Quick takes

If anyone is based in the Toronto area and wants to support challenge studies, there's a chance you could be quite helpful to 1Day Sooner's hepatitis c work. Please email me (josh@1daysooner.org) if you want to learn more.  

Update (January 28): Marco Rubio has now issued a temporary waiver for "humanitarian programs that provide life-saving medicine, medical services, food, shelter and subsistence assistance."[1] PEPFAR's funding was recently paused as a result of the recent executive order on foreign aid.[2] (It was previously reauthorized until March 25, 2025.[3]) If not exempted, this would pause PEPFAR's work for three months, effective immediately. Marco Rubio has issued waivers for some forms of aid, including emergency food aid, and has the authority to issue a similar waiver for PEPFAR, allowing it to resume work immediately.[4] Rubio has previously expressed (relatively generic) positive sentiments about PEPFAR on Twitter,[5] and I don't have specific reason to think he's opposed to PEPFAR, as opposed to simply not caring strongly enough to give it a waiver without anyone encouraging him to. I think it is worth considering calling your representatives to suggest that they encourage Rubio to give PEPFAR a waiver, similarly to the waiver he provided to programs giving emergency food aid. I have a lot of uncertainty here — in particular, I'm not sure whether this is likely to persuade Rubio — but I think it is fairly unlikely to make things actively worse. I think the argument in favor of calling is likely stronger for people who are represented by Republicans in Congress; I expect Rubio would care much more about pressure from his own party than about pressure from the Democrats.   1. ^ https://apnews.com/article/trump-foreign-assistance-freeze-684ff394662986eb38e0c84d3e73350b 2. ^ My primary source for this quick take is Kelsey Piper's Twitter thread, as well as the Tweets it quotes and the articles it and the quoted Tweet link to. For a brief discussion of what PEPFAR is, see my previous Quick Take. 3. ^ https://www.kff.org/policy-watch/pepfars-short-term-reauthorization-sets-an-uncertain-course-for-its-long-term-future/ 4. ^ htt

I just learned that Trump signed an executive order last night withdrawing the US from the WHO; this is his second attempt to do so.  WHO thankfully weren't caught totally unprepared. Politico reports that last year they "launched an investment round seeking some $7 billion “to mobilize predictable and flexible resources from a broader base of donors” for the WHO’s core work between 2025 and 2028. As of late last year, the WHO said it had received commitments for at least half that amount". Full text of the executive order below: 

Is anyone in EA coordinating a response to the PEPFAR pause? Seems like a very high priority thing for US-based EAs to do, and I'm keen to help if so and start something if not.

During the animal welfare vs global health debate week, I was very reluctant to make a post or argument in favor of global health, the cause I work in and that animates me. Here are some reflections on why, that may or may not apply to other people: 1. Moral weights are tiresome to debate. If you (like me) do not have a good grasp of philosophy, it's an uphill struggle to grasp what RP's moral weights project means exactly, and where I would or would not buy into its assumptions. 2. I don't choose my donations/actions based on impartial cause prioritization. I think impartially within GHD (e.g. I don't prioritize interventions in India just because I'm from there, I treat health vs income moral weights much more analytically than species moral weights) but not for cross-cause comparison. I am okay with this. But it doesn't make for a persuasive case to other people. 3. It doesn't feel good to post something that you know will provoke a large volume of (friendly!) disagreement. I think of myself as a pretty disagreeable person, but I am still very averse to posting things that go against what almost everyone around me is saying, at least when I don't feel 100% confident in my thesis. I have found previous arguments about global health vs animal welfare to be especially exhausting and they did not lead to any convergence, so I don't see the upside that justifies the downside. 4. I don't fundamentally disagree with the narrow thesis that marginal money can do more good in animal welfare. I just feel disillusioned with the larger implications that global health is overfunded and not really worth the money we spend on it. I'm deliberately focusing on emotional/psychological inhibitions as opposed to analytical doubts I have about animal welfare. I do have some analytical doubts, but I think of them as secondary to the personal relationship I have with GHD.

Screwworm is a flesh-eating maggot! I skimmed past many posts like this, assuming that it was some kind of stomach worm, or related to the suffering of wild worms (not that I am opposed to either of those, they just don't grab my attention as strongly)

How about grantmaking to support investigatory journalism on USAID recipients and USAID workers in the developing world? Anyone already doing this?

How might EA-aligned orgs in global health and wellness need to adapt calculations of cost-effective interventions given the slash-and-burn campaign currently underway against US foreign aid? Has anyone tried gaming out what different scenarios of funding loss look like (e.g., one where most of the destruction is reversed by the courts, or where that reversal is partial, or where nothing happens and the days are numbered for things like PEPFAR)? Since US foreign aid is so varied, I imagine that's a tall order, but I've been thinking about this quite a bit lately!