Activate Healthcare, a deliverer of primary healthcare services in the US, is disrupting the way small-to mid-sized companies provide health services to their employees.

In April 2018, after it became known that Google was collaborating with the US Department of Defense on Project Maven, over 3,000 employees signed an internal memo asking CEO Sundar Pichai to (a) cancel the project immediately, and (b) enforce a policy stating that the company would never build warfare technology.

This case describes a policy maker who is reviewing evidence on the financial and social impact of giving low-income families access to high-quality preschools. In doing so, the case presents details of the oft-cited Perry Preschool study, which used a randomized experiment design for impact evaluation and cost-benefit analysis of one such programme.