Hey Ren, this is a great post!
I share your intuition that reducing extreme suffering is the no.1 moral imperative for humankind.
What charities do you recommend, if that’s what you value most? GiveWell recommended charities based on their own moral weights, which I don’t think weight as reducing extreme suffering as highly as me.
Then there’s many animal welfare charities. And there’s OPIS, which is the only charity I know that explicitly targets extreme human suffering. Are there any others that I’m missing?
I think this is a very important distinction that should be given more emphasis. When I’ve experienced severe pain, the no.1 thought in my mind was “oh god make it stop”. This makes complete sense if you think of pain as your body’s way of saying, “ok, whatever it is you’re doing, you need to stop doing it now.” And I think a lot of the psychological suffering I experienced was due to the stress of not being able to stop the thing that was causing pain, and not knowing how long the pain would go on for. I add the word ‘psychological’ for clarity here, but in reality I don’t think there’s a clear difference between ‘psychological’ and ‘physical’ sources of pain. All pain in a sense is psychological—all of it happens ‘in your mind’, and factors such as knowing the pain will end soon can have a big effect on the experience of pain.
This distinction could also have a big effect on how people rate their pain on the pain-track framework. The framework seems to define pain a lot in terms of ‘how long could a person endure this?’ And that answer probably varies a lot depending on whether you know the pain will go away soon, or not. For ‘disabling’ pain, it could literally be less disabling, if you knows it’s going to end soon. You might think something like, “ok, I know this will end in 5 minutes, for now I’m going to do this other job to distract myself”. And looking back at the experience, and your behaviour at the time, you might read the scale, and think “ok it’s wasn’t that disabling, I could still do stuff”.