The episode follows ALIMA's healthcare program in conflict-affected northern Cameroon after it abruptly loses $1.9 million in funding from USAID, forcing cuts to lifesaving services. It contrasts ALIMA's on-the-ground medical work with GiveWell's data-driven philanthropy, showing how GiveWell evaluates whether to fund the program despite limited and imperfect data. Ultimately, GiveWell decides to fully replace the lost USAID funding for one year, while the story highlights broader global cuts to aid and the resulting loss of both services and information about needs.
The hosts talk with media executive Tom Freston about his unconventional path from advertising into years of travel across North Africa and Asia, building a clothing business in India and Afghanistan, and eventually helping launch MTV and other major cable brands. Freston recounts the creation and impact of MTV, the birth of Comedy Central, his tumultuous years leading Viacom under Sumner Redstone, early views on platforms like YouTube and MySpace, and his later work in philanthropy and Afghan media. The conversation also explores his philosophy on travel, risk-taking, and using media for social change, plus colorful anecdotes involving Jimmy Buffett, Bangkok sex clubs, and a desert music festival near Timbuktu.