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May 29, 2025
acx
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31 min 4,651 words 555 comments 559 likes podcast (28 min)
Scott Alexander responds to Tyler Cowen about USAID funding, correcting his own previous claims about overhead costs while maintaining that Cowen's criticism of USAID was misleading and potentially harmful. Longer summary
Scott Alexander responds to Tyler Cowen's criticism of his previous post about USAID funding. He addresses several points: whether Cowen endorsed Rubio's claims about USAID waste, the true nature of overhead costs in USAID-funded organizations, and the broader debate about foreign aid effectiveness. Scott shows that actual administrative overhead in major USAID partners like Catholic Relief Services is much lower than previously thought (around 6-7% rather than 30%), admits his mistake on this point, but maintains his criticism of Cowen's original post as misleading. He argues that USAID's work is predominantly focused on essential humanitarian aid rather than wasteful programs. Shorter summary
May 22, 2025
acx
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11 min 1,560 words 592 comments 391 likes podcast (12 min)
Scott Alexander criticizes Tyler Cowen and others for misrepresenting USAID's funding model, explaining how regranting through other charities is both necessary and effective despite seeming inefficient to outsiders. Longer summary
Scott Alexander criticizes a Marginal Revolution post by Tyler Cowen about USAID funding, where Cowen suggests that only 12% of funds go to recipients. Scott explains that this is misleading because USAID is not a direct charity but a funding organization that works through other charities. He details how the grant-making process works, defends the overhead costs, and points out that Cowen himself runs an organization (Mercatus Center) that does similar regranting. Scott particularly criticizes Trump and Rubio for misrepresenting these programs as wasteful, noting that programs like PEPFAR have saved millions of lives and have very low rates of unexplained expenses. Shorter summary
Feb 07, 2025
acx
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13 min 1,950 words 269 comments 234 likes podcast (12 min)
Scott Alexander and 1DaySooner outline potential positive health policy initiatives that could emerge under three key Trump administration health appointees: Jim O'Neill, Marty Makary, and Jay Bhattacharya. Longer summary
This post discusses potential health policy proposals under a hypothetical second Trump administration, focusing on three key appointees and their possible initiatives. The piece examines Jim O'Neill as Deputy Secretary of HHS, highlighting his potential work on organ donation compensation and longevity research; Marty Makary as FDA Commissioner, discussing FDA transparency and regulatory improvements; and Jay Bhattacharya as NIH Director, exploring research funding reforms and challenge trials. Written in collaboration with 1DaySooner, the post specifically focuses on optimistic scenarios that could emerge from these appointments. Shorter summary
Scott Alexander explores various COVID-19 topics including lockdown effectiveness, infection rate variations, transmission risks, prediction markets, and ethical considerations of pandemic response. Longer summary
This post covers various aspects of the COVID-19 pandemic, including lockdown effectiveness, heterogeneity in infection rates across countries, transmission risks, prediction markets, and ethical considerations. Scott discusses cell phone data showing limited impact of official lockdowns, explores reasons for varying infection/mortality rates between countries, and highlights the role of speaking/singing in virus transmission. He also examines coronavirus prediction markets, questions the long-term sustainability of lockdowns, and ponders how to quantify the severity of COVID-19 deaths compared to other causes. The post concludes with numerous short updates and links on coronavirus-related topics. Shorter summary
Jun 17, 2019
ssc
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13 min 1,940 words 186 comments podcast (15 min)
Scott Alexander follows up on his critique of a book about the Baumol effect, presenting data that challenges the book's claims about rising wages driving cost increases in education and healthcare. Longer summary
Scott Alexander follows up on his review of Tabarrok and Helland's book about the Baumol effect and rising costs in education and healthcare. He expresses disappointment with Tabarrok's response to his critique and further explores the issues. Scott presents data showing that wages in high-productivity sectors and for doctors and teachers have not risen as much as claimed, which challenges the book's central thesis. He also clarifies his understanding of how the Baumol effect can make things less affordable for individuals even if not for society as a whole. The post analyzes various data sources and graphs to support these points, maintaining a critical stance towards the original book's arguments. Shorter summary
Jun 10, 2019
ssc
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13 min 1,976 words 386 comments podcast (15 min)
Scott Alexander reviews a book attributing rising service costs to the Baumol effect, finding it convincing but raising some concerns about conflicting data and affordability issues. Longer summary
Scott Alexander reviews the book 'Why Are The Prices So D*mn High?' by economists Alex Tabarrok and Eric Helland, which attributes rising costs in services like healthcare and education to the Baumol effect. The authors argue that as productivity increases in some sectors, wages rise across all sectors, making labor-intensive services relatively more expensive. Scott finds their case convincing but raises some concerns, including data on stagnant real wages, conflicting information on professional salaries, and the apparent decrease in affordability of services like education, which the Baumol effect shouldn't cause. He seeks further clarification on these points to fully accept the Baumol effect as the primary explanation for cost disease. Shorter summary
Scott Alexander explores how straight-line trends on graphs might mask the true impact of interventions, using examples like the Clean Air Act and Moore's Law to illustrate the complexity of interpreting such data. Longer summary
Scott Alexander discusses the difficulty of interpreting trend lines on graphs, particularly when evaluating the effectiveness of interventions or policies. He uses examples like the Clean Air Act, OSHA's impact on workplace safety, and Moore's Law to illustrate how straight-line trends can persist despite significant interventions or technological advancements. The post suggests that these trends might be maintained by control systems, where various factors adjust to keep the trend consistent. This perspective complicates the assessment of policy effectiveness and technological impact, as their effects might be visible in other areas rather than directly on the graph. The author expresses uncertainty about how to distinguish between scenarios where interventions truly don't matter and those where they're part of a complex control system. Shorter summary
Feb 19, 2018
ssc
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45 min 6,822 words 523 comments podcast (56 min)
Scott Alexander examines evidence for technological unemployment, finding little current impact but signs of 'technological underemployment' pushing workers to lower-skill jobs. Longer summary
Scott Alexander examines the arguments for and against technological unemployment, analyzing labor force participation rates, manufacturing job losses, and economic data to determine if automation is currently causing significant job displacement. He concludes that while there's little evidence of technological unemployment happening right now, there are signs of 'technological underemployment' where automation is pushing workers from middle-skill to lower-skill jobs. The long-term impacts remain uncertain, with economists divided on whether this is a temporary adjustment or a new normal. Shorter summary
Feb 17, 2017
ssc
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51 min 7,862 words 406 comments
Scott Alexander summarizes various responses to his post on 'cost disease', presenting diverse explanations for dramatic cost increases in healthcare, education, and infrastructure. Longer summary
Scott Alexander summarizes and responds to various commentators' explanations for the 'cost disease' phenomenon he described in a previous post, where costs for healthcare, education, and infrastructure have risen dramatically over time without corresponding improvements in quality. The post presents diverse perspectives from economists, bloggers, and readers, exploring theories ranging from administrative bloat and regulatory burden to market failures and changes in societal expectations. Shorter summary
Feb 16, 2016
ssc
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19 min 2,865 words 469 comments
A collection of interesting links and brief commentary spanning topics from scientific research to cultural phenomena, including updates on various studies challenging previous beliefs. Longer summary
This is a links post containing short summaries and comments on various news, studies, and interesting articles. Topics covered include gun violence research, genetic studies, college admissions and tuition, nutrition science, criminal justice reform, and cultural effects. Scott discusses new research challenging previous beliefs about bilingualism and drug side effects, shares interesting discoveries about religious effects on society, and provides updates on various scientific and technological developments. The post also includes commentary on political developments, interesting place names, and various cultural phenomena. Shorter summary
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