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"In practice, most people in the effective altruist movement have prioritized global poverty, animal welfare, and risks to the survival and flourishing of humanity and its descendants over the long-term future."
Neglected illness, caregiving, multi-marginalized people living in fear and torture unnecessarily are not on that list, nor is empowering people who need help to help others, which is surely a pathway to effective altruism
"While much of the initial focus of effective altruism was on direct strategies such as health interventions and cash transfers, there has also been interest in more systematic social, economic, and political reform that would facilitate larger long-term poverty reduction.[62] In September 2011, GiveWell announced GiveWell Labs,[63] which was later renamed as the Open Philanthropy Project, for exploration of more speculative causes such as policy reform. It is a collaboration between GiveWell and Good Ventures, a philanthropic foundation founded by Facebook co-founder Dustin Moskovitz and his wife Cari Tuna."
I think you may have mentioned Home Instead in this channel, I may not be able to catch up right away but I wanted to call this out. I am very interested in absorbing these messages.
Why not have a charity model where caregivers are paid more directly, with less administrative cost?
This reminds me of the "on demand" concept for caregiving, like Uber. Although for things to work well, it's different than ordering a car or a pizza.