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Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Why and how to
prioritise
Niel Bowerman
Future of Humanity Institute
Co-founder, Centre for Effective Altruism
2 October, 2015
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
What is effective altruism?
1. Figure out how to do the most good
2. Do it!
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Why should we prioritise?
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Treatment of HIV/AIDS
Cost-effectiveness (DALYs/£1,000)
Antiretroviral therapy
Treatment of Kaposi’s
Sarcoma
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Treatment of HIV/AIDS
Cost-effectiveness (DALYs/£1,000)
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Antiretroviral therapy
Treatment of Kaposi’s
Sarcoma
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Treatment of HIV/AIDS
Cost-effectiveness (DALYs/£1,000)
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Antiretroviral therapy
Prevention of transmission
during pregnancy
Treatment of Kaposi’s
Sarcoma
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Cost-effectiveness (QALYs/£1,000)
Treatment of HIV/AIDS
Cost-effectiveness (DALYs/£1,000)
Treatment of Kaposi’s
Sarcoma
Antiretroviral therapy
Prevention of transmission
during pregnancy
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Treatment of Kaposi’s
Sarcoma
Antiretroviral therapy
Distribution of condoms
Prevention of transmission
during pregnancy
Treatment of HIV/AIDS
Cost-effectiveness (DALYs/£1,000)
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Treatment of Kaposi’s
Sarcoma
Antiretroviral therapy
Distribution of condoms
Prevention of transmission
during pregnancy
Treatment of HIV/AIDS
Cost-effectiveness (DALYs/£1,000)
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Treatment of Kaposi’s
Sarcoma
Antiretroviral therapy
Distribution of condoms
Prevention of transmission
during pregnancy
Education for
high-risk groups
Treatment of HIV/AIDS
Cost-effectiveness (DALYs/£1,000)
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Source: Disease Control Priorities in Developing Countries Report (2nd Edition)
Global health interventions
Cost-effectiveness (DALYs/$1,000)
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Boosting school attendance
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
0
0
0.17
0.18
0.44
0 0.2 0.4 0.6
Menstrual cups for teengage girls
(Nepal)
Remedial tutoring by volunteers (India)
Merit scholarships for girls (Kenya)
Sponsoring a child (Kenya)
Free school uniforms (Kenya)
Additional years in school per £100
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
0
0
0.17
0.18
0.44
8.7
13
0 5 10 15
Menstrual cups for teengage girls
(Nepal)
Remedial tutoring by volunteers (India)
Merit scholarships for girls (Kenya)
Sponsoring a child (Kenya)
Free school uniforms (Kenya)
Deworming in primary schools (Kenya)
Information on returns to education for
parents (Madagascar)
Additional years in school per £100
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
0
0
0.17
0.18
0.44
8.7
13
0 5 10 15
Menstrual cups for teengage girls
(Nepal)
Remedial tutoring by volunteers (India)
Merit scholarships for girls (Kenya)
Sponsoring a child (Kenya)
Free school uniforms (Kenya)
Deworming in primary schools (Kenya)
Information on returns to education for
parents (Madagascar)
Additional years in school per £100
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Climate change
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Tonnes of CO2eq/£100
Sources: Carbon Point; JP Morgan Climate Care; 10:10; Effective Animal Activism
20
16
7
5
1
0.6
0 5 10 15 20 25
10:10 Campaign
Encourage vegetarianism
Buy permits on the carbon market
Carbon offsetting
Heat exchangers in dialysis
machines
Train not plane to Naples
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
20
16
7
5
1
0.6
0 200 400 600 800
Offset HFCs
10:10 Campaign
Encourage vegetarianism
Buy permits on the carbon market
Carbon offsetting
Heat exchangers in dialysis
machines
Train not plane to Naples
Sources: Carbon Point; JP Morgan Climate Care; 10:10; Effective Animal Activism
800
Tonnes of CO2eq/£100
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
20
16
7
5
1
0.6
0 200 400 600 800
Offset HFCs
10:10 Campaign
Encourage vegetarianism
Buy permits on the carbon market
Carbon offsetting
Heat exchangers in dialysis
machines
Train not plane to Naples
Sources: Carbon Point; JP Morgan Climate Care; 10:10; Effective Animal Activism
800
Tonnes of CO2eq/£100
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
How to prioritise
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Choosing an
organisation
working on a
specific
intervention
Choosing an
intervention
from within a
cause area
Choosing a
cause area
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Factoring cost-effectiveness
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Comparing effectiveness
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Choosing an
organisation
working on a
specific
intervention
• Track record
• Transparency
• Quality of team
Choosing an
intervention
from within a
cause area
• Randomised
control trials
• Cost-effectiveness
estimates
Choosing a
cause area
• Scale
• Neglectedness
• Tractability
• Crucial
considerations
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!
Take-home points
1. Some things we can work on are far more effective than
others
2. Prioritisation is challenging
• However there is a growing body of experts
working on this problem
3. Take prioritisation seriously
• Change your mind
• Change your actions
Future!
of Humanity
Institute"
UNIVERSITY OF OXFORD!

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Niel Bowerman - Why & How We Should Prioritise - EA Global Melbourne 2015

  • 1. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Why and how to prioritise Niel Bowerman Future of Humanity Institute Co-founder, Centre for Effective Altruism 2 October, 2015
  • 2. Future! of Humanity Institute" UNIVERSITY OF OXFORD! What is effective altruism? 1. Figure out how to do the most good 2. Do it!
  • 3. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Why should we prioritise?
  • 4. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Treatment of HIV/AIDS Cost-effectiveness (DALYs/£1,000) Antiretroviral therapy Treatment of Kaposi’s Sarcoma
  • 5. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Treatment of HIV/AIDS Cost-effectiveness (DALYs/£1,000) Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Antiretroviral therapy Treatment of Kaposi’s Sarcoma
  • 6. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Treatment of HIV/AIDS Cost-effectiveness (DALYs/£1,000) Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Antiretroviral therapy Prevention of transmission during pregnancy Treatment of Kaposi’s Sarcoma
  • 7. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Cost-effectiveness (QALYs/£1,000) Treatment of HIV/AIDS Cost-effectiveness (DALYs/£1,000) Treatment of Kaposi’s Sarcoma Antiretroviral therapy Prevention of transmission during pregnancy
  • 8. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Treatment of Kaposi’s Sarcoma Antiretroviral therapy Distribution of condoms Prevention of transmission during pregnancy Treatment of HIV/AIDS Cost-effectiveness (DALYs/£1,000)
  • 9. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Treatment of Kaposi’s Sarcoma Antiretroviral therapy Distribution of condoms Prevention of transmission during pregnancy Treatment of HIV/AIDS Cost-effectiveness (DALYs/£1,000)
  • 10. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Treatment of Kaposi’s Sarcoma Antiretroviral therapy Distribution of condoms Prevention of transmission during pregnancy Education for high-risk groups Treatment of HIV/AIDS Cost-effectiveness (DALYs/£1,000)
  • 11. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Source: Disease Control Priorities in Developing Countries Report (2nd Edition) Global health interventions Cost-effectiveness (DALYs/$1,000)
  • 12. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Boosting school attendance
  • 13. Future! of Humanity Institute" UNIVERSITY OF OXFORD! 0 0 0.17 0.18 0.44 0 0.2 0.4 0.6 Menstrual cups for teengage girls (Nepal) Remedial tutoring by volunteers (India) Merit scholarships for girls (Kenya) Sponsoring a child (Kenya) Free school uniforms (Kenya) Additional years in school per £100
  • 14. Future! of Humanity Institute" UNIVERSITY OF OXFORD! 0 0 0.17 0.18 0.44 8.7 13 0 5 10 15 Menstrual cups for teengage girls (Nepal) Remedial tutoring by volunteers (India) Merit scholarships for girls (Kenya) Sponsoring a child (Kenya) Free school uniforms (Kenya) Deworming in primary schools (Kenya) Information on returns to education for parents (Madagascar) Additional years in school per £100
  • 15. Future! of Humanity Institute" UNIVERSITY OF OXFORD! 0 0 0.17 0.18 0.44 8.7 13 0 5 10 15 Menstrual cups for teengage girls (Nepal) Remedial tutoring by volunteers (India) Merit scholarships for girls (Kenya) Sponsoring a child (Kenya) Free school uniforms (Kenya) Deworming in primary schools (Kenya) Information on returns to education for parents (Madagascar) Additional years in school per £100
  • 17. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Tonnes of CO2eq/£100 Sources: Carbon Point; JP Morgan Climate Care; 10:10; Effective Animal Activism 20 16 7 5 1 0.6 0 5 10 15 20 25 10:10 Campaign Encourage vegetarianism Buy permits on the carbon market Carbon offsetting Heat exchangers in dialysis machines Train not plane to Naples
  • 18. Future! of Humanity Institute" UNIVERSITY OF OXFORD! 20 16 7 5 1 0.6 0 200 400 600 800 Offset HFCs 10:10 Campaign Encourage vegetarianism Buy permits on the carbon market Carbon offsetting Heat exchangers in dialysis machines Train not plane to Naples Sources: Carbon Point; JP Morgan Climate Care; 10:10; Effective Animal Activism 800 Tonnes of CO2eq/£100
  • 19. Future! of Humanity Institute" UNIVERSITY OF OXFORD! 20 16 7 5 1 0.6 0 200 400 600 800 Offset HFCs 10:10 Campaign Encourage vegetarianism Buy permits on the carbon market Carbon offsetting Heat exchangers in dialysis machines Train not plane to Naples Sources: Carbon Point; JP Morgan Climate Care; 10:10; Effective Animal Activism 800 Tonnes of CO2eq/£100
  • 20. Future! of Humanity Institute" UNIVERSITY OF OXFORD! How to prioritise
  • 21. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Choosing an organisation working on a specific intervention Choosing an intervention from within a cause area Choosing a cause area
  • 22. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Factoring cost-effectiveness
  • 23. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Comparing effectiveness
  • 24. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Choosing an organisation working on a specific intervention • Track record • Transparency • Quality of team Choosing an intervention from within a cause area • Randomised control trials • Cost-effectiveness estimates Choosing a cause area • Scale • Neglectedness • Tractability • Crucial considerations
  • 25. Future! of Humanity Institute" UNIVERSITY OF OXFORD! Take-home points 1. Some things we can work on are far more effective than others 2. Prioritisation is challenging • However there is a growing body of experts working on this problem 3. Take prioritisation seriously • Change your mind • Change your actions

Editor's Notes

  1. Don’t just stop at the first thing you think of… Huge differences in cost-effectiveness between the best and worst things
  2. Here’s two things. On this axis, you have years of healthy life per £1000 of resources. Here you have treating karposi’s sarcoma, which is an illness you develop if you have HIV/AIDS. It’s well worth treating, roughly on the cutoff line. But you can see ARV is a way better deal – a general rather than a specific treatment - is almost 10x better. DCP2 – 1400 page report
  3. What else is there?
  4. Becoming preventative is 4x better again.
  5. What else?
  6. Stopping people from getting HIV in the first place, over twice as good again.
  7. Anything else?
  8. Telling high risk groups about the risks. 45 years of healthy life per £1000, which is roughly like saving someone’s life.
  9. Here’s a bunch of ways that have been tested. Explain axis. These ones didn’t work at all. But these ones worked pretty well. Almost six months of school for £100.
  10. And we can do a bunch better. These two are over 10x better than these three, and really effective. By promoting them, we can do a huge amount.
  11. And we can do a bunch better. These two are over 10x better than these three, and really effective. By promoting them, we can do a huge amount.
  12. Maldives Climate science advisor to the President of the Maldives Train to Naples rather than flying
  13. 2:00
  14. Note that there are no organisations working on all three areas, though we may see the Open Philanthropy Project attempt to do this in the future
  15. Note that there are no organisations working on all three areas, though we may see the Open Philanthropy Project attempt to do this in the future