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Notes -
It's not terribly clear it does, in the same degree or extent; the demographic collapse when countries have child mortality drop isn't perfectly reliable, but neither is it some unlikely possibility.
If I thought any GiveWell cause was going to strap Africans to the table and chop their balls off, perhaps. When they're basically looking at providing condoms and LARCs, I'm a little less concerned about whether it would be Better if sub-Saharan African instead 'should' be reinventing premarin or making its own rubber.
... having actually spoken with a number of people there, they're not especially predisposed to a lack of running water, to blindness, or to malaria. (Or a wide variety of other issues: a local guide complained at length that he was sick of having to get treated for dysentery, so don't trust that particular bottled water company).
And if the moon were made of cheese, they'd never be hungry.
There may well be some situation where merely providing optional resources overwhelms internal agency -- indeed, my willingness to put the threshold for direct food aid points to a pretty low bar! -- but I don't think any GiveWell programs here have gotten anywhere close.
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