Couple things:
- Donors use some criteria to decide which person to give money to. I guess this is more relevant to Kiva than Watsi, where a donor potentially evaluates the project the loan is funding, its potential for success, etc. In reality, your decision doesn't make (that much) difference at that point. The loan is already out.
- More importantly to me, when I found about about this model, I just felt misled. I felt tricked into believing something that wasn't true, and it made me slightly lose trust in the company. Not a big deal, I still fully support them and recognize that the model works, but it can be kind of misleading to donors.