| Most people doing big donations aren't particularly interested in effectiveness. The Susan G. Komen foundation, still the largest breast cancer charity in the US, had a big controversy about this around the time that Effective Altruism started to get big. According to their annual reports (https://www.komen.org/wp-content/uploads/fy19-20-annual-repo...), if you go to their site and donate $100 towards their promise of "ending breast cancer": * $5 goes towards breast cancer research. (IIUC, cancer researchers are somewhat skeptical of the idea that cancer could be "ended" as such, but that's a minor quibble.) * $8 goes towards treatment and screening. Not exactly what was promised, but still saving lives, so close enough. * $14 goes towards administering the Susan G. Komen foundation. * $22 goes towards raising funds for the Susan G. Komen foundation. * $51 goes towards "education". They say this includes patient support services, not just telling people about the Susan G. Komen foundation, but don't offer a further breakdown. And my understanding is that, in non-EA philanthropic circles, this breakdown isn't considered particularly egregious. At least they're doing something! An ineffective charity would be something like One Laptop per Child, which raised money and press attention from a fake crank-powered laptop and accomplished nothing of note before technological innovation outpaced them. |
To my neighbor, SJK's efforts yielded as much as OLPC's vaporware. As a career nurse, she's well-educated about the breast cancer she has, that she will soon die from because she can't afford to treat it.
SJK amounts to little more than a goddamn fortune-teller. Not one cent of that $8 has bought her a single extra minute of life.