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denisbider comments on Shut Up and Divide? - Less Wrong
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If the recipients are highly functional and creative thereafter, they should make money. If they make money, even if you don't want it, they can pay you back.
I do approve of charity which gives to things that do go on to create more than was invested. An example would be investing into basic research that isn't going to pay off until decades later. Investing in that is, I think, one of the most commendable charitable acts.
Most charity, however, is not that. It is more so charitable indulgence; it is spending money on something that is emotionally appealing, but never provides a return; neither to the giver, nor to anyone else.
I despise the travesty of such acts being framed as morally valuable charity, rather than as an indulgent throwing of resources away.
Well, if you want to say that curing a TB patient to have a mostly happy life with low economic productivity in tradables is a despicable "travesty" and an "indulgent" waste of resources (and not because the return on investment could be used to do more good later), you can use words that way.
But in future it would be nice to make it plain when your bold conclusions about "cost-benefit analysis" depend so profoundly on normative choices like not caring about the lives or welfare of the powerless, rather than any interesting empirical considerations or arguments relevant to folk who do care.