Posted by Alumni from The Atlantic
March 1, 2026
Of all the ways that governments can try to help people, cash transfers can seem like one of the most straightforward. Their popularity has been growing: Over the past decade, dozens of American cities have launched cash-transfer pilots. During the coronavirus pandemic, governments worldwide dramatically expanded their own programs' reach. And as AI reshapes work, the idea of guaranteed income'a specific kind of recurring, no-strings-attached cash payment'is moving into the mainstream. Yet while the provision of cash has saved many lives in dozens of low- and middle-income countries, it has seemingly produced only modest health gains in the United States. Guaranteed-income pilots also haven't delivered the dramatic health improvements associated with cash-transfer programs elsewhere. Why does cash save lives in Tanzania but barely move the needle in Texas' From our work studying cash-transfer programs across 37 countries, we've come to see a consistent logic behind why cash succeeds... learn more