My S/O used to work at a company AuntBertha. They're a "search engine for social services" but they are a for-profit company (a B-Corp). Their biggest clients are hospitals and insurers. There are people called "frequent flyers" who come to the emergency room frequently and while they might only be 2% of clients they account for a huge share of costs. It's actually cheaper to hire social workers to provide these peop…
Let's just say if you live in a country where you cannot get insulin if you need it, that is a pretty fucked up country.
Investigating a ten-year-old estimate that “most social programmes don’t work”
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Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#32Earlier quoted context omitted.
Let's just say if you live in a country where you cannot get insulin if you need it, that is a pretty fucked up country.
Yeah, it's shocking how inhumane this is. And how casually the op mentions it, like it's not a big deal.
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#33There are consultants in DC that take all the data from a program and summarize it. They have a contract and aren't always the folks who have the assistance contract on the grant. People are sadly, people, and sometimes the summarizing folks have some pretty powerful incentives to put a spin on the numbers, drop certain grants, and well, other things. Life is incentive based after all.
When I look at the outcomes, I often wish there was a way to get some anonymized raw take because I am a bit mistrustful of third-party analysis particularly when they aren't up on simple things like geographical and economic differences. Plus the tendency to roll all the results in one set of numbers ignores how big the USA is and that San Francisco is a bit different than Salt Lake City or Rosebud.
PS: one thing, it is amazing how many children start life with hearing problems - fix that early and save the rest of us a lot of money. Plus, fatalogic has it right in my book, life is complicated, one axis of action doesn't really cut it.
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#34Earlier quoted context omitted.
Let's just say if you live in a country where you cannot get insulin if you need it, that is a pretty fucked up country.
Let's not forget insulin formulations are ancient yet generics don't exist for "reasons". It's as corrupt as it gets.
http://insulinnation.com/treatment/why-walmart-insulins-aren...
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#35Earlier quoted context omitted.
In Salt Lake City they gave their homeless peeps homes and many of them ended up going right back to work once their living situation was stabilized.
And attracted every homeless person from 3 states around. The situation is so bad(both in terms of crime, and total population) that our state legislators are non-ironically talking about calling the national guard. To clear out camps where violence is becoming a problem. They already totally cut to the ground the shrubbery near one major camp because there were multiple assaults and a rape using those bushes as cove…
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#36Earlier quoted context omitted.
And attracted every homeless person from 3 states around. The situation is so bad(both in terms of crime, and total population) that our state legislators are non-ironically talking about calling the national guard. To clear out camps where violence is becoming a problem. They already totally cut to the ground the shrubbery near one major camp because there were multiple assaults and a rape using those bushes as cove…
If the biggest problem with the program is a prisoner's dilemma issue like this it seems we need to figure out how to get everyone to cooperate instead of defect. We've done it for other issues.
Sadly that would be "socialism" so it's not politically popular... damned legacy of the red scare.
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#37My S/O used to work at a company AuntBertha. They're a "search engine for social services" but they are a for-profit company (a B-Corp). Their biggest clients are hospitals and insurers. There are people called "frequent flyers" who come to the emergency room frequently and while they might only be 2% of clients they account for a huge share of costs. It's actually cheaper to hire social workers to provide these peop…
I wish we had a separate drug assistance program. Something like if you are making less than 200 or 300% poverty[1] the government will pay the full cost[2] and then just pro-rate it from there. Since we are talking long term drugs, its by definition something that would be applicable to preexisting conditions. I worry that it will not take the steps necessary to control fraud or run out of money like IHS.
1) http://familiesusa.org/product/federal-poverty-guidelines
2) obviously some upper limits apply https://www.medicaid.gov/medicaid/prescription-drugs/pharmac...
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#38I participated in a social program funded by the gov in the 90's as the data person. It was a combined early childhood education / social service program. I won't discuss what I thought of the outcomes or the cost / benefits, but I think there is a piece a lot of people miss. There are consultants in DC that take all the data from a program and summarize it. They have a contract and aren't always the folks who have t…
[1] https://www.hslda.org/strugglinglearner/CraftDocs/EarInfect....
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#39As a former social worker I think most social programs don't work because they try to deal with multifaceted problems from a single point of action. It's like trying to fix a suspension bridge by replacing one cable while all the other cables are broken.
Re: Investigating a ten-year-old estimate that “most social programmes don’t work”
#40Recognizing there's no silver bullet seems especially relevant to me because there's a folk interpretation of "most social programs don't work" that's more like "we spend tens of billions of dollars trying to alleviate poverty; why isn't it gone now?". And _that_ question only seems to make sense because people misjudge the size of the challenge relative to the amount spent on it and the returns you can expect from that money.
The U.S.'s yearly global health budget, if spent entirely on sub-Saharan Africa, would be under $20/person, and you don't, say, raise average income $10k with $20, no matter how wisely or creatively you invest it. Demanding that kind of return from charity is like expecting every investment to perform like early money in Google, except, perhaps, that the impact of your demand is less on the investor and more on the global poor.
Separately, it seems like a shame to me that in fields where we do have strong signs of a high multiplier, like bednets or deworming, the opportunities haven't already been fully exploited by governments and billionaires. Some of it is that large spenders are making their choices through a process much different from someone like GiveWell's, but some is also that governments, for example, spend a lot less of their budgets on non-strategic global-health aid than most think (http://www.npr.org/sections/goatsandsoda/2015/02/10/38387558...