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Submitted by A. Salomon on

This debate seems to ignore what seems to me the most important application of RCTs. That is, comparing different policy options available to an organization/government in achieving a specific goal before rolling out programs. The issue of external validity should be far smaller when the RCT is designed with a specific domestic policy set within the population of interest. I am surprised this is not the direction development program RCTs are going. Or is it?