One dollar is the approximate cost if the right treatment is in the right place at the right time.
How much does it cost to get the right treatment to the right place at the right time?
The price of the salt pill itself is only a few pennies. The one dollar figure was meant to include overhead. That said, the Copenhagen report mentioned above ($64 per death averted) looks more credible. But during a particular crisis the number could be less.
In the footnote, Unger quotes UNICEF’s 10 cents and makes up the 40 cents. UNICEF lied to him. Next time UNICEF tells you it can save a life for 10 cents, ask it what percentage of its $1 billion budget it’s spending on this particular project.
According to the Copenhagen Consesus cited by SforSingularity, the goal is to provide about 100 pills per childhood and most children would have survived the diarrhea anyhow. (to get it as effective as $64/life, diarrhea has to be awfully fatal; more fatal than the article seems to say) They put overhead at about the same as the cost of the pills, which I find hard to believe. But they’re not making it up out of thin air: they’re looking at actual clinics dispensing ORT and vitamin A. (actually, they apply to zinc the overhead for vitamin A, which is distributed 2x/year 80% penetration, while zinc is distributed with ORT as needed at clinics, with much less penetration. I don’t know which is cheaper, but that’s sloppy.)
CC says that only 1⁄3 of bouts of diarrhea are reached by ORT, but the death rate has dropped by 2⁄3. That’s weird. My best guess is that multiple bouts cumulatively weaken the child, which suggests that increasing from 1⁄3 to 100% would have diminishing returns on diarrhea bouts, but might have hard to account benefits in general mortality. (Actually, my best guess is that they cherry-picked numbers, but the positive theory is also plausible.) ETA: there’s a simple explanation, since the parents seek treatment at the clinics, which is that the parents can tell which bouts are bad. But I think my first two explanations play a role, too.
I’m very suspicious that all these numbers may be dramatic underestimates, ignoring costs like bribing the clinicians or dictators. (I haven’t looked at them carefully, so if they do produce numbers based on actual start-to-finish interventions, please tell me.) It would be interesting to know how much it cost outsiders to lean on India’s salt industry and get it to add iodine.
As a separate question, what would you do if you lived in a world where Peter Unger was correct? And what if it was 1 penny instead of 1 dollar and giving the money wouldn’t cause other problems? Would you never have a burger for lunch instead of rice since it would mean 100 children would die who could otherwise be saved?
In the footnote, Unger quotes UNICEF’s 10 cents and makes up the 40 cents. UNICEF lied to him. Next time UNICEF tells you it can save a life for 10 cents, ask it what percentage of its $1 billion budget it’s spending on this particular project.
According to the Copenhagen Consesus cited by SforSingularity, the goal is to provide about 100 pills per childhood and most children would have survived the diarrhea anyhow. (to get it as effective as $64/life, diarrhea has to be awfully fatal; more fatal than the article seems to say) They put overhead at about the same as the cost of the pills, which I find hard to believe. But they’re not making it up out of thin air: they’re looking at actual clinics dispensing ORT and vitamin A. (actually, they apply to zinc the overhead for vitamin A, which is distributed 2x/year 80% penetration, while zinc is distributed with ORT as needed at clinics, with much less penetration. I don’t know which is cheaper, but that’s sloppy.)
CC says that only 1⁄3 of bouts of diarrhea are reached by ORT, but the death rate has dropped by 2⁄3. That’s weird. My best guess is that multiple bouts cumulatively weaken the child, which suggests that increasing from 1⁄3 to 100% would have diminishing returns on diarrhea bouts, but might have hard to account benefits in general mortality. (Actually, my best guess is that they cherry-picked numbers, but the positive theory is also plausible.)
I’m very suspicious that all these numbers may be dramatic underestimates, ignoring costs like bribing the clinicians or dictators. (I haven’t looked at them carefully, so if they do produce numbers based on actual start-to-finish interventions, please tell me.) It would be interesting to know how much it cost outsiders to lean on India’s salt industry and get it to add iodine.
One dollar is the approximate cost if the right treatment is in the right place at the right time. How much does it cost to get the right treatment to the right place at the right time?
The price of the salt pill itself is only a few pennies. The one dollar figure was meant to include overhead. That said, the Copenhagen report mentioned above ($64 per death averted) looks more credible. But during a particular crisis the number could be less.
In the footnote, Unger quotes UNICEF’s 10 cents and makes up the 40 cents. UNICEF lied to him. Next time UNICEF tells you it can save a life for 10 cents, ask it what percentage of its $1 billion budget it’s spending on this particular project.
According to the Copenhagen Consesus cited by SforSingularity, the goal is to provide about 100 pills per childhood and most children would have survived the diarrhea anyhow. (to get it as effective as $64/life, diarrhea has to be awfully fatal; more fatal than the article seems to say) They put overhead at about the same as the cost of the pills, which I find hard to believe. But they’re not making it up out of thin air: they’re looking at actual clinics dispensing ORT and vitamin A. (actually, they apply to zinc the overhead for vitamin A, which is distributed 2x/year 80% penetration, while zinc is distributed with ORT as needed at clinics, with much less penetration. I don’t know which is cheaper, but that’s sloppy.)
CC says that only 1⁄3 of bouts of diarrhea are reached by ORT, but the death rate has dropped by 2⁄3. That’s weird. My best guess is that multiple bouts cumulatively weaken the child, which suggests that increasing from 1⁄3 to 100% would have diminishing returns on diarrhea bouts, but might have hard to account benefits in general mortality. (Actually, my best guess is that they cherry-picked numbers, but the positive theory is also plausible.)
ETA: there’s a simple explanation, since the parents seek treatment at the clinics, which is that the parents can tell which bouts are bad. But I think my first two explanations play a role, too.
I’m very suspicious that all these numbers may be dramatic underestimates, ignoring costs like bribing the clinicians or dictators. (I haven’t looked at them carefully, so if they do produce numbers based on actual start-to-finish interventions, please tell me.) It would be interesting to know how much it cost outsiders to lean on India’s salt industry and get it to add iodine.
+1 for above.
As a separate question, what would you do if you lived in a world where Peter Unger was correct? And what if it was 1 penny instead of 1 dollar and giving the money wouldn’t cause other problems? Would you never have a burger for lunch instead of rice since it would mean 100 children would die who could otherwise be saved?
In the footnote, Unger quotes UNICEF’s 10 cents and makes up the 40 cents. UNICEF lied to him. Next time UNICEF tells you it can save a life for 10 cents, ask it what percentage of its $1 billion budget it’s spending on this particular project.
According to the Copenhagen Consesus cited by SforSingularity, the goal is to provide about 100 pills per childhood and most children would have survived the diarrhea anyhow. (to get it as effective as $64/life, diarrhea has to be awfully fatal; more fatal than the article seems to say) They put overhead at about the same as the cost of the pills, which I find hard to believe. But they’re not making it up out of thin air: they’re looking at actual clinics dispensing ORT and vitamin A. (actually, they apply to zinc the overhead for vitamin A, which is distributed 2x/year 80% penetration, while zinc is distributed with ORT as needed at clinics, with much less penetration. I don’t know which is cheaper, but that’s sloppy.)
CC says that only 1⁄3 of bouts of diarrhea are reached by ORT, but the death rate has dropped by 2⁄3. That’s weird. My best guess is that multiple bouts cumulatively weaken the child, which suggests that increasing from 1⁄3 to 100% would have diminishing returns on diarrhea bouts, but might have hard to account benefits in general mortality. (Actually, my best guess is that they cherry-picked numbers, but the positive theory is also plausible.)
I’m very suspicious that all these numbers may be dramatic underestimates, ignoring costs like bribing the clinicians or dictators. (I haven’t looked at them carefully, so if they do produce numbers based on actual start-to-finish interventions, please tell me.) It would be interesting to know how much it cost outsiders to lean on India’s salt industry and get it to add iodine.
Salt as rehydration therapy?!
People lose electrolytes in their body fluids. If you rehydrate them without replacing the electrolytes, they get hyponatremia.