"A QALY is a health metric. Most of Scott's giving targets economic mobility, education, and equity, whose value is largely non-health — income, opportunity, rights, wellbeing. The model therefore understates her total social impact; it answers one specific question. The largest dollar buckets (equity & justice at ~22%, education at ~18%) contribute little health precisely because no credible study ties those grants to QALYs, not because the giving lacks value."
Which other metrics could be included to balance these economically?
- society-wide morale lift & improved individual output
- international desirability & forex lift
Or just re-weighting giving to normalize out non-health targeted expenditures?
Oh, and f** Malaria. Go get 'em, GiveWell and all working to reduce Malaria deaths. Polio too, heartbreaking that we have not beaten this one down yet. Suspect spend per paralysis/mortality is very high on Polio right now, but probably most agree the spend is very worth it given the payoff of a Polio-free planet.
Even if all her donations were a complete waste, one can argue every $1B taken from the oligarch class is a win - less money to buy media outlets and politicians.
Along these lines, I’d almost rather she’d bought major media outlets and newspapers and set them up under nonprofits with strict governance against taking corrupting donations.
Speaking for myself, just knowing there is someone in the billionaire class who is still an incandescent beacon of humanity, humility, and hope has in some nontrivial way increased the quality of my years since she started on this path.
She is an existence proof that a now-inevitable extreme inequality regime is not by construction maximally cynical and extractive.
the worlds GDP is like $120,000,000,000,000. Her work is worthless in comparison. the only possible benefit of concentrated wealth is taking concentrated bets on a new research or technology or social organization. But to give to generic charities is a waste of time and reveals a profound lack of creativity on her part.
She is an outlier in the sense that she is both “new money” and also “old money” (she did the equivalent of inheriting money in her settlement with Bezos).
She was, at one time, a normal person, with normal friends and normal parents. However unlike most other “new money” billionaires she acquired her wealth without the corrupting influence of being a master of the universe business person where everyone in your circle is falling over themselves to gas up your ego.
She wasn’t a passive housewife who inherited money in a divorce. She was an early Amazon investor and helped build the first stage of the company. She’d be a billionaire even without the divorce.
Right, but she is not pathologically like the other billionaires. She married a man who became one. Same with Melinda Gates. So I guess our hope is that more billionaires will lust after young Russians or hot newscasters and get divorced, so their normal wives can do what normal people do with more money than they’d even need and help others.
Hard to square these guys antics with the whole meritocracy of wealth business. Losing half your empire falling for a uh, socialite, on a business trip to LA? Tagged in a log book on the way to an island of ill repute? Getting high out of your mind and picking a fight with your boss who is the President?
These are depressingly average ways to screw up. Been there done that, but I don't claim to be John Galt either.
> She is an existence proof that a now-inevitable extreme inequality regime is not by construction maximally cynical and extractive.
MacKenzie Scott's philanthropy is great, and I'm both glad she exists and glad that her existence apparently upsets the Garry Tans and the Elon Musks of the world, but I don't think this conclusion is the take away at all.
She's an anomaly in the system, not proof that the system isn't horrendously harmful.
Do you find the end figures believable against other claims? I found them overly pessimistic but thats a non-scientific vibe view. Even on the most optimistic setting the $ per QALY seemed excessive.
Many of MacKenzie Scott's interventions are early age. The multiplier effect on the economy and life adjusted years should be huge by both supression of excess pregnancies and avoided child death and disease. Every avoided pregnancy is economically that woman being productive back in the workforce or managing the family on a lower overhead. Every avoided child death is 40-50 years of productive labour from that child. The soap and vaccines is $low. The life tail is enormous. If you figure the QALY for the woman lower since she's survived into post puberty, I get that but for the kids, its 50x or more on the spend.
I just found the $ per QALY way low. But, perhaps people with experience of delivery of services and aid into marginalised economies can explain?
How many additional jobs can I give you before I gain little positive in economic value? This is what forcing mothers to have more unwanted children is doing.
> Every avoided pregnancy is economically that woman being productive back in the workforce or managing the family on a lower overhead.
> Every avoided child death [or additional child born] is 40-50 years of productive labour from that child.
Opinions about abortion and birth control aside, these two seem to be opposing calculations. If that's controversial, perhaps the conclusion should be that economic value is the wrong metric.
Some people are net consumers and other people are net producers over their lifetime. If you abort the net consumers and invest in the net producers it's an economic gain. What's controversial is identifying who will be the net producers and net consumers that early because it's essentially eugenics.
I think a great many women and a great many economists (and women who are economists for that matter) would take issue with the notion that raising a child is the alternative to being productive.
Ask any policy maker in South Korea how they feel about the social value in raising children. It's not a film adaptation of a book starring Clive Owen and Julianne Moore, it's 2055 or thereabouts in the China, the US isn't so far behind.
I was not in any way intending to imply I thought that, I was using the language above about economic value. I've edited my post to avoid the misunderstanding, I think you and I are aligned.
I don’t disagree, but there is a vast difference between a wanted and an unwanted child. This is well studied and well understood. See freakonomics episode 394.
"A QALY is a health metric. Most of Scott's giving targets economic mobility, education, and equity, whose value is largely non-health — income, opportunity, rights, wellbeing. The model therefore understates her total social impact; it answers one specific question. The largest dollar buckets (equity & justice at ~22%, education at ~18%) contribute little health precisely because no credible study ties those grants to QALYs, not because the giving lacks value."
Which other metrics could be included to balance these economically? - society-wide morale lift & improved individual output - international desirability & forex lift
Or just re-weighting giving to normalize out non-health targeted expenditures?
Oh, and f** Malaria. Go get 'em, GiveWell and all working to reduce Malaria deaths. Polio too, heartbreaking that we have not beaten this one down yet. Suspect spend per paralysis/mortality is very high on Polio right now, but probably most agree the spend is very worth it given the payoff of a Polio-free planet.
Even if all her donations were a complete waste, one can argue every $1B taken from the oligarch class is a win - less money to buy media outlets and politicians.
Along these lines, I’d almost rather she’d bought major media outlets and newspapers and set them up under nonprofits with strict governance against taking corrupting donations.
Speaking for myself, just knowing there is someone in the billionaire class who is still an incandescent beacon of humanity, humility, and hope has in some nontrivial way increased the quality of my years since she started on this path.
She is an existence proof that a now-inevitable extreme inequality regime is not by construction maximally cynical and extractive.
the worlds GDP is like $120,000,000,000,000. Her work is worthless in comparison. the only possible benefit of concentrated wealth is taking concentrated bets on a new research or technology or social organization. But to give to generic charities is a waste of time and reveals a profound lack of creativity on her part.
She is an outlier in the sense that she is both “new money” and also “old money” (she did the equivalent of inheriting money in her settlement with Bezos).
She was, at one time, a normal person, with normal friends and normal parents. However unlike most other “new money” billionaires she acquired her wealth without the corrupting influence of being a master of the universe business person where everyone in your circle is falling over themselves to gas up your ego.
She wasn’t a passive housewife who inherited money in a divorce. She was an early Amazon investor and helped build the first stage of the company. She’d be a billionaire even without the divorce.
Right, but she is not pathologically like the other billionaires. She married a man who became one. Same with Melinda Gates. So I guess our hope is that more billionaires will lust after young Russians or hot newscasters and get divorced, so their normal wives can do what normal people do with more money than they’d even need and help others.
Hard to square these guys antics with the whole meritocracy of wealth business. Losing half your empire falling for a uh, socialite, on a business trip to LA? Tagged in a log book on the way to an island of ill repute? Getting high out of your mind and picking a fight with your boss who is the President?
These are depressingly average ways to screw up. Been there done that, but I don't claim to be John Galt either.
> She is an existence proof that a now-inevitable extreme inequality regime is not by construction maximally cynical and extractive.
MacKenzie Scott's philanthropy is great, and I'm both glad she exists and glad that her existence apparently upsets the Garry Tans and the Elon Musks of the world, but I don't think this conclusion is the take away at all.
She's an anomaly in the system, not proof that the system isn't horrendously harmful.
Do you find the end figures believable against other claims? I found them overly pessimistic but thats a non-scientific vibe view. Even on the most optimistic setting the $ per QALY seemed excessive.
Many of MacKenzie Scott's interventions are early age. The multiplier effect on the economy and life adjusted years should be huge by both supression of excess pregnancies and avoided child death and disease. Every avoided pregnancy is economically that woman being productive back in the workforce or managing the family on a lower overhead. Every avoided child death is 40-50 years of productive labour from that child. The soap and vaccines is $low. The life tail is enormous. If you figure the QALY for the woman lower since she's survived into post puberty, I get that but for the kids, its 50x or more on the spend.
I just found the $ per QALY way low. But, perhaps people with experience of delivery of services and aid into marginalised economies can explain?
> Every avoided pregnancy is economically that woman being productive back in the workforce or managing the family on a lower overhead
The child who would’ve been born is assumed to have had zero economic value? lol
How many additional jobs can I give you before I gain little positive in economic value? This is what forcing mothers to have more unwanted children is doing.
> Every avoided pregnancy is economically that woman being productive back in the workforce or managing the family on a lower overhead.
> Every avoided child death [or additional child born] is 40-50 years of productive labour from that child.
Opinions about abortion and birth control aside, these two seem to be opposing calculations. If that's controversial, perhaps the conclusion should be that economic value is the wrong metric.
Some people are net consumers and other people are net producers over their lifetime. If you abort the net consumers and invest in the net producers it's an economic gain. What's controversial is identifying who will be the net producers and net consumers that early because it's essentially eugenics.
No, these are the right metrics.
You're missing choice. When a woman chooses to have a child, or chooses to not have a child, we ascribe the economic impact based on her intent.
I think a great many women and a great many economists (and women who are economists for that matter) would take issue with the notion that raising a child is the alternative to being productive.
Ask any policy maker in South Korea how they feel about the social value in raising children. It's not a film adaptation of a book starring Clive Owen and Julianne Moore, it's 2055 or thereabouts in the China, the US isn't so far behind.
I was not in any way intending to imply I thought that, I was using the language above about economic value. I've edited my post to avoid the misunderstanding, I think you and I are aligned.
I don’t disagree, but there is a vast difference between a wanted and an unwanted child. This is well studied and well understood. See freakonomics episode 394.