You have much better information and much better leverage to attack problems in your own life than those in, say, Sub-Saharan Africa. Plus, there's all the ways

You have much better information and much better leverage to attack problems in your own life than those in, say, Sub-Saharan Africa. Plus, there's all the ways that you're a more effective altruist if you aren't distracted by a toothache, or aren't malnourished because you donated your entire food budget.