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Kelsey Piper's avatar

Thanks for the thoughtful response.

To be clear: the reason why I find this so surprising is because I was arriving here from the 'cash transfers in the developing world' literature, where giving people money absolutely, comprehensively solves many of their problems. They eat more. Their kids are less likely to die. They improve the quality of their housing. They take needed medications more. I didn't have a first principles conviction that cash helps people - I'd watched study after study where cash helps people.

Even in the US, I think you much overstate the case that the welfare state should be expected to do approximately nothing. There are well designed studies of the expansion of Medicaid that find reductions in all cause mortality. SNAP's rollout and expansion genuinely reduced instances of people going hungry. I think what you can't expect in the US is compounding benefits (predictably or at any scale), where having more resources allows someone to take a better job and fix their health and then be sustainedly much better off than without the intervention; we're a 'efficient market' in that the people who can have this trajectory mostly in fact do have this trajectory.

On a bigger picture level, I think that any given anti-poverty intervention probably doesn't work - but I think this in the same spirit that I think any given startup probably won't work. A lot of shots are worth taking because the expected value of success is extraordinary, even if the expected result is not much.

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Chris Said's avatar

I agree with a lot in this post, but it could do more to acknowledge -- and draw inferences from -- the clear success of cash transfers in developing countries.

To me this suggests a distinction between the effects of marginal transfers above and beyond the existing safety net, and the safety net itself.

It is quite possible that the existing safety net provides many of the same real benefits as cash transfers in developing countries, as they are both riding atop little to no income.

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