There have been some changes in the SCOTTISH FOUNDATION ALLOCATION SCHEME, the program that matches new medical graduates to their first positions (which would be called residencies in the US) in Scotland.
Two features stand out in comparison to the American system (the NRMP).
First, employers may not submit preferences, but rather are all constrained to rank potential employees by their exam scores.
Second, couples cannot submit preferences over pairs of positions. Instead, each member of the couple submits a rank ordering of individual positions, and the algorithm combines these into a joint preference over pairs that is a function of the submitted rank order list and a table of compatibilities of positions.
"To accommodate linked applicants, a joint preference list is formed for each such pair, using their individual preference lists and the programme compatibility information. If such a pair, a and b, have individual preferences p1, p2, . . . , p10 and q1, q2, . . . , q10 respectively (with a the higher scoring applicant), then the joint preference list of the pair (a,b) is (p1,q1), (p1,q2), (p2,q1), (p2,q2), (p1,q3), (p3,q1), (p2,q3), (p3,q2), . . ., (p9,q10), (p10,q9), (p10,q10) (except that incompatible pairs of programmes are omitted)
In the main body of the algorithm, the members of a linked pair are handled together, so the match of the pair (a,b) to the programmes (p,q) will be accepted only if each of these programmes either has an unfilled place or a lower scoring applicant who can be displaced. A complication arises when one member x of a linked pair has to be withdrawn from a programme p because his/her partner was displaced from their current assigned programme. In this case, some other applicants may have been rejected by p because of the presence of x, and any such applicant a must be withdrawn from their current programme, if any, and have their best achievable preference reset to p. (A corresponding, but more complex reset operation is needed if a is a member of a linked pair). This reset operation thereby allows a further opportunity for applicant a to be matched to programme p.
The algorithm terminates when every single applicant and linked pair is either matched or has been rejected by, or displaced from, every entry in their preference list with no possibility of reconsideration by a programme that has had a withdrawal.
The final matching is stable for single applicants, as before, but also for linked pairs, in the sense that:
there can be no linked pair (a,b) of applicants who would prefer to be matched to compatible programmes (p,q), and at the same time, each of p and q has an unfilled place or an assigned applicant with a lower score than a and b respectively."
HT: Rob Irving, who has designed and implemented the algorithm.
Here are some related papers by members of the Scottish matching group.
Keeping partners together: algorithmic results for the hospitals/residents problem with couples by Eric J. McDermid and David F. Manlove in
Journal of Combinatorial Optimization, (2009)
R.W. Irving, D.F. Manlove and S. Scott, The stable marriage problem with master preference lists, Discrete Applied Mathematics vol. 156 (2008), pp. 2959-2977.
Tuesday, March 16, 2010
Monday, March 15, 2010
New school choice system in San Francisco
Board Approves New Student Assignment System for San Francisco Schools (now here)
Most of the last minute discussion was about what priorities different kinds of students will have at different kinds of schools. That is something that is likely to be adjusted from year to year. But the nice thing is that the underlying choice architecture will make it safe for parents to state their true preferences however the priorities are adjusted.
From the press release: "The choice algorithm was designed with the help of a volunteer team of market design experts who have previously been involved in designing choice algorithms for school choice in Boston and New York City. Volunteers from four prominent universities contributed to the effort, including Clayton Featherstone and Muriel Niederle of Stanford University, Atila Abdulkadiroglu of Duke University, Parag Pathak of MIT, and Alvin Roth of Harvard.
“We are pleased that the district has decided to adopt a choice architecture that makes it safe for parents to concentrate their effort on determining which schools they prefer, with confidence that they won’t hurt their chances by listing their preferences truthfully,” said Niederle and Featherstone, the Stanford research team."
Here are Rachel Norton's comments (she's a school board member with a blog), and here's the story from the SF Chronicle. Here are some of my recent posts on school choice; many of the recent ones tell the SF story as it unfolded.
Now, on to implementation.
Most of the last minute discussion was about what priorities different kinds of students will have at different kinds of schools. That is something that is likely to be adjusted from year to year. But the nice thing is that the underlying choice architecture will make it safe for parents to state their true preferences however the priorities are adjusted.
From the press release: "The choice algorithm was designed with the help of a volunteer team of market design experts who have previously been involved in designing choice algorithms for school choice in Boston and New York City. Volunteers from four prominent universities contributed to the effort, including Clayton Featherstone and Muriel Niederle of Stanford University, Atila Abdulkadiroglu of Duke University, Parag Pathak of MIT, and Alvin Roth of Harvard.
“We are pleased that the district has decided to adopt a choice architecture that makes it safe for parents to concentrate their effort on determining which schools they prefer, with confidence that they won’t hurt their chances by listing their preferences truthfully,” said Niederle and Featherstone, the Stanford research team."
Here are Rachel Norton's comments (she's a school board member with a blog), and here's the story from the SF Chronicle. Here are some of my recent posts on school choice; many of the recent ones tell the SF story as it unfolded.
Now, on to implementation.
Sunday, March 14, 2010
Raffle for a human egg
The Times of London reports: IVF doctors to raffle human egg
"A FERTILITY clinic is raffling a human egg in London to promote its new “baby profiling” service, which circumvents British IVF (in vitro fertilisation) laws.
The winner will be able to pick the egg donor by racial background, upbringing and education. Payment for profit is illegal in Britain, but the £13,000 of free IVF treatment will be provided in America. "
...
"The eggs are provided by American donors aged between 19 and 32, all of whom are university students or graduates. Overweight women or smokers are not accepted onto the donation programme Before picking a donor, the British women scan detailed anonymised profiles, including the donors’ motives for selling. The profiles include recordings of the women talking about their attitudes, as well as pictures taken of them in their childhood. They only provide an up-to-date photo if they enter serious negotiations.
Women egg donors in America can make $10,000 (£6,600) a time if they are well educated and with desirable physical characteristics.
The sale of their eggs was condemned yesterday by Josephine Quintavalle, founder of Comment on Reproductive Ethics, a pressure group, who said the infertility market had plumbed new depths.
“In no other branch of medicine would the ruthless exploitation of the vulnerable be tolerated. These women selling their eggs are taking a huge risk with their health and future fertility simply because they need the money.”
In Britain, donors have to agree to be identified and contacted by any resulting offspring when they reach the age of 18.
Payments are restricted to a maximum fee of £250 for expenses, and as a result donors are in extremely short supply. "
...
"The lure of payment means there is no shortage of would-be egg donors in America. GIVF receives up to 500 applications a month, but only about five will pass the two-month screening programme. "
...
"In Britain, only 956 of the 36,861 women who had IVF in 2007 received donor eggs. Half of those were egg sharers and of the remainder many were friends or relatives of the women being treated.
The number of donors is boosted by an arrangement whereby women receive free treatment if they agree to share their eggs with another patient who has no useable eggs at all. The drawback is that anyone undergoing fertility treatment necessarily has inferior eggs, so the chances of pregnancy for both women is relatively poor.
Egg donation is a protracted and painful process that requires treatment with potentially dangerous drugs. A donor has to undergo a course of treatment aimed at stimulating her ovaries to produce a dozen or more eggs in one menstrual cycle, instead of the single ripe egg released every month in natural conditions.
Bridge Centre staff admit they were bemused by the GIVF free egg offer from America. “They are much more market-driven than we are, and they do have some rather more creative techniques,” said Michael Summers, a senior consultant in reproductive medicine at the Bridge."
The debate over whether it's ok for women to sell eggs is not over in America. Kim Krawiec at Faculty Lounge asks How Is An Egg Donor Like A Prostitute?
"A few weeks ago, House Bill 3077, which would make it illegal to compensate women for oocyte donation, easily passed the Oklahoma house by a vote of 85-8. Said Rep. Rebecca Hamilton, D-Oklahoma City, the bill’s author, fertility clinics "could use donor eggs all they want; they just can’t go out and solicit women with money.” According to news reports, Hamilton has likened the practice to prostitution, claiming that “it turns doctors into predators.”
The debate harkens back to an exchange in September, in which Dr. Naomi Pfeffer drew fire for a statement to the Motherhood in the 21st Century Conference at the University College London that compared egg donors to prostitutes. As reported in The Times:
British couples who travel abroad for IVF treatment and buy other women’s eggs are engaging in a form of prostitution, a fertility conference was told yesterday. . .
Professor Pfeffer, who researches controversial developments in medicine, told the Motherhood in the 21st Century Conference at University College London: “The exchange relationship is analogous to that of a client and a prostitute. It’s a unique situation because it’s the only instance in which a woman exploits another woman’s body….
These women are being encouraged to take real risks with their health through ovarian stimulation and egg retrieval. It commodifies women’s bodies and treats their reproductive capacities as a service.
So, what sort of crazy person would compare an egg donor to a prostitute?
I would. But not for the reasons that either Hamilton or Pfeffer have in mind.
As I argue in the recently posted, A Woman’s Worth, an egg donor is much like a prostitute in the following sense: both are selling something that is often expected or encouraged to be given for free or at a reduced price, despite its high economic value. "
"A FERTILITY clinic is raffling a human egg in London to promote its new “baby profiling” service, which circumvents British IVF (in vitro fertilisation) laws.
The winner will be able to pick the egg donor by racial background, upbringing and education. Payment for profit is illegal in Britain, but the £13,000 of free IVF treatment will be provided in America. "
...
"The eggs are provided by American donors aged between 19 and 32, all of whom are university students or graduates. Overweight women or smokers are not accepted onto the donation programme Before picking a donor, the British women scan detailed anonymised profiles, including the donors’ motives for selling. The profiles include recordings of the women talking about their attitudes, as well as pictures taken of them in their childhood. They only provide an up-to-date photo if they enter serious negotiations.
Women egg donors in America can make $10,000 (£6,600) a time if they are well educated and with desirable physical characteristics.
The sale of their eggs was condemned yesterday by Josephine Quintavalle, founder of Comment on Reproductive Ethics, a pressure group, who said the infertility market had plumbed new depths.
“In no other branch of medicine would the ruthless exploitation of the vulnerable be tolerated. These women selling their eggs are taking a huge risk with their health and future fertility simply because they need the money.”
In Britain, donors have to agree to be identified and contacted by any resulting offspring when they reach the age of 18.
Payments are restricted to a maximum fee of £250 for expenses, and as a result donors are in extremely short supply. "
...
"The lure of payment means there is no shortage of would-be egg donors in America. GIVF receives up to 500 applications a month, but only about five will pass the two-month screening programme. "
...
"In Britain, only 956 of the 36,861 women who had IVF in 2007 received donor eggs. Half of those were egg sharers and of the remainder many were friends or relatives of the women being treated.
The number of donors is boosted by an arrangement whereby women receive free treatment if they agree to share their eggs with another patient who has no useable eggs at all. The drawback is that anyone undergoing fertility treatment necessarily has inferior eggs, so the chances of pregnancy for both women is relatively poor.
Egg donation is a protracted and painful process that requires treatment with potentially dangerous drugs. A donor has to undergo a course of treatment aimed at stimulating her ovaries to produce a dozen or more eggs in one menstrual cycle, instead of the single ripe egg released every month in natural conditions.
Bridge Centre staff admit they were bemused by the GIVF free egg offer from America. “They are much more market-driven than we are, and they do have some rather more creative techniques,” said Michael Summers, a senior consultant in reproductive medicine at the Bridge."
The debate over whether it's ok for women to sell eggs is not over in America. Kim Krawiec at Faculty Lounge asks How Is An Egg Donor Like A Prostitute?
"A few weeks ago, House Bill 3077, which would make it illegal to compensate women for oocyte donation, easily passed the Oklahoma house by a vote of 85-8. Said Rep. Rebecca Hamilton, D-Oklahoma City, the bill’s author, fertility clinics "could use donor eggs all they want; they just can’t go out and solicit women with money.” According to news reports, Hamilton has likened the practice to prostitution, claiming that “it turns doctors into predators.”
The debate harkens back to an exchange in September, in which Dr. Naomi Pfeffer drew fire for a statement to the Motherhood in the 21st Century Conference at the University College London that compared egg donors to prostitutes. As reported in The Times:
British couples who travel abroad for IVF treatment and buy other women’s eggs are engaging in a form of prostitution, a fertility conference was told yesterday. . .
Professor Pfeffer, who researches controversial developments in medicine, told the Motherhood in the 21st Century Conference at University College London: “The exchange relationship is analogous to that of a client and a prostitute. It’s a unique situation because it’s the only instance in which a woman exploits another woman’s body….
These women are being encouraged to take real risks with their health through ovarian stimulation and egg retrieval. It commodifies women’s bodies and treats their reproductive capacities as a service.
So, what sort of crazy person would compare an egg donor to a prostitute?
I would. But not for the reasons that either Hamilton or Pfeffer have in mind.
As I argue in the recently posted, A Woman’s Worth, an egg donor is much like a prostitute in the following sense: both are selling something that is often expected or encouraged to be given for free or at a reduced price, despite its high economic value. "
Saturday, March 13, 2010
School choice in Britain
A story in the Telegraph appears to report the remarkable fact that some schools in Britain are more popular than others, and are over-demanded: School admissions: half lose out in some areas
"Half of children in some areas have been rejected from their preferred secondary school amid fierce competition for the most sought-after places. "
...
"In Birmingham, only two-third of children gained places in their preferred school, a fall compared with last year.
The squeeze on places has led some over-subscribed schools to run controversial “lotteries” in which names are effectively picked from a hat.
The system is employed to stop middle-class parents jumping the queue for the best schools by buying homes in the catchment area.
Lotteries are believed to be used in at least one school in a third of local authorities. Hertfordshire council told the Telegraph yesterday that seven schools had employed the system.
Michael Gove, shadow schools secretary, said: “Unfortunately too often too many parents don’t get the school they want. The reality is that it is only the rich who can guarantee the kind of education they want for their children.” "
"Half of children in some areas have been rejected from their preferred secondary school amid fierce competition for the most sought-after places. "
...
"In Birmingham, only two-third of children gained places in their preferred school, a fall compared with last year.
The squeeze on places has led some over-subscribed schools to run controversial “lotteries” in which names are effectively picked from a hat.
The system is employed to stop middle-class parents jumping the queue for the best schools by buying homes in the catchment area.
Lotteries are believed to be used in at least one school in a third of local authorities. Hertfordshire council told the Telegraph yesterday that seven schools had employed the system.
Michael Gove, shadow schools secretary, said: “Unfortunately too often too many parents don’t get the school they want. The reality is that it is only the rich who can guarantee the kind of education they want for their children.” "
Friday, March 12, 2010
Congressional briefing on market design
CONSORTIUM OF SOCIAL SCIENCE ASSOCIATIONS
Better Living Through Economics (Harvard University Press 2010) illustrates the fundamental contributions of economic research to important public policy decisions through twelve case studies. A panel of distinguished scholars will discuss some of these examples of how basic economic research by academic economists has improved people’s lives and continues to impact policy decisions.
Speakers:
Brigitte Madrian, Harvard Kennedy School: “More Saving and Better Retirements.”
Lawrence Ausubel, University of Maryland, “The Greatest Auction in History: Raising Billions from the Communications Spectrum”
Alvin Roth, Harvard University, “Improved Markets for Doctors, Organ Transplants and School Choice”
John Siegfried, Vanderbilt University, “Cheaper Airfares, Welfare Reform and an All-Volunteer Military”
Sponsored by: The Consortium of Social Science Associations (COSSA)
A box lunch will be served. This is a widely attended event!
Positive RSVPs to cossa@cossa.org or 202/842-3525.
You are invited to a Congressional Briefing on
“Better Living through Economics: How Fundamental Economic Research Improves People’s Lives”
March 15, 2010, 12:00-1:30
March 15, 2010, 12:00-1:30
B338 Rayburn House Office Building
Better Living Through Economics (Harvard University Press 2010) illustrates the fundamental contributions of economic research to important public policy decisions through twelve case studies. A panel of distinguished scholars will discuss some of these examples of how basic economic research by academic economists has improved people’s lives and continues to impact policy decisions.
Speakers:
Brigitte Madrian, Harvard Kennedy School: “More Saving and Better Retirements.”
Lawrence Ausubel, University of Maryland, “The Greatest Auction in History: Raising Billions from the Communications Spectrum”
Alvin Roth, Harvard University, “Improved Markets for Doctors, Organ Transplants and School Choice”
John Siegfried, Vanderbilt University, “Cheaper Airfares, Welfare Reform and an All-Volunteer Military”
Sponsored by: The Consortium of Social Science Associations (COSSA)
A box lunch will be served. This is a widely attended event!
Positive RSVPs to cossa@cossa.org or 202/842-3525.
Elliott Spitzer on government’s role in the market
Government’s proper role in the market, in the Boston Review.
Spitzer writes from the point of view of a former Attorney General of New York (as opposed to real estate heir, former Governor, or Greek tragedian).
"To sum up, I want to leave you with ten points:
• Only government can enforce integrity and transparency in the marketplace; self-regulation is a failure.
• Only government can take necessary steps to overcome market failures, such as negative externalities or monopoly power.
• Only government can act to preserve certain core values in the market, such as prohibitions on discrimination.
• Too-big-to-fail is too-big-not-to-fail.
• We’re suffering from the Peter Principle on Steroids, and it will get us into deeper trouble.
• Taxpayers have been getting the short end of the stick in everything we’ve been doing. The Treasury Department is not negotiating for us.
• Risk is real, and no complex scheme of financial instruments can make it go away.
• We have de-leveraged the wrong way, by socializing risks and privatizing benefits. The government has accepted all the debt obligations of the private sector, and taxpayers now owe this money.
• The only way to reform corporate governance is to get the owners—the shareholders—of companies involved and actually paying attention.
• All of this is very tough: being able to diagnose a problem is a whole lot easier than mustering the will to fix it. "
Spitzer writes from the point of view of a former Attorney General of New York (as opposed to real estate heir, former Governor, or Greek tragedian).
"To sum up, I want to leave you with ten points:
• Only government can enforce integrity and transparency in the marketplace; self-regulation is a failure.
• Only government can take necessary steps to overcome market failures, such as negative externalities or monopoly power.
• Only government can act to preserve certain core values in the market, such as prohibitions on discrimination.
• Too-big-to-fail is too-big-not-to-fail.
• We’re suffering from the Peter Principle on Steroids, and it will get us into deeper trouble.
• Taxpayers have been getting the short end of the stick in everything we’ve been doing. The Treasury Department is not negotiating for us.
• Risk is real, and no complex scheme of financial instruments can make it go away.
• We have de-leveraged the wrong way, by socializing risks and privatizing benefits. The government has accepted all the debt obligations of the private sector, and taxpayers now owe this money.
• The only way to reform corporate governance is to get the owners—the shareholders—of companies involved and actually paying attention.
• All of this is very tough: being able to diagnose a problem is a whole lot easier than mustering the will to fix it. "
Thursday, March 11, 2010
Wikis
My busy sometimes co-blogger Peter writes:
"I was just reading about the company "Wikia," which is owned by Wikipedia founder Jimmy Wales. Interestingly, he #2 most active wiki is an academic jobs info wiki:
http://academicjobs.wikia.com/wiki/Humanities_and_Social_Science_Postdocs_2009-2010
(The most active wiki is lostpedia, the wiki about the TV Series LOST)
"I was just reading about the company "Wikia," which is owned by Wikipedia founder Jimmy Wales. Interestingly, he #2 most active wiki is an academic jobs info wiki:
http://academicjobs.wikia.com/wiki/Humanities_and_Social_Science_Postdocs_2009-2010
(The most active wiki is lostpedia, the wiki about the TV Series LOST)
Law faculty recruitment
The Association of American Law Schools (AALS) helps organize law faculty recruitment, with services including a database of candidates called the Faculty Appointments Register, a job advertisement service called the Placement Bulletin, and a dedicated Faculty Recruitment Conference (different from the annual meeting of the organization), which this year took place Nov 5-7.
Here's an account of the experience from a survivor: One Candidate's Experience in the AALS Hiring Process
"As you can imagine, my experience at the hiring conference mainly consisted of running up and down staircases, from one building to the next and back again. I scheduled 15 interviews on Friday and began my day with seven back-to-back. My eight years of competitive speech tournaments, which also consisted of running from room to room talking all day long, were good preparation. I think the best advice that I got about the hiring conference was from Dean Blake Morant, who advised the candidates at an opening session to “be our most authentic selves” and “bring up the energy level in the room” during each interview. "
...
"One of the most interesting and craze-inducing aspects of the hiring process was the law school hiring discussion on Prawfs Blawg. The four threads, which began on August 19th, have received well over 1300 comments. I admit that I read the threads nearly every day in the weeks before and after the hiring conference. I’m not sure that I know why, except that I felt that I was part of a large anonymous community of people who were just as freaked out and insecure as I was. I suppose its better to be in such a community of such people than be alone.
If I have learned anything from this process, it is that nobody really knows the secret to success and, in fact, the process is so individualized to particular hiring committees in a particular year at a particular school, that there likely is no secret. This is extremely frustrating to wanna-be law professors because we are analytical people. We (sometimes desperately) want to know the rules and the facts so that we can weigh our odds and predict our futures.
One big gaping hole getting in the way of our analysis is the lack of data on the members of the candidate pool. A few schools do a great job advising their alumni and keeping track of those in the process (shout out to Akiba Covitz!). Most don’t, and nobody aggregates that data. It appears that AALS doesn’t release it either (other than to the schools in the FAR forms themselves). So the candidates are left to guess who their competition is and how they stack up."
HT: faculty lounge
Here's an account of the experience from a survivor: One Candidate's Experience in the AALS Hiring Process
"As you can imagine, my experience at the hiring conference mainly consisted of running up and down staircases, from one building to the next and back again. I scheduled 15 interviews on Friday and began my day with seven back-to-back. My eight years of competitive speech tournaments, which also consisted of running from room to room talking all day long, were good preparation. I think the best advice that I got about the hiring conference was from Dean Blake Morant, who advised the candidates at an opening session to “be our most authentic selves” and “bring up the energy level in the room” during each interview. "
...
"One of the most interesting and craze-inducing aspects of the hiring process was the law school hiring discussion on Prawfs Blawg. The four threads, which began on August 19th, have received well over 1300 comments. I admit that I read the threads nearly every day in the weeks before and after the hiring conference. I’m not sure that I know why, except that I felt that I was part of a large anonymous community of people who were just as freaked out and insecure as I was. I suppose its better to be in such a community of such people than be alone.
If I have learned anything from this process, it is that nobody really knows the secret to success and, in fact, the process is so individualized to particular hiring committees in a particular year at a particular school, that there likely is no secret. This is extremely frustrating to wanna-be law professors because we are analytical people. We (sometimes desperately) want to know the rules and the facts so that we can weigh our odds and predict our futures.
One big gaping hole getting in the way of our analysis is the lack of data on the members of the candidate pool. A few schools do a great job advising their alumni and keeping track of those in the process (shout out to Akiba Covitz!). Most don’t, and nobody aggregates that data. It appears that AALS doesn’t release it either (other than to the schools in the FAR forms themselves). So the candidates are left to guess who their competition is and how they stack up."
HT: faculty lounge
Wednesday, March 10, 2010
Baby Markets
I've just ordered this new book (only in part to find out why the ratio of female to male authors is drawn from such a different distribution than most discussions of market design and repugnance...):
Baby Markets
Money and the New Politics of Creating Families
Edited by Michele Bratcher Goodwin
University of Minnesota
Published February 2010
View Table of Contents as PDF (94KB) Baby Markets
Cambridge University Press
9780521513739
Contents
PART ONE. WHAT MAKES A MARKET? EFFICIENCY, ACCOUNTABILITY, AND RELIABILITY OR GETTING THE BABIES WE WANT
1 Baby Markets
Michele Bratcher Goodwin
2 The Upside of Baby Markets
Martha Ertman
3 Price and Pretense in the Baby Market
Kimberly D. Krawiec
4 Bringing Feminist Fundamentalism to U.S. Baby Markets
Mary Anne Case
5 Producing Kinship through the Marketplaces of Transnational Adoption
Sara Dorow
PART TWO. SPACE AND PLACE: REPRODUCING AND REFRAMING SOCIAL NORMS OF RACE, CLASS, GENDER, AND OTHERNESS
6 Adoption Laws and Practices: Serving Whose Interests?
Ruth-Arlene W. Howe
7 International Adoption: The Human Rights Issues
Elizabeth Bartholet
8 Heterosexuality as a Prenatal Social Problem: Why Parents and Courts Have a Taste for Heterosexuality
José Gabilondo
9 Transracial Adoption of Black Children: An Economic Analysis
Mary Eschelbach Hansen and Daniel Pollack
PART THREE.SPECTRUMS AND DISCOURSES: RIGHTS, REGULATIONS, AND CHOICE
10 Reproducing Dreams
Naomi Cahn
11 Why Do Parents Have Rights?: The Problem of Kinship in Liberal Thought
Maggie Gallagher
12 Free Markets, Free Choice?: A Market Approach to Reproductive Rights
Debora L. Spar
13 Commerce and Regulation in the Assisted Reproduction Industry
John A. Robertson
14 Ethics within Markets or a Market for Ethics?: Can Disclosure of Sperm Donor Identity Be Effectively Mandated?
June Carbone and Paige Gottheim
PART FOUR.THE ETHICS OF BABY AND EMBRYO MARKETS
15 Egg Donation for Research and Reproduction: The Compensation Conundrum
Nanette R. Elster
16 Eggs, Nests, and Stem Cells
Lisa C. Ikemoto
17 Where Stem Cell Research Meets Abortion Politics: Limits on Buying and Selling Human Oocytes
Michelle Oberman, Leslie Wolf, and Patti Zettler
PART FIVE.TENUOUS GROUNDS AND BABY TABOOS
18 Risky Exchanges
Viviana A. Zelizer
19 Giving In to Baby Markets
Sonia Suter
Concluding Thoughts
Michele Bratcher Goodwin
HT: Kim Krawiec
Baby Markets
Money and the New Politics of Creating Families
Edited by Michele Bratcher Goodwin
University of Minnesota
Published February 2010
View Table of Contents as PDF (94KB) Baby Markets
Cambridge University Press
9780521513739
Contents
PART ONE. WHAT MAKES A MARKET? EFFICIENCY, ACCOUNTABILITY, AND RELIABILITY OR GETTING THE BABIES WE WANT
1 Baby Markets
Michele Bratcher Goodwin
2 The Upside of Baby Markets
Martha Ertman
3 Price and Pretense in the Baby Market
Kimberly D. Krawiec
4 Bringing Feminist Fundamentalism to U.S. Baby Markets
Mary Anne Case
5 Producing Kinship through the Marketplaces of Transnational Adoption
Sara Dorow
PART TWO. SPACE AND PLACE: REPRODUCING AND REFRAMING SOCIAL NORMS OF RACE, CLASS, GENDER, AND OTHERNESS
6 Adoption Laws and Practices: Serving Whose Interests?
Ruth-Arlene W. Howe
7 International Adoption: The Human Rights Issues
Elizabeth Bartholet
8 Heterosexuality as a Prenatal Social Problem: Why Parents and Courts Have a Taste for Heterosexuality
José Gabilondo
9 Transracial Adoption of Black Children: An Economic Analysis
Mary Eschelbach Hansen and Daniel Pollack
PART THREE.SPECTRUMS AND DISCOURSES: RIGHTS, REGULATIONS, AND CHOICE
10 Reproducing Dreams
Naomi Cahn
11 Why Do Parents Have Rights?: The Problem of Kinship in Liberal Thought
Maggie Gallagher
12 Free Markets, Free Choice?: A Market Approach to Reproductive Rights
Debora L. Spar
13 Commerce and Regulation in the Assisted Reproduction Industry
John A. Robertson
14 Ethics within Markets or a Market for Ethics?: Can Disclosure of Sperm Donor Identity Be Effectively Mandated?
June Carbone and Paige Gottheim
PART FOUR.THE ETHICS OF BABY AND EMBRYO MARKETS
15 Egg Donation for Research and Reproduction: The Compensation Conundrum
Nanette R. Elster
16 Eggs, Nests, and Stem Cells
Lisa C. Ikemoto
17 Where Stem Cell Research Meets Abortion Politics: Limits on Buying and Selling Human Oocytes
Michelle Oberman, Leslie Wolf, and Patti Zettler
PART FIVE.TENUOUS GROUNDS AND BABY TABOOS
18 Risky Exchanges
Viviana A. Zelizer
19 Giving In to Baby Markets
Sonia Suter
Concluding Thoughts
Michele Bratcher Goodwin
HT: Kim Krawiec
Tuesday, March 9, 2010
Kidney exchange news from Britain
David Manlove writes:
Dear Al,
I just wanted to pass on some KE news: the first 3-way kidney exchange in the UK has just been announced:
http://news.bbc.co.uk/1/hi/health/8552162.stm
http://news.bbc.co.uk/1/hi/health/8554930.stm
http://www.hta.gov.uk/newsandevents/htanews.cfm/837-First-pooled-transplants-performed-in-the-UK.html
Also I've been successful with a grant proposal to NHS Blood and Transplant and they will be funding us (i.e., me and former PhD student Gregg O'Malley; hopefully Peter Biro will be involved too) to work for a year on delivering a software package to enable them to carry out the quarterly matching runs for themselves, without having to send the data to us. The NHSBT collaboration builds on the work we've been doing together over the last 3 or so years (we've been involved in the quarterly matching runs since July 2008): http://www.organdonation.nhs.uk/ukt/about_transplants/organ_allocation/kidney_(renal)/living_donation/paired_donation_matching_scheme.jsp.
Our paper describing some aspects of this work appeared in the new journal Discrete Mathematics, Algorithms and Applications (vol. 1, no. 4, pp. 499-517, 2009, here. Also here are some slides from a talk I gave at a workshop in Bristol last year: http://www.cs.bris.ac.uk/Research/Algorithms/BAD09/Talks/BAD09-Manlove.pdf. I will be giving an updated version at a workshop on Matching Theory and Mechanism Design organised by Elena Inarra in Oxford next Tuesday.
Hopefully NHSBT will be bringing in domino paired chains triggered by altruistic donors in the near future - we are still trying to convince them of the merits of never ending altruistic chains!
Best regards,
David
The University of Glasgow, charity number SC004401
Dear Al,
I just wanted to pass on some KE news: the first 3-way kidney exchange in the UK has just been announced:
http://news.bbc.co.uk/1/hi/health/8552162.stm
http://news.bbc.co.uk/1/hi/health/8554930.stm
http://www.hta.gov.uk/newsandevents/htanews.cfm/837-First-pooled-transplants-performed-in-the-UK.html
Also I've been successful with a grant proposal to NHS Blood and Transplant and they will be funding us (i.e., me and former PhD student Gregg O'Malley; hopefully Peter Biro will be involved too) to work for a year on delivering a software package to enable them to carry out the quarterly matching runs for themselves, without having to send the data to us. The NHSBT collaboration builds on the work we've been doing together over the last 3 or so years (we've been involved in the quarterly matching runs since July 2008): http://www.organdonation.nhs.uk/ukt/about_transplants/organ_allocation/kidney_(renal)/living_donation/paired_donation_matching_scheme.jsp.
Our paper describing some aspects of this work appeared in the new journal Discrete Mathematics, Algorithms and Applications (vol. 1, no. 4, pp. 499-517, 2009, here. Also here are some slides from a talk I gave at a workshop in Bristol last year: http://www.cs.bris.ac.uk/Research/Algorithms/BAD09/Talks/BAD09-Manlove.pdf. I will be giving an updated version at a workshop on Matching Theory and Mechanism Design organised by Elena Inarra in Oxford next Tuesday.
Hopefully NHSBT will be bringing in domino paired chains triggered by altruistic donors in the near future - we are still trying to convince them of the merits of never ending altruistic chains!
Best regards,
David
The University of Glasgow, charity number SC004401
Monday, March 8, 2010
Reading, writing and apologizing about repugnant transactions: Repugnance at multiple levels
A story in Al Jazeera concerns conflicting views of repugnant transactions--things that some people think other people shouldn't do--on multiple levels. The story concerns judicial flogging of women for adultery in Malaysia, a newspaper editorial against that practice by a non-Muslim editor, a government threat to close the newspaper for publishing the editorial, and a religious ruling that Muslims should not read the editorial.
The Al Jazeera story is here: Malaysia - Caning the messenger?
The Malaysian newspaper, The Star, has withdrawn the editorial from its website, but the Al Jazeera story concludes with this paragraph containing a link to a copy of the offending editorial:
"For people who want to make up their own mind about the issue, the text is still available here, but here's a clear warning, this article has already been deemed unacceptable by some Muslims. Those who agree with Mais - that non-Muslims should not comment on matters pertaining to shariah law - are strongly advised not to follow the link."
The multiple levels of repugnance remind me of another recent story in the news: Danish newspaper provokes uproar with apology over Muhammad cartoon
"A Danish newspaper was accused yesterday of betraying the freedom of the press after it apologised to Muslims for offence caused by its reprinting a cartoon showing the Prophet Muhammad with a bomb-shaped turban.
Politiken, a leading Danish newspaper, had printed the cartoon as a gesture of solidarity after three people were arrested for planning to kill the cartoonist, Kurt Westergaard. "
I guess I'll have to add reading and apologizing to my growing list of repugnant transactions, which already included adultery and publishing.
The Al Jazeera story is here: Malaysia - Caning the messenger?
The Malaysian newspaper, The Star, has withdrawn the editorial from its website, but the Al Jazeera story concludes with this paragraph containing a link to a copy of the offending editorial:
"For people who want to make up their own mind about the issue, the text is still available here, but here's a clear warning, this article has already been deemed unacceptable by some Muslims. Those who agree with Mais - that non-Muslims should not comment on matters pertaining to shariah law - are strongly advised not to follow the link."
The multiple levels of repugnance remind me of another recent story in the news: Danish newspaper provokes uproar with apology over Muhammad cartoon
"A Danish newspaper was accused yesterday of betraying the freedom of the press after it apologised to Muslims for offence caused by its reprinting a cartoon showing the Prophet Muhammad with a bomb-shaped turban.
Politiken, a leading Danish newspaper, had printed the cartoon as a gesture of solidarity after three people were arrested for planning to kill the cartoonist, Kurt Westergaard. "
I guess I'll have to add reading and apologizing to my growing list of repugnant transactions, which already included adultery and publishing.
Sunday, March 7, 2010
"Tissue rights"
Who has the rights to a cell line created from cancerous tissue? The NY Times reviews the book “The Immortal Life of Henrietta Lacks” (Crown Publishers), by the journalist Rebecca Skloot.
A Lasting Gift to Medicine That Wasn’t Really a Gift
"The notion of “tissue rights” has inspired a new category of activists. The question that comes up repeatedly is, if scientists or companies can commercialize a patient’s cells or tissues, doesn’t that patient, as provider of the raw material, deserve a say about it and maybe a share of any profits that result? Fewer people these days may be willing to take no for an answer. "
A Lasting Gift to Medicine That Wasn’t Really a Gift
"The notion of “tissue rights” has inspired a new category of activists. The question that comes up repeatedly is, if scientists or companies can commercialize a patient’s cells or tissues, doesn’t that patient, as provider of the raw material, deserve a say about it and maybe a share of any profits that result? Fewer people these days may be willing to take no for an answer. "
Saturday, March 6, 2010
Price gouging and proposed legal remedies
Some more interesting posts on price gouging from Michael Giberson at Knowledge Problem :
A private right of action on price gouging and Price gouging in Haiti.
A private right of action on price gouging and Price gouging in Haiti.
Friday, March 5, 2010
Embryo exchange in Georgia
It's not what it sounds like, and it doesn't have tax consequences:
Embryo Exchanges and Adoption Tax Credits by
Sarah B. Lawsky and Naomi Cahn
Abstract: The “Option of Adoption Act,” a Georgia law that was introduced by a staunchly anti-abortion Georgia state representative, establishes procedures for genetic donors to relinquish their rights to embryos before birth and permits, but does not require, embryo recipients to petition a court for recognition that they are the legal parents of a child born to them as a result of an embryo transfer. This article clears up what seems to be widespread confusion about a fairly straightforward question of tax law related to such embryo “adoptions.” Notwithstanding various sources' claims to the contrary, neither a Georgia adoption tax credit nor a federal adoption tax credit is available for “adopting” an embryo.
Embryo Exchanges and Adoption Tax Credits by
Sarah B. Lawsky and Naomi Cahn
Abstract: The “Option of Adoption Act,” a Georgia law that was introduced by a staunchly anti-abortion Georgia state representative, establishes procedures for genetic donors to relinquish their rights to embryos before birth and permits, but does not require, embryo recipients to petition a court for recognition that they are the legal parents of a child born to them as a result of an embryo transfer. This article clears up what seems to be widespread confusion about a fairly straightforward question of tax law related to such embryo “adoptions.” Notwithstanding various sources' claims to the contrary, neither a Georgia adoption tax credit nor a federal adoption tax credit is available for “adopting” an embryo.
Matching for adoption
"In most cases, a successful domestic adoption is the result of a match between a birth mother (BMO hereafter) who seeks to relinquish her child, and prospective adoptive parents (PAPs hereafter). The underlying matching process involves a bilateral search characterized by several layers of mediation: Typically, adoption agencies represent BMOs, while PAPs work vis-Ã -vis adoption agencies, lawyers, or facilitators. In this paper, we exploit the unique nature of a new data set documenting the operations of an adoption facilitator. We analyze the preferences of PAPs over the attributes of babies relinquished for adoption, the BMOs’ choices, and the factors that determine ultimate outcomes (i.e., a successful adoption, a decision to parent by the BMO, or the child’s placement in foster care).
That is from the paper Gender and Racial Biases: Evidence from Child Adoption, by Mariagiovanna Baccara , Allan Collard-Wexler, Leonardo Felli , and Leeat Yariv.
The paper has a market design aspect:
"Despite the social value of a well-functioning matching process that delivers suitable parents to every child, adoption has not received much attention by the economics literature. Our analysis of parents’ preferences, combined with the identification of factors facilitating an ultimate match, opens the door to policy interventions aimed at increasing the efficiency of this process."
That is from the paper Gender and Racial Biases: Evidence from Child Adoption, by Mariagiovanna Baccara , Allan Collard-Wexler, Leonardo Felli , and Leeat Yariv.
The paper has a market design aspect:
"Despite the social value of a well-functioning matching process that delivers suitable parents to every child, adoption has not received much attention by the economics literature. Our analysis of parents’ preferences, combined with the identification of factors facilitating an ultimate match, opens the door to policy interventions aimed at increasing the efficiency of this process."
Thursday, March 4, 2010
Same sex marriage in Mexico City: starting today
Gay Marriage Puts Mexico City at Center of Debate : "A new Mexico City law goes into effect March 4 that will allow same-sex couples to marry and adopt children, propelling the city to the forefront of the global gay rights movement."
The law seems to have survived the expected judicial challenge: Mexico's Supreme Court Upholds Gay Marriage Law , and here's a nice story about the (ongoing) debate in yesterday's Washington Post, With same-sex marriage law, Mexico City becomes battleground in culture wars
Here are my other posts on same sex marriage, which strikes me as an excellent example of how views and laws can change regarding repugnant transactions.
The law seems to have survived the expected judicial challenge: Mexico's Supreme Court Upholds Gay Marriage Law , and here's a nice story about the (ongoing) debate in yesterday's Washington Post, With same-sex marriage law, Mexico City becomes battleground in culture wars
Here are my other posts on same sex marriage, which strikes me as an excellent example of how views and laws can change regarding repugnant transactions.
Same sex marriage in Washington D.C., starting yesterday
Gay Marriage Is Now Legal in Washington
"Gay-rights advocates hailed the day as a milestone for equal rights and a symbolic victory as same-sex marriage became legal in the nation’s capital.
Washington is now the sixth place in the nation where same-sex marriages can take place. Connecticut, Iowa, Massachusetts, New Hampshire and Vermont also issue marriage licenses to same-sex couples.
Despite failing in court, opponents of the law vowed to fight another day. "
And here is the failure in court:
SUPREME COURT OF THE UNITED STATES No. 09A807
HARRY R. JACKSON ET AL. v. DISTRICT OF COLUMBIA BOARD OF ELECTIONS AND ETHICS ET AL. ON APPLICATION FOR STAY
[March 2, 2010] CHIEF JUSTICE ROBERTS, Circuit Justice.
"Petitioners in this case are Washington D. C. voters who would like to subject the District of Columbia’s ReligiousFreedom and Civil Marriage Equality Amendment Act of 2009 to a public referendum before it goes into effect... Without addressing the merits of petitioners’ underlying claim, however, I conclude that a stay is not warranted. "
"Gay-rights advocates hailed the day as a milestone for equal rights and a symbolic victory as same-sex marriage became legal in the nation’s capital.
Washington is now the sixth place in the nation where same-sex marriages can take place. Connecticut, Iowa, Massachusetts, New Hampshire and Vermont also issue marriage licenses to same-sex couples.
Despite failing in court, opponents of the law vowed to fight another day. "
And here is the failure in court:
SUPREME COURT OF THE UNITED STATES No. 09A807
HARRY R. JACKSON ET AL. v. DISTRICT OF COLUMBIA BOARD OF ELECTIONS AND ETHICS ET AL. ON APPLICATION FOR STAY
[March 2, 2010] CHIEF JUSTICE ROBERTS, Circuit Justice.
"Petitioners in this case are Washington D. C. voters who would like to subject the District of Columbia’s ReligiousFreedom and Civil Marriage Equality Amendment Act of 2009 to a public referendum before it goes into effect... Without addressing the merits of petitioners’ underlying claim, however, I conclude that a stay is not warranted. "
Same sex unions in the Anglican church
Across the pond: Anglican bishops back end to ban on gay civil partnerships in church "Gay couples could soon be allowed to “marry” in church after a decision by Anglican bishops and other clergy to support a relaxation of the ban. Senior bishops in the Lords have told The Times that they will support an amendment to the Equality Bill next month that will lift the ban on civil partnership ceremonies in religious premises. The amendment would remove the legislative prohibition on blessings of homosexual couples and open the door to the registration of civil partnerships in churches, synagogues, mosques and all other religious premises." ... "The Church of England, which along with the wider Anglican Communion is divided over gay ordinations and same-sex blessings, will maintain its official ban. But if the legislative prohibition is lifted, as seems likely, the Church’s own ban is likely to be ignored by some clergy." ... "The Quakers have called for the law to be changed to give same-sex partners the same status in their ceremonies as heterosexual couples. They joined forces with Liberal Judaism and the Unitarians to support an amendment to the Equality Bill giving religious organisations the freedom to register civil partnerships. Lord Alli’s amendment would remove the bar in the Civil Partnership Act 2004 on religious premises being used for civil partnerships — and also the prohibition on religious language being used in such ceremonies. This would in effect end any remaining distinction between civil partnerships and marriage and increase the pressure on the established Church to take a more liberal line on same-sex relationships. It would also deepen the schism in the Anglican Communion over gay blessings and gay ordination."
Wednesday, March 3, 2010
Academic job markets in the Humanities
The American Academy of Arts and Sciences has issued a new report as a result of a set of surveys of Humanities departments. Here is the announcement:
"Challenges to Humanities Revealed in New Survey
The humanities continue to play a core role in higher education and student interest is strong, but to meet the demand, four-year colleges and universities are increasingly relying on a part-time, untenured workforce. Those are among the findings from the Humanities Departmental Survey. The survey includes data collected from English, foreign language, history, history of science, art history, linguistics, and religion departments at approximately 1,400 colleges and universities. It is the first comprehensive survey to provide general cross-disciplinary data on humanities departments. "
"Across the humanities, but especially in English and combined English/foreign language departments, the professoriate at four-year colleges and universities is evolving into a part-time workforce. During the 2006-2007 academic year, only 38 percent of faculty members in these departments were tenured. English departments had the greatest proportion of non-tenure-track faculty (49 percent)."
HT: Paul Karoff
"Challenges to Humanities Revealed in New Survey
The humanities continue to play a core role in higher education and student interest is strong, but to meet the demand, four-year colleges and universities are increasingly relying on a part-time, untenured workforce. Those are among the findings from the Humanities Departmental Survey. The survey includes data collected from English, foreign language, history, history of science, art history, linguistics, and religion departments at approximately 1,400 colleges and universities. It is the first comprehensive survey to provide general cross-disciplinary data on humanities departments. "
"Across the humanities, but especially in English and combined English/foreign language departments, the professoriate at four-year colleges and universities is evolving into a part-time workforce. During the 2006-2007 academic year, only 38 percent of faculty members in these departments were tenured. English departments had the greatest proportion of non-tenure-track faculty (49 percent)."
HT: Paul Karoff
Tuesday, March 2, 2010
Assisted suicide, the debate continues in England and Switzerland
Assisted suicide, a widely repugnant transaction, continues to be the subject of public discussion in England. The Telegraph reports a new poll: Assisted suicide: 4 in 5 say do not prosecute.
"The public’s support for a change in the law on assisted suicide and euthanasia was uncovered by the YouGov poll following a succession of high profile court cases.
Three quarters of those polled said the law should be amended to allow assisted suicide, a crime punishable by up to 14 years in prison. "...
"Sir Terry Pratchett, the author who suffers from Alzheimer’s disease, is due to deliver a lecture in which he will call for assisted suicide "tribunals" that would give the terminally ill permission to end their lives. In the Richard Dimbleby Lecture, he will offer himself as a test case for just such a tribunal... Sir Terry, who prefers the term "assisted death", will say that permission to end his life will make each day more precious, and that doctors should not be forced to help the terminally ill to die. ... "If I knew that I could die, I would live. My life, my death, my choice." "
The WSJ has an article about the Swiss assisted suicide clinic Dignitas, and the debate going on in Switzerland about the the laws governing assisted suicide:
Assisted-Suicide Pioneer Stirs a Legal Backlash
"From the start, Mr. Minelli has kicked up controversy for his willingness to help foreigners die. Most groups in Switzerland don't assist foreigners. Dignitas only helps foreigners. The number of foreigners Dignitas helps each year—132 in 2007, compared to 91 in 2003—has increasingly left the Swiss uncomfortable with the country's growing reputation for "suicide tourism." As of the end of last year, Dignitas had helped a total of 1,046 people to commit suicide. "...
"Under Swiss law, it is illegal for a person to assist a suicide for their own "selfish" reasons. But there are otherwise no limits on helping someone to die. By contrast, most countries allowing assisted suicide require the person to be terminally ill or demand that a doctor assist the suicide. Switzerland is also the only country permitting right-to-die organizations to help foreigners die.
"At the moment, there is really no law," says Andreas Brunner, a Zurich prosecutor who has fought for greater restrictions on right-to-die organizations, particularly Dignitas. "You have to have some rules and standards. The worst solution is what we have now."
As medical advances prolong lives even for the seriously ill, the debate over assisted suicide is surging elsewhere.
In Oregon—the one state in the U.S. where assisted suicide is legal—doctors are allowed to help only state residents who are expected to die within six months.
The U.K., which has restrictive laws on euthanasia, was forced in a court case last fall to clarify whether it would prosecute Britons who help family members make the trip to Switzerland to die. (It won't.) Luxembourg legalized euthanasia last year. Activists in Belgium and the Netherlands are pushing to broaden the group of patients who can avail themselves of assisted suicide to the elderly, minors and chronically ill. "...
"In 2008, when neighbors' complaints forced Dignitas out of the rented apartment it had long used for suicides, Zurich city officials refused permission for a new venue.
So, Mr. Minelli organized suicides in cars, a hotel room and his own home, drawing the ire of local officials. For a time, he was forced to use the industrial site criticized by Mr. Gall. "Someone who is used to a five-star hotel can't come to Dignitas and expect the same," Mr. Minelli says.
The Zurich prosecutor's office spoke with family members who complained about the 10,000-Swiss-franc fee Mr. Minelli charges people to die, but found insufficient grounds to open an inquiry. One rival right-to-die organization asks for nothing beyond a 45-Swiss-franc membership fee, while another charges 4,000 Swiss francs. Mr. Minelli says the fee helps with his legal and lobbying expenses. "...
"Mr. Minelli argues that making assisted suicide available removes a taboo around suicide, helping people who want to kill themselves open a dialogue and seek help. About 70% of people who get the green light from Dignitas for an assisted suicide never contact the group again, proving the palliative effect of knowing help is available, he says. "
...
"A vote is planned in March on a bill that would sharply restrict the activities of right-to-die organizations. For instance, two doctors must testify that a person is terminally ill, thus ruling out assistance for the chronically or mentally ill. The person seeking help must have given long consideration to his wish to die before doctors can prescribe lethal drugs. Moreover, right-to-die groups would be barred from accepting payments beyond those covering the costs of the suicide. The government also tabled a second bill that would ban assisted suicides altogether. "
The debate has taken a dramatic turn, beginning with a BBC narrator stating on air “I killed someone once.”
The Prime Minister has weighed in too: Gordon Brown: don't legalise assisted suicide.
"The public’s support for a change in the law on assisted suicide and euthanasia was uncovered by the YouGov poll following a succession of high profile court cases.
Three quarters of those polled said the law should be amended to allow assisted suicide, a crime punishable by up to 14 years in prison. "...
"Sir Terry Pratchett, the author who suffers from Alzheimer’s disease, is due to deliver a lecture in which he will call for assisted suicide "tribunals" that would give the terminally ill permission to end their lives. In the Richard Dimbleby Lecture, he will offer himself as a test case for just such a tribunal... Sir Terry, who prefers the term "assisted death", will say that permission to end his life will make each day more precious, and that doctors should not be forced to help the terminally ill to die. ... "If I knew that I could die, I would live. My life, my death, my choice." "
The WSJ has an article about the Swiss assisted suicide clinic Dignitas, and the debate going on in Switzerland about the the laws governing assisted suicide:
Assisted-Suicide Pioneer Stirs a Legal Backlash
"From the start, Mr. Minelli has kicked up controversy for his willingness to help foreigners die. Most groups in Switzerland don't assist foreigners. Dignitas only helps foreigners. The number of foreigners Dignitas helps each year—132 in 2007, compared to 91 in 2003—has increasingly left the Swiss uncomfortable with the country's growing reputation for "suicide tourism." As of the end of last year, Dignitas had helped a total of 1,046 people to commit suicide. "...
"Under Swiss law, it is illegal for a person to assist a suicide for their own "selfish" reasons. But there are otherwise no limits on helping someone to die. By contrast, most countries allowing assisted suicide require the person to be terminally ill or demand that a doctor assist the suicide. Switzerland is also the only country permitting right-to-die organizations to help foreigners die.
"At the moment, there is really no law," says Andreas Brunner, a Zurich prosecutor who has fought for greater restrictions on right-to-die organizations, particularly Dignitas. "You have to have some rules and standards. The worst solution is what we have now."
As medical advances prolong lives even for the seriously ill, the debate over assisted suicide is surging elsewhere.
In Oregon—the one state in the U.S. where assisted suicide is legal—doctors are allowed to help only state residents who are expected to die within six months.
The U.K., which has restrictive laws on euthanasia, was forced in a court case last fall to clarify whether it would prosecute Britons who help family members make the trip to Switzerland to die. (It won't.) Luxembourg legalized euthanasia last year. Activists in Belgium and the Netherlands are pushing to broaden the group of patients who can avail themselves of assisted suicide to the elderly, minors and chronically ill. "...
"In 2008, when neighbors' complaints forced Dignitas out of the rented apartment it had long used for suicides, Zurich city officials refused permission for a new venue.
So, Mr. Minelli organized suicides in cars, a hotel room and his own home, drawing the ire of local officials. For a time, he was forced to use the industrial site criticized by Mr. Gall. "Someone who is used to a five-star hotel can't come to Dignitas and expect the same," Mr. Minelli says.
The Zurich prosecutor's office spoke with family members who complained about the 10,000-Swiss-franc fee Mr. Minelli charges people to die, but found insufficient grounds to open an inquiry. One rival right-to-die organization asks for nothing beyond a 45-Swiss-franc membership fee, while another charges 4,000 Swiss francs. Mr. Minelli says the fee helps with his legal and lobbying expenses. "...
"Mr. Minelli argues that making assisted suicide available removes a taboo around suicide, helping people who want to kill themselves open a dialogue and seek help. About 70% of people who get the green light from Dignitas for an assisted suicide never contact the group again, proving the palliative effect of knowing help is available, he says. "
...
"A vote is planned in March on a bill that would sharply restrict the activities of right-to-die organizations. For instance, two doctors must testify that a person is terminally ill, thus ruling out assistance for the chronically or mentally ill. The person seeking help must have given long consideration to his wish to die before doctors can prescribe lethal drugs. Moreover, right-to-die groups would be barred from accepting payments beyond those covering the costs of the suicide. The government also tabled a second bill that would ban assisted suicides altogether. "
The debate has taken a dramatic turn, beginning with a BBC narrator stating on air “I killed someone once.”
The Prime Minister has weighed in too: Gordon Brown: don't legalise assisted suicide.
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