What’s the best way to help extremely poor people? After 20 years, the evidence is in.

“On a certain level, it seems intuitive that doing more for people — giving assets and training and cash — will produce better outcomes than just giving one thing, like cash. But the downside is that it takes more time, effort, and money to run a more complex intervention.

So a major question looms over the graduation program: Is it worth spending that money on the program or is it more efficient to just give all the money directly to people in need? In other words, is it really useful to teach the person to fish or should you just give them the damn fish already?”

“In recent years, development experts have moved toward an important idea called “cash benchmarking,” which basically says that cash is the benchmark against which all other anti-poverty interventions should be judged. Since giving people cash is easy, efficient, and respectful of their autonomy, aid agencies should only run a different type of program if testing shows that it works better than cash would.
Nowadays, when studies come out showing positive results for graduation programs, there’s a tendency to think that this particular combination — cash plus assets plus training — does work better than simply giving cash. But just because the graduation approach works great in some scenarios doesn’t mean it’s always the most efficient approach.

For starters, though, let’s look at the evidence suggesting that cash-plus programs work better than simple cash programs. Three studies have run this sort of comparison.

In South Sudan, a study looked at what happened to 250 households that got a full graduation program, compared to 125 households that got only cash and 274 households that received neither. Both graduation and cash increased consumption, but only the graduation group saw a significant increase in assets, a sign of more durable wealth. Although the cash group shifted a bit from agriculture to other types of work, they didn’t set up their own lasting businesses that may have been higher-paying.

In Uganda, researchers evaluated a graduation-style program run by a group called Village Enterprise. It offered training and a capital grant to extremely poor people so they could start a small business. The researchers found that it worked well, increasing self-employment income and consumption. In fact, it outperformed cash on these measures. The authors speculate that, “left to themselves — without training and mentorship — beneficiaries [of cash transfers alone] struggled to make productive investments, maintain them, and derive sustained value from them.”

In Niger, a new randomized study has highlighted the benefits of taking a multifaceted approach to extreme poverty. The study evaluated women who were already enrolled in a government cash transfer program. The goal was to understand how psychosocial issues — like feeling depressed or disconnected from your community — might make it harder to seize economic opportunities. The study found that the women who got psychosocial support showed rates of returns that were higher than those who got only cash. Offering psychosocial support was the most cost-effective route 18 months after the intervention.”

“while graduation programs appear to work great in some places, they’re dependent on the market — and they can run into problems in places where the market is either too dysfunctional or, ironically, too functional.

One randomized trial in India, published in 2012, is an example of the latter. It found that a graduation program yielded no net impact. Although it shifted participants away from agricultural jobs to other sorts of work, they could’ve earned just as much in their original agricultural jobs. While those original jobs were far from big money-makers, wages for agricultural labor had been improving in India, thanks to programs like the ambitious National Rural Employment Guarantee, so adding in a graduation program didn’t really help.

Dysfunctional markets produce their own obstacles. Abed told me about his experience trying to run a graduation program in Balochistan, an extremely dry, desert-like province in southwestern Pakistan, where participants were taught how to run a small business. One problem: There wasn’t a functional market for the businesses to thrive in. “Once they graduated, there wasn’t much to go to,” said Abed. “And there wasn’t microfinance available. So it was very, very difficult.””

“Another way a graduation program can flop is if it fails to be cost-effective. In the huge 2015 randomized study that looked at graduation programs in six countries, Banerjee and his co-authors note that although the program proved extremely cost-effective in some places, easily paying for itself within 10 years, other countries don’t have such low costs and high benefits in the short run. In Peru, for example, such a program wouldn’t break even.”

“Abed is convinced that graduation is the best approach for the ultra-poor, but he acknowledges that what makes the most sense for the moderate poor is a somewhat open question. Also, while graduation may be best for ultra-poor people who are young and healthy enough to go start businesses if given half a chance, it may not work for those who are elderly or disabled. For those groups, the answer may well be cash transfers.”

A study gave cash and therapy to men at risk of criminal behavior. 10 years later, the results are in.

“What if someone told you that you could dramatically reduce the crime rate without resorting to coercive policing or incarceration? In fact, what if they said you could avert a serious crime — a robbery, say, or maybe even a murder — just by shelling out $1.50?

That’s such an incredibly good deal that it sounds too good to be true. But it’s been borne out by the research of Chris Blattman, Margaret Sheridan, Julian Jamison, and Sebastian Chaskel. Their new study provides experimental evidence that offering at-risk men a few weeks of behavioral therapy plus a bit of cash reduces the future risk of crime and violence, even 10 years after the intervention.”

“999 Liberian men were split into four groups. Some received CBT, while others got $200 in cash. Another group got the CBT plus the cash, and finally, there was a control group that got neither.

A month after the intervention, both the therapy group and the therapy-plus-cash group were showing positive results. A year after the intervention, the positive effects on those who got therapy alone had faded a bit, but those who got therapy plus cash were still showing huge impacts: crime and violence were down about 50 percent.”

“10 years later, he tracked down the original men from the study and reevaluated them. Amazingly, crime and violence were still down by about 50 percent in the therapy-plus-cash group.”

“The most plausible hypothesis, according to Blattman, is that the $200 in cash enabled the men to pursue a few months of legitimate business activity — say, shoe shining — after the therapy ended. That meant a few extra months of getting to cement their new non-criminal identity and behavioral changes. “Basically, it gave them time to practice,” Blattman told me.”

GMOs Are Good for Us

“Activists have convinced Americans that “organic” food is better—healthier, better-tasting, life-extending.

As a result, poor parents feel guilty if they can’t afford to pay $7 for organic eggs.

This misinformation is spread by people like Alexis Baden-Mayer, political director of the Organic Consumers Association. She says organic food is clearly better: “The nutrition is a huge difference.”

But it isn’t. Studies find little difference.

If you still want to pay more for what’s called “organic,” that’s your right. But what’s outrageous is that this group of scientifically illiterate people convinced the government to force all of us to pay more.

Congress has ruled that GMOs (genetically modified food) must be labeled. Busybodies from both parties supported the idea.”

“The U.S. Department of Agriculture (USDA) says the GMO labelling will cost from $598 million to $3.5 billion.

“But the public wants GMOs labelled,” say advocates. “Surveys show that.”

Of course they do.

Ask people if DNA in food should be labelled, and most say yes. Yet DNA is in everything.

Polling is a stupid way to make policy.

The idea of modifying a plant’s DNA may sound creepy, but people have cross-bred plants and animals for years.

“The corn we have today, there’s nothing natural about that,” I say to Baden-Mayer in my new video. “What native people ate, we’d find inedible.””

“In poor parts of the world, half a million people per year go blind due to lack of vitamin A in their diets. Many die.

Scientists have created a new genetically modified rice that contains vitamin A. This “golden rice” could save those people.”

“Sadly, in some countries, people listen to advocates like her and believe that Americans want to poison them. One group of GMO fearful protesters invaded a golden rice field in the Philippines, ripping up all the plants.”

The dire health consequences of denying abortions, explained

“important research published in 2020 that compared the fates of women who were forced to carry pregnancies to term versus those who were provided abortions. The influential Turnaway Study, as it’s commonly referred to, found that, among other things, women who were denied an abortion endured more serious pregnancy complications, more chronic pain, and more short-term anxiety.”

“more unwanted pregnancies would be carried to term if the court were to negate a federal right to abortion.”

“The Turnaway Study began in 2007 and followed more than 1,000 women for five years to assess how their lives had been altered, if at all, by the provision or the denial of an abortion. Some of the women had an abortion shortly before reaching the gestational limit set by their state or provider, while others had just passed that limit and were denied an abortion as a result. The differences in the women’s experiences from that critical moment onward were the purview of the study.
“We find no evidence abortion hurts women,” Foster writes in the 2020 book The Turnaway Study that covered the research’s findings. “For every outcome we analyzed, women who received an abortion were either the same or, more frequently, better off than women who were denied an abortion.”

The mental health of women who received an abortion was better immediately after the procedure than that of women who were denied one. Their physical health fared better over the longer term. Their subsequent children developed better.

Foster presents a nuanced picture, noting, for example, that after the five-year period of the study, almost none of the women who ended up carrying an unwanted pregnancy to term said that they still wished they’d had an abortion. But Foster is nevertheless unequivocal in her conclusions about what being denied an abortion meant for the women involved: “We find many ways in which women were hurt by carrying an unwanted pregnancy to term.””

“The most unexpected and tragic outcome noted in the Turnaway Study was that two of the women died because of childbirth complications. It came as a shock to Foster, who wrote that she “did not expect to find even one maternal death in a study of 1,000 women.” The US maternal mortality rate is 1.7 per 10,000, meaning the odds of two women in 1,000 dying were exceedingly low.

Foster was careful not to be definitive about this finding, writing that a much larger sample size would be necessary to draw any firm conclusions about the relationship between being denied an abortion and maternal mortality. The implications remain grim, however: “This level of maternal mortality is shocking,” she wrote.

Short of death, women who are denied an abortion are more likely to have serious complications than women who received an abortion. The Turnaway Study found that 6.3 percent of the women who had given birth suffered life-threatening complications versus about 1 percent of women who had complications from an abortion.

Women who were denied an abortion also saw a higher risk of gestational hypertension, which increases their risk for cardiovascular disease later in life. The study found that 9.4 percent of women who gave birth experienced hypertension during the pregnancy versus 4.2 percent of women who had second-trimester abortions and 1.9 percent of those who had first-trimester abortions.

The women who gave birth also experienced slightly higher rates of chronic head pain and joint pain afterward. On self-reported health, a metric shown to be a strong indicator of future health and mortality, 27 percent of women who carried their pregnancies to term after being denied an abortion said they were in fair or poor health versus 21 percent of women who had second-trimester abortions and 20 percent of women who had an abortion in the first trimester.

“To the extent that there were differences in health outcomes,” Foster wrote, “they were all to the detriment of women who gave birth.””

““We found no mental health harm from having an abortion.””

Can we stop the next pandemic by seeking out deadly viruses in the wild?

“Critics — including researchers who study biosecurity and biosafety — argue it doesn’t really pass a cost-benefit analysis. In some ways, virus hunting is looking for a needle in a haystack — the handful of viruses that might cross over to humans amid tens of thousands that won’t — when we don’t even know how to tell needles from hay, or what to do with a needle once we identify one.
And some experts are raising another, even sharper question: What if viral discovery is not just an ineffective tactic but a terrible idea, one that might not only fail to prevent the next pandemic but potentially even make it more likely?”

“Monitoring the interface between humans and animals for pandemic prevention has value, particularly when the programs are narrowly targeted at certain objectives: say, a focus on reducing spillover, or surveillance of potential animal infections, or studying viruses that have already spilled over into humans. Research published last month in Nature projects that global warming could drive 4,000 viruses to spread for the first time between mammals, including potentially humans and animals, by 2070, underscoring the changing threat from zoonotic spillovers.

But if the risks of virus hunting are higher than the odds of a virus crossing over into humans and sparking a pandemic naturally, then viral discovery doesn’t just look inefficient. It looks like a bad idea.”

The abortion provider that Republicans are struggling to stop

“Over the past four years, Aid Access says it has delivered abortion medication — mifepristone and misoprostol — to more than 30,000 Americans across all 50 states, including the 19 conservative states that currently ban telemedicine abortion.

The organization plays a unique role in the US reproductive rights ecosystem by successfully exploiting legal loopholes that make it easier for an overseas doctor to care for American patients in restrictive states — a role that could become even more key if Roe v. Wade is struck down.”

“because it operates outside the formal US health care system, Aid Access says it has been penalized by search engines and social media giants that have tried to tackle the spread of Covid-19 misinformation.

Aid Access still pops up on Google if you search the organization’s name, but most users had come to the site while searching for terms like “abortion by mail” and “abortion pills.” Following a series of algorithm updates beginning in May 2020, Aid Access says it no longer shows up in top results for general medication abortion searches — and that ads from its sister organization, Women on Web, which serves countries all over the world, are frequently removed or rejected from Facebook and Instagram for dubious reasons, like “language … that is likely to offend users.”

Republicans might not be able to stop Aid Access right now, but it appears that Silicon Valley can.”

“Activists note that medication abortion is far safer than many painkillers easily purchased over the counter, and the World Health Organization maintains that individuals can self-administer the drugs without direct supervision of a health care provider during their first trimester. New Lancet research published in February affirmed the safety of the Aid Access model, which also provides the medication at significantly lower cost than in-person surgical abortions or even the new crop of US startups like Hey Jane, Abortion on Demand, and Carafem.”

Why Should a Drug be Illegal or Legal? Part Two: Harm to Others: Video Sources

Substance Use and Intimate Partner Violence: A Meta-Analytic Review 2016. Bryan M. Cafferky, Marcos Mendez, Jared R. Anderson, and Sandra M. Stith. Psychology of Violence. https://d1wqtxts1xzle7.cloudfront.net/59511278/Cafferky_201820190604-60960-qtu1qv-with-cover-page-v2.pdf?Expires=1643220750&Signature=JmFWS~QkCg86Icul9oqw-3Sz9j5uO~LzKP~HsVRSKQtNbZcNthwDy3nCgpG9yKXqPN2J2hs4tBs5pXVaD7cqLr9OXk9MDuEs37O1A0-c1-ZxX7EWjD16pZdSF3uKci5vDn4Geu2DhSduZ-Jqd~qkfmjK~NJybrESL7vvuiyszzVMhd~XjwQUQKw-PDdYiOY8qMD4oA~ecbZKCSVF~Rmxm5aFaYmnHAtWJb6Xc221n2SG5db3vXeECkCW3Ym09t7YAkY2b-Sg~sjKhHe3vGbUVcPkSj3aMKjsjBuA~mGK6xynPEQkGlmRJ0Htg22yJsh02QBtbqf51KqlGMKsk0L4uA__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA ALCOHOL USE IN FAMILY AND DOMESTIC VIOLENCE Ashlee Curtis et al. https://onlinelibrary.wiley.com/doi/am-pdf/10.1111/dar.12925 The Role of Illicit