"I'm not much of an effective altruist – at least, I've managed to evade the 80,000 Hours coaches long enough to stay in medicine. But every so often, I can see the world as they have to. Where the very existence of suffering, any suffering at all, is an immense cosmic wrongness, an intolerable gash in the world, distressing and enraging. Where a single human lifetime seems frighteningly inadequate compared to the magnitude of the problem. Where all the normal interpersonal squabbles look trivial in the face of a colossal war against suffering itself, one that requires a soldier's discipline and a general's eye for strategy. All of these Effecting Effective Effectiveness people don't obsess over efficiency out of bloodlessness; they obsess because the struggle is so desperate, and the resources so few. Their efficiency is military efficiency. Their cooperation is military discipline. Their unity is the unity of people facing a common enemy. And they are winning. Very slowly, WWI trench-warfare-style. But they really are."