It seems very odd to criticize the group that most reliably and effectively funds global health and malaria prevention for this.
What is your alternative? What's your framework that makes you contribute to malaria prevention more or more effectively than EAs do? Or is the claim instead that people should shut down conversation within EA that strays from the EA mode?
The simple answer is you don't need a "framework" -- plain empathy for the less fortunate is good enough. But if the EA's actually want to do something about malaria (although the Gates Foundation does much, much more in that regard than the Centre for Effective Altruism), more power to them. But as Becker notes from his visits to the Centre, things like malaria and malnutrition are not the primary focus of the centre.
By analogy, if a Catholic Church created a charity for curing malaria, and I donated money to it, that wouldn't make me Catholic. But still the existence of the charity, especially if people donated over a billion dollars to it, would be a credible argument against people saying "Catholics do nothing about curing malaria". Does that make sense?
I wish it were, but it's clearly not enough. There are plenty of people with healthy emotional empathy in the world, and yet children still die of easily preventable diseases.
I am plenty happy to simp for the Gates foundation, but I think it's important to acknowledge that becoming Bill Gates to support charity is not a strategy the average person can replicate. The question for me is how do I live my life to support the causes I care about, not who lives more impressive lives than me.
I think the group that most reliably and effectively funds global health -- at least in terms of total $ -- would be the United Nations, or perhaps the Catholic Church, or otherwise one national government or another.
If you exclude "nations" then it does look to be the Church: "The Church operates more than 140,000 schools, 10,000 orphanages, 5,000 hospitals and some 16,000 other health clinics". Caritas, the relevant charitable umbrella organization, gives $2-4b per year on its own, and that's not including the many, many operations run by religious orders not under that umbrella, or by the hundreds of thousands of parishes around the world (most of which operate charitable operations of their own).
And yet, rationalists are totally happy criticizing the Catholic Church -- not that I'm complaining, but it seems a bit hypocritical.
I appreciate the good these organizations do, but I don't think that's the right measure of it. A person wouldn't in expectation serve global health better by becoming Catholic than by joining EA. That Catholicism is large isn't the same as them being effective at solving malaria. EA is tiny relative to the Church but still manages to support within an order of magnitude the funding you mentioned here, with exact numbers depending on how you count.
Similarly, it's not like government funding is an overlooked part of EA. Working on government and government aid programs is something EA talks about, high leverage areas like policy especially. If there's a more standard government role that an individual can take that has better outcomes than what EAs do, that would be an important update and I'd be interested in hearing it. But the criticism that EA is just not large enough is hard to action on, and more of a work in progress than a moral failing.
Rationalists and EAs spend far more time praising the Catholic Church and other religious groups than criticizing them - since they spend essentially no time criticizing them, and do occasionally praise them.
What is your alternative? What's your framework that makes you contribute to malaria prevention more or more effectively than EAs do? Or is the claim instead that people should shut down conversation within EA that strays from the EA mode?