To be clear, GiveWell won’t be shocked by anything I’ve said so far. They’ve commissioned work and published reports on this. But as you might expect, these quality of life adjustments wouldnt feature in GiveWell’s calculations anyway, since the pitch to donors is about the price paid for a life, or a DALY.
Can you clarify what you mean by these quality of life adjustments not featuring in GiveWell’s calculations?
To be more concrete, let’s take their CEA of HKI’s vitamin A supplementation (VAS) program in Burkina Faso. They estimate that a $1M grant would avert 553 under-5 deaths (~80% of total program benefit) and incrementally increase future income for the ~560,000 additional children receiving VAS (~20%) (these figures vary considerably by location by the way, from 60 deaths averted in Anambra, Nigeria to 1,475 deaths averted in Niger) then they convert this to 81,811 income-doubling equivalents (their altruistic common denominator — they don’t use DALYs in any of their CEAs, so I’m always befuddled when people claim they do), make a lot of leverage- and funging-related adjustments which reduces this to 75,272 income doublings, then compare it with the 3,355 income doublings they estimate would be generated by donating that $1M to GiveDirectly to get their 22.4x cash multiplier for HKI VAS in Burkina Faso.
So: are you saying that GiveWell should add a “QoL discount” when converting lives saved and income increase, like what Happier Lives Institute suggests for non-Epicurean accounts of badness of death?
Can you clarify what you mean by these quality of life adjustments not featuring in GiveWell’s calculations?
To be more concrete, let’s take their CEA of HKI’s vitamin A supplementation (VAS) program in Burkina Faso. They estimate that a $1M grant would avert 553 under-5 deaths (~80% of total program benefit) and incrementally increase future income for the ~560,000 additional children receiving VAS (~20%) (these figures vary considerably by location by the way, from 60 deaths averted in Anambra, Nigeria to 1,475 deaths averted in Niger) then they convert this to 81,811 income-doubling equivalents (their altruistic common denominator — they don’t use DALYs in any of their CEAs, so I’m always befuddled when people claim they do), make a lot of leverage- and funging-related adjustments which reduces this to 75,272 income doublings, then compare it with the 3,355 income doublings they estimate would be generated by donating that $1M to GiveDirectly to get their 22.4x cash multiplier for HKI VAS in Burkina Faso.
So: are you saying that GiveWell should add a “QoL discount” when converting lives saved and income increase, like what Happier Lives Institute suggests for non-Epicurean accounts of badness of death?