I just learned about Zipline, the world's largest autonomous drone delivery system, from YouTube tech reviewer Marques Brownlee's recent video, so I was surprised to see Zipline pop up in a GiveWell grant writeup of all places. I admittedly had the intuition that if you're optimising for cost-effectiveness as hard as GW do, and that your prior is as skeptical as theirs is, then the "coolness factor" would've been stripped clean off whatever interventions pass the bar, and Brownlee's demo both blew my mind with its coolness (he placed an order on mobile for a power bank and it arrived by air in thirty seconds flat, yeesh) and also seemed the complete opposite of cost-effective (caveating that I know nothing about drone delivery economics). Quoting their "in a nutshell" section:
Okay, but what about cost-effectiveness? Their "main reservations" section says
Is there any evidence of cost-effectiveness at all then? According to Zipline, yes — e.g. quoting the abstract from their own 2025 modelling study:
That's super cost-effective. For context, the standard willingness-to-pay to avert a DALY is 1x per capita GDP or $2,100 in Ghana, so 35-50x higher. Also:
(GW notes that they'd given Zipline's study a look and "were unable to quickly assess how key parameters like program costs and the impact of the program on vaccination uptake and disease were being estimated". Neither can I. Still pretty exciting)