I struggle to see practical cases where it makes sense to spend significant time on WFMs. I would rather improve cost-effectiveness analyses (CEA).
I think that is a reasonable decision. I think WFMs are very useful for certain types of decisions, but not always. I use CEAs much more often. My claim is *not* that more people should be using WFMs. If anything, my post should be seen as a warning to those who do.
My claim is that people should take time to understand their tools and account for their weaknesses. Accounting for weaknesses should happen not just within the tool, but outside of it when making the final decision.
I think GiveWell is a good example of this. If CEAs made up 100% of their decision making process, their decisions would be heavily influenced by the weaknesses of CEAs as a method. However, GiveWell acknowledges these weaknesses and uses CEAs as a primary deciding factor, while also incorporating other factors as well.
I think you’ve accurately identified a real tension here, and this connects with a fundamental critique of EA as a movement, which is that it is too often focused on measurable outcomes rather than systemic change. I tend to agree that this critique has teeth and applies to the way EA is often practiced.
I do want to highlight that Global Health work is not inherently a temporary fix. Global Health work frequently can (and should) focus on improving existing health systems, not just having a temporary impact. By addressing the root cause, you can make a more permanent difference (and be more cost-effective while you’re at it)
So why are more EAs focused on Global Health instead of Global Development relative to your expectations? In my opinion, two major reasons are
Some people are likely overly focused on measurable outcomes over systemic change.
Some types of Global Health work is more systemic than you give it credit for.