Yes, I agree quality matters a lot, but I think people are universally aware of that—I just wanted to draw attention to the ex-ante/ex-post distinction, which I hadn’t seen raised before.
The CE approach is a good idea, because actually I think the interventions changing a lot from research to implementation is a key part of why ex-ante estimates are unreliable. I don’t know if both estimates are available but it would be great if they are!
One example I know of off the top of my head is LEEP—their CEA for their Malawi campaign found a median of $14/DALY. CE’s original report on lead paint regulation suggested $156/DALY (as a central estimate, I think). That direction and magnitude is pretty surprising to me. I expect it would be explicable based on the details of the different approaches/considerations, but I’d need to look into the details. Maybe a motivating story is that LEEP’s Malawi campaign was surprisingly fast and effective compared to the original report’s hopes?
Another is Family Empowerment Media. An ex post Rethink Priorities report mentions FEM used a Givewell model to estimate a cost-effectiveness 26.9x cash transfers, and Founders Pledge estimated 22x. The original CE report links to a CEA that estimates $984/DALY averted, which is lower than Givewell top charities—though I don’t know the exact comparison to cash transfers, and there are other benefits to family planning than just DALYs.
I suspect a strong selection effect is in play—i.e. I know of these examples and their CEAs are prominent because they were successful—and the ideas survived the gauntlet of further research, selection, founding, piloting, and scaling.
LEEP is a pretty unusual situation in general I think, and I’m not sure is super generalisable. If you get an easy-ish win with lead things, the cost-effectiveness can be insane (see the bangladesh cumin situation).
This is one of the reasons I don’t love post-hoc Cost-effectiveness assessments of successful individual campaigns and policy changes which don’t take into account the probability that their (now successful) campaign might have failed—which I have seen a number of times on the lead front. For every win there might be 5, or 10 or 20 failures (which is fine). If you just zero in on the successes then cost-effective numbers look unrealistically rosy.
If the initial assessment say for LEEP in Malawi assessed say a 20% chance of success, then this should be factored into their final calculation I think, then they can perhaps update it if they realise their success rate increases. Otherwise we end up not costing in the failed campaigns, while the successful ones appear ludicrously cost-effective.
Yeah, though to be fair the CEA for Malawi was b/c it was LEEP’s literal first campaign. I’d imagine LEEP has CEAs for all their country work which include adjustments for likelihood of success, though I don’t know whether they intend to publish them any time soon.
Yes, I agree quality matters a lot, but I think people are universally aware of that—I just wanted to draw attention to the ex-ante/ex-post distinction, which I hadn’t seen raised before.
The CE approach is a good idea, because actually I think the interventions changing a lot from research to implementation is a key part of why ex-ante estimates are unreliable. I don’t know if both estimates are available but it would be great if they are!
One example I know of off the top of my head is LEEP—their CEA for their Malawi campaign found a median of $14/DALY. CE’s original report on lead paint regulation suggested $156/DALY (as a central estimate, I think). That direction and magnitude is pretty surprising to me. I expect it would be explicable based on the details of the different approaches/considerations, but I’d need to look into the details. Maybe a motivating story is that LEEP’s Malawi campaign was surprisingly fast and effective compared to the original report’s hopes?
Another is Family Empowerment Media. An ex post Rethink Priorities report mentions FEM used a Givewell model to estimate a cost-effectiveness 26.9x cash transfers, and Founders Pledge estimated 22x. The original CE report links to a CEA that estimates $984/DALY averted, which is lower than Givewell top charities—though I don’t know the exact comparison to cash transfers, and there are other benefits to family planning than just DALYs.
I suspect a strong selection effect is in play—i.e. I know of these examples and their CEAs are prominent because they were successful—and the ideas survived the gauntlet of further research, selection, founding, piloting, and scaling.
LEEP is a pretty unusual situation in general I think, and I’m not sure is super generalisable. If you get an easy-ish win with lead things, the cost-effectiveness can be insane (see the bangladesh cumin situation).
Yeah makes sense, and that the early research could have been heavily discounted by pessimism about a charity achieving big wins.
This is one of the reasons I don’t love post-hoc Cost-effectiveness assessments of successful individual campaigns and policy changes which don’t take into account the probability that their (now successful) campaign might have failed—which I have seen a number of times on the lead front. For every win there might be 5, or 10 or 20 failures (which is fine). If you just zero in on the successes then cost-effective numbers look unrealistically rosy.
If the initial assessment say for LEEP in Malawi assessed say a 20% chance of success, then this should be factored into their final calculation I think, then they can perhaps update it if they realise their success rate increases. Otherwise we end up not costing in the failed campaigns, while the successful ones appear ludicrously cost-effective.
Yeah, though to be fair the CEA for Malawi was b/c it was LEEP’s literal first campaign. I’d imagine LEEP has CEAs for all their country work which include adjustments for likelihood of success, though I don’t know whether they intend to publish them any time soon.