The history and politics of RCTs
In a 2016 working paper, JUDITH GUERON recounts and evaluates the history of randomized controlled trials (RCTs) in the US, through her own experience in the development of welfare experiments through the MDRC and the HHS:
“To varying degrees, the proponents of welfare experiments at MDRC and HHS shared three mutually reinforcing goals. The first was to obtain reliable and—given the long and heated controversy about welfare reform—defensible evidence of what worked and, just as importantly, what did not. Over a pivotal ten years from 1975 to 1985, these individuals became convinced that high-quality RCTs were uniquely able to produce such evidence and that there was simply no adequate alternative. Thus, their first challenge was to demonstrate feasibility: that it was ethical, legal, and possible to implement this untried—and at first blush to some people immoral—approach in diverse conditions. The other two goals sprang from their reasons for seeking rigorous evidence. They were not motivated by an abstract interest in methodology or theory; they wanted to inform policy and make government more effective and efficient. As a result, they sought to make the body of studies useful, by assuring that it addressed the most significant questions about policy and practice, and to structure the research and communicate the findings in ways that would increase the potential that they might actually be used."