Saturday, April 30, 2011

Designing "hidden markets"--Sven Seuken

Yesterday Sven Seuken defended his dissertation, which is on the interface of CS and Economics. In particular, he is interested in designing both computerized marketplaces and the user interfaces through which participants will interact.



The essay that was his job market paper concerns a practical business idea for a centrally administered marketplace for peer-to-peer computer backup services that have to be consumed in bundles (e.g. bandwidth and memory are complements), but may be offered in different proportions by different users, at market prices that are posted through a user interface that makes it easy for a consumer to see what backup he requires, and what combinations of resources he can offer to the system to pay for his own services. A customer for the backup service must offer backup services to other customers, and the  centralized server keeps track of what resources are being used, and sets relative prices for different resources that are “hidden” in that they are revealed not as numerical prices, but as tradeoffs between backup capacity a consumer demands and various ways that he can supply the system with resources from his own computer (upload and download bandwidth and memory, and hours a day connected to the web).

That is, this is a market with complements, in which both bids and asks must be for packages of services, but in which customers can participate using a simple interface.

Market design itself is becoming a market with complementarities between economists and computer scientists. Sven may join his main advisor, David Parkes, in internalizing many of these complementarities himself. (The other members of his committee were Eric Horvitz, Yiling Chen, and me.) Since he is going to Zurich, he may also have the opportunity to join forces with Jacob Goeree and solidify a real center of market design there.


Welcome to the club, Sven.

Friday, April 29, 2011

First kidney exchange in Spain

La Vanguardia reported yesterday on a nondirected donor chain, the first in Spain (and I think the first kidney exchange in Spain):

Éxito en la primera cadena de trasplante renal de vivo con 'buen samaritano'
El primer 'buen samaritano' de España es un religioso de Barcelona que de forma altruista y anónima ha entregado uno de sus riñones a un desconocido, logrando que se beneficiaran tres personas

The first 'Good Samaritan' non-directed donor in Spain is a priest from Barcelona who initiated a chain of three transplants.

And here's the article from El Pais:
España realiza el primer trasplante de vivo en cadena gracias a un donante altruista
Tres pacientes se han podido beneficiar del procedimiento.- Con este sistema, la ONT espera mantener la elevada tasa de trasplantes de España

See my earlier post about Mike Rees and Spain:

"Una persona altruista puede salvar muchas vidas"

"A selfless person can save many lives"

HT: Rosemarie Nagel and 'Chris F. Masse'

Thursday, April 28, 2011

Expectations and reference points: Andreas Fuster

Andreas Fuster successfully defended his dissertation today on various aspects of behavioral economics. The part that was his job talk was his experimental paper, “Expectations as Endowments: Evidence on Reference-Dependent Preferences from Exchange and Valuation Experiments,” written with his fellow graduate student Keith Ericson and forthcoming in the QJE. The high level motivation for the paper is to study carefully in the lab how expectations are important for consumer decisions, and to better understand how expectations are formed. The more particular focus of the paper is reference-dependent preferences, with the idea that reference points are determined by expectations as formulated by Koszegi and Rabin. And the very particular focus of the paper is the recently controversial “endowment effect,” related to experimental observations that subjects seem reluctant to trade objects with which they are endowed.



Andreas and Keith explore whether the “reference point” that subjects form is related more to their expectations about what they may own in the future than to their current endowment. In a very carefully designed experiment, they manipulate expectations by assigning subjects a probability that they will receive an object, or have an opportunity to trade it, and then observe various measures of how subjects evaluate the object as a function of these probabilities.  Their results provide the most convincing support to date of the Koszegi-Rabin model of expectation based reference points.


When asked how he planned to spend the rest of the day, Andreas replied "PhD: pretty heavy drinking."

Welcome to the club, Andreas.

Deceased donor kidney allocation--webinar today

The UNOS Kidney Transplantation Committee proposal to change the existing kidney-allocation policy for deceased donors
Webinar: Thursday, April 28, 2011
Eastern time: 3:30 - 5:00 p.m. Central time: 2:30 - 4:00 p.m.
Mountain time: 1:30 - 3:00 p.m. Pacific time: 12:30 - 2:00 p.m.

 

Speakers/Faculty:
Kenneth Andreoni, MD, Chair, United Network for Organ Sharing Kidney Transplantation Committee; Associate Professor of Surgery, Ohio State University, Columbus, OH
Benjamin Hippen, MD, Metrolina Nephrology Associates, P.A. and the Carolinas Medical Center, Charlotte, NC
Dorry Segev, MD, Associate Professor of Surgery and Epidemiology, Director of Clinical Research, Division of Transplantation, Johns Hopkins Medical Institution, Baltimore, MD
Tom Mone, CEO/Executive Vice President, OneLegacy Organ Procurement Organization, Los Angeles, CA
Supplemental Materials:

Jim Warren, Editor &; Publisher, Transplant News - Moderator 


*********
See my earlier posts on this proposed policy change in the allocation of deceased donor kidneys:

Wednesday, April 27, 2011

The underlying structure of matching models: Scott Kominers

Scott recently finished his unusually well attended dissertation defense. He's engaged in a wide ranging effort to prove all the familiar theorems about matching models without any of the familiar assumptions, or at least with a demonstrably minimal set of assumptions, and hence to discover why things work in models of who gets what.

John Hatfield, on the right in the picture below, is one of Scott's chief co-conspirators.


And here they are, getting down to serious drinking afterwards:
(QED:)


Welcome to the club, Scott.

Tuesday, April 26, 2011

A match for the law firm market?

Paul Kominers points me to this item: New ‘JD Match’ to Help Law Firms Find Law Students to Interview; K&L Gates Giving Service a Tryout

"Tired of the traditional on-campus law school interviewing process? A consultant may have the answer for some who would like to deal more directly with law firms and other legal employers seeking law students who want to apply for work.

 And here's a longer article from the Am Law Daily, which suggests that unraveling is the motivator, and a deferred acceptance algorithm is part of the proposed solution: JD Match Aims to Fix the Law Firm Recruiting Process

"On Monday, Ashby Jones at The Wall Street Journal's Law Blog lifted the curtain on JD Match, a new product that will try to connect job-seeking law students with firms. For a $99 fee, students upload their resume and basic information to JD Match, then rank the law firms where they’d like to work. The law firms, in turn, rank students. An algorithm matches firms and students based on their rankings.


"It seems like such a nifty, logical concept that we at The Am Law Daily are kicking ourselves for not thinking of it first. We reached out to the driver behind JD Match, law firm consultant and Adam Smith, Esq. blogger Bruce MacEwen, to find out more. Following is an edited transcript of our phone conversation on Tuesday.

What was the genesis of JD Match?

"People have been kicking around the idea about doing something about the dysfunctional law firm recruiting model for a long time. [Harvard Law School professor] Ashish Nanda wrote a piece in The American Lawyer last January addressing this very thing.... And from my perspective, the great train wreck of the 2008/2009 recession really revealed the flaws in the system.

There's this arms race to interview earlier and earlier. It's not a smoothly functioning market at all. The economist in me just found that infuriating. So my partner Janet Stanton and I started talking about doing something like this, probably shortly after Ashish's article came out.

We did an extensive amount of research with managing partners at firms, hiring partners, career services people at law schools, and even students and junior associates, and quickly realized that the medical matching model which Ashish had written about was not going to work in our world. To begin with you can't make anything mandatory with law firms. Nevertheless, we were inspired by the idea of having an algorithm at the heart of the process.


How will the algorithm work?

"The algorithm will run three times in the OCI recruiting season: August, September, and October. What it does is assume the Econ 101 truth that each firm and each student is in the best position to determine what's in their self-interest. So the only input to the algorithm is preferences for firms for students and preferences for students for firms. That's it. No qualitative or quantitative information whatsoever.

"The assumption is that the preferences represent all the distilled information--research, anecdotes, gossip, whatever--that firms have about students and students have about firms. When the algorithm runs, a couple of things happen. First, no student and firm wlll ever be paired unless it's mutual. So if I didn't put Skadden on my list, it doesn't matter if Skadden loves me. I'm not going to be matched with Skadden.


So give me a hypothetical scenario of how this would work.

"Let's pretend I did put Skadden as my first choice and they did have 25 spots. I will tentatively, as the algorithm is running, be matched with Skadden unless and until I get bumped because Skadden gets matched with 25 students it likes more than it likes me. And then I go to my next available firm that has a seat for me. And then it goes on like that.

"Students get [matched with] one and only one firm on the theory that they can only take one job. Firms will get as many students as they said they have slots or maybe fewer if not that many students like them. But they won't get more. So this helps firms manage yield. And two professors of law [Kevin Quinn at the University of California at Berkeley and Andrew Martin at Washington University in St. Louis] are writing the algorithm for us.

Why will you run the algorithm three times?

"Let's pretend that I'm a law student back at Stanford but I have delusions about what a hot commodity I am. Let's say the first 15 firms I rank are highly aspirational: Skadden, Davis Polk, Cleary. You know. The usual suspects. So the August match runs, and I find out that I was matched with firm number 17. Well, this is a reality check for me. It's unfiltered, real-time market information and that should tell me for the September match and OCI, I need to be a little more realistic.

Is there a baseline number of students and firms that JD Match will need to sign up in order for the process to work efficiently?

"Yes. We have four Am Law 30 firms signed up including K&L Gates. We can't name the other three yet, but they will come out shortly. We've been previewing JD Match primarily to the law firms, but we've also reached out to the law schools. The schools are intrigued. They're a little nervous about upsetting the OCI process that they drive, but they do understand JD Match provides an overlay to the process as it currently works. We don't change anything about OCI.

What else do you have in the works?

"We are creating something called the JD Match Institute which we will fund out of our revenues. And its designed to begin to look at the data we will be gathering and suss out what actually makes for successful lawyers.

"Our strong suspicion--confirmed by [University of Indiana professor] Bill Henderson--is it ain't GPA. In version 2.0 of JD Match we will introduce some psychographic and behavioral testing for students. Voluntary, obviously, but there are very few law firms that are doing this. McKenna Long is doing it. Some firms like K&L are doing it in the U.K....

"What we think we can develop in fairly short order is empirical evidence of what makes for a successful lawyer and that would be tremendously exciting for us because law firms could begin to hire a little more rationally. Frankly I think it could only be good for the students. There are 40,000 law students in the U.S. and how many of them are on the Harvard Law Review? But a lot of them could be great with clients, could be responsive, could be team players, could be emotionally intelligent....It could only open up more doors."

Monday, April 25, 2011

Pre-kindergarten and school choice in Boston

Boston has a pre-kindergarten program that doesn't have enough spaces to meet demand, particularly because it is an entryway into the full public school choice process: a child who gets a good school for pre-K is guaranteed to be able to stay there for elementary school.

Stephanie Ebbert picks up the story in the Globe: Split decisions on school lottery.
Parents shut out of Boston pre-K classes despair, while others rejoice in top picks


"Chief Jasaad Rogers of Roxbury, like his brother before him, had lousy luck in the Boston public schools lottery. Not only was the 4-year-old shut out of the schools his parents wanted; he did not win a prekindergarten seat in any school at all. His parents, who both work full time, were left with few options besides paying for him to go somewhere else.
In West Roxbury, Debra Brendemuehl hit the jackpot, though she did not necessarily need full-day schooling for her 4-year-old, Brendan. (“They’re not kids forever,’’ she reasoned.)
She entered the lottery because she knew the only way to get him into the neighborhood’s highly sought-after schools was to apply when he was 4. The strategy worked: He won a spot at one of the city’s most competitive schools, the Lyndon in West Roxbury, which he can attend through eighth grade."

Sunday, April 24, 2011

Ad for custom egg donor

An ad in the Harvard Crimson (the student newspaper) reflects some of the fast-changing world of same-sex marriage and the market for reproductive services, with a mixed-race married gay couple looking for a Caucasian-Chinese mixed race egg donor. I infer that the market for surrogate wombs may also be involved.

**************

(This also reminds me of the work Kim Krawiec has been doing on the American Society for Reproductive Medicine’s guidelines for compensating oocyte donors. ("Total payments to donors in excess of $5,000 require justification and sums above $10,000 are not appropriate.")

Kim's recent blog posts on the subject are here, here, here and here, and her paper is here: Krawiec, Kimberly D., Sunny Samaritans and Egomaniacs: Price-Fixing in the Gamete Market (May 23, 2009). Law and Contemporary Problems, Vol. 72, No. 3, 2009; UNC Legal Studies Research Paper No. 1356012. Available at SSRN: http://ssrn.com/abstract=1356012

Saturday, April 23, 2011

Misc. repugnant transactions

Kung Pao Kitten (a recipe meant as a joke, that elicited lots of complaints...)



"A student who had sex with a girlfriend on top of a university building in front of hundreds of onlookers has been suspended from his fraternity."

"The university said it was investigating whether the actions of the male student "constituted a violation of university policies that prohibit unauthorised access to building roofs."

The university is USC.

Friday, April 22, 2011

Susan Athey and the National Medal of Science

No, not yet.
But this.

The White House

Office of the Press Secretary

For Immediate Release April 21, 2011 President Obama Announces More Key Administration Posts

Susan Athey, Appointee for Member, President’s Committee on the National Medal of Science
Susan Athey is a Professor of Economics at Harvard University and co-director of the Market Design Working Group at the National Bureau of Economic Research. Her current research studies the design of auction-based marketplaces, the statistical analysis of auction data, and internet economics. Dr. Athey was the first female recipient of the highly prestigious John Bates Clark medal, awarded by the American Economic Association, and she is a fellow of the American Academy of Arts and Sciences. She recently served as an elected member of the executive committee of the American Economics Association as well as the Council of the Econometric Society. Dr. Athey received her B.A. from Duke University in economics, mathematics, and computer science and her Ph.D. from the Stanford Graduate School of Business.

Laws against polygamy to be tested in Canada

Canadian laws against polygamy will be tested in a suit brought against some of the inhabitants of the rural enclave of Bountiful, British Columbia, who are polygamous adherents of the Fundamentalist Church of Jesus Christ of Latter Day Saints (FLDS). The Canadian magazine The Walrus covers the story: To the Exclusion of All Others: In a liberal society, is polygamy still intolerable?

At least part of the issue is how traditional divorce law, set up for dividing property between two people, would be adopted.
"American legal scholar Adrienne Davis, who believes that conventional family law rooted in monogamous marriage may not be up to attempts at cobbling polygamous marriage onto it, points out an alternative: commercial partnership law. Typically used when two or more parties go into business, according to Davis it would certainly address “polygamy’s central conundrum: ensuring fairness and establishing baseline behaviour in contexts characterized by multiple partners, on-going entrances and exits, and life-defining economic and personal stakes.” Of course, there would be a huge administrative cost to both adapting the model to marriage, and to ensuring that over the course of a union all partners consented to any new additions to it and renegotiated their respective rights as the landscape changed. More to the point, however, this is not what polygamists want, and it’s not what we want. Remember, liberal marriage was built on the concept of love; it’s hard to imagine a way of squaring this with the filing of an annual marriage report."

Thursday, April 21, 2011

Exploding offers and the market culture of law reviews

Here's an April 19 open letter To the legal community from a number of student-edited law journals.

"In recent years, many law journals have adopted the practice of issuing “exploding offers”—giving scholars only a couple of days, hours, or even minutes to accept an offer of publication. The reasoning behind these offers was simple: we each hoped to secure the best articles for our own journal before others could identify them and make competing offers. But experience has made clear that the costs of this practice—to the quality of our deliberations, to the faculty with whom we work, and, ultimately, to the scholarship we publish—dramatically outweigh the benefits. We therefore commit, effective immediately, to give every author at least seven days to decide whether to accept any offer of publication.

"This decision stems from the recognition that what once seemed an effective strategy for any one of us has in fact had a highly corrosive effect on all of us. Journals have responded to the prospect of exploding offers elsewhere by speeding up their own processes: rapidly winnowing down submissions, quickly holding articles committee votes, and, in the case of many journals, only occasionally consulting scholars in the field regarding an article’s novelty or contribution. This expedited review has inevitably favored established authors, popular topics, and broad claims at the expense of originality and merit. It has led many law journals to establish a twotrack process for article review: a fast track for widely recognized authors, whose submissions are more likely to elicit exploding offers; a slower track for younger authors and authors who teach at lower-ranked institutions. Many deserving pieces in the latter category never get to the front of the line.

"Moreover, expedited review has unduly compelled authors to undertake complicated workarounds and endure strong-arming and stress. Nor have exploding offers accomplished their purpose of improving our standing: for as often as we’ve taken good articles from others, we’ve had good articles taken from us. The dominant experience has merely been an ever-expanding push toward quick review and quick decision.

"Opening a seven-day offer window will substantially eliminate these defects. Student editors, lacking the incentive to expedite selection decisions, will be able to engage more deeply with the articles we review. We will have the time to consult scholars regularly regarding an article’s significance and novelty. As a result, all of us will be able to publish more of the stellar pieces that, under the current system, slip through the cracks.

"No doubt giving up a practice to which we’ve grown accustomed entails some risk. But we are confident that the risks of continuing the present race to the bottom are substantially greater. We invite all other student-edited law journals to join this letter, and we welcome an ongoing discussion with both journals and authors about how best to work together effectively."

HT: Clayton Featherstone, who writes "I wonder who the first defector will be?"

I notice that none of the journals signing the letter have made the more difficult promise not to respond to exploding offers from less prestigious journals. So there will still be incentives for authors to try to move up the prestige ranking of law journals by first soliciting offers from lower ranked journals, and then trying to turn these into hasty acceptances from higher ranked journals.

for more on exploding offers and market culture,
Niederle, Muriel, and Alvin E. Roth, "Market Culture: How Rules Governing Exploding Offers Affect Market Performance," American Economic Journal: Microeconomics, 1, 2, August 2009, 199-219.

And here are some (law review) articles on exploding offers in the market for law clerks:


  • Avery, Christopher, Christine Jolls, Richard A. Posner, and Alvin E. Roth, "The Market for Federal Judicial Law ClerksUniversity of Chicago Law Review, 68, 3, Summer, 2001, 793-902.(online at SSRN)



  • Avery, Christopher, Jolls, Christine, Posner, Richard A. and Roth, Alvin E., "The New Market for Federal Judicial Law Clerks" . University of Chicago Law Review, 74, Spring 2007, 447-486.
  • Wednesday, April 20, 2011

    A danceable economic experiment on public good provision

    Lights! Dancers! Economics!

    "If Milton Friedman and Martha Graham had a love child, it might look something like the "Tragedy of the Commons."

    "Antony Davies, an associate professor of economics at Duquesne University, and his sister, Jenefer Davies, an assistant professor of dance at Washington and Lee University, staged the experimental production this month at Washington and Lee to demonstrate a key principle of economics. The tragedy of the commons, enunciated in an essay of the same name in 1968 by the ecologist Garrett Hardin, states that when a resource is held jointly, its owners will deplete it more quickly than when individuals own equal and private portions of the same resource.
    ...
    "In the performance, five volunteers from the audience individually controlled spotlights that illuminated each of five dancers onstage. Volunteers were told that they should try to keep their dancers illuminated as long as possible but that the light was a limited resource: The first performance began with 30 seconds of light in the communal "light bank," and audience members drained that bank when they illuminated their dancers. Turning the light off, however, would slowly replenish the time in the bank.


    "Immediately after the first performance with the communal bank, the dancers began a second performance. But this time the five volunteers drew light from—and restored it to—private banks, up to six seconds per volunteer.
    ...
    "The economic theory played out as anticipated. The volunteers generated more light during the second leg of each of the three performances, with their individual "light banks," than they did while sharing time from the communal bank. Mr. Davies was relieved."

    You can see the dance here: econ dance performance

    Tuesday, April 19, 2011

    Mixed martial arts: a formerly repugnant transaction?

    New York State is one of the few holdouts, and a recent Op-Ed in the NY Times anticipates that will end: It Only Looks Dangerous

    "MIXED martial arts is one of the fastest-growing sports in America. Yet for years the New York State Legislature has refused to sanction M.M.A. — making New York one of the last states holding out against the sport’s expansion. (Connecticut is a holdout, too.) After helping to block a clause in last year’s budget that would have legalized M.M.A., Bob Reilly, a state assemblyman, called it “a violent sport not worthy of our society.”

    ...
    "There have been only three fatalities in the 17-year history of American M.M.A. But we average almost that many in a single year in boxing: 129 fighters have died in American rings since 1960.


    "Some might argue that such statistics only make the case that boxing, too, should be banned. But what about hockey or football? Men’s Health has proudly and without controversy featured Drew Brees, Tom Brady and other N.F.L. stars on our cover — despite the fact that football and hockey combined sent 55,000 Americans to the emergency room for head injuries in 2009 alone.
    ...
     "The New York State Assembly and Senate both have bills in committee that would allow M.M.A. into the state, and it only makes sense to push them through."

    Monday, April 18, 2011

    Jon Levin, Clark Medalist

    Among a long list of accomplishments, the AEA includes these:

    "The Organization and Design of Markets
    A second main strand of Levin's research focuses on the success or failure of specific markets in efficiently allocating scarce resources.  Much of it attempts to determine whether changes in market design and institutions would lead to  more efficient outcomes. This research is distinguished by the way it integrates economic  theory, novel empirical methods, and data to obtain interesting new insights.  For example, in a series of papers with Susan Athey (a previous John Bates Clark medalist), Levin studied competitive bidding for federally-owned timber, with the goal of understanding how different auction  rules used by the government have affected competition. These papers are examples of excellent applied work, and they helped establish the frontier for empirical work on auctions, an active and exciting area in the last decade."

    Congratulations, Jon.

    Sunday, April 17, 2011

    Edelman on Bloomberg on Google

    Antitrust regulation is of course a form of market design. Ben Edelman talks about his concerns here.

    Saturday, April 16, 2011

    Jeff Ely on market design

    Jeff Ely is a very serious microeconomist indeed, so it isn't cheap talk when he gives market design a big compliment and writes of: "the most important development in Microeconomics right now:  market design"

    Friday, April 15, 2011

    High school choice in New York City

    The outcome of the main match for positions in NYC high schools has come out, and about 8,000 children (out of somewhat more than 80,000) did not find a match among their listed choices and will have to go through the supplemental round to find a match: Over 8,000 New York eighth-graders rejected from high school choices, forced to apply again

    "Pamela Wheaton of Insideschools.org at The New School said every year there are some kids who don't get matched because there aren't enough good schools to go around.

    "There simply aren't the spaces," she said, noting the process is also "very complicated" for parents who don't necessarily realize the steep competition at some choice schools.

    "The city's record at matching students with at least one of their choices has improved since 2004, when 16% of students got no matches."

    A similar problem--shortage of spaces in popular schools--has influenced the kindergarten choice process as well: Kindergarten crunch: Popular schools run out of seats and parents are furious
     
    Not enough good schools: that's a problem no school choice system can fix by itself.
    (Recall the similar story I blogged about in Boston: Boston Globe on school choice.)

    My papers on school choice in NY and Boston are here.

    Thursday, April 14, 2011

    France Enforces Ban on Full-Face Veils in Public

    Here's the story in the NY Times.

    "A French ban outlawing full-face veils in public, the first to be enacted in Europe, came into force on Monday and faced immediate, if low-key, challenges."

    Wednesday, April 13, 2011

    Delayed college admissions

    The NY Times reports on a new trend in enrollment management: Admission to College, With Catch: Year’s Wait

    "Now, as colleges are increasingly swamped with applications, a small but growing number are offering a third option: guaranteed admission if the student attends another institution for a year or two and earns a prescribed grade-point average.

    "This little-noticed practice — an unusual mix of early admission and delayed gratification — has allowed colleges to tap their growing pools of eager candidates to help counter the enrollment slump that most institutions suffer later on, as the accepted students drop out, transfer, study abroad or take internships off campus.

    “Life happens — we all understand that the size of the freshman class diminishes as they progress,” said Barmak Nassirian, an associate executive director of the American Association of Collegiate Registrars and Admissions Officers in Washington. “This is an attempt at what is called enrollment management.”

    "But while the practice, known as deferred admission or a guaranteed transfer option, offers applicants another shot at their dream school, it can also place them in limbo, as they start college life on a campus they plan to abandon. And it can create problems for that institution, which is not usually told about the deal the student has struck with a competitor.

    "Monica Inzer, the dean of admission at Hamilton College in upstate New York, called the practice “borderline unethical,” saying it had the effect of recruiting students from other colleges. “We would allow a student to defer for a year, but never to matriculate full time at another college,” Ms. Inzer said."

    Tuesday, April 12, 2011

    Medical residency scramble

    Dr.  Naveed Saleh, writing in New Physician, describes some of the different prognoses suggested for the new resident scramble (SOAP) which will operate next year: Unscrambling the Match.

    "Roth predicts that the rules of the SOAP will be subverted by both programs and applicants eager to match. "If it's really, really tempting for people on both sides to break the rules," says Roth, "often the rules get broken."
    Roth suggests that instead of the SOAP, the NRMP and ERAS should institute a properly organized second match during Match Week.
    Mona M. Signer, executive director of the NRMP, disagrees with Roth's prediction that decision-making during the SOAP will be strategic. Instead, she predicts that programs and applicants will continue to pursue their best opportunities. Additionally, as with the Match, should a program or applicant violate prescribed rules, sanctions would be imposed.

    My previous posts on the residency scramble, and the proposed new rules are here.

    Monday, April 11, 2011

    Live donor teeth (and George Washington)

    Owen Ozier writes: "I have been reading Ron Chernow's 2010 biography of George Washington, and came across a passage about the trade in a different body part - teeth. I hadn't ever heard of this before, but it reminded me of your talk, so I thought I would send it along:

    "From chapter 36 of Washington: A Life

    "Always a tough, leery customer, Washington was skeptical about claims made for transplanted teeth. The following year, when Le Mayeur performed a successful transplant upon Richard Varick, it made a convert of Washington. According to Mary Thompson, Washington bought nine teeth in 1784 from certain nameless "Negroes" for thirteen shillings apiece.[7] Whether he wanted the teeth implanted directly in his mouth, or incorporated into dentures, we cannot say. However ghoulish this trade sounds to modern readers, it was then standard practice for rich people to purchase teeth from the poor. In his advertisements, Dr. Le Mayeur offered to buy teeth from willing vendors and bid "three guineas for good front teeth from anyone but slaves." [8] This suggests a stigma among white people about having slaves' teeth. We can deduce that Washington's dental transplant miscarried, since by the time of his presidential inauguration in 1789, he had only a single working tooth remaining."

    Relevant references appear to be:
    [5] Brown, Lawrence Parmly. "The Antiquities of Dental Prosthesis:
    Part III, Section 2, Eighteenth Century." Dental Cosmos 76, No. 11, November 1934
    [7] Henriques, Peter R. Realistic Visionary: A Portrait of George Washington. Charlottesville: UVA Press, 2006, p.154
    [8] Unger, Harlow Giles. The Unexpected George Washington: His Private Life. Hoboken, NJ: John Wiley and Sons, 2006, p.163

    (Kant also wrote about sale of teeth: see my earlier blog post Kant on compensation for organ donors )

    Sunday, April 10, 2011

    Swoopo: gone but not forgotten

    Swoopo is reported to be bankrupt: Goodnight, Swoopo: The Pay-Per-Bid Auction Site Is Dead

    I blogged in 2009 about A proliferation of penny auctions, and when I looked back at it just now, I saw that it attracted a bunch of spammish comments from penny auction sites...

    HT: Peter Coles

    Saturday, April 9, 2011

    2011 Summer School: Market Failure and Market Design

    2011 Summer School. Market Failure and Market Design, Louvain-la-Neuve, May 23-26, 2011

    To submit a paper: Those interested should submit a title for their presentation AND a paper as well as your curriculum vitae by April 10 to Sylvie Mauroy. The selection of speakers and preliminary program will be announced by April 26.

    To register (without presenting a paper): Just send an e-mail to Nancy De Munck or Sylvie Mauroy with your complete affiliation. There is no registration fee, but registration is NECESSARY before May 10.

    Keynote Speakers:


    Douglas BERNHEIM, Stanford University
    Lecture 1: Poverty and Self-Control
    Lecture 2: Applied Behavioral Welfare Economics: The Good, the Bad, and the Ugly
    Lecture 3: Revealed Preference without Choice

    Vincent CRAWFORD, University of Oxford
    Lecture 1: Strategic Thinking
    Lecture 2: Level-k Auctions (paper 1 - paper 2 )
    Lecture 3: Efficient Mechanisms for Level-k Bilateral Trading

    Parag PATHAK, Massuchusetts Institute of Technology


    Organizing committee:
    Jean Hindriks, CORE, Université catholique de Louvain

    Georg Kirchsteiger, ECARES, Université Libre de Bruxelles
    François Maniquet, CORE, Université catholique de Louvain

     
    HT: Bettina Klaus

    Should there be a donor kidney market? Latest version of a familiar debate

    The Los Angeles Times published a short debate between two familiar interlocuters, Ben Hippen and Frank Delmonico: Pro/con The consequences of a donor kidney market

    "With a waiting list for a kidney at almost 83,000 Americans, the push to offer cash and other incentives grows. Two experts offer their opposing views on a donor kidney market."

    "People who need kidneys are dying unnecessarily, and an organ market would save lives."
    Dr. Benjamin Hippen is a transplant nephrologist at the Carolinas Medical Center in Charlotte, N.C.
    "The most compelling reason for setting up a market for organs is that there really isn't any other plausible solution to the growing disparity between the demand for and supply of organs. Even if we were to maximize organ procurement from deceased donors, we still couldn't meet the demand.

    "As that demand grows, it's not just potential kidney recipients who get desperate — it's also potential donors, who often have a close-up view of what their loved ones are going through. We then see people with health problems, like high blood pressure or obesity, say that they're willing to take on a certain amount of risk so that their loved one can live a better life.

    "A regulated market would be, in some sense, safer — the pressure would be taken off folks who want to be donors but perhaps shouldn't be for medical reasons. Transplant professionals could then select the healthiest donors, who are at the lowest risk for long-term complications. With a regulated market, we could say to high risk-donor candidates, "No, you shouldn't be a donor, and your loved one isn't going to suffer as a consequence of that decision."

    "There's also a significant difference between what it costs to maintain a transplant versus what it costs to maintain someone on dialysis. In 2007, $28 billion was spent nationally on people on dialysis; about $2.2 billion was allocated to kidney transplantation. So transplants are vastly more cost-effective, and in general they confer a longer survival benefit. Also, a larger proportion of people are able to go back to work compared with people on dialysis.

    "The unregulated, underground black market in organs in developing countries has been catastrophic for both donors and recipients. But the reason that someone who is desperately poor may be able to sell their kidney on the black market is that people in countries of comparative wealth have failed to solve their own supply problem. That is a policy failure. If the demand for organs could be met through legal, ethical strategies, some of the driving forces that support black markets would disappear.

    "If, indeed, the current system isn't meeting demand, then there's a sense in which it's unethical not to establish regulated incentives for living donors or to think more carefully about not doing so. The cost is being paid by the people who are dying on the waiting list, getting sicker on dialysis or selling their kidneys under terrible circumstances."

    "An organ market would exploit the world's poor and set the precedent for medical transplant tourism that puts everyone at risk."
    Dr. Francis Delmonico is the director of renal transplantation at Massachusetts General Hospital and a professor of surgery at Harvard Medical School. He is also the medical director of the New England Organ Bank in Newton, Mass.

    "Despite the good intentions of those who would suggest that an organ market could be regulated, it's impossible to do so. A market for organ sales enables brokers and extra payments, and in a global society, the market could not be restricted to the United States.

    "Right now, our country sets the tone on this issue. Once we say it's OK to have a market here, it condones markets everywhere else in the world, and with medical tourism being what it is, those in search of kidneys will go to the place where it's the cheapest price — Americans won't be limited to undergoing transplants locally.

    "From there, transplant tourism in global markets brings unanticipated consequences. It increases the risk for diseases like hepatitis, tuberculosis or malignancy, and it also opens the door to a variety of unethical practices involving the donor and their medical care.

    "The central problem of organ sales is that it's a victimization and exploitation of poor people, notwithstanding good intention. The source of these organs is always the lowest socioeconomic class of a particular country — we know that has been the case in the Philippines, in Pakistan, in Egypt and in Iran. And the payment isn't that substantial of an amount, so rather than making them better off or helping them, the money is quickly used, and the donor is left with one less kidney. It's a reality that there's no escaping.

    "It's true that there has been a plateau of living donors in this country, and something has to be done. For that reason, I do believe in eliminating disincentives for donors. The living donor who doesn't have health insurance should have it — and even life insurance — provided for them, as it pertains to the donation event."

    HT: Ted Roth

    Friday, April 8, 2011

    Medicare payments for dialysis

    The New York Times describes the growing federal expenses for dialysis, and some surrounding controversy: When Ailments Pile Up, Asking Patients to Rethink Free Dialysis

    "Of all the terrible chronic diseases, only one —end-stage kidney disease — gets special treatment by the federal government. A law passed by Congress 39 years ago provides nearly free care to almost all patients whose kidneys have failed, regardless of their age or ability to pay.


    "But the law has had unintended consequences, kidney experts say. It was meant to keep young and middle-aged people alive and productive. Instead, many of the patients who take advantage of the law are old and have other medical problems, often suffering through dialysis as a replacement for their failed kidneys but not living long because the other chronic diseases kill them.


    "Kidney specialists are pushing doctors to be more forthright with elderly people who have other serious medical conditions, to tell the patients that even though they are entitled to dialysis, they may want to decline such treatment and enter a hospice instead. In the end, it is always the patient’s choice.
    ...
    "When Congress established the entitlement to pay for kidney patients in October 1972, dialysis and transplants were new procedures that were not covered by health insurance. There were horrifying stories — rich people got dialysis and lived while poor people died. In Seattle, a committee meted out dialysis by voting on who could get it. A man who was supporting a family, for example, took precedence over a single woman.


    "It also was expected at that time that fewer than 40 patients per million would need dialysis, and that most of those patients would be healthy — except for their failed kidneys — and under age 54.

    "Now more than 400 people per million start dialysis each year. More than a third of the patients are 65 or older, and they account for about 42 percent of the costs. People over 75 make up the fastest-growing group of dialysis patients. And most elderly dialysis patients have other serious diseases like diabetes, heart failure, stroke and even advanced dementia. One-third of them have four or more chronic conditions.

    "The federal program, said Dr. Peter S. Aronson, a professor of nephrology at Yale University’s School of Medicine “is so emblematic of good intentions misapplied.”

    The question,” Dr. Aronson said, “is how to dial it back.”

    "Recent studies have found that dialysis does not prolong life for many elderly people with other serious chronic illnesses. One study found that the procedure’s main effect is to increase the chances that such patients will die in the hospital rather than at home.

    "Meanwhile, costs are soaring — end-stage kidney disease will cost the nation an estimated $40 billion to $50 billion this year."

    Thursday, April 7, 2011

    Donation after cardiac death

    When are you dead? An article in Stanford Medicine explores the question, which becomes pointed when the subject is deceased organ donation. The standard criterion in the U.S. is brain death, but of course irreversible cessation of heartbeat is an older standard. The trouble is that organs have to be preserved fast after cardiac death, unlike the case of a brain dead patient on a ventilator.

    So there are obstacles to donation after cardiac death (DCD). Most of the discussion of restricting organ donation to brain dead patients focuses on the desperately needed organs that are made unavailable to the patients who need them. So I was struck by this view from another angle, by Nikole Neidlinger, MD, the medical director of the California Donor Transplant Network.

    A lot of people think that it’s all about the organ recipient, but really, I think, the donors’ families get the biggest benefit,” Neidlinger says. “They have spent perhaps weeks dealing with the hardship of seeing loved ones on life support and coming to terms with their death. And the fact that the donor gets a chance to help another person live — it’s a legacy that counts so much for families.”

    Wednesday, April 6, 2011

    Redesigning the market for bribes (by making some bribes legal to give)

    The Wall Street Journal reports that Kaushik Basu, currently on leave from Cornell as Chief Economic Advisor to the Government of India, has been thinking about how to reduce the incidence of bribe taking in India by officials who require bribes to deliver (legal) services that they are supposed to provide as part of their government duties. His idea is to make it legal to give a bribe in such a case, while keeping it illegal to demand or receive one, so that after the fact the bribe givers could report/testify against corrupt officials without being treated as their partners in crime.

    Here's the WSJ story: Kaushik Basu Says Make Bribe Giving Legal, and here's the working paper from the Indian Ministry of Finance: Why, for a Class of Bribes, the Act of Giving a Bribe should be Treated as Legal

    HT: Tabarrok at MR

    Tuesday, April 5, 2011

    Review of kidney exchange

    Here's a new article reviewing developments in kidney exchange, aka kidney paired donation (not "published" yet, but just appeared online):

    Kidney paired donation
    C. Bradley Wallis; Kannan P. Samy; Alvin E. Roth; Michael A. Rees
    Nephrology Dialysis Transplantation 2011; doi: 10.1093/ndt/gfr155




    Full Text:

    Abstract
    Kidney paired donation (KPD) was first suggested in 1986, but it was not until 2000 when the first paired donation transplant was performed in the USA. In the past decade, KPD has become the fastest growing source of transplantable kidneys, overcoming the barrier faced by living donors deemed incompatible with their intended recipients. This review provides a basic overview of the concepts and challenges faced by KPD as we prepare for a national pilot program with the United Network for Organ Sharing. Several different algorithms have been creatively implemented in the USA and elsewhere to transplant paired donors, each method uniquely contributing to the success of KPD. As the paired donor pool grows, the problem of determining allocation strategies that maximize equity and utility will become increasingly important as the transplant community seeks to balance quality and quantity in choosing the best matches. Financing for paired donation is a major issue, as philanthropy alone cannot support the emerging national system. We also discuss the advent of altruistic or non-directed donors in KPD, and the important role of chains in addition to exchanges. This review is designed to provide insight into the challenges that face the emerging national KPD system in the USA, now 5 years into its development.

    Monday, April 4, 2011

    The gastro fellowship match after five years

    A recent article takes stock of the Gastroenterology fellowship match, five years after it was reinstated with some new design rules (about exploding offers):
    The Match: Five Years Later, by Deborah D. Proctor et al., Gastroenterology 2011;140:15–18

    Proctor et al. report considerable progress, although they continue to monitor violations of market policy. There seems to be a particular issue with respect to research positions.

    "...the NRMP/SMS was uniquely set up for our many diverse program offerings. Four tracks were created—Clinical, Clinical Investigator Research, Basic Science Research, and Research—and a reversion process was implemented for the 4 tracks, such that unfilled slots from 1 track could revert to open slots in another track. The GI Match successfully reopened in January 2006 with a match day in June 2006 for fellowship positions starting in July 2007."
    ...
    "However, we must recognize that not all programs are eager or willing to participate in the Match process."
    ...

    "The number of fellowship applicants genuinely committed to an academic research career has been
    slowly declining. Simultaneously, competition has stiffened for the grant dollars that pay for these research training positions, and the criteria to renew grant support has become more demanding.
    Needless to say, the competition for these increasingly scarce, well-qualified, research-track applicants has become fierce, and the authors are aware of several examples during the last application cycle of candidates interested in research being offered fellowship positions outside the Match.

    ...
    "Although the statistics continue to demonstrate that Match participation is robust, healthy, and gradually increasing, there is also a growing desire to close the loopholes in Match rules that allow a small minority of programs to take unfair advantage of applicants and colleagues."

    ***************
    To summarize the overall encouraging statistics, in the (2006) Match for 2007 positions, 283 positions were offered and 585 applicants applied, of whom 276 were matched. In the Match for 2011 positions, 383 positions were offered to 642 applicants, of whom 362 were matched.

    Here are some papers reporting various elements of the Gastroenterology market design.
    The match offers programs the ability to have unfilled positions of one kind (e.g. research positions) revert to other kinds of positions via the Roth-Peranson algorithm (see
    Roth, A. E. and Elliott Peranson, "The Redesign of the Matching Market for American Physicians: Some Engineering Aspects of Economic Design American Economic Review, 89, 4, September, 1999, 748-780.)

    Saturday, April 2, 2011

    LCD Soundsystem and ticket scalping

    Jacob Leshno (who is a fan of both market design and LCD soundsystem) writes to alert me to some stories about their "final" concert today, how scalpers using software bots acquired most of the tickets as soon as they went on sale, and how the band responded by scheduling more concerts.

    Hipsters v. Scalpers: How LCD Soundsystem is trying to foil professional ticket resellers.
    "But LCD fans were not left out in the cold. The debacle attracted the wrath of the band's charismatic front man, James Murphy. On LCD Soundsystem's blog, he wrote: "this here is just to say that we were more than taken aback and surprised about the speed of ticket sales for the april 2nd MSG gig, as well as the effectiveness of scalper pieces of fucking shit at getting their hands on said tickets before fans could, and it's knocked us on our asses."

    "The market had failed in his mind. He told fans not to pay thousands of dollars to get into the Madison Square Garden show: "I will try to figure a way out to fuck these fuckers. NO MATTER WHAT WE DO, IT IS NOT WORTH THAT KIND OF MONEY TO SEE US!" Soon enough, he realized he had an ace up his sleeve. He flooded the market, adding shows, upping ticket supply, and hopefully pushing prices down. (Those shows will go on sale this Friday.)"

    See also
    Tickets To Hide: Bands that scalp their own tickets and other true tales from the world of live music.
    and
    fuck you, scalpers. terminal 5 shows added.

    Friday, April 1, 2011

    Matching and Price Theory

    That's the name of a conference being held at the Milton Friedman Institute: Matching and Price Theory, May 6-7, 2011

    Friday, May 6:
    9:00 - 9:50 am The College Admissions Problem with a Continuum of Students
    Eduardo Azevedo (Harvard University) and Jacob Leshno (Harvard University)

    9:50 - 10:40 am Stability and Competitive Equilibrium in Trading Networks
    John Hatfield (Stanford University), Scott Kominers (Harvard University), Michael Ostrovsky (Stanford University), Alexandru Nichifor (University of Maastricht) and Alexander Westkamp
    (University of Bonn)

    10:55 - 11:45 am Sorting and Factor Intensity: Production and Unemployment across
    Skills, Jan Eeckhout (University of Pennsylvania) and Philipp Kircher (London School of Economics)

    11:45 - 12:20 pm Discussion led by Eric Budish (University of Chicago)

    12:20 - 1:50 pm Lunch

    1:50 – 2:40 pm Hedonic Price Equilibria, Stable Matching, and Optimal Transport: Equivalence, Topology, and Uniqueness, Pierre-André Chiappori (New York University), Robert McCann (University of Toronto), and Lars Nesheim (University College London)

    2:40 – 3:30 pm Distinguishing the Payoffs of Upstream and Downstream Firms in Matching Games, Jeremy Fox (University of Chicago)

    3:30 – 4:05 pm Discussion led by Ariel Pakes (Harvard University)

    4:20 – 5:10 pm Strategyproofness and Manipulability in Large Economies, Eduardo Azevedo (Harvard University) and Eric Budish (University of Chicago)

    5:10 – 5:45 pm Discussion led by John Hatfield (Stanford University)

    Saturday, May 7:
    9:00 - 9:50 am Decentralized Matching with Aligned Preferences, Muriel Nederle (Stanford University) and Leeat Yariv (California University of Technology)

    9:50 - 10:40 am TBA, Ilya Segal (Stanford University)

    10:40 – 11:15 am Discussion led by Alvin Roth (Harvard University)

    11:30 - 12:30 pm Panel and Audience Discussion on Open Questions, Gary Becker (University of Chicago), James Heckman (University of Chicago), Paul Milgrom (Stanford University) and Alvin Roth (Harvard University)

    Register online here