Week 2 - Differences in Impact
A framework for comparing global problems in terms of expected impact
Benefits of ITN Tool
Helps decide which area is most cost-effective
Deciding in which area to invest one's resources in may be the most significant factor for your moral impact
Differences in impact e.g.,
Investing a year of time volunteering walking dogs vs marketing effective charities
Provides 'Expected Good per unit of resource'
or 'If I work on this, how much good will it do?'
'Good'
e.g., Reduction of X-risk, QALY, etc.
'Resources'
e.g,. money, years of labor, etc.
Helps compare between areas
Quantitative e.g., 10 lives saved vs 5 lives
Disadvantages of ITN
Neglect of non-quantifiable
Can't measure harm done due to selfishness versus due to cancer
Difficult to compare between different 'values'
e.g. years of education versus lives saved
What is 'valuable' is subjective for most
e.g,. Human life vs non-human animal life
Uncertainty
Scoring on the ITN includes judgement calls
Deciding the score is not based on complete data
e.g., long-term effects, spill-over effects
The components of the ITN Framework
Importance (Scale)
Benefit
Showing the potential good caused
Defined as
Good done / % of problem solved
'if we solved the problem, how good would it be?'
Example
Solving Cancer (8% of QALY lost/year)
Malaria (2.7% QALY lost/year)
Measurement 'Yardsticks'
One can choose whatever one deems valuable
It is recommended to choose those that are
measurable
change in the measure influences positive impact
e.g,. reduction in x-risk, GDP growth, QALY
e.g., collaboration, critical thinking, good intent, capacity building

Tractability (Solvability)
Benefit
Showing the potential of progress in solving the problem
Defined as
% of a problem solved / % increase in resources
'if we doubled the resources dedicated to solving this problem, what fraction of the problem would we expect to solve?'
Why is this factor important?
Even if problem is important + neglected does not mean it is important to focus on it:
If you can't solve it
Very difficult to solve / impossible for now
e.g., All matter is sentient (experiences pain & happiness)
e.g,. Ageing vs symptoms of ageing
Solvable
e.g. Bednets / vaccine for malaria
Measurement 'Yardsticks'
'if we doubled the resources dedicated to solving this problem, what fraction of the problem would we expect to solve?'
How to Score
Existence of
proven cost-effective interventions exist
unproven cost-effective interventions
good track record
e.g., medicine has a good track record of solving problems i.e., has potential
low probability but high potential impact
e.g., lottery jackpot

Neglectedness (Crowdedness)
Benefit
Showing high marginal return
The more resources go into an area, due to diminishing returns, the less marginal return you have per extra resource added
Defined as
% increase in resources / extra person or $
'how many resources are already going towards solving this problem?'
Example
Global Health receives 300bn/a vs 100 million for factory farming
Investments for the benefit of short-term vs long-term
Measurement 'Yardsticks'
Money invested / year
Staff working on it
How to Score
Based on existing data
Based on future expectations
Any reasons this will not solved by forces of
economic market
governments
hedonistic treadmill of individuals

Choosing YOUR area to focus on - Personal Fit
Match your skills with skills beneficial for high-scoring ITN areas
Differences in impact
Comparing charities: How big is the difference?
Potential to increase your impact vastly (~100x)
By giving to charities that achieve more per dollar spent

Donors
Misperception
It does not matter which charity (good cause) you choose to focus on - as long as you cause some good
Vastly underestimate how much charities vary in impact
3% donate based on performance
25% do any research before donating
Why the Impact of Charities is Different
What they do
How much it costs them to do it
How far your dollar goes when you support them
Similarity to the Business World
e.g., Best selling author earns multiple times that of an average author
Difference to the Business World
Companies go bankrupt if they don't deliver value (usually)
Charities can continue to exist even if they don't cause much of an impact
As they depend mostly on marketing & fundraising
The Charity market is hence a lot more inefficient, hence you might find even greater difference than in the business world when it comes to 'profit' / 'Impact'

How to Choose?
Choose programs supported by an independent, impact-focused evaluation
What and how cost-effectively their actions
Help where you can help the most
Vast income difference between countries allows your money to go a lot further
doubling your income when you live on $5 a day is as (or even more) meaningful as doubling your income when you live on $500 a day
Find the most cost-effective programs working on a problem
Charity evaluators e.g., Giving What We Can
Look for Leverage Points
Direct Impact i.e., buying malaria nets
Indirect Impact by influencing others
Getting governments to reliably and equitably fund net programs
e.g., LEEP (Lead Exposure Elimination Project) leverages government resources in its effort to eliminate childhood lead exposure by helping governments implement lead paint regulation.
e.g., The Humane League, through its corporate campaign program, leverages the resources of corporations — redirecting them through commitments to buy only cage-free products.
e.g., Giving multipliers — organisations that do outreach and education about effective giving in order to drive more money to particularly high-impact causes — are another example.
Expand your Circle of Concern
Reflecting upon one's values
Potential realization of caring about the suffering of many more beings
All Humans: People far away
Sentience: All sentient beings
Time: Future Sentient Beings
Personal Reflections
Focuses on immediate & narrow impact and does not provide data on longterm & wider impact
Thinking on the Margin
Marginal Impact
Marginal Impact Definition
Additional difference your specific investment makes.
Rather than focusing on the total impact of an organization or movement, it’s about recognizing how much your contribution adds to what’s already being done.
Diminishing Marginal Return Definition
When the first dollars spent are worth more than additional investments.
Advice
Aware of Biases
feel drawn to big movements with a lot of momentum
Avoid trap of relying on total or average impact when deciding how to allocate your resources
Steer clear of overinvesting in areas where past success overshadows future potential
Identify opportunities where your contribution will have the greatest effect.
Example Toaster
Toaster manufacturer deciding whether to produce one more toaster.
The business might be highly profitable overall, but if the market is already saturated with toasters, making one more may result in a loss.
In this case, while the company’s total profits remain large, the marginal profit (the profit from that one extra toaster) is negative—so it’s not worth doing.
Example Wikipedia/media
Technical infrastructure costs around $36 million a year
Wikipedia provides this value at a cost of less than one cent a month per individual
Receives well over $100 million every year.
Unclear about what the extra's money impact is for
Fermi estimation
Fermi Estimate
Fermi Estimate = Back of the envelope calculation (BOTEC)
What?
Rough calculation
To be right within about an order of magnitude
Getting an answer good enough to be useful without putting large amount of resources in to attain greater accuracy
How?
Making various simplifying assumptions
Decomposing the problem into smaller tractable units
Who uses it?
Open Philanthropy and other organizations in the effective altruism community routinely use BOTECs for impact assessment and cause prioritization.
Practice Opportunity
The number of seabirds and sea mammals killed by marine plastic pollution is quite small relative to the catch of fish
0.0001 seabirds and 0.00001 sea mammals are killed by marine plastic pollution per capita per year.
Marine plastic debris kills up to 1 million seabirds and 100 thousand sea mammals each year according to the United Nations (SB = 1 M, and SM = 100 k).
200 wild fish are caught per capita per year.
The catch of wild fish is 0.97 to 2.7 trillion/year according to fishcount.org (WFL = 0.97 T/year to WFH = 2.7 T/year).
The catch of wild fish is 2 M times as large as the number of seabirds, and 20 M times as large as the number of sea mammals killed by marine plastic pollution.
Background data on global health and poverty
Global economic inequality
Most important for how healthy, wealthy, and educated you are:
not who you are
knowledge and hard work, matter too, but much less than the one factor that is entirely outside anyone’s control: whether you happen to be born into a
where you are.
born
The vast majority of the world population [97%] live in the country they were born in
And so for most people in the world, it is not only the country they live in that determines their income, but it is the country they were born in.
productive, industrialized economy or not..
Economic Inequality is only one dimension of inequality however a significant one for many aspects people care about

Global Income Distribution
If you live on $30 a day you are part of the richest 15% of the world ($30 a day roughly corresponds to the poverty lines set in high-income countries).

Income Inequality within and between countries

Action Steps
Redistribution
Government
Redistribution through the state plays a large role in reducing inequality within countries and could also reduce global inequality.
However, it is domestic not international redistribution.
Personal
If you want to reduce global inequality and support poorer people, you do however have this opportunity. You can donate some of your money.
Economic Growth
Ending poverty not possible without additional growth
Redistribution alone would still mean that billions of people would live in very poor material conditions. The world is far too poor to end poverty without large growth.
EA strategies for addressing global poverty
GiveWell's "Giving 101" guide
Your donation can change someone's life.
The wrong donation can accomplish nothing.
Fundraisers often rely on social connections or emotional pleas, and almost never make fact-based demonstrations of programs' effectiveness
Many charities may not be accomplishing anything at all
Your dollar goes further overseas.
impact you can have with your donation varies greatly between causes
Education in New York City, it costs over $100,000 to educate a student throughout 12 years of school.
When supporting international aid, you can save a person's life for a few thousand dollars or so.
Global health
Good health is fundamental for a high quality of life, as it influences our ability to enjoy life and participate in daily activities.
Importance
Life Expectancy
What?
For a given year, it represents the average lifespan for a hypothetical group of people, if they experienced the same age-specific death rates throughout their whole lives as the age-specific death rates seen in that particular year.

Child mortality played a substantial role in increasing overall life expectancy, historically
Child Mortality
What?
Child mortality measures the share of newborns who would not survive to their fifth birthday, given death rates at young ages in a population.
Why?
child mortality rates is vital for understanding the overall health of a country because the early years of life involve numerous health challenges


Maternal Mortality
What?
deaths of women during pregnancy, or within 42 days of ending the pregnancy

Burden of Disease
What?
take into account the morbidity – the impact of disease on people alive
1 DALY represents one lost year of healthy life — it is the equivalent of losing one year in good health because of either premature death or disease or disability

Tractability
This suggests that appropriately targeted and managed international health aid can significantly reduce global health inequalities, and improve living standards worldwide.
Life Expectancy & Health Spending

Health Spending & GDP per Capita

Vaccination of One-Year Olds

Introducing LEEP: Lead Exposure Elimination Project
Mission
reduce lead poisoning, which causes significant disease burden worldwide
How?
advocating for lead paint regulation in countries with large and growing burdens of lead poisoning from paint
Importance
Disability
one in three children are currently affected by lead poisoning to some degree
mental disability and IQ loss,
increased rates of mental illness and psychopathology
significantly reduced lifetime earnings capacity
large impact on the prevalence of violent crime
Adults & lifetime lead exposure
renal disease and cardiovascular disease, including hypertension and coronary artery disease
Higher levels of exposure can affect all organ systems, and even result in respiratory difficulties, seizure, coma
Death
causes 1 million deaths per year
22 million DALYs every year
approximately 1% of the global disease burden
Economy
loss of 1.2% of world GDP
Tractability
uncertainty around the success of policy change interventions
Experts suggest that lead paint may be the most tractable source of exposure to address and the easiest to regulate. Lead paint is a major source of exposure to lead, but other sources include batteries, mining, foodstuffs, pipes, and cookware
Switching to unleaded paints is technically and economically viable for manufacturers
NGOs have so far been successful in introducing new lead paint laws in 21 low and middle-income countries, demonstrating a precedent for feasibility
The presence of opposition can often make policies harder to pass
One of the strengths of lead paint regulation as an intervention is that it exists in a virtually unopposed political environment. There is no significant lead paint lobby that might oppose regulation, and in some cases the paint industry has even supported the introduction of regulation.
Lead paint is typically a non-partisan issue, making political opposition less likely
Neglectedness
61% of countries have no lead paint regulations whatsoever
More for low-middle income countries
Some organisations working to address this issue in low and middle-income countries, including IPEN, ToxicsLink, and Pure Earth
Many countries with significant lead burdens remain neglected by other actors. LEEP aims to fill this gap, and target these neglected countries.
Action Plan for LEEP
Country selection
Ensure we target tractable, high-burden, and neglected countries
Malawi
Testing the levels of lead in new paints on the market in Malawi
Building relationships with stakeholders and decision-makers.
Depending on findings and progress from this stage
Either pilot our advocacy campaign in Malawi to introduce lead paint regulation
Pivot to another promising country.
Publish our full findings on our website
So that they can be used by other organizations or individuals working on lead poisoning (or policy change more broadly)
long-term goal
Introduce lead regulation in a number of high-burden countries, and reduce lead poisoning at an international scale
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