seriously early in your career
was uh so valuable. It's something I'm
really grateful for them for providing
me.
>> What did you actually do there?
>> I worked in the research department for
a year. So that meant thinking about uh
investment decisions and then move to
the trading or the execution department
where the job was to try to put trades
into the market in a way that didn't
push the market too far in the direction
that we were going. I I think this is
relevant to what you end up doing
because when hedge funds, investment
banks, you are trying to understand a
company, a sector,
uh quirk in the market
at a level where you can make a trade
other people will not make and you'll
lose a lot of money if you're wrong. So,
how does a religion major coming out of
college, what is the pathway to having
something of any value to say when
you're, you know, whatever it is?
>> I think the core the core idea that was
true then and I think has carried
through in give well and in my life
today was, you know, first in order to
make decisions about what to do in the
world, we have to understand the world
accurately. And for a hedge fund,
understanding reality is really key. If
you're right, you make money. Or you
can. If you're wrong, you tend to lose
money. And so the stakes of getting to
the quote unquote truth are very high.
Part of that is you have to be careful
not to fool yourself. So one of the
things that investors do is they have an
idea about what might perform well in
the market. And then you can say, well,
how well did this idea perform
historically? And you can back test the
idea. And when you do that, you have to
be really careful not to fool yourself
and fit your idea to the past. Instead,
you have to ask this question.
>> Wait, can you describe what that would
mean?
>> So, you might say uh like a simple rule
like let's say when I'm going to make
something up uh that's entirely
fictitious, but you know, let's say if
oil stock if oil prices go up, then
train stocks go down because an input
into railroad costs is the price of gas.
And so when you know the input cost goes
up, the performance will be poor. And
you could try to look at this
historically and say, let's say we
tested this going back. Would this have
been a successful strategy in the
market? The challenge is it's very easy
to convince yourself that you should
tweak your rule in one way or another to
enable the idea that you have to perform
uh on the back test, but you don't want
to do that cuz you only want to bet
money on this idea if it really will
work. So you're working at Bridgewwater,
a hedge fund, I would say one of the
more inquisitive industries that exist.
Where does the interest for you, where
does the the glimmers
of giving as a pursuit and giving
differently come from?
I've been there for a couple of years.
Uh my friend had a friend there, Holden
Carnowski, and and he and I just started
realizing, you know, we have we're
young. We don't have high expenses.
we're saving some money. Let's try to
use some of this money to to help
people. And so back in the summer of
2006, he and I and a few others got
together and said, "Let's just work on
figuring out where where we'll give by
the end of the year." You know, few a
few thousand dollars. [snorts]
And it was in that process with that
group of people that we learned a few
things. You know, first we learned it's
really hard to get answers about what
charitable organizations do and how well
it works. Uh number two, I just found
myself,
you know, somewhat obsessed by this
question of where should we give? You
know, at the time I knew very little
about what the lives of people around
the world were like. It's not something
I'd studied. It's not something I knew
much about, but learning about the
challenges accessing water or disease,
it was just a very motivating motivating
topic to work on. I I remember this
night in probably December of 2006. I
was up at 2 or 3 in the morning reading
academic papers about diarrhea in
Africa. If you find yourself reading
about diarrhea at 3:00 in the morning,
you know you found something that is
you're really drawn to. And so after
working on this essentially part-time,
Holden, my co-founder and I left
Bridgewater and started Give as a
full-time project back in the summer of
2007. Two things in there. One is the
impulse to start looking for
the effectiveness data on the charities
you might support. Not to just say we're
going to, you know, give the money to
Doctors Without Borders. We're going to
give it to UNICEF, right? There there
are big charities out there. We've all
heard of them. There was Charity
Navigator, which is something that I
used when I was younger.
And and also what happened, what you saw
when you began looking.
We just started asking some really basic
questions and the answers we got back uh
were shocking. So we we each researched
a different cause. I decided to research
the cause of water in Africa. I'd call
up first we looked at Charity Navigator
and at the time Charity Navigator
essentially just reported financial
metrics. So it said this is the amount
of money that's spent on overhead versus
programs and fundraising. And while this
measure can tell you that a charity is a
scam or not, it's it's not going to tell
you whether the program is actually
working. Let's say the charity spends
all its money digging wells, but those
wells disappear a year later. They fall
into disrepair. Well, that's not a very
effective use of funds, even if all of
it was spent on programs. And so we we
knew that Charity Navigator wasn't
giving us the answers. I called the
organizations up and asked them, "Well,
so so what do you do? What do I get if I
give you money?" And they said, I
remember this $20 provides a child water
for life.
Great. That's amazing. I would love to
give to that. Uh what do you mean? Like
how how does that work exactly? What
does it pay for? And how do you know?
And at that point, it's like the
conversation fell flat. They they just
didn't have answers. What what they
actually said was, "We don't get
questions like these from our
million-dollar donors." And it it was
this light bulb like this light bulb
went off that you know almost no one was
asking these questions.
>> Were they annoyed by you?
>> Uh some of them were annoyed by us. One
organization
accused Holden of being a spy for a
rival organization. He had asked how
much money do you spend in each country?
And that question would they could only
imagine it would be asked if he had some
nefarious purpose. And so I I think they
were annoyed. I mean, we were what, 25
at the time, so I'm sure we were
annoying, but we really saw how
neglected this area was. And it really
motivated us to start Give Well.
>> What's striking to me about the way you
approached it is that
you even had the intuition
that maybe you would give to a charity.
And what you were doing was making a bet
in the same way that when you're
trading, when you're trading, the bet is
supposed to make you money. When you're
giving to a charity, it's supposed to
improve lives.
>> In some ways, this basic question of
what is true, how can we know that it's
true? How can we assess the empirical
[clears throat]
data and evidence that we have to make
the best decisions? I mean, that's
exactly what Give Well does in a very
different way, in a very different
context, but it's bringing that same uh
commitment to rigor and truth seeeking
to bear on trying to answer questions
about what we should do in the world.
What are the things that in your view
most commonly stand in the way of
organizations? Organizations that care
deeply about their mission or have
financial or otherwise skin in the game
from finding truthful answers.
Organizations or for that matter
individuals.
I mean I think there's two big things
that happen and there's many more that
are downstream. First is as an
individual running an organization, you
have an incentive for your organization
to succeed and [snorts] it's very
difficult to look for information that
would mean your organization is not
succeeding or shouldn't receive money.
uh it it's just it's it's it's not I
think it's not realistic to expect
someone who say is running an
organization that you know delivers food
in a way that is very cost inefficient
to determine that they should shut that
program down and move on to something
else. That's just not how human beings
operate. And I think that's completely
completely understandable. And then I
think the second challenge
um is that in order to make good
decisions about where to put money, it's
very helpful to have a a broad
perspective. If you're focused on, let's
just say, an inefficient delivery of
food aid, you're not going to be
thinking about the role that a malaria
vaccine could now have and whether you
should be in fact delivering malaria
vaccines instead of delivering food aid.
And so I just think the place that most
people sit in the let's call it the
nonprofit economy makes it implausible
that they would take this kind of
perspective. I think that when I was
younger and giving to charity, I didn't
really think at all about the idea that
the money could fail.
And I mean these are good people.
They're trying to do something hard. You
know, they're out there working on the
ground. The idea that you might just
give money to some of them and that
money would be useless, I actually think
until later on didn't really occur to me
deeply.
What was the intuition that led you to
treat money given to charity as money
that could fail? I don't I don't know
what, you know, led us to have that
realization. And what I remember is it
was at a time when, you know, you would
go to CNET on the internet for ratings
of printers if you wanted to know which
printer to buy. And it it almost seemed
intuitive that you should be able to get
the same kind of information about any
way that you would spend money,
including about charitable
organizations. And in many ways that was
the initial vision for give well which
you know we've evolved far from today
but the initial vision was a place that
donors could go and just get information
that is as good about where they'll give
as they could get at the time about
which computer to purchase or which
printer to buy. And it just seemed
it was it was offensive in some ways
that that didn't exist for charitable
organizations. You know, I think a lot
of the focus that people bring to
charity is is on the donor. It's saying
to, you know, donor, you should be
generous. And then when you're generous,
that's that's success. And of course,
what that misses is that the person who
you should ultimately be focused on is
is helping someone in need. That that's
the goal. Uh, you know, I think that
what, you know, what what really is
important to remember is is both the
fact that you can fail to help the
person in need and and that happens all
the time, but also that charitable
giving isn't just a nice thing that a
donor can do. It's a very practical way
to make the world a better place that
you can give and save lives. And and
this has been, you know, it's clear and
demonstrable that supporting public
health programs has this kind of impact.
That point about the focus being on the
donor is interesting. So in the
tradition you and I share, the Jewish
tradition, there's this idea of Saddaka.
And I remember being in Hebrew school
when I was young, going around with a
little Saddaka box and collecting, you
know, coins. And I think it went to at
that time UNICEF.
And and being taught that there were,
you know, different levels of saddaka.
And the highest level was when nobody
knew you gave and you did not know who
you gave to because that level was
selfless in both directions. you you
were not expecting gratitude. You were
not expecting prestige. Uh I do wonder
if some of it comes from the history of
of of charity and generosity as among
other things a spiritual practice.
You're trying to [sighs]
uh develop a certain facility
inside yourself as a virtuous and
spiritually alive person. The idea that
you'd be coming behind that money and
checking up on it, I think would be seen
in some ways as intention
with the attributes you were trying to
cultivate. When the focus of charitable
giving is on the generosity of the
donor, then those sorts of that
framework makes sense. And then there's
this alternative way of seeing the
world, which I think is more intuitive
to us in modern times than perhaps it
was 3,000 years ago, which says we we
know that we can make the world a better
place. The world is a much better place
in my opinion today than it was 3,000
years ago. We we do that via improved
technology. We argue about the best
political systems and what policies we
should have. And now I want the argument
that I'd like to bring forward is that
charitable giving is one more way that
each of us can take action and make the
world better. and and when you see it
from that perspective, it's critical to
think about the effects that the
programs have where you can get as much
uh impact as possible and also how to
avoid failure. So you and Holden split
off from Bridgewater, you create give
well. You begin trying to gather this
data,
begin trying to figure out even how you
would make recommendations. How do you
start? The idea we had is that when we
were individuals giving a few thousand
dollars, it was hard to get information,
but with some of the funds that we were
we put together to start Give Well
full-time heavily [snorts] from our
former co-workers at Bridgewwater. We
could incentivize organizations to share
data. We started by offering small
grants that organizations applied for.
Uh I think at the time we offered
several $25,000 grants. Organizations
would send us data. And what we learned
in that first year after we we
recommended our first round of
organizations is that while we needed
some data from organizations, what was
really critical in pushing us to make
recommendations was this huge trove of
academic information about what works to
help people overseas. So these are often
rigorous randomized control trials of
health programs uh like distributing
mosquito nets or provision of needed
vaccines.
Who are these academics doing this work?
Because on some level, it's weird work
to do to say to yourself, well, I'm
going to see if giving a family a cow
really does help them in 5 years.
Where where is this early
evidence coming from and what kinds of
weirdos are collecting it? Well, I mean,
there's there's different fields that
you know whose information we rely on.
One is the the public health field. So
people asking questions like how
effective are mosquito nets or how uh
what impact will we get from vitamin A
supplements delivered to young children.
This is coming out of of public health.
And I remember actually speaking to one
of these malaria researchers who told me
at one point early in his career he had
sat on the beach in Tanzania and just
let mosquitoes bite him because they had
to count how many bites he would get in
in some amount of time sitting on the
beach. So certainly people who were
themselves willing to go to great
lengths and risk personal harm to create
the information we rely on. And then
separately, there's a movement in
development economics around randomized
control trials where people are trying
to not just assess the health effects of
programs which are often more
measurable, more easily measurable, but
the economic effects of programs like
micro finance or provision of livestock
or even just giving people cash to let
them spend how they want. And this this
movement in the 90s and early 2000s in
in many ways I think of as uh being an
intellectual forebearer to give well and
you know I think we're in in our debt to
all the work they did because they
really helped generate many of the ideas
that we've taken forward.
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speed test intelligence data 125. How do
you think about freeing yourself from
the very natural human tendency to think
along with your group? I do find people
in finance or venture capital tend to be
trained to look for places where the
consensus might be wrong. I I mean at
the hedge fund level what everyone else
thinks on some of you if you only think
what they think you're not going to make
money. But I think there's also this
dimension, and I feel like this is
important to the work you all end up
doing at Give Well, where there are
things that that are comfortable to
think um stories we like to tell
ourselves or are moved by and the way in
which we can get wrapped up in
those sort of more emotionally driven
approaches or socially driven
approaches, right? You know, everybody
like you supports this kind of charity.
everybody like you knows that you know
the economy is going to be bad next
year. I
>> I mean [clears throat] the the ask that
I would make of most people is is not to
try to break away from the norm in an
extreme way but instead
you know there's this idea that that you
know that I have that many have this
traditional idea of giving 10% of your
income to charity. It doesn't ask you to
give
>> very old religious idea.
>> Old religious idea tithing.
>> And so it's it's not giving 90% or even
50%. It's it's 10%. And I think in the
same way, you know, if you're if someone
is supporting local causes, if they're
supporting programs that are meaningful
to them, one one step to take is just
move away by 10%. and move towards, you
know, if if you want the causes that we
focus on helping some of the poorest
people in the world, uh, with with 10%
of your focus and energy. And I think
that that 10% move is one that is
available to many people.
>> So, you're you're pointing towards a
very particular intuition people have,
which is that we all get wrapped up in
local causes. And I want to say for my
giving, I sort of give in a couple of
different buckets. And one is very
local, right? that I believe I have a
particular responsibility to the
community I am part of. Uh but there's a
tendency for the stories that you know
and are near you and people who know you
tell you to overwhelm the sort of
diffuse questions of global malaria or
vitamin deficiency. How did you travel
that path? Because my understanding of
when you began in this you began locally
as well. Uh when when we started, we
were based in New York. Now we're based
in the Bay Area, but we were looking
both at causes focused on New York and
causes focused overseas. Um I think the
first donation I ever gave was to a New
York-based organization called the
Harlem Children's Zone, you know,
well-known local organization helping
disadvantaged children in the New York
City area. And what we learned after
that first year of work at Give Well,
was just how far a dollar can go
overseas. And then I I think there's a
little bit of a in some we know this,
but it's a little bit of a a figment of
our imagination that the people who we
see every day are are really closer to
us in some way. Uh last summer, uh I
traveled to Malawi and this was just to
[snorts] see the the types of programs
we support, to speak with people who are
there, and they're they're far away.
It's true. But with 36 hours of flying,
I I can sit as close to them as I'm
sitting to you and ask them about their
lives, what they're struggling with,
what they're dealing with. And then in
the same way that in at home, I can see
someone who's in need in in sitting
across from someone in Malawi, I hear
about their struggle to have food the
days they went without eating, the the
mother who tried to bring her child to
the local clinic, but uh she had to
carry her child for an hour on her back
and then the clinic didn't even have the
drugs in stock. And I can also talk to
the parents who in a maybe a way that's
very familiar to to me, maybe to you,
are struggling with a new second grade
math book because they're teaching
arithmetic in a different way now in
Malawian schools than they did when she
grew up. And so she doesn't know how to
help her child with the math because
it's different than what she did. And so
being there, you know, on one hand,
there's the analytical argument that a
dollar goes further, and then I think
there's just the reality that uh people
in Africa aren't as far away as we
sometimes think. They're really there.
you can go and talk to them.
>> I think it is profoundly difficult as a
human being to live as if other people's
lives are as real and as valuable as
your own. [gasps]
There is a vividness to us and the
people right around us. I don't mean
necessarily in our community. I mean our
family, our friends, people whose
stories interweave with our own. and to
really treat people further from that.
You know, somebody fleeing from gang
violence in Honduras or just somebody
struggling at subsistence level labor in
another country to to treat their life
as if it is as real as yours to really
believe that not just say it. In some
ways, I don't think human beings are
wired for that. But but it does strike
me as a a a a genuine like emotional and
spiritual challenge.
>> And I'm not sure that that's what we
should be really aiming for because I
don't think it's possible. If if if we
felt like other people's lives were as
important as our own, we wouldn't be
talking about giving 10%. We'd be giving
far more. In the same way, I don't think
it's reasonable to ask expect to even
want parents to treat their children
equally to all other children in the
Would we want a society where all
parents thought of their their own child
exactly the same way as as every other?
I don't think that's a realistic
expectation.
>> No, that'd be inhuman.
>> And so, well, quite literally. And so, I
think this and so I think sometimes, you
know, the ideas of that that come from
people who say, you know, you can give
more and there are needs overseas. It
sounds like someone is saying you you
must or you're bad if you don't or you
should give everything away because look
at the great need. And in some way we
must accept that's true to some extent.
But more more practically I I don't
think that's the right target to shoot
for. And in in my experience people who
try to aim at the target which is
treating others exactly like yourself or
giving everything away to bring yourself
down to the global median income. I mean
that maybe succeeds in the short term
but certainly is not a long-term path to
helping others as much as possible. I'm
always struck by how few charities
actually make it into your top charities
and and it's pretty it has been fairly
stable year to year now for some years.
So, walk me through what they are and
what makes you confident in them.
>> Yeah, let me um let me first, if it's
okay, like frame up how the top
charities fit into our overall work. And
so, in 2025, we've directed funds to 70
organizations. uh four of them are our
top charities and then you know there's
more than 60 others that have received a
lot of money. You know perhaps they're
newer or our knowledge of the program is
newer or the evidence is slightly more
complicated and you know there's higher
risk that the program doesn't fail but
the program fails but if it works it'll
be incredibly successful. And so we
direct a lot of funds to those those
types of programs too. And so what what
these top charities represent uh to
maybe use the finance analogy is is
something like the blue chip programs,
the the ones that um have the strongest
combination of evidence and track record
and data uh behind them so that we can
say to anyone, you know, if you're if
you're trying to help people overseas,
these are really great places to give
to. So our our top charities, one is the
against malaria foundation which funds
malariaet distributions globally. The
second one also works on malaria
prevention and that's malaria consortium
in its seasonal malaria
chemoroprevention program. This program
provides seasonal antimmalarial
medication to children during the
malaria high season to prevent cases of
malaria and resulting deaths. uh one uh
Helen Keller International focuses on
provision of vitamin A supplements twice
a year to children between the ages of 6
month and 5 years. Uh and then the
fourth is called new incentives and they
deliver cash incentives to caregivers to
encourage them to come to clinics to
receive necessary childhood
immunizations. And you know those four
are not the I wouldn't call them the the
best. There's, you know, other programs
we've recommended uh outside of that for
water and uh malnutrition prevention and
uh the malaria vaccine, which, you know,
it's it's relatively new. It's not going
to get on our top charities list yet. Uh
but there's just this wide array of
programs that help people around the
world.
>> And this gets to there are multiple ways
to donate through Give Well. Walk me
through those and how they relate to the
this sort of division you're making
here.
>> Yeah. And so the Well, I mean, first
just, you know, anyone can use our our
research for free. Someone can come to
our website, read it, and you can donate
to any of the organizations that you see
on our top charities list directly
without ever telling give well that
you've done it. I mean, we hope you do
because that helps us understand our
impact. Um, but for you know, the the
primary options we offer people are
first to give to our top charities fund.
And so that is uh you know that those
are donations that we'll only give to
those four organizations based on the
needs they have at the time we received
the funds. We we push those money, you
know, out the door. We commit those
funds to organizations relatively
quickly. The next option for donors is
to support the all grants fund. And you
know that just gives us the flexibility
to give to either top charities or any
of the organizations or programs that we
might support including giving money to
help organizations or programs get off
the ground or funding the type of
research that we need to make our
decisions. And then finally, there are
donors who give unrestricted. And you
know that is the in some sense the
highest level of trust in give well
because you're allowing us to decide how
much we need to allocate to our own
operating expenses versus allocating
funds to the programs we support. Uh
we've we've been fortunate enough in the
last few years that we've raised more
unrestricted funds than we need for our
own operations and we've then designated
that money for granting and you know
sent it out the door to get it to people
who need it around the world. The most
common critique I hear of give well, one
I even somewhat believe is that it's
there's a limit to what can be measured
and it's possible to measure the effects
of vitamin A supplementation in a way
that measuring the effects of funding
for political change or fortifying
public health infrastructure is very
very hard. You know, it's very hard to
measure the effect of giving on climate
change. How do you think about that that
question of
what you can and cannot measure knowing
that much that cannot be measured is
going to be important in you know human
flourishing? [sighs and gasps]
>> Yeah, it's a great question. And I mean
I think uh to start I think it's really
important to have humility in this work
that we can be wrong and we know we can
be wrong and there are times when we've
supported programs that seemed like they
would clearly be effective. And then at
the same time we also funded a rigorous
randomized control trial to go along
with that program. There's an
organization called No Lean Season or a
program that we helped start and you can
read all about it on our website if
you're interested. That program provided
small cash incentives to encourage
people to migrate from the rural areas
of Bangladesh during the lean season to
the cities so that they could earn more
money and send money back home. There
was a series of randomized control
trials that preceded our support of it
that showed that it was having this
effect. People were earning more money.
They were even more likely to migrate in
future years. And then we provided
funding to start up this program with an
RCT randomized control trial alongside
it. and at scale it didn't have the
effects that we expected. Uh there's an
interesting I mean I have some theories
about
>> why do you think that is? So I think in
this case there there's just this big
challenge of going from a 2,000 person
research study to a 100,000 person
program that's existing in the world.
And I think what may have happened in
this case and this is what I heard from
the uh the lead the researcher of that
program Mushik Mubarak a great academic
that when they decided to deliver these
cash incentives they did it via micro
finance institutions uh essentially
banks that were there in in Bangladesh
and the loan officers who were
delivering these incentives which were
small loans at the time their personal
incentive was to find the people who
were already likely to migrate because
that made their job of finding
people to take these incentives much
easier. You know, I think an interesting
question about that program is we
decided to no longer continue supporting
it. Evidence Action, the organization
that implemented it shut it down. Uh
that was a joint decision at the time.
And I'm not even sure that decision was
right because it's possible that with
more time we would have been able to
solve this implementation challenge. But
I I think this this story just
illustrates the how critical measurement
is. measurement is is certainly
limiting, but I I think when you're
trying to help people living 10,000
miles away, it's just necessary to find
some mechanism for getting feedback. So,
be be part of a a feedback loop that
tells you if what you you know, if your
bets are right, you know, to use the
>> I think there's some way in which I feel
just hearing that story the danger of
being a donor because if I had donated
to that, which probably I did because
I've been donating through Give Well for
a long time. if I had donated to that
and what I had heard is there's great
evidence that giving people grants to to
migrate in the you know during during
key seasons will will help them out and
look now we're giving all these people
grants. would never occur to me to think
maybe it's not working
and
it makes you wonder how much money is
out there being wasted
or and I think this would be the other
question
if there's something wrong with the
studies right the
subjecting every project to the rigor of
you know expensive randomized control
trials which you can't do that many of
them. Like, do you have concerns that
you might be discarding things that
actually work or that work in ways that
you're not measuring or that you're not
measuring for long enough,
etc.
What we try to do is just find ways to
build in a feedback loop so we learn
something and we can update from our you
know update our our predictions about
the future based on the reality of what
occurs. Sometimes that's a randomized
control trial. It's a great way to do
it. Other times we supported a program
that and we still do that uh helped
countries around the world transition
from
a a single HIV test and syphilis test
two individual products that were given
to women who came into antiatal
appointments to [snorts] a dual test and
the idea was if we can transition from
having to apply two tests and two
products to one we can reach more
people. I think this program has been
very effective, very coste effective. We
don't know that from randomized control
trial data. Instead, we know that from
more uh more programmatic follow-up
about monitoring the data that comes
from people who are going to antiatal
visits from seeing the stock levels in
countries of these tests. I think that
ultimately
I sort of wish it were the case that you
could have a randomized control trial
for everything and we could push in the
direction of of greater certainty. And I
think it's it's clear that there are
that there are so many uh so many
programs that could be so valuable that
just can't be subjected to that level of
scrutiny. We can see today, you know,
programs like uh, you know, people who
scaled up HIV treatment in Africa in the
early 2000s, whether that was advocacy
to the US government or the
philanthropic work that supported uh,
t-fold reduction in drug prices, maybe
even 100fold reduction in drug prices
from some original levels. I mean, those
are incredibly
impactful programs. You know, with with
hindsight, we can look back and say
those programs saved a lot of lives per
dollar. And I think that is uh you know
a challenge that
I feel like I'm always trying to make to
researchers internally at give well that
we see as a challenge to ourselves which
is you know when are we inappropriately
prioritizing certainty and measurability
over expected impact.
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What are the areas or the charities that
you think have either the highest
expected impact or maybe more relevant
for this, the highest possible impact,
but you just can't measure it? And I'm
thinking here in the present, not, you
know, doing long- termism and trying to
save society, you know, 10 billion years
from now.
What are the things that feel to you
like they are the riskiest in terms of
may not pay off but man maybe they do
pay off and and it's worth it for that
reason.
>> Yeah. Uh let me give a couple different
kinds of examples because I think the
the spectrum of potential impact but
also risk is very wide. So one one
example is a program we've recommended
for a long time which is treating
children for parasitic infections. Often
this goes by the name deworming. And the
reason there's so much uncertainty is
that we have a single randomized control
trial from about 30 years ago in one
area of Kenya where they treated kids
who had very high worm infections
followed them for many years. They're
still following them today. It's really
an incredible study and see that the
kids who were treated in as part of that
experiment have much higher earnings
today than they did than than the
control group. This is one very strong
piece of evidence. There's also evidence
of uh improved weight gain from pooling
multiple randomized trials and some
evidence from the American South when
hookworm was eradicated here in the
early 20th century. But at the same
time, I don't think any of us would see
that as clear knockdown evidence of
significant effect. The the public
health community says, you know, these
trials don't meet our standards uh for
rigor. the uh you know we're we're not
convinced by these results and
the worm levels today in 2025 are very
different than they were at times in the
past when these studies were
implemented. At the same time, it's so
cheap to treat a child for parasitic
infections. We know that these parasitic
infections are bad. And so this is one
example of a program that you know may
have an absolutely massive impact. But
I'm asking you to answer in terms of
something bigger than that because you
went to something again where there's
inc there's an incredibly clear specific
causal mechanism. And the the reason I'm
fairly comfortable with deworming is the
medicine works, right? You know what
you're finding there. There are a lot of
other kinds of interventions, democracy
promotion, right? Um that we don't
really know if they work, but if they
work, they're transformative. What do
you think about where you think we can't
measure it, but you know, maybe there's
a case for it? Uh
not in the way that you know you're just
trying to figure out the the magnitude
of the impact of deworming. So where you
can't figure out the magnitude of the
impact and you know you can't. So uh a
couple years ago we made a grant to
support our world in data. They're a
website that provides amazing
information on problems facing the
world. Uh as as someone who about 20
years ago tried to find good data on
problems in global health and
development, uh I wish that a site like
our world in data had existed then
because I know how hard it is to
download multiple spreadsheets and match
them up. And so we made this we I talked
to their their head Max Max Roser and he
was telling me that they were facing uh
you know a challenge in raising
operational funding. I have so so we
made we made a grant to them out of our
all grants fund. We can't measure what
effect that had but you know that's a
site that I think in aggreate has so
much impact. Um another another example
is a grant that we made this past year
in response to the US aid cuts. So we
supported
uh essentially consulting units in at at
two organizations, one called CHI and
one called PATH that would work closely
with governments to plan their response
to the aid cuts to uh understand where
they had gaps that needed to be filled.
Um even to articulate the funding needs
that that they had so they could
potentially raise money from other
donors. But that sort of uh support to
government decision-m is something that
clearly could be incredibly impactful on
uh helping people in in those countries.
But we won't be able we don't have a a
quantitative estimate of what's
accomplished because of that.
>> You all don't just subject charities to
the binary question of does it work or
does it not work. You have a certain
measure of cost effectiveness. it has to
clear. So working is not enough. It has
to to be cost effective compared to
other interventions. Tell me about your
measure of cost effectiveness.
>> Yeah, I'm I I think I'll just use the
cost per death averted as a simplified
way of putting this. I mean we we do try
to look at the effects that come from
improved health uh increased income uh
to some extent increased well-being and
and put it all into one measure that
that we can use to compare across
programs. Uh we can talk about that. Of
course, that is incredibly subjective.
Uh but nevertheless, as we're trying to
look across programs, we have it. But
what we aim to do to to go back to the
simplified version is say if you could
use
$60,000 and avert the deaths of 10
children, that's a much better decision
than using that same amount of money to
avert the death of only one child. It's
it's better to use the resources you
have to help people to a greater extent.
How do you weigh things against each
other that are not the same thing? And
and I mean this on two levels. So one,
there's a question of lives saved versus
income versus what's the value of, you
know, not suffering from an illness that
doesn't kill you. What's the value of an
education?
And then there's also
the way in which different people just
weight different moral questions
differently.
I I know you all have put a ton of work
into this. So, so how do you try to do
that? How do you both try to standardize
the the first set of questions and then
how do you try to create space for the
different ways you know different donors
might think about what is important?
>> Yeah. So the starting point for us is
that you know in many cases donors come
to us and they essentially say we want
you give well to decide where and how to
allocate our funds. And so because of
that we're responsible for making these
decisions about how to weigh up
different kinds of good against each
other. You know to do that we're we're
trying as as we often do to collect the
information we can and then just make
the best judgments that we're able to
with that information. And so for us, we
do a variety of uh [snorts] looking at
academic research. So for example, in
trying to weigh things like income
against health, there's academic studies
that look at the value of a statistical
life and and we're trying to use that
data to the extent we can. Uh we also
try to survey our donor community and
understand the preferences that they
have collectively. And we've also tried
and and have funded some studies in
Africa where we just ask people how they
would make these same choices and
trade-offs. Uh all of this is very
challenging. I would not claim that it
is in any way getting us closer to
truth, but it's it's the mechanism that
we use to try to make these decisions.
And then I think importantly
we're certainly not I'm certainly not
trying to say that our answer is
correct. Instead, you know, we give
Well, Phil is an important part of in
the donation ecosystem where, you know,
we're trying to be almost like the
economist's approach to giving overseas
and we're just trying to do that as well
as we can. And of course, there are many
other ways and many other approaches
that people could take.
>> You know, very controversially, a few
years ago, give directly, which is a
program where, you know, you give them
money and they give the money to other
people and the idea is that people know
best how to spend the money in their own
lives. you stopped recommending them.
Um, that's a group I still support. I
I'm a believer in their work. And that
was very controversial because your
argument was not that it's not doing
what it says it's doing or even that
it's not good for people to get money.
So, so what is the the line for you? And
how do you think about some of the
things that that that fall beneath it
because they are not primarily it seems
to me often about saving lives but
about, you know, changing incomes or
changing health or or improving lives.
>> Yeah. And I should say I'm also a huge
fan of Give Directly. I'm still
personally a donor to give directly. Um
I think the work that they do is is
amazing and wonderful. The reason that
Give Well doesn't recommend funds to
give directly now is that roughly
speaking, we think the organizations
we're supporting are able to do three
times as much good per dollar as give
directly does as a dollar to give
directly right now. And so because of
that, we feel like we're faced with the
question um you know with limited
resources, where should we give?
especially now when resources are lower
than they've been in many years uh
because of cuts in US foreign
assistance. We just think it's all the
more important to just to try and
allocate resources where they'll do the
most. Uh and and that doesn't mean that
the organizations we're not supporting
aren't doing good work uh or in some
ways they're failing. It just means with
the limited resources we have, we'd like
to see them go as far as they can.
Something we've circled a bit here is
that Give Well has an unusual
relationship to transparency
to being pretty open about mistakes. If
you go to the Give Well website, you can
click on a tab that says mistakes and
read a ton about things you've gotten
wrong and what has happened and places
where you've aired.
In almost everything you do, there's a
section on doubts and uncertainties.
Tell me a bit about that approach. And
maybe the best way to do it is for me to
ask you just what have been your biggest
mistakes.
[sighs and gasps]
We've made a lot of mistakes over the
years uh both in terms of specific
organizations we've recommended with
method methodological approaches. You
know for a long time just one example we
were relying primarily on one data
source to estimate mortality from
diseases and countries. And when we more
recently went and collected more data
sources, we saw how different they could
be and the effect that those different
sources of data about the causes of
mortality could have on our ultimate
recommendations. And so that's just a I
don't know pretty significant mistake
that we corrected in the last few years.
To me, I I think transparency is so
important because charitable giving
isn't like solving a math problem where
you can just say, you know, I I know the
right answer. Uh I've proven it.
therefore you should listen to me.
Instead, there are huge amounts of
judgment and values that go into the
decisions that we're making. And so,
first, we think it's important for the
people using our work to be in a
position to understand it and judge it
for themselves to know that uh others
have evaluated our work and looked at it
critically.
>> [snorts]
>> I also think it plays an important role
in in holding us accountable internally
because every single decision that we
make about how to spend money is is
ultimately subjected to or can be
subjected to public scrutiny.
>> So, you know, Trump took office not even
a year ago. It's been a been a long
year. [snorts] Very soon after uh his
administration decapitated US ID, cut
foreign aid in a number of other domains
and directions.
almost a year later, how much less
foreign aid is United States as a
government giving and how has the
composition of what we're giving
changed?
So, there's still a lot that we don't
know. Uh, you know, the US government
previously was giving about 12 billion a
year to global health programs and we
think there might end up being about a
50% cut in total US government giving.
So that would be a whole of $6 billion
going to global health programs. This is
a large portion of aid going to health
around the world because it's a US
government was accounting for about 20%
of total global health aid. And so you
know $6 billion or 10% of what was going
to support these programs uh maybe
disappearing. We've seen plenty of great
programs that that needed money that
weren't getting them. So these are
programs that provide basic health
services, malnutrition treatment, and
malaria control where, you know, we were
in a position to step in and we directed
about $40 million in response to the
cuts this year. Um, just as another
example, when I was in Malawi this past
summer, we talked to clinicians and
hospital administrators about their
experience responding to aid cuts. And
for them, some of the biggest cuts that
they felt immediately were in HIV
because the US government has such a
large HIV program. And so there one
hospital administrator told me the story
that you know the day of the cuts it was
9:00 a.m. they had all come to work
there were patients lining up outside to
get their AIDS treatment that they had
come for they were called into a staff
meeting the facility staff and just told
to go home immediately. And so you had
these patients lining up and no staff to
give them their medicine. Many people
travel from miles and miles away because
they'd rather pick up their HIV
treatment further from home because of
the stigma of having HIV. They don't
want to be seen close to home getting
their drugs. And so then the hospital
had to bring in some of their limited
staff from other departments and get
them in place to try and deliver the the
age treatment. I mean people the way he
told me the story is they they were they
were like looking at the pill boxes that
a patient brought in and trying to match
them to what was on the shelf just to
keep delivering the what they had. Um
similarly I visited a small clinic in a
in a more rural area and uh an important
part of HIV treatment is viral load
testing. So this is testing people to
ensure that the the treatment that
they're undertaking is preventing them
from progressing to full-blown disease.
And viral load testing, you know, really
stopped in early 2025. I was able to see
this because we just pulled up the data
on their computer screen and we could
see how they went from uh testing
hundreds of people in a month to almost
none in you know following the cuts.
>> Are there significant areas where
money's been restored?
>> We've seen a lot of money come through
in malaria. So one of the um you know
one of the one of the programs we
supported earlier this year was planning
for these seasonal anti-mal malarial
medication campaigns. Basically in
certain parts of the world [snorts]
malaria has a high season and if we can
provide children with antimmalarial
medication during the high season we
reduce about 80% of the cases during
that time of year and those campaigns I
I believe were happening starting in
June and the planning had to happen in
March, April and May. And so this was
right after the cuts and organizations
didn't know if they were going to have
money to conduct planning and so you
know we went to them and said uh if the
money doesn't come through you know
we'll cover it and if it does then you
know we won't have to but you can go
ahead knowing that you'll have funding
to cover what you need and ultimately
many of those programs the funding came
back and we didn't have to spend a
dollar to enable them to move ahead.
when you've looked at what has happened
and I'm not trying to get to be
political. Has have you seen a theory of
foreign aid or simply a hostility to
foreign aid?
We haven't seen a lot of interest in
trying to answer the question, what
would great foreign aid look like? You
know, I think that uh you know, if you
go back to January 15th, there are
plenty of people on both sides of the
aisle saying USAD should be a lot
better. there are a lot of ways that we
can improve foreign aid. And I think
there were some people that I remember
talking to before uh the the the cuts
occurred
where they were excited about the
possibility of a focus on efficiency in
delivering outstanding cost-effective
foreign aid. And I just don't think
that's what we've seen.
>> If somebody did come to you and and
said, "Listen, we want we're going to
restore USAD funding, but we want it to
be better. We want our money to go as
far as it possibly can. What does that
theory of reform look like to you?
>> I think two big pillars would be first
focusing on the public health programs
that we know how to deliver at scale
that we can deliver cost effectively at
scale that have significant impact. And
so these are similar to the programs
we've been discussing HIV treatment and
prevention, malaria treatment and
prevention and more. And then I also
think there's a big place for just
delivering cash directly to people who
need it. You know, I think at at at Give
Wells Margin, I think that we're
spending funds more cost- effectively,
but at large scale, I think cash is one
of the most uh cost-effective ways to
just let people
make their own decisions about how to
improve their lives.
>> And how about data? One thing that I've
heard a lot of people worry about and
seems to me like a particular problem
for Gival given how data oriented you
try to be is that these cuts ravaged a
lot of the surveys and data collection
and studies that create the
possibilities of this evidence and these
feedback loops and being able to know
next year what would be better than what
we did this year. What what has happened
in that space? What seems to be being
done about it? One of the most important
tools that we and others rely on is
something called the demographic and
health surveys or or DHS that USAD has
funded for years. And these are large
nationally representative surveys that
inform
people in positions like us allocating
money to low-income countries, but also
country governments themselves. You
know, when they're trying to answer the
question, how many students are going to
be in each district? So therefore, how
many schools and teachers do we need?
They're often relying on this kind of
data. And you know this is one of the
data sets that is you know has gone away
under this uh under the cuts that we
observed. Uh you know these surveys are
are so critical that in one way or
another I believe that some some form of
them will be preserved. It's something
that I know other funders have looked
at. We ourselves are considering um but
it's just so critical that this this
data continues to exist. But it's
undoubtedly been a big part of the
challenge in understanding what has
happened. You know, a question that you
asked that I get a lot is well, you
know, what what have the effects of the
cuts been and where has money gone and
not gone and where is it flowing and not
and what has been the humanitarian
impact and I think the true answer is we
don't know and you know some of that not
knowing is a function of the data that
we rely on is less available than it was
before and that makes the situation even
more challenging. You talked a bit about
how you've sort of directed 40ome
million dollars around trying to fill
some of these holes. What has happened
in the rest of the philanthropic space?
I mean, you have huge foundations much
bigger than than give well like the
Gates Foundation. You have other
countries, European countries. What has
the landscape of players who could have
possibly filled holes, you know, how has
the the I calling it an industry but the
sector responded?
>> Yeah. So I we've seen you know similar
action from philanthropies you know
trying to give
[snorts] uh what are large amounts of
money in in level terms but certainly
small relative to what governments were
giving allocate more in response. I I
think the big challenge that everyone
recognizes is philanthropy is just very
small compared to the level of giving
that the US government was providing.
And then at the same time many countries
around the world are also giving less.
And so in aggregate uh it seems like we
are entering a period where uh global
foreign assistance especially for health
will be lower than it has been in the
recent past. And so what um you know
what what I what I hope that means is
that individual donors will step up and
give more. Uh I [snorts] also hope and
we've seen some evidence of this that it
means there'll be a higher priority
focused on using the limited resources
we have as well as we possibly can. I
think that um for a long time we felt
like ideas of cost effectiveness were
were not taken perhaps as seriously as
you might expect in the world of global
health and development. But I think with
more limited resources, there's much
more of a focus on on taking what we
have and trying to cause it to go as far
as we can. Uh and so that might mean,
you know, allocating more funds towards
Nigeria and the Democratic Republic of
Congo for malaria because they account
for 40% of the global malaria burden and
I think we've seen a lot more interest
and uh you know behind those kinds of
ideas.
>> So then has this pullback in public
health funding has it changed looking
forward what you think will be the most
effective opportunities for giving?
>> It it certainly might and and here's
why. You know what we're trying to do is
deliver funds where they'll be most cost
effective at the present margin. And
really what these cuts mean is that the
the margin has shifted. So one area that
we never really looked at before was
HIV. HIV was extremely well funded. Uh
another area that uh we we made a grant
to support an organization called AL
Lima and this grant was uh primarily
focused on just enabling them to deliver
primary health care services and
malnutrition treatment in a very
challenging area of Cameroon. And that's
another kind of work that had been
previously more supported by government
donors. And so as as we look forward, we
know that, you know, the the changing
level of funding just means that there
going to be all sorts of programs that
we didn't consider before that we're
going to have to look at because this
underlying situation has changed.
>> Is lobbying on foreign aid, particularly
paying Trump associated lobbyists, maybe
an effective use of charitable funding?
No,
>> no, we've we've worked with uh you know,
an organization that's just trying to
inform people on the hill about the the
facts of what can be achieved. And I you
know I guess you know much more than I
do about what would be effective
lobbying. But you know I hope that uh
what I think we can bring to the table
is just providing
accurate information about what can be
accomplished and hoping that decision
makers will will take that on board when
they decide what to do. So I see one of
the challenges for for give well for
this kind of giving as being that giving
often relies
on an emotional hook for people. There's
you know charismatic megapana in the
philanth in the philanthropic space and
and then there's this more you know
conversation about cost effectiveness
and deworming and what are the spillover
benefits of deworming.
I can watch you trying to be objective
about what you're funding and and and
watch the requirement that that imposes
on you to be serious about trade-offs in
ways that are probably emotionally kind
of hard. And on the other hand, giving
is an emotional project that people
give. They give emotionally.
You know, we could talk about uh
randomized control trials all day and
all night, but most people don't get out
of bed because they read an RCT. So, so
how do you reconnect those
impulses
running an organization that is so much
about
trying to correct for the biases our
emotional drives might create for us?
Yeah. I mean, first off, I I think
sometimes this argument can go too far.
You know, we all know that that most
people are giving uh based on a personal
attachment. And when we were thinking
about starting Give Well, I just
remember everyone told us donors don't
give this way. This is never going to
work. What are you even trying? And now
more than, you know, 18 years later, we
have 100,000 plus donors who've used our
research. We've directed more than $2
billion. So there's certainly a lot of
donors and a lot of people who are
excited to give this way. And then when
I think about, you know, how this all
works, you know, I'd say that
the the motivation to do this work, it
it comes from the emotional place. And
and you know, for me, sometimes that's
people that I meet when I've traveled to
to Africa. Um, you know, an experience I
always have is I go to the pharmacy and
I pick up a moxicillin for my cat and it
has an ear infection and it cost me 50
cents. It it literally takes me 5
minutes. And I always think it's so wild
that I can just go to the store and pick
up this amoxicylin like it's nothing.
And I remember that there was time when
Give well supported an organization to
deliver amoxicylin to Tanzania because
they were running low on amoxicylin
stock and they weren't going to have a
moxicylin in all the clinics around the
world. And so it's sure you know we
spent all our time talking about the
data because it's the data that helps us
make the right decisions. But for me and
and I think for for everyone that I work
with, it's it's just this knowledge that
uh you know we're we're in such a
fortunate position and there are so many
people who aren't in that position and
yeah sometimes we have to key on
individuals to focus our work but
ultimately what we want to do is just
bring those benefits to as many people
as we can.
>> And then always our final question, what
are three books you'd recommend to the
audience? uh one is factfulness by the
late Hans Rosling. Uh this is a book
that just brings global health data to
to to the world. It's say the core
argument of the book is something like
in order to prioritize correctly we need
to understand the world accurately. And
then for me uh Hans Rosling's site gap
minder was one of the things that got me
very excited about this work back in
2006. Uh second book poor economics by
Esther Duffel and Abig Banerjee. They're
two of the founding members of this
randomized control trial movement in
development economics. And this book
gives an overview of of their work and
the ideas behind this work. And this
work that's no not just them but people
like Michael Kramer, Rachel Glennister,
Dean Carlin, Ted Miguel. It really was
just part of the animating values of of
what has led to give well in our work.
And then finally a book called Behind
the Beautiful Forevers by Katherine Buu.
uh she spent years in uh in Anawadi.
It's an informal urban settlement
sometimes known as a slum near the
Mumbai airport and it just paints a very
vivid picture of what life is like in
poverty. I
>> think Behind the Beautiful Forevers
might be it's definitely in my top five
pieces of non-fiction ever. If people
have not read that, they really should.
Ellie Henfeld, thank you very much.
>> Thank you.
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The video features an interview with Ellie Hassenfeld, CEO of GiveWell, an organization that rigorously vets charities to ensure donations have the maximum positive impact. Hassenfeld shares her background in studying religion and her experience at Bridgewater Associates, a hedge fund known for its culture of radical transparency. This experience shaped her approach to understanding the world accurately and avoiding self-deception, principles she later applied to philanthropy. GiveWell was founded on the realization that most charities lacked transparent data on their effectiveness. The organization focuses on evidence-based interventions, particularly in global health and poverty reduction, aiming to direct funds where they can achieve the most good per dollar. Hassenfeld discusses the challenges of measuring impact, the importance of cost-effectiveness, and the organization's commitment to transparency about its mistakes and uncertainties. She highlights effective interventions like malaria prevention and deworming, while also acknowledging areas where impact is harder to quantify, such as policy change or infrastructure development. The conversation also touches on the impact of US foreign aid cuts and how GiveWell has responded by directing funds to fill critical gaps.
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