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Overcoming Bias Commenter's avatar

The customer is the donor. Suppose I am the donor. If I want to pay for a hot meal and a clean place to sleep for a homeless alcoholic, then I'd best give my money to a non-profit providing those services, as giving cash to the homeless alcoholic will not bring him to Motel 6, but rather to a liquor store.

My parents paid some for my college. They wanted to pay for my education, not for my cars or travel/entertainment desires.

I really don't see a puzzle in charities providing what the donors want to provide, not what the recipients want to get.

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Overcoming Bias Commenter's avatar

The key point is that providing a service instead of a voucher screens out those in need.

An example: the value of a kidney transplant is minimal if both your kidneys are functioning. Hence it is pointless to pretend that you kidneys are malfunctioning towards a non-profit that is providing this type of surgery.

Turn to the voucher case. Now there is a third-party, the donor, who can be fooled to giving you a kidney transplant voucher. Either this is not individualized, in which case you can sell it and there is a massive incentive to try and get one disingeniously.

Or it is individualized, but even in this case there is a big incentive to conspire with the for-profit firm. "You say you did a kidney transplant and we share the benefit" (as the voucher will be payed out in money to the hospital; of course this will be done in a much less explicit way).

Hence the voucher situation, or the money-situation, has deprived the charitable organization of a fantastic screening mechanism that is in-kind provision. Now it has to spend much more money on monitoring, and the inevitable corruption will decrease trust in the system.

Note that this is a slightly different argument than just saying provision gives one better information on who is needy. In kind provision makes a lot of dishonest attempts to get help meaningless.

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