[Updated 15 Nov 2018 to clarify that The 80,000 Hours is an organization of which there is a Cambridge club.  Apologies.]

The notion that humanitarian action must be ethical and that humanitarian action must be effective make for complicated bedfellows. As my recent paper argues, it seems a common trap for humanitarians work so hard on effective aid that its ethical character gets ignored.  For example, the need to act now now now that justifies, in seeming perpetuity, sidestepping downward accountability to local people.  Further and even more difficult from an ethical standpoint, accountability to the communities where the organization is not present: decision-making as to who will live or die . . .  is an inherently abusive power when it remains unaccountable for its […] determination of who will and (especially) who will not receive aid (p. 28). So it was incredibly refreshing to speak to a group of Cambridge students who have placed this challenge front and center in their lives.

Enter The 80,000 Hours:  Cambridge club!  That number represents the number of hours in a career.  The question the students here ask themselves – how to make those hours count the most for the good.  This is their quest for effective altruism.   They are working through the puzzle of how to be effective, such as by picking the most promising causes and working on the right problems.  They’ve even come up with some criteria to consider in making these career (or volunteering) decisions: “Working on a cause is likely to be high impact to the extent that it is:

• Great in scale (it affects many people’s lives, by a great amount)
• Highly neglected (few other people are working on addressing the problem), and
• Highly solvable (additional resources will do a great deal to address it).”

Of course, being somewhat more jaded than the average member of Generation Z, I force fed them a heaping dose of my Debbie Downer alter ego.  And you know what? Thankfully, I don’t think it made a dent.

Mostly, I tried to convey the profound difficulty in identifying the best way to do things right and, more importantly, the most right things to do.  I spoke a great deal about the narrowness of our inquiry – evidence that might show activity X worked in doing Y, but does not in any way consider the unintended consequences or the opportunity costs.  I spoke about the deep biases in the way that we assess/perceive a given action as effective, and the even deeper bias involved in deciding upon the right thing to do.  I described our from viewing effectiveness through our humanitarian lens, which explains why people in long-term crisis (e.g., the now-worn example of the refugee who has spent her entire lifetime in Dadaab camp) do not feel that aid has done a good job of meeting their needs and yet the agency reports on that aid will show that it was a rousingly effective success.  Targets met.

Their questions showed a personal commitment to thinking about this quest for effective altruism.  One question in particular left me thinking.  A young medical student posed two possible futures for himself.  He could become an emergency doctor à la MSF – head out into the world to treat people in crisis.  But he asked if that was not too selfish, because he could work as plastic surgeon and make lots of money and achieve a greater quantity of good by donating half his earnings to an effective organization.  Which path, he asked.  I didn’t know how to answer (which didn’t stop me) and I still don’t know.

The discussion did not hit a dead end.  When pushed, I had to admit that constant critical questioning of our aid actions can be paralyzing, just as Do No Harm was paralyzing.  For me, the way forward is to press ahead, recognizing that harm will be done: an iterative process of taking the best decisions possible (humanity and impartiality at the fore) and then assessing again and again. But this is an iterative process that I found easier to declare than to operationalize.  The excitement to act holds a powerful allure: to act too often, though, without attention to bias, long-term effects, opportunity costs, negative consequences and the like.

To the students at Cambridge I counselled restraint.  Not restraint in pressing forward.  But restraint in the personal investment of humanitarians in their own actions; an investment that soon overtakes their ability or desire to question it much beyond an immediately useful analysis of whether it ‘worked’, whatever that means.

On the late train home to London it dawned on me that the central ethical issue of the evening’s discussion had absolutely nothing to do with the ethics of our humanitarian work today.  The faces of those students are the faces of tomorrow. We talk easily about the ethical responsibility to bequeath future generations, for example, a liveable planet. Do we humanitarians ever talk about our responsibility to the next generation of humanitarians?  To bequeath to them a sector in which the culture has not just rid itself of top-down programming and #Aidtoo violations, but is a culture in which the 80,000 hours are as effective and ethical as they can be because the culture is one of humanitarians asking themselves and acting upon the hard questions?