How Effective Altruism hurt me

May 12 JDN 2460443

I don’t want this to be taken the wrong way. I still strongly believe in the core principles of Effective Altruism. Indeed, it’s shockingly hard to deny them, because basically they come out to this:

Doing more good is better than doing less good.

Then again, most people want to do good. Basically everyone agrees that more good is better than less good. So what’s the big deal about Effective Altruism?

Well, in practice, most people put shockingly little effort into trying to ensure that they are doing the most good they can. A lot of people just try to be nice people, without ever concerning themselves with the bigger picture. Many of these people don’t give to charity at all.

Then, even among people who do give to charity, typically give to charities more or less at random—or worse, in proportion to how much mail those charities send them begging for donations. (Surely you can see how that is a perverse incentive?) They donate to religious organizations, which sometimes do good things, but fundamentally are founded upon ignorance, patriarchy, and lies.

Effective Altruism is a movement intended to fix this, to get people to see the bigger picture and focus their efforts on where they will do the most good. Vet charities not just for their honesty, but also their efficiency and cost-effectiveness:

Just how many mQALY can you buy with that $1?

That part I still believe in. There is a lot of value in assessing which charities are the most effective, and trying to get more people to donate to those high-impact charities.

But there is another side to Effective Altruism, which I now realize has severely damaged my mental health.

That is the sense of obligation to give as much as you possibly can.

Peter Singer is the most extreme example of this. He seems to have mellowed—a little—in more recent years, but in some of his most famous books he uses the following thought experiment:

To challenge my students to think about the ethics of what we owe to people in need, I ask them to imagine that their route to the university takes them past a shallow pond. One morning, I say to them, you notice a child has fallen in and appears to be drowning. To wade in and pull the child out would be easy but it will mean that you get your clothes wet and muddy, and by the time you go home and change you will have missed your first class.

I then ask the students: do you have any obligation to rescue the child? Unanimously, the students say they do. The importance of saving a child so far outweighs the cost of getting one’s clothes muddy and missing a class, that they refuse to consider it any kind of excuse for not saving the child. Does it make a difference, I ask, that there are other people walking past the pond who would equally be able to rescue the child but are not doing so? No, the students reply, the fact that others are not doing what they ought to do is no reason why I should not do what I ought to do.

Basically everyone agrees with this particular decision: Even if you are wearing a very expensive suit that will be ruined, even if you’ll miss something really important like a job interview or even a wedding—most people agree that if you ever come across a drowning child, you should save them.

(Oddly enough, when contemplating this scenario, nobody ever seems to consider the advice that most lifeguards give, which is to throw a life preserver and then go find someone qualified to save the child—because saving someone who is drowning is a lot harder and a lot riskier than most people realize. (“Reach or throw, don’t go.”) But that’s a bit beside the point.)

But Singer argues that we are basically in this position all the time. For somewhere between $500 and $3000, you—yes, you—could donate to a high-impact charity, and thereby save a child’s life.

Does it matter that many other people are better positioned to donate than you are? Does it matter that the child is thousands of miles away and you’ll never see them? Does it matter that there are actually millions of children, and you could never save them all by yourself? Does it matter that you’ll only save a child in expectation, rather than saving some specific child with certainty?

Singer says that none of this matters. For a long time, I believed him.

Now, I don’t.

For, if you actually walked by a drowning child that you could save, only at the cost of missing a wedding and ruining your tuxedo, you clearly should do that. (If it would risk your life, maybe not—and as I alluded to earlier, that’s more likely than you might imagine.) If you wouldn’t, there’s something wrong with you. You’re a bad person.

But most people don’t donate everything they could to high-impact charities. Even Peter Singer himself doesn’t. So if donating is the same as saving the drowning child, it follows that we are all bad people.

(Note: In general, if an ethical theory results in the conclusion that the whole of humanity is evil, there is probably something wrong with that ethical theory.)

Singer has tried to get out of this by saying we shouldn’t “sacrifice things of comparable importance”, and then somehow cash out what “comparable importance” means in such a way that it doesn’t require you to live on the street and eat scraps from trash cans. (Even though the people you’d be donating to largely do live that way.)

I’m not sure that really works, but okay, let’s say it does. Even so, it’s pretty clear that anything you spend money on purely for enjoyment would have to go. You would never eat out at restaurants, unless you could show that the time saved allowed you to get more work done and therefore donate more. You would never go to movies or buy video games, unless you could show that it was absolutely necessary for your own mental functioning. Your life would be work, work, work, then donate, donate, donate, and then do the absolute bare minimum to recover from working and donating so you can work and donate some more.

You would enslave yourself.

And all the while, you’d believe that you were never doing enough, you were never good enough, you are always a terrible person because you try to cling to any personal joy in your own life rather than giving, giving, giving all you have.

I now realize that Effective Altruism, as a movement, had been basically telling me to do that. And I’d been listening.

I now realize that Effective Altruism has given me this voice in my head, which I hear whenever I want to apply for a job or submit work for publication:

If you try, you will probably fail. And if you fail, a child will die.

The “if you try, you will probably fail” is just an objective fact. It’s inescapable. Any given job application or writing submission will probably fail.

Yes, maybe there’s some sort of bundling we could do to reframe that, as I discussed in an earlier post. But basically, this is correct, and I need to accept it.

Now, what about the second part? “If you fail, a child will die.” To most of you, that probably sounds crazy. And it is crazy. It’s way more pressure than any ordinary person should have in their daily life. This kind of pressure should be reserved for neurosurgeons and bomb squads.

But this is essentially what Effective Altruism taught me to believe. It taught me that every few thousand dollars I don’t donate is a child I am allowing to die. And since I can’t donate what I don’t have, it follows that every few thousand dollars I fail to get is another dead child.

And since Effective Altruism is so laser-focused on results above all else, it taught me that it really doesn’t matter whether I apply for the job and don’t get it, or never apply at all; the outcome is the same, and that outcome is that children suffer and die because I had no money to save them.

I think part of the problem here is that Effective Altruism is utilitarian through and through, and utilitarianism has very little place for good enough. There is better and there is worse; but there is no threshold at which you can say that your moral obligations are discharged and you are free to live your life as you wish. There is always more good that you could do, and therefore always more that you should do.

Do we really want to live in a world where to be a good person is to owe your whole life to others?

I do not believe in absolute selfishness. I believe that we owe something to other people. But I no longer believe that we owe everything. Sacrificing my own well-being at the altar of altruism has been incredibly destructive to my mental health, and I don’t think I’m the only one.

By all means, give to high-impact charities. But give a moderate amount—at most, tithe—and then go live your life. You don’t owe the world more than that.

The Butlerian Jihad is looking better all the time

Mar 24 JDN 2460395

A review of The Age of Em by Robin Hanson

In the Dune series, the Butlerian Jihad was a holy war against artificial intelligence that resulted in a millenias-long taboo against all forms of intelligent machines. It was effectively a way to tell a story about the distant future without basically everything being about robots or cyborgs.

After reading Robin Hanson’s book, I’m starting to think that maybe we should actually do it.

Thus it is written: “Thou shalt not make a machine in the likeness of a human mind.”

Hanson says he’s trying to reserve judgment and present objective predictions without evaluation, but it becomes very clear throughout that this is the future he wants, as well as—or perhaps even instead of—the world he expects.

In many ways, it feels like he has done his very best to imagine a world of true neoclassical rational agents in perfect competition, a sort of sandbox for the toys he’s always wanted to play with. Throughout he very much takes the approach of a neoclassical economist, making heroic assumptions and then following them to their logical conclusions, without ever seriously asking whether those assumptions actually make any sense.

To his credit, Hanson does not buy into the hype that AGI will be successful any day now. He predicts that we will achieve the ability to fully emulate human brains and thus create a sort of black-box AGI that behaves very much like a human within about 100 years. Given how the Blue Brain Project has progressed (much slower than its own hype machine told us it would—and let it be noted that I predicted this from the very beginning), I think this is a fairly plausible time estimate. He refers to a mind emulated in this way as an “em”; I have mixed feelings about the term, but I suppose we did need some word for that, and it certainly has conciseness on its side.

Hanson believes that a true understanding of artificial intelligence will only come later, and the sort of AGI that can be taken apart and reprogrammed for specific goals won’t exist for at least a century after that. Both of these sober, reasonable predictions are deeply refreshing in a field that’s been full of people saying “any day now” for the last fifty years.

But Hanson’s reasonableness just about ends there.

In The Age of Em, government is exactly as strong as Hanson needs it to be. Somehow it simultaneously ensures a low crime rate among a population that doubles every few months while also having no means of preventing that population growth. Somehow ensures that there is no labor collusion and corporations never break the law, but without imposing any regulations that might reduce efficiency in any way.

All of this begins to make more sense when you realize that Hanson’s true goal here is to imagine a world where neoclassical economics is actually true.

He realized it didn’t work on humans, so instead of giving up the theory, he gave up the humans.

Hanson predicts that ems will casually make short-term temporary copies of themselves called “spurs”, designed to perform a particular task and then get erased. I guess maybe he would, but I for one would not so cavalierly create another person and then make their existence dedicated to doing a single job before they die. The fact that I created this person, and they are very much like me, seem like reasons to care more about their well-being, not less! You’re asking me to enslave and murder my own child. (Honestly, the fact that Robin Hanson thinks ems will do this all the time says more about Robin Hanson than anything else.) Any remotely sane society of ems would ban the deletion of another em under any but the most extreme circumstances, and indeed treat it as tantamount to murder.

Hanson predicts that we will only copy the minds of a few hundred people. This is surely true at some point—the technology will take time to develop, and we’ll have to start somewhere. But I don’t see why we’d stop there, when we could continue to copy millions or billions of people; and his choices of who would be emulated, while not wildly implausible, are utterly terrifying.

He predicts that we’d emulate genius scientists and engineers; okay, fair enough, that seems right. I doubt that the benefits of doing so will be as high as many people imagine, because scientific progress actually depends a lot more on the combined efforts of millions of scientists than on rare sparks of brilliance by lone geniuses; but those people are definitely very smart, and having more of them around could be a good thing. I can also see people wanting to do this, and thus investing in making it happen.

He also predicts that we’d emulate billionaires. Now, as a prediction, I have to admit that this is actually fairly plausible; billionaires are precisely the sort of people who are rich enough to pay to be emulated and narcissistic enough to want to. But where Hanson really goes off the deep end here is that he sees this as a good thing. He seems to honestly believe that billionaires are so rich because they are so brilliant and productive. He thinks that a million copies of Elon Musks would produce a million hectobillionaires—when in reality it would produce a million squabbling narcissists, who at best had to split the same $200 billion wealth between them, and might very well end up with less because they squander it.

Hanson has a long section on trying to predict the personalities of ems. Frankly this could just have been dropped entirely; it adds almost nothing to the book, and the book is much too long. But the really striking thing to me about that section is what isn’t there. He goes through a long list of studies that found weak correlations between various personality traits like extroversion or openness and wealth—mostly comparing something like the 20th percentile to the 80th percentile—and then draws sweeping conclusions about what ems will be like, under the assumption that ems are all drawn from people in the 99.99999th percentile. (Yes, upper-middle-class people are, on average, more intelligent and more conscientious than lower-middle-class people. But do we even have any particular reason to think that the personalities of people who make $150,000 are relevant to understanding the behavior of people who make $15 billion?) But he completely glosses over the very strong correlations that specifically apply to people in that very top super-rich class: They’re almost all narcissists and/or psychopaths.

Hanson predicts a world where each em is copied many, many times—millions, billions, even trillions of times, and also in which the very richest ems are capable of buying parallel processing time that lets them accelerate their own thought processes to a million times faster than a normal human. (Is that even possible? Does consciousness work like that? Who knows!?) The world that Hanson is predicting is thus one where all the normal people get outnumbered and overpowered by psychopaths.

Basically this is the most abjectly dystopian cyberpunk hellscape imaginable. And he talks about it the whole time as if it were good.

It’s like he played the game Action Potential and thought, “This sounds great! I’d love to live there!” I mean, why wouldn’t you want to owe a life-debt on your own body and have to work 120-hour weeks for a trillion-dollar corporation just to make the payments on it?

Basically, Hanson doesn’t understand how wealth is actually acquired. He is educated as an economist, yet his understanding of capitalism basically amounts to believing in magic. He thinks that competitive markets just somehow perfectly automatically allocate wealth to whoever is most productive, and thus concludes that whoever is wealthy now must just be that productive.

I can see no other way to explain his wildly implausible predictions that the em economy will double every month or two. A huge swath of the book depends upon this assumption, but he waits until halfway through the book to even try to defend it, and then does an astonishingly bad job of doing so. (Honestly, even if you buy his own arguments—which I don’t—they seem to predict that population would grow with Moore’s Law—doubling every couple of years, not every couple of months.)

Whereas Keynes predicted based on sound economic principles that economic growth would more or less proceed apace and got his answer spot-on, Hanson predicts that for mysterious, unexplained reasons economic growth will suddenly increase by two orders of magnitude—and I’m pretty sure he’s going to be wildly wrong.

Hanson also predicts that ems will be on average poorer than we are, based on some sort of perfect-competition argument that doesn’t actually seem to mesh at all with his predictions of spectacularly rapid economic and technological growth. I think the best way to make sense of this is to assume that it means the trend toward insecure affluence will continue: Ems will have an objectively high standard of living in terms of what they own, what games they play, where they travel, and what they eat and drink (in simulation), but they will constantly be struggling to keep up with the rent on their homes—or even their own bodies. This is a world where (the very finest simulation of) Dom Perignon is $7 a bottle and wages are $980 an hour—but monthly rent is $284,000.

Early in the book Hanson argues that this life of poverty and scarcity will lead to more conservative values, on the grounds that people who are poorer now seem to be more conservative, and this has something to do with farmers versus foragers. Hanson’s explanation of all this is baffling; I will quote it at length, just so it’s clear I’m not misrepresenting it:

The other main (and independent) axis of value variation ranges between poor and rich societies. Poor societies place more value on conformity, security, and traditional values such as marriage, heterosexuality, religion, patriotism, hard work, and trust in authority. In contrast, rich societies place more value on individualism, self-direction, tolerance, pleasure, nature, leisure, and trust. When the values of individuals within a society vary on the same axis, we call this a left/liberal (rich) versus right/conservative (poor) axis.

Foragers tend to have values more like those of rich/liberal people today, while subsistence farmers tend to have values more like those of poor/conservative people today. As industry has made us richer, we have on average moved from conservative/farmer values to liberal/forager values. This value movement can make sense if cultural evolution used the social pressures farmers faced, such as conformity and religion, to induce humans, who evolved to find forager behaviors natural, to instead act like farmers. As we become rich, we don’t as strongly fear the threats behind these social pressures. This connection may result in part from disease; rich people are healthier, and healthier societies fear less.

The alternate theory that we have instead learned that rich forager values are more true predicts that values should have followed a random walk over time, and be mostly common across space. It also predicts the variance of value changes tracking the rate at which relevant information appears. But in fact industrial-era value changes have tracked the wealth of each society in much more steady and consistent fashion. And on this theory, why did foragers ever acquire farmer values?

[…]

In the scenario described in this book, many strange-to-forager behaviors are required, and median per-person (i.e. per-em) incomes return to near-subsistence levels. This suggests that the em era may reverse the recent forager-like trend toward more liberality; ems may have more farmer-like values.

The Age of Em, p. 26-27

There’s a lot to unpack here, but maybe it’s better to burn the whole suitcase.

First of all, it’s not entirely clear that this is really a single axis of variation, that foragers and farmers differ from each other in the same way as liberals and conservatives. There’s some truth to that at least—both foragers and liberals tend to be more generous, both farmers and conservatives tend to enforce stricter gender norms. But there are also clear ways that liberal values radically deviate from forager values: Forager societies are extremely xenophobic, and typically very hostile to innovation, inequality, or any attempts at self-aggrandizement (a phenomenon called “fierce egalitarianism“). San Francisco epitomizes rich, liberal values, but it would be utterly alien and probably regarded as evil by anyone from the Yanomamo.

Second, there is absolutely no reason to predict any kind of random walk. That’s just nonsense. Would you predict that scientific knowledge is a random walk, with each new era’s knowledge just a random deviation from the last’s? Maybe next century we’ll return to geocentrism, or phrenology will be back in vogue? On the theory that liberal values (or at least some liberal values) are objectively correct, we would expect them to advance as knowledge doesimproving over time, and improving faster in places that have better institutions for research, education, and free expression. And indeed, this is precisely the pattern we have observed. (Those places are also richer, but that isn’t terribly surprising either!)

Third, while poorer regions are indeed more conservative, poorer people within a region actually tend to be more liberal. Nigeria is poorer and more conservative than Norway, and Mississippi is poorer and more conservative than Massachusetts. But higher-income households in the United States are more likely to vote Republican. I think this is particularly true of people living under insecure affluence: We see the abundance of wealth around us, and don’t understand why we can’t learn to share it better. We’re tired of fighting over scraps while the billionaires claim more and more. Millennials and Zoomers absolutely epitomize insecure affluence, and we also absolutely epitomize liberalism. So, if indeed ems live a life of insecure affluence, we should expect them to be like Zoomers: “Trans liberation now!” and “Eat the rich!” (Or should I say, “Delete the rich!”)

And really, doesn’t that make more sense? Isn’t that the trend our society has been on, for at least the last century? We’ve been moving toward more and more acceptance of women and minorities, more and more deviation from norms, more and more concern for individual rights and autonomy, more and more resistance to authority and inequality.

The funny thing is, that world sounds a lot better than the one Hanson is predicting.

A world of left-wing ems would probably run things a lot better than Hanson imagines: Instead of copying the same hundred psychopaths over and over until we fill the planet, have no room for anything else, and all struggle to make enough money just to stay alive, we could moderate our population to a more sustainable level, preserve diversity and individuality, and work toward living in greater harmony with each other and the natural world. We could take this economic and technological abundance and share it and enjoy it, instead of killing ourselves and each other to make more of it for no apparent reason.

The one good argument Hanson makes here is expressed in a single sentence: “And on this theory, why did foragers ever acquire farmer values?” That actually is a good question; why did we give up on leisure and egalitarianism when we transitioned from foraging to agriculture?

I think scarcity probably is relevant here: As food became scarcer, maybe because of climate change, people were forced into an agricultural lifestyle just to have enough to eat. Early agricultural societies were also typically authoritarian and violent. Under those conditions, people couldn’t be so generous and open-minded; they were surrounded by threats and on the verge of starvation.

I guess if Hanson is right that the em world is also one of poverty and insecurity, we might go back to those sort of values, borne of desperation. But I don’t see any reason to think we’d give up all of our liberal values. I would predict that ems will still be feminist, for instance; in fact, Hanson himself admits that since VR avatars would let us change gender presentation at will, gender would almost certainly become more fluid in a world of ems. Far from valuing heterosexuality more highly (as conservatives do, a “farmer value” according to Hanson), I suspect that ems will have no further use for that construct, because reproduction will be done by manufacturing, not sex, and it’ll be so easy to swap your body into a different one that hardly anyone will even keep the same gender their whole life. They’ll think it’s quaint that we used to identify so strongly with our own animal sexual dimorphism.

But maybe it is true that the scarcity induced by a hyper-competitive em world would make people more selfish, less generous, less trusting, more obsessed with work. Then let’s not do that! We don’t have to build that world! This isn’t a foregone conclusion!

There are many other paths yet available to us.

Indeed, perhaps the simplest would be to just ban artificial intelligence, at least until we can get a better handle on what we’re doing—and perhaps until we can institute the kind of radical economic changes necessary to wrest control of the world away from the handful of psychopaths currently trying their best to run it into the ground.

I admit, it would kind of suck to not get any of the benefits of AI, like self-driving cars, safer airplanes, faster medical research, more efficient industry, and better video games. It would especially suck if we did go full-on Butlerian Jihad and ban anything more complicated than a pocket calculator. (Our lifestyle might have to go back to what it was in—gasp! The 1950s!)

But I don’t think it would suck nearly as much as the world Robin Hanson thinks is in store for us if we continue on our current path.

So I certainly hope he’s wrong about all this.

Fortunately, I think he probably is.

Reckoning costs in money distorts them

May 7 JDN 2460072

Consider for a moment what it means when an economic news article reports “rising labor costs”. What are they actually saying?

They’re saying that wages are rising—perhaps in some industry, perhaps in the economy as a whole. But this is not a cost. It’s a price. As I’ve written about before, the two are fundamentally distinct.

The cost of labor is measured in effort, toil, and time. It’s the pain of having to work instead of whatever else you’d like to do with your time.

The price of labor is a monetary amount, which is delivered in a transaction.

This may seem perfectly obvious, but it has important and oft-neglected implications. A cost, one paid, is gone. That value has been destroyed. We hope that it was worth it for some benefit we gained. A price, when paid, is simply transferred: One person had that money before, now someone else has it. Nothing was gained or lost.

So in fact when reports say that “labor costs have risen”, what they are really saying is that income is being transferred from owners to workers without any change in real value taking place. They are framing as a loss what is fundamentally a zero-sum redistribution.

In fact, it is disturbingly common to see a fundamentally good redistribution of income framed in the press as a bad outcome because of its expression as “costs”; the “cost” of chocolate is feared to go up if we insist upon enforcing bans on forced labor—when in fact it is only the price that goes up, and the cost actually goes down: chocolate would no longer include complicity in an atrocity. The real suffering of making chocolate would be thereby reduced, not increased. Even when they aren’t literally enslaved, those workers are astonishingly poor, and giving them even a few more cents per hour would make a real difference in their lives. But God forbid we pay a few cents more for a candy bar!

If labor costs were to rise, that would mean that work had suddenly gotten harder, or more painful; or else, that some outside circumstance had made it more difficult to work. Having a child increases your labor costs—you now have the opportunity cost of not caring for the child. COVID increased the cost of labor, by making it suddenly dangerous just to go outside in public. That could also increase prices—you may demand a higher wage, and people do seem to have demanded higher wages after COVID. But these are two separate effects, and you can have one without the other. In fact, women typically see wage stagnation or even reduction after having kids (but men largely don’t), despite their real opportunity cost of labor having obviously greatly increased.

On an individual level, it’s not such a big mistake to equate price and cost. If you are buying something, its cost to you basically just is its price, plus a little bit of transaction cost for actually finding and buying it. But on a societal level, it makes an enormous difference. It distorts our policy priorities and can even lead to actively trying to suppress things that are beneficial—such as rising wages.

This false equivalence between price and costs seems to be at least as common among economists as it is among laypeople. Economists will often justify it on the grounds that in an ideal perfect competitive market the two would be in some sense equated. But of course we don’t live in that ideal perfect market, and even if we did, they would only beproportional at the margin, not fundamentally equal across the board. It would still be obviously wrong to characterize the total value or cost of work by the price paid for it; only the last unit of effort would be priced so that marginal value equals price equals marginal cost. The first 39 hours of your work would cost you less than what you were paid, and produce more than you were paid; only that 40th hour would set the three equal.

Once you account for all the various market distortions in the world, there’s no particular relationship between what something costs—in terms of real effort and suffering—and its price—in monetary terms. Things can be expensive and easy, or cheap and awful. In fact, they often seem to be; for some reason, there seems to be a pattern where the most terrible, miserable jobs (e.g. coal mining) actually pay the leastand the easiest, most pleasant jobs (e.g. stock trading) pay the most. Some jobs that benefit society pay well (e.g. doctors) and others pay terribly or not at all (e.g. climate activists). Some actions that harm the world get punished (e.g. armed robbery) and others get rewarded with riches (e.g. oil drilling). In the real world, whether a job is good or bad and whether it is paid well or poorly seem to be almost unrelated.

In fact, sometimes they seem even negatively related, where we often feel tempted to “sell out” and do something destructive in order to get higher pay. This is likely due to Berkson’s paradox: If people are willing to do jobs if they are either high-paying or beneficial to humanity, then we should expect that, on average, most of the high-paying jobs people do won’t be beneficial to humanity. Even if there were inherently no correlation or a small positive one, people’s refusal to do harmful low-paying work removes those jobs from our sample and results in a negative correlation in what remains.

I think that the best solution, ultimately, is to stop reckoning costs in money entirely. We should reckon them in happiness.

This is of course much more difficult than simply using prices; it’s not easy to say exactly how many QALY are sacrificed in the extraction of cocoa beans or the drilling of offshore oil wells. But if we actually did find a way to count them, I strongly suspect we’d find that it was far more than we ought to be willing to pay.

A very rough approximation, surely flawed but at least a start, would be to simply convert all payments into proportions of their recipient’s income: For full-time wages, this would result in basically everyone being counted the same, as 1 hour of work if you work 40 hours per week, 50 weeks per year is precisely 0.05% of your annual income. So we could say that whatever is equivalent to your hourly wage constitutes 50 microQALY.

This automatically implies that every time a rich person pays a poor person, QALY increase, while every time a poor person pays a rich person, QALY decrease. This is not an error in the calculation. It is a fact of the universe. We ignore it only at out own peril. All wealth redistributed downward is a benefit, while all wealth redistributed upward is a harm. That benefit may cause some other harm, or that harm may be compensated by some other benefit; but they are still there.

This would also put some things in perspective. When HSBC was fined £70 million for its crimes, that can be compared against its £1.5 billion in net income; if it were an individual, it would have been hurt about 50 milliQALY, which is about what I would feel if I lost $2000. Of course, it’s not a person, and it’s not clear exactly how this loss was passed through to employees or shareholders; but that should give us at least some sense of how small that loss was for them. They probably felt it… a little.

When Trump was ordered to pay a $1.3 million settlement, based on his $2.5 billion net wealth (corresponding to roughly $125 million in annual investment income), that cost him about 10 milliQALY; for me that would be about $500.

At the other extreme, if someone goes from making $1 per day to making $1.50 per day, that’s a 50% increase in their income—500 milliQALY per year.

For those who have no income at all, this becomes even trickier; for them I think we should probably use their annual consumption, since everyone needs to eat and that costs something, though likely not very much. Or we could try to measure their happiness directly, trying to determine how much it hurts to not eat enough and work all day in sweltering heat.

Properly shifting this whole cultural norm will take a long time. For now, I leave you with this: Any time you see a monetary figure, ask yourself: How much is that worth to them?” The world will seem quite different once you get in the habit of that.

What is it with EA and AI?

Jan 1 JDN 2459946

Surprisingly, most Effective Altruism (EA) leaders don’t seem to think that poverty alleviation should be our top priority. Most of them seem especially concerned about long-term existential risk, such as artificial intelligence (AI) safety and biosecurity. I’m not going to say that these things aren’t important—they certainly are important—but here are a few reasons I’m skeptical that they are really the most important the way that so many EA leaders seem to think.

1. We don’t actually know how to make much progress at them, and there’s only so much we can learn by investing heavily in basic research on them. Whereas, with poverty, the easy, obvious answer turns out empirically to be extremely effective: Give them money.

2. While it’s easy to multiply out huge numbers of potential future people in your calculations of existential risk (and this is precisely what people do when arguing that AI safety should be a top priority), this clearly isn’t actually a good way to make real-world decisions. We simply don’t know enough about the distant future of humanity to be able to make any kind of good judgments about what will or won’t increase their odds of survival. You’re basically just making up numbers. You’re taking tiny probabilities of things you know nothing about and multiplying them by ludicrously huge payoffs; it’s basically the secular rationalist equivalent of Pascal’s Wager.

2. AI and biosecurity are high-tech, futuristic topics, which seem targeted to appeal to the sensibilities of a movement that is still very dominated by intelligent, nerdy, mildly autistic, rich young White men. (Note that I say this as someone who very much fits this stereotype. I’m queer, not extremely rich and not entirely White, but otherwise, yes.) Somehow I suspect that if we asked a lot of poor Black women how important it is to slightly improve our understanding of AI versus giving money to feed children in Africa, we might get a different answer.

3. Poverty eradication is often characterized as a “short term” project, contrasted with AI safety as a “long term” project. This is (ironically) very short-sighted. Eradication of poverty isn’t just about feeding children today. It’s about making a world where those children grow up to be leaders and entrepreneurs and researchers themselves. The positive externalities of economic development are staggering. It is really not much of an exaggeration to say that fascism is a consequence of poverty and unemployment.

4. Currently the main thing that most Effective Altruism organizations say they need most is “talent”; how many millions of person-hours of talent are we leaving on the table by letting children starve or die of malaria?

5. Above all, existential risk can’t really be what’s motivating people here. The obvious solutions to AI safety and biosecurity are not being pursued, because they don’t fit with the vision that intelligent, nerdy, young White men have of how things should be. Namely: Ban them. If you truly believe that the most important thing to do right now is reduce the existential risk of AI and biotechnology, you should support a worldwide ban on research in artificial intelligence and biotechnology. You should want people to take all necessary action to attack and destroy institutions—especially for-profit corporations—that engage in this kind of research, because you believe that they are threatening to destroy the entire world and this is the most important thing, more important than saving people from starvation and disease. I think this is really the knock-down argument; when people say they think that AI safety is the most important thing but they don’t want Google and Facebook to be immediately shut down, they are either confused or lying. Honestly I think maybe Google and Facebook should be immediately shut down for AI safety reasons (as well as privacy and antitrust reasons!), and I don’t think AI safety is yet the most important thing.

Why aren’t people doing that? Because they aren’t actually trying to reduce existential risk. They just think AI and biotechnology are really interesting, fascinating topics and they want to do research on them. And I agree with that, actually—but then they need stop telling people that they’re fighting to save the world, because they obviously aren’t. If the danger were anything like what they say it is, we should be halting all research on these topics immediately, except perhaps for a very select few people who are entrusted with keeping these forbidden secrets and trying to find ways to protect us from them. This may sound radical and extreme, but it is not unprecedented: This is how we handle nuclear weapons, which are universally recognized as a global existential risk. If AI is really as dangerous as nukes, we should be regulating it like nukes. I think that in principle it could be that dangerous, and may be that dangerous someday—but it isn’t yet. And if we don’t want it to get that dangerous, we don’t need more AI researchers, we need more regulations that stop people from doing harmful AI research! If you are doing AI research and it isn’t directly involved specifically in AI safety, you aren’t saving the world—you’re one of the people dragging us closer to the cliff! Anything that could make AI smarter but doesn’t also make it safer is dangerous. And this is clearly true of the vast majority of AI research, and frankly to me seems to also be true of the vast majority of research at AI safety institutes like the Machine Intelligence Research Institute.

Seriously, look through MIRI’s research agenda: It’s mostly incredibly abstract and seems completely beside the point when it comes to preventing AI from taking control of weapons or governments. It’s all about formalizing Bayesian induction. Thanks to you, Skynet can have a formally computable approximation to logical induction! Truly we are saved. Only two of their papers, on “Corrigibility” and “AI Ethics”, actually struck me as at all relevant to making AI safer. The rest is largely abstract mathematics that is almost literally navel-gazing—it’s all about self-reference. Eliezer Yudkowsky finds self-reference fascinating and has somehow convinced an entire community that it’s the most important thing in the world. (I actually find some of it fascinating too, especially the paper on “Functional Decision Theory”, which I think gets at some deep insights into things like why we have emotions. But I don’t see how it’s going to save the world from AI.)

Don’t get me wrong: AI also has enormous potential benefits, and this is a reason we may not want to ban it. But if you really believe that there is a 10% chance that AI will wipe out humanity by 2100, then get out your pitchforks and your EMP generators, because it’s time for the Butlerian Jihad. A 10% chance of destroying all humanity is an utterly unacceptable risk for any conceivable benefit. Better that we consign ourselves to living as we did in the Neolithic than risk something like that. (And a globally-enforced ban on AI isn’t even that; it’s more like “We must live as we did in the 1950s.” How would we survive!?) If you don’t want AI banned, maybe ask yourself whether you really believe the risk is that high—or are human brains just really bad at dealing with small probabilities?

I think what’s really happening here is that we have a bunch of guys (and yes, the EA and especially AI EA-AI community is overwhelmingly male) who are really good at math and want to save the world, and have thus convinced themselves that being really good at math is how you save the world. But it isn’t. The world is much messier than that. In fact, there may not be much that most of us can do to contribute to saving the world; our best options may in fact be to donate money, vote well, and advocate for good causes.

Let me speak Bayesian for a moment: The prior probability that you—yes, you, out of all the billions of people in the world—are uniquely positioned to save it by being so smart is extremely small. It’s far more likely that the world will be saved—or doomed—by people who have power. If you are not the head of state of a large country or the CEO of a major multinational corporation, I’m sorry; you probably just aren’t in a position to save the world from AI.

But you can give some money to GiveWell, so maybe do that instead?

Charity shouldn’t end at home

It so happens that this week’s post will go live on Christmas Day. I always try to do some kind of holiday-themed post around this time of year, because not only Christmas, but a dozen other holidays from various religions all fall around this time of year. The winter solstice seems to be a very popular time for holidays, and has been since antiquity: The Romans were celebrating Saturnalia 2000 years ago. Most of our ‘Christmas’ traditions are actually derived from Yuletide.

These holidays certainly mean many different things to different people, but charity and generosity are themes that are very common across a lot of them. Gift-giving has been part of the season since at least Saturnalia and remains as vital as ever today. Most of those gifts are given to our friends and loved ones, but a substantial fraction of people also give to strangers in the form of charitable donations: November and December have the highest rates of donation to charity in the US and the UK, with about 35-40% of people donating during this season. (Of course this is complicated by the fact that December 31 is often the day with the most donations, probably from people trying to finish out their tax year with a larger deduction.)

My goal today is to make you one of those donors. There is a common saying, often attributed to the Bible but not actually present in it: “Charity begins at home”.

Perhaps this is so. There’s certainly something questionable about the Effective Altruism strategy of “earning to give” if it involves abusing and exploiting the people around you in order to make more money that you then donate to worthy causes. Certainly we should be kind and compassionate to those around us, and it makes sense for us to prioritize those close to us over strangers we have never met. But while charity may begin at home, it must not end at home.

There are so many global problems that could benefit from additional donations. While global poverty has been rapidly declining in the early 21st century, this is largely because of the efforts of donors and nonprofit organizations. Official Development Assitance has been roughly constant since the 1970s at 0.3% of GNI among First World countries—well below international targets set decades ago. Total development aid is around $160 billion per year, while private donations from the United States alone are over $480 billion. Moreover, 9% of the world’s population still lives in extreme poverty, and this rate has actually slightly increased the last few years due to COVID.

There are plenty of other worthy causes you could give to aside from poverty eradication, from issues that have been with us since the dawn of human civilization (the Humane Society International for domestic animal welfare, the World Wildlife Federation for wildlife conservation) to exotic fat-tail sci-fi risks that are only emerging in our own lifetimes (the Machine Intelligence Research Institute for AI safety, the International Federation of Biosafety Associations for biosecurity, the Union of Concerned Scientists for climate change and nuclear safety). You could fight poverty directly through organizations like UNICEF or GiveDirectly, fight neglected diseases through the Schistomoniasis Control Initiative or the Against Malaria Foundation, or entrust an organization like GiveWell to optimize your donations for you, sending them where they think they are needed most. You could give to political causes supporting civil liberties (the American Civil Liberties Union) or protecting the rights of people of color (the North American Association of Colored People) or LGBT people (the Human Rights Campaign).

I could spent a lot of time and effort trying to figure out the optimal way to divide up your donations and give them to causes such as this—and then convincing you that it’s really the right one. (And there is even a time and place for that, because seemingly-small differences can matter a lot in this.) But instead I think I’m just going to ask you to pick something. Give something to an international charity with a good track record.

I think we worry far too much about what is the best way to give—especially people in the Effective Altruism community, of which I’m sort of a marginal member—when the biggest thing the world really needs right now is just more people giving more. It’s true, there are lots of worthless or even counter-productive charities out there: Please, please do not give to the Salvation Army. (And think twice before donating to your own church; if you want to support your own community, okay, go ahead. But if you want to make the world better, there are much better places to put your money.)

But above all, give something. Or if you already give, give more. Most people don’t give at all, and most people who give don’t give enough.

If I had a trillion dollars…

May 29 JDN 2459729

(To the tune of “If I had a million dollars” by Barenaked Ladies; by the way, he does now)

[Inspired by the book How to Spend a Trillion Dollars]

If I had a trillion dollars… if I had a trillion dollars!

I’d buy everyone a house—and yes, I mean, every homeless American.

[500,000 homeless households * $300,000 median home price = $150 billion]

If I had a trillion dollars… if I had a trillion dollars!

I’d give to the extreme poor—and then there would be no extreme poor!

[Global poverty gap: $160 billion]

If I had a trillion dollars… if I had a trillion dollars!

I’d send people to Mars—hey, maybe we’d find some alien life!

[Estimated cost of manned Mars mission: $100 billion]

If I had a trillion dollars… if I had a trillion dollars!

I’d build us a Moon base—haven’t you always wanted a Moon base?

[Estimated cost of a permanent Lunar base: $35 billion. NASA is bad at forecasting cost, so let’s allow cost overruns to take us to $100 billion.]

If I had a trillion dollars… if I had a trillion dollars!

I’d build a new particle accelerator—let’s finally figure out dark matter!

[Cost of planned new accelerator at CERN: $24 billion. Let’s do 4 times bigger and make it $100 billion.]

If I had a trillion dollars… if I had a trillion dollars!

I’d save the Amazon—pay all the ranchers to do something else!

[Brazil, where 90% of Amazon cattle ranching is, produces about 10 million tons of beef per year, which at an average price of $5000 per ton is $50 billion. So I could pay all the farmers two years of revenue to protect the Amazon instead of destroying it for $100 billion.]

If I had a trillion dollars…

We wouldn’t have to drive anymore!

If I had a trillion dollars…

We’d build high-speed rail—it won’t cost more!

[Cost of proposed high-speed rail system: $240 billion]

If I had a trillion dollars… if I had trillion dollars!

Hey wait, I could get it from a carbon tax!

[Even a moderate carbon tax could raise $1 trillion in 10 years.]

If I had a trillion dollars… I’d save the world….

All of the above really could be done for under $1 trillion. (Some of them would need to be repeated, so we could call it $1 trillion per year.)

I, of course, do not, and will almost certainly never have, anything approaching $1 trillion.

But here’s the thing: There are people who do.

Elon Musk and Jeff Bezos together have a staggering $350 billion. That’s two people with enough money to end world hunger. And don’t give me that old excuse that it’s not in cash: UNICEF gladly accepts donations in stock. They could, right now, give their stocks to UNICEF and thereby end world hunger. They are choosing not to do that. In fact, the goodwill generated by giving, say, half their stocks to UNICEF might actually result in enough people buying into their companies that their stock prices would rise enough to make up the difference—thus costing them literally nothing.

The total net wealth of all the world’s billionaires is a mind-boggling $12.7 trillion. That’s more than half a year of US GDP. Held by just over 2600 people—a small town.

The US government spends $4 trillion in a normal year—and $5 trillion the last couple of years due to the pandemic. Nearly $1 trillion of that is military spending, which could be cut in half and still be the highest in the world. After seeing how pathetic Russia’s army actually is in battle (they paint Zs on their tanks because apparently their IFF system is useless!), are we really still scared of them? Do we really need eleven carrier battle groups?

Yes, the total cost of mitigating climate change is probably in the tens of trillions—but the cost of not mitigating climate change could be over $100 trillion. And it’s not as if the world can’t come up with tens of trillions; we already do. World GDP is now over $100 trillion per year; just 2% of that for 10 years is $20 trillion.

Do these sound like good ideas to you? Would you want to do them? I think most people would want most of them. So now the question becomes: Why aren’t we doing them?

The alienation of labor

Apr 10 JDN 2459680

Marx famously wrote that capitalism “alienates labor”. Much ink has been spilled over interpreting exactly what he meant by that, but I think the most useful and charitable reading goes something like the following:

When you make something for yourself, it feels fully yours. The effort you put into it feels valuable and meaningful. Whether you’re building a house to live in it or just cooking an omelet to eat it, your labor is directly reflected in your rewards, and you have a clear sense of purpose and value in what you are doing.

But when you make something for an employer, it feels like theirs, not yours. You have been instructed by your superiors to make a certain thing a certain way, for reasons you may or may not understand (and may or may not even agree with). Once you deliver the product—which may be as concrete as a carburetor or as abstract as an accounting report—you will likely never see it again; it will be used or not by someone else somewhere else whom you may not even ever get the chance to meet. Such labor feels tedious, effortful, exhausting—and also often empty, pointless, and meaningless.

On that reading, Marx isn’t wrong. There really is something to this. (I don’t know if this is really Marx’s intended meaning or not, and really I don’t much care—this is a valid thing and we should be addressing it, whether Marx meant to or not.)

There is a little parable about this, which I can’t quite remember where I heard:

Three men are moving heavy stones from one place to another. A traveler passes by and asks them, “What are you doing?”

The first man sighs and says, “We do whatever the boss tells us to do.”

The second man shrugs and says, “We pick up the rocks here, we move them over there.”

The third man smiles and says, “We’re building a cathedral.”

The three answers are quite different—yet all three men may be telling the truth as they see it.

The first man is fully alienated from his labor: he does whatever the boss says, following instructions that he considers arbitrary and mechanical. The second man is partially alienated: he knows the mechanics of what he is trying to accomplish, which may allow him to improve efficiency in some way (e.g. devise better ways to transport the rocks faster or with less effort), but he doesn’t understand the purpose behind it all, so ultimately his work still feels meaningless. But the third man is not alienated: he understands the purpose of his work, and he values that purpose. He sees that what he is doing is contributing to a greater whole that he considers worthwhile. It’s not hard to imagine that the third man will be the happiest, and the first will be the unhappiest.

There really is something about the capitalist wage-labor structure that can easily feed into this sort of alienation. You get a job because you need money to live, not because you necessarily value whatever the job does. You do as you are told so that you can keep your job and continue to get paid.

Some jobs are much more alienating than others. Most teachers and nurses see their work as a vocation, even a calling—their work has deep meaning for them and they value its purpose. At the other extreme there are corporate lawyers and derivatives traders, who must on some level understand that their work contributes almost nothing to the world (may in fact actively cause harm), but they continue to do the work because it pays them very well.

But there are many jobs in between which can be experienced both ways. Working in retail can be an agonizing grind where you must face a grueling gauntlet of ungrateful customers day in and day out—or it can be a way to participate in your local community and help your neighbors get the things they need. Working in manufacturing can be a mechanical process of inserting tab A into slot B and screwing it into place over, and over, and over again—or it can be a chance to create something, convert raw materials into something useful and valuable that other people can cherish.

And while individual perspective and framing surely matter here—those three men were all working in the same quarry, building the same cathedral—there is also an important objective component as well. Working as an artisan is not as alienating as working on an assembly line. Hosting a tent at a farmer’s market is not as alienating as working the register at Walmart. Tutoring an individual student is more purposeful than recording video lectures for a MOOC. Running a quirky local book store is more fulfilling than stocking shelves at Barnes & Noble.

Moreover, capitalism really does seem to push us more toward the alienating side of the spectrum. Assembly lines are far more efficient than artisans, so we make most of our products on assembly lines. Buying food at Walmart is cheaper and more convenient than at farmer’s markets, so more people shop there. Hiring one video lecturer for 10,000 students is a lot cheaper than paying 100 in-person lecturers, let alone 1,000 private tutors. And Barnes & Noble doesn’t drive out local book stores by some nefarious means: It just provides better service at lower prices. If you want a specific book for a good price right now, you’re much more likely to find it at Barnes & Noble. (And even more likely to find it on Amazon.)

Finding meaning in your work is very important for human happiness. Indeed, along with health and social relationships, it’s one of the biggest determinants of happiness. For most people in First World countries, it seems to be more important than income (though income certainly does matter).

Yet the increased efficiency and productivity upon which our modern standard of living depends seems to be based upon a system of production—in a word, capitalism—that systematically alienates us from meaning in our work.

This puts us in a dilemma: Do we keep things as they are, accepting that we will feel an increasing sense of alienation and ennui as our wealth continues to grow and we get ever-fancier toys to occupy our meaningless lives? Or do we turn back the clock, returning to a world where work once again has meaning, but at the cost of making everyone poorer—and some people desperately so?

Well, first of all, to some extent this is a false dichotomy. There are jobs that are highly meaningful but also highly productive, such as teaching and engineering. (Even recording a video lecture is a lot more fulfilling than plenty of jobs out there.) We could try to direct more people into jobs like these. There are jobs that are neither particularly fulfilling nor especially productive, like driving trucks, washing floors and waiting tables. We could redouble our efforts into automating such jobs out of existence. There are meaningless jobs that are lucrative only by rent-seeking, producing little or no genuine value, like the aforementioned corporate lawyers and derivatives traders. These, quite frankly, could simply be banned—or if there is some need for them in particular circumstances (I guess someone should defend corporations when they get sued; but they far more often go unjustly unpunished than unjustly punished!), strictly regulated and their numbers and pay rates curtailed.

Nevertheless, we still have decisions to make, as a society, about what we value most. Do we want a world of cheap, mostly adequate education, that feels alienating even to the people producing it? Then MOOCs are clearly the way to go; pennies on the dollar for education that could well be half as good! Or do we want a world of high-quality, personalized teaching, by highly-qualified academics, that will help students learn better and feel more fulfilling for the teachers? More pointedly—are we willing to pay for that higher-quality education, knowing it will be more expensive?

Moreover, in the First World at least, our standard of living is… pretty high already? Like seriously, what do we really need that we don’t already have? We could always imagine more, of course—a bigger house, a nicer car, dining at fancier restaurants, and so on. But most of us have roofs over our heads, clothes on our backs, and food on our tables.

Economic growth has done amazing things for us—but maybe we’re kind of… done? Maybe we don’t need to keep growing like this, and should start redirecting our efforts away from greater efficiency and toward greater fulfillment. Maybe there are economic possibilities we haven’t been considering.

Note that I specifically mean First World countries here. In Third World countries it’s totally different—they need growth, lots of it, as fast as possible. Fulfillment at work ends up being a pretty low priority when your children are starving and dying of malaria.

But then, you may wonder: If we stop buying cheap plastic toys to fill the emptiness in our hearts, won’t that throw all those Chinese factory workers back into poverty?

In the system as it stands? Yes, that’s a real concern. A sudden drop in consumption spending in general, or even imports in particular, in First World countries could be economically devastating for millions of people in Third World countries.

But there’s nothing inherent about this arrangement. There are less-alienating ways of working that can still provide a decent standard of living, and there’s no fundamental reason why people around the world couldn’t all be doing them. If they aren’t, it’s in the short run because they don’t have the education or the physical machinery—and in the long run it’s usually because their government is corrupt and authoritarian. A functional democratic government can get you capital and education remarkably fast—it certainly did in South Korea, Taiwan, and Japan.

Automation is clearly a big part of the answer here. Many people in the First World seem to suspect that our way of life depends upon the exploited labor of impoverished people in Third World countries, but this is largely untrue. Most of that work could be done by robots and highly-skilled technicians and engineers; it just isn’t because that would cost more. Yes, that higher cost would mean some reduction in standard of living—but it wouldn’t be nearly as dramatic as many people seem to think. We would have slightly smaller houses and slightly older cars and slightly slower laptops, but we’d still have houses and cars and laptops.

So I don’t think we should all cast off our worldly possessions just yet. Whether or not it would make us better off, it would cause great harm to countries that depend on their exports to us. But in the long run, I do think we should be working to achieve a future for humanity that isn’t so obsessed with efficiency and growth, and instead tries to provide both a decent standard of living and a life of meaning and purpose.

The economic impact of chronic illness

Mar 27 JDN 2459666

This topic is quite personal for me, as someone who has suffered from chronic migraines since adolescence. Some days, weeks, and months are better than others. This past month has been the worst I have felt since 2019, when we moved into an apartment that turned out to be full of mold. This time, there is no clear trigger—which also means no easy escape.

The economic impact of chronic illness is enormous. 90% of US healthcare spending is on people with chronic illnesses, including mental illnesses—and the US has the most expensive healthcare system in the world by almost any measure. Over 55% of adult Medicaid beneficiaries have two or more chronic illnesses.

The total annual cost of all chronic illnesses is hard to estimate, but it’s definitely somewhere in the trillions of dollars per year. The World Economic Forum estimated that number at $47 trillion over the next 20 years, which I actually consider conservative. I think this is counting how much we actually spend and some notion of lost productivity, as well as the (fraught) concept of the value of a statistical life—but I don’t think it’s putting a sensible value on the actual suffering. This will effectively undervalue poor people who are suffering severely but can’t get treated—because they spend little and can’t put a large dollar value on their lives. In the US, where the data is the best, the total cost of chronic illness comes to nearly $4 trillion per year—20% of GDP. If other countries are as bad or worse (and I don’t see why they would be better), then we’re looking at something like $17 trillion in real cost every single year; so over the next 20 years that’s not $47 trillion—it’s over $340 trillion.

Over half of US adults have at least one of the following, and over a quarter have two or more: arthritis, cancer, chronic obstructive pulmonary disease, coronary heart disease, current asthma, diabetes, hepatitis, hypertension, stroke, or kidney disease. (Actually the former very nearly implies the latter, unless chronic conditions somehow prevented one another. Two statistically independent events with 50% probability will jointly occur 25% of the time: Flip two coins.)

Unsurprisingly, age is positively correlated with chronic illness. Income is negatively correlated, both because chronic illnesses reduce job opportunities and because poorer people have more trouble getting good treatment. I am the exception that proves the rule, the upper-middle-class professional with both a PhD and a severe chronic illness.

There seems to be a common perception that chronic illness is largely a “First World problem”, but in fact chronic illnesses are more common—and much less poorly treated—in countries with low and moderate levels of development than they are in the most highly-developed countries. Over 75% of all deaths by non-communicable disease are in low- and middle-income countries. The proportion of deaths that is caused by non-communicable diseases is higher in high-income countries—but that’s because other diseases have been basically eradicated from high-income countries. People in rich countries actually suffer less from chronic illness than people in poor countries (on average).

It’s always a good idea to be careful of the distinction between incidence and prevalence, but with chronic illness this is particularly important, because (almost by definition) chronic illnesses last longer and so can have very high prevalence even with low incidence. Indeed, the odds of someone getting their first migraine (incidence) are low precisely because the odds of being someone who gets migraines (prevalence) is so high.

Quite high in fact: About 10% of men and 20% of women get migraines at least occasionally—though only about 8% of these (so 1% of men and 2% of women) get chronic migraines. Indeed, because ti is both common and can be quite severe, migraine is the second-most disabling condition worldwide as measured by years lived with disability (YLD), after low back pain. Neurologists are particularly likely to get migraines; the paper I linked speculates that they are better at realizing they have migraines, but I think we also need to consider the possibility of self-selection bias where people with migraines may be more likely to become neurologists. (I considered it, and it seems at least as good a reason as becoming a dentist because your name is Denise.)

If you order causes by the number of disability-adjusted life years (DALYs) they cost, chronic conditions rank quite high: while cardiovascular disease and cancer rate by far the highest, diabetes and kidney disease, mental disorders, neurological disorders, and musculoskeletal disorders all rate higher than malaria, HIV, or any other infection except respiratory infections (read: tuberculosis, influenza, and, once these charts are updated for the next few years, COVID). Note also that at the very bottom is “conflict and terrorism”—that’s all organized violence in the world—and natural disasters. Mental disorders alone cost the world 20 times as many DALYs as all conflict and terrorism combined.

Basic income reconsidered

Feb 20 JDN 2459631

In several previous posts I have sung the praises of universal basic income (though I have also tried to acknowledge the challenges involved).

In this post I’d like to take a step back and reconsider the question of whether basic income is really the best approach after all. One nagging thought keeps coming back to me, and it is the fact that basic income is extremely expensive.

About 11% of the US population lives below the standard poverty line. There are many criticisms of the standard poverty line: Some say it’s too high, because you can compare it favorably with middle-class incomes in much poorer countries. Others say it’s too low, because income at that level doesn’t allow people to really live in financial security. There are many difficult judgment calls that go into devising a poverty threshold, and we can reasonably debate whether the right ones were made here.

However, I think this threshold is at least approximately correct; maybe the true poverty threshold for a household of 1 should be not $12,880 but $11,000 or $15,000, but I don’t think it should be $5,000 or $25,000. Maybe for a household of 4 it should be not $26,500 but $19,000 or $32,000; but I don’t think it should be $12,000 or $40,000.

So let’s suppose that we wanted to implement a universal basic income in the United States that would lift everyone out of poverty. We could essentially do that by taking the 2-person-household threshold of $17,420 and dividing it by 2, yielding $8,710 per person per year. (Why not use the 1-person-household threshold? There aren’t very many 1-person households in poverty, and that threshold would be considerably higher and thus considerably more expensive. A typical poor household is a single parent and one or more children; as long as kids get the basic income, that household would be above the threshold in this system.)

The US population is currently about 331 million people. If every single one of them were to receive a basic income of $8,710, that would cost nearly $2.9 trillion per year. This is a feasible amount—it’s less than half the current total federal budget—but it is still a very large amount. The tax increases required to support it would be massive, and that’s probably why, despite ostensibly bipartisan support for the idea of a basic income, no serious proposal has ever gotten off of the ground.

If on the other hand we were to only give the basic income to people below the poverty line, that would cost only 11% of that amount: A far more manageable $320 billion per year.

We don’t want to do exactly that, however, because it would create all kinds of harmful distortions in the economy. Consider someone who is just below the threshold, considering whether to take on more work or get a higher-paying job. If their household pre-tax income is currently $15,000 and they could raise it to $18,000, a basic income given only to people below the threshold would mean that they are choosing between $15,000+$17,000=$32,000 if they keep their current work and $18,000 if they increase it. Clearly, they would not want to take on more work. That’s a terrible system—it amounts to a marginal tax rate above 100%.

Another possible method would be to simply top off people’s income, give them whatever they need to get to the poverty line but no more. (This would actually be even cheaper; it would probably cost something more like $160 billion per year.) That removes the distortion for people near the threshold, at the cost of making it much worse for those far below the threshold. Someone considering whether to work for $7,000 or work for $11,000 is, in such a system, choosing whether to work less for $17,000 or work more for… $17,000. They will surely choose to work less.

In order to solve these problems, what we would most likely need to do is gradually phase out the basic income, so that say increasing your pre-tax income by $1.00 would decrease your basic income payment by $0.50. The cost of this system would be somewhere in between that of a truly universal basic income and a threshold-based system, so let’s ballpark that as around $600 billion per year. It would effectively implement a marginal tax rate of 50% for anyone who is receiving basic income payments.

In theory, this is probably worse than a universal basic income, because in the latter case you can target the taxes however you like—and thus (probably) make them less cause less distortion than the phased-out basic income system would. But in practice, a truly universal basic income might simply not be politically viable, and some kind of phased-out system seems much more likely to actually get passed.


Even then, I confess I am not extremely optimistic. For some reason, everyone seems to want to end poverty, but very few seem willing to use the obvious solution: Give poor people money.

Reversals in progress against poverty

Jan 16 JDN 2459606

I don’t need to tell you that the COVID pandemic has been very bad for the world. Yet perhaps the worst outcome of the pandemic is one that most people don’t recognize: It has reversed years of progress against global poverty.

Estimates of the number of people who will be thrown into extreme poverty as a result of the pandemic are consistently around 100 million, though some forecasts have predicted this will rise to 150 million, or, in the most pessimistic scenarios, even as high as 500 million.

Pre-COVID projections showed the global poverty rate falling steadily from 8.4% in 2019 to 6.3% by 2030. But COVID resulted in the first upward surge in global poverty in decades, and updated models now suggest that the global poverty rate in 2030 will be as high as 7.0%. That difference is 0.7% of a forecasted population of 8.5 billion—so that’s a difference of 59 million people.

This is a terrible reversal of fortune, and a global tragedy. Ten or perhaps even hundreds of millions of people will suffer the pain of poverty because of this global pandemic and the numerous missteps by many of the world’s governments—not least the United States—in response to it.

Yet it’s important to keep in mind that this is a short-term reversal in a long-term trend toward reduced poverty. Yes, the most optimistic predictions are turning out to be wrong—but the general pattern of dramatic reductions in global poverty over the late 20th and early 21st century are still holding up.

That post-COVID estimate of a global poverty rate of 7.0% needs to be compared against the fact that as recently as 1980 the global poverty rate at the same income level (adjust for inflation and purchasing power of course) income level was a whopping 44%.

This pattern makes me feel deeply ambivalent about the effects of globalization on inequality. While it now seems clear that globalization has exacerbated inequality within First World countries—and triggered a terrible backlash of right-wing populism as a result—it also seems clear that globalization was a major reason for the dramatic reductions in global poverty in the past few decades.

I think the best answer I’ve been able to come up with is that globalization is overall a good thing, and we must continue it—but we also need to be much more mindful of its costs, and we must make policy that mitigates those costs. Expanded trade has winners and losers, and we should be taxing the winners to compensate the losers. To make good economic policy, it simply isn’t enough to increase aggregate GDP; you actually have to make life better for everyone (or at least as many people as you can).

Unfortunately, knowing what policies to make is only half the battle. We must actually implement those policies, which means winning elections, which means restoring the public’s faith in the authority of economic experts.

Some of the people voting for Donald Trump were just what Hillary Clinton correctly (if tone-deafly) referred to as “deplorables“: racists, misogynists, xenophobes. But I think that many others weren’t voting for Trump but against Clinton; they weren’t embracing far-right populism but rather rejecting center-left technocratic globalization. They were tired of being told what to do by experts who didn’t seem to care about them or their interests.

And the thing is, they were right about that. Not about voting for Trump—that’s unforgivable—but about the fact that expert elites had been ignoring their interests and needed a wake-up call. There were a hundred better ways of making that wake-up call that didn’t involve putting a narcissistic, incompetent maniac in charge of the world’s largest economy, military and nuclear arsenal, and millions of people should be ashamed of themselves for not taking those better options. Yet the fact remains: The wake-up call was necessary, and we should be responding to it.

We expert elites (I think I can officially carry that card, now that I have a PhD and a faculty position at a leading research university) need to do a much better job of two things: First, articulating the case for our policy recommendations in a way that ordinary people can understand, so that they feel justified and not simply rammed down people’s throats; and second, recognizing the costs and downsides of these policies and taking action to mitigate them whenever possible.

For instance: Yes, we need to destroy all the coal jobs. They are killing workers and the planet. Coal companies need to be transitioned to new industries or else shut down. This is not optional. It must be done. But we also need to explain to those coal miners why it’s necessary to move on from coal to solar and nuclear, and we need to be implementing various policies to help those workers move on to better, safer jobs that pay as well and don’t involve filling their lungs with soot and the atmosphere with carbon dioxide. We need to articulate, emphasize—and loudly repeat—that this isn’t about hurting coal miners to help everyone else, but about helping everyone, coal miners included, and that if anyone gets hurt it will only be a handful of psychopathic billionaires who already have more money than any human being could possibly need or deserve.

Another example: We cannot stop trading with India and China. Hundreds of millions of innocent people would suddenly be thrown out of work and into poverty if we did. We need the products they make for us, and they need the money we pay for those products. But we must also acknowledge that trading with poor countries does put downward pressure on wages back home, and take action to help First World workers who are now forced to compete with global labor markets. Maybe this takes the form of better unemployment benefits, or job-matching programs, or government-sponsored job training. But we cannot simply shrug and let people lose their jobs and their homes because the factories they worked in were moved to China.