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CarlShulman comments on Efficient Charity: Cheap Utilons via bone marrow registration - Less Wrong
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On closer investigation, the marrow service allows some communication (anonymized for at least the first year, and sometimes with names later) if the recipient allows it. One could ask the recipient to "pay it forward" with some proportion of their benefits (since the benefits to them would be in the tens of thousands of dollars) going to donate to more efficient charities. It's quite unclear whether this would work. But if did with sufficient reliability to on average elicit many thousands of dollars in donations per recipient (a bit of a stretch) this could make for a win-win-win deal.
Taken to the extreme, this sounds a little bit like selling your marrow or blackmailing the recipient. That might not actually be a bad thing, if the money were sent towards valuable charities. But people don't like the sound of that, so your way is probably better. If I am asked to donate, I'll be sure to drop hints to the recipient that I signed up because I wanted to make the world a better place, and that they should consider doing the same.
It might not be a bad thing if it goes to your self interested hooker buying fund. Economic gains through trade! Everyone wins.
Really, I could just trade marrow for services.
Really, donors ought to be compensated (like the doctors, nurses, etc) as a baseline so it doesn't seem so bad. Also recipients only have contact with donors if they choose to, and remain anonymous so that they can cease communication at will without trouble.