The UX of direct cash giving is that it preserves dignity of recipient. Backend justification is that it is antifragile to donor ignorance
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The cases where you can beat cash (deworming) all seem to be in areas where there are missing institutions (primary healthcare in this case)
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I suspect other case where you can beat cash is when distribution chain is kleptocratic monopsony. In which case gunrunning is likely better
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well the CIA does actually run a VC-type fund I believe. Dunno what they invest in.
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