EAs advocate that everyone donate at least 10% of their incomes to effective causes. If that happened, the world would be radically transformed: ending extreme poverty, material deprivation, and easily preventable disease, forever. So if that's not a "systemic change", I don't know what is. Admittedly, what we're calling for (in the first instance) is change to the behaviour of agents in the system, rather than changes to the rules of the system. But changing the rules also requires behaviour (just of a political sort), so it's not entirely clear what the basis is for seeing any deep distinction or disagreement here.
Perhaps the thought is that the sort of 'systemic change' constituted by universal acceptance of Effective Altruism is just too unrealistic. That might seem an odd criticism for political radicals (of all people) to make, but it's certainly more probable that (enough) people change their political behaviour to elect a radical leftist than that a comparable number of people change their non-political behaviour to be radically more altruistic. Voting and political talk is cheap compared to funding your values, after all, and people are lamentably selfish.
I think this is an important insight. Altruistic political expression is easier to secure than altruistic (non-political) behaviour, so we should use the former to force the latter, e.g. by redistributive taxation. I've long supported universal basic income for just this sort of reason. Redistribution is really important! But I don't think it follows from this that we should expand the role of government more broadly, empower government agencies, or "abolish capitalism" (whatever that would even mean). Tax-funded philanthropic vouchers offer a very different (decentralized) model for achieving radical humanitarian goals, in a way that's compatible with everyday reluctance to voluntarily part with your money.
In light of this alternative model, it's interesting to compare familiar forms of political advocacy to analogous civic advocacy under a radical philanthropic voucher system. Compare the following pairs of actions:
(1a) Advocating for [voters to support] increased/decreased military funding in the federal budget.
(1b) Encouraging your fellow citizens to allocate more/less of their voucher funds to the military.
(2a) Advocating for [voters to support] de/funding Planned Parenthood.
(2b) Encouraging your fellow citizens to allocate none/some of their vouchers to Planned Parenthood.
etc. etc.
My question is: should we prefer our public debates to take form (a) or form (b)? The latter strikes me as preferable for several reasons. One key difference is that, rather than a winner-takes-all political contest, civic persuasion (aimed at influencing voucher allocation choices) operates on a continuous scale: each additional person you persuade makes a certain (and equal) difference to the overall distribution of resources. Each individual's voucher choice matters, in the sense of making a difference, in a way that cannot be said of individual votes (where one must resort to the abstraction of expected value). Boosting support from 19% to 21%, or from 79% to 81%, is just as significant as the boost from 49% to 51% of the population. This is clearly more principled, and provides a salutory incentive to appeal to as wide an audience as possible rather than separating into hostile political tribes, and resting content with 51% support. (It's a bit like the virtues of proportional representation over winner-takes-all elections, only even more so.)
Further benefits include sidestepping traditional worries about "forcing" taxpayers to fund things they find morally repugnant (e.g. war, contraception, etc.). Of course there's a sense in which taxpayers collectively fund the philanthropic vouchers, but that connection seems much less salient than it does with direct government spending. Each citizen is entitled to their equal share of vouchers, after all, and it is then up to them how they choose to allocate them. No-one will force you to support (through your voucher allocation choices) things that you find abhorrent. (I don't endorse the traditional worry, but it does seem helpful to be able to avoid it in this way.)
Are there cases where you should prefer budget disputes to take a centralized, winner-takes-all form? I guess if you could be confident of being the winner, and don't mind bulldozing over the preferences of the "losing" side, an all-or-nothing contest might seem more appealing to you than the continuous scale of decentralized civic support where you're sure to end up with less than 100% control of the public purse. But given the risks of yourself getting trampled next election, I'd argue that civic funding is a compromise worth taking.
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