I think the main practical takeaway should be to use mean(effect/cost) unless you have a really good reason not to. I agree mean(cost/effect) is a bad metric because it would be unreasonable for our effect distribution to not include zero or negative values—which is the only way mean(cost/effect) is even defined.
I think the main practical takeaway should be to use mean(effect/cost) unless you have a really good reason not to. I agree mean(cost/effect) is a bad metric because it would be unreasonable for our effect distribution to not include zero or negative values—which is the only way mean(cost/effect) is even defined.