Friday, July 9, 2010
Deceased organ donor registry in NY
"New York, NY - July 8, 2010: Governor David Paterson today signed into law an electronic signature bill that will dramatically improve the organ donation process in New York. The law will allow New Yorkers to register online to become organ donors. The bill passed the Assembly unanimously on April 27 and the Senate on May 12. The Electronic Signature Act eliminates the need to download enrollment forms and mail them in."
Here's a previous post on the issue.
HT Judd Kessler
Thursday, July 8, 2010
Cryonics as a repugnant transaction
Until Cryonics Do Us Part
"Robin, a deep thinker most at home in thought experiments, says he believes that there is some small chance his brain will be resurrected, that its time in cryopreservation will be merely a brief pause in the course of his life. Peggy finds the quest an act of cosmic selfishness. And within a particular American subculture, the pair are practically a cliché.
"Among cryonicists, Peggy’s reaction might be referred to as an instance of the “hostile-wife phenomenon,” as discussed in a 2008 paper by Aschwin de Wolf, Chana de Wolf and Mike Federowicz.“From its inception in 1964,” they write, “cryonics has been known to frequently produce intense hostility from spouses who are not cryonicists.” The opposition of romantic partners, Aschwin told me last year, is something that “everyone” involved in cryonics knows about but that he and Chana, his wife, find difficult to understand. To someone who believes that low-temperature preservation offers a legitimate chance at extending life, obstructionism can seem as willfully cruel as withholding medical treatment. Even if you don’t want to join your husband in storage, ask believers, what is to be lost by respecting a man’s wishes with regard to the treatment of his own remains? Would-be cryonicists forced to give it all up, the de Wolfs and Federowicz write, “face certain death.”
"Premonitions of this problem can be found in the deepest reaches of cryonicist history, starting with the prime mover. Robert Ettinger is the father of cryonics, his 1964 book, “The Prospect of Immortality,” its founding text. “This is not a hobby or conversation piece,” he wrote in 1968, adding, “it is the struggle for survival. Drive a used car if the cost of a new one interferes. Divorce your wife if she will not cooperate.” Today, with just fewer than200 patients preserved within the two major cryonics facilities, the Michigan-based Cryonics Institute and the Arizona-based Alcor, and with 10 times as many signed up to be stored upon their legal deaths, cryonicists have created support networks with which to tackle marital strife. Cryonet, a mailing list on “cryonics-related issues,” takes as one of its issues the opposition of wives. (The ratio of men to women among living cyronicists is roughly three to one.) “She thinks the whole idea is sick, twisted and generally spooky,” wrote one man newly acquainted with the hostile-wife phenomenon. “She is more intelligent than me, insatiably curious and lovingly devoted to me and our 2-year-old daughter. So why is this happening?” "
...
"Whether or not the human race subconsciously equates attempts to defeat death with treachery, it’s true that a general air of menace hangs over the quest for immortality in Western literature. Think Gilgamesh or Voldemort. “There is a lot of ancient cultural stereotyping about the motives and moral character of people who pursue life extension,” says James Hughes, the executive director of the Institute for Ethics and Emerging Technologies, a nonprofit organization enamored of life extension. Hughes has chosen not to participate in what he considers a worthy experiment. “Although it’s a rather marginal bet for a potentially huge payoff,” he says, “I value my relationship with my wife.” "
HT to Tyler Cowen at MR, whose post contains some related links.
The Market for scientists
"It’s not insufficient schooling or a shortage of scientists. It’s a lack of job opportunities. Americans need the reasonable hope that spending their youth preparing to do science will provide a satisfactory career."...
"Many young Americans bright enough to do the math therefore conclude that instead of gambling 12 years on the small chance of becoming an assistant professor, they can invest that time in becoming a neurosurgeon, or a quarter of it in becoming a lawyer or a sixth in earning an MBA. And many who do earn doctorates in math-based subjects opt to use their skills devising mathematical models on Wall Street, rather than solving scientific puzzles in university labs, hoping a professorship opens up."
Wednesday, July 7, 2010
Growth of kidney donation by unrelated donors
In addition, he has some insights into some of the complicated politics of kidney transplantation, in which there is some over-claiming of "firsts."
Tuesday, July 6, 2010
Grade inflation in law schools
"[Loyola Law School in Los Angeles] is retroactively inflating its grades, tacking on 0.333 to every grade recorded in the last few years. The goal is to make its students look more attractive in a competitive job market.
In the last two years, at least 10 law schools have deliberately changed their grading systems to make them more lenient. These include law schools like New York University and Georgetown, as well as Golden Gate University and Tulane University, which just announced the change this month. Some recruiters at law firms keep track of these changes and consider them when interviewing, and some do not.
Law schools seem to view higher grades as one way to rescue their students from the tough economic climate — and perhaps more to the point, to protect their own reputations and rankings. Once able to practically guarantee gainful employment to thousands of students every year, the schools are now fielding complaints from more and more unemployed graduates, frequently drowning in student debt.
They have come up with a number of strategic responses. Besides the usual career counseling measures, many top schools have bumped up their on-campus interview weeks from the autumn to August, before the school year even starts, because they want their students to have a chance to nab a job slot before their counterparts at other schools do. "
...
"Harvard and Stanford, two of the top-ranked law schools, recently eliminated traditional grading altogether. Like Yale and the University of California, Berkeley, they now use a modified pass/fail system, reducing the pressure that law schools are notorious for. This new grading system also makes it harder for employers to distinguish the wheat from the chaff, which means more students can get a shot at a competitive interview. "
For a paper on grade inflation and job markets, see
Michael Ostrovsky and Michael Schwarz, 2010, "Information Disclosure and Unraveling in Matching Markets." American Economic Journal: Microeconomics, 2(2): 34–63.
It's behind a subscription wall, but here's the abstract:
"This paper explores information disclosure in matching markets. A school may suppress some information about students in order to improve their average job placement. We consider a setting with many schools, students, and jobs, and show that if early contracting is impossible, the same, "balanced" amount of information is disclosed in essentially all equilibria. When early contracting is allowed and information arrives gradually, if schools disclose the balanced amount of information, students and employers will not find it profitable to contract early. If they disclose more, some students and employers will prefer to sign contracts before all information is revealed."
Monday, July 5, 2010
Future organ replacement
At the XXIII International Congress of the Transplant Society next month there will be some discussion of Stem Cells and Regeneration, along with more prosaic, current clinical issues.
A small step towards that future is reported in Science: Rats Breathe With Lab-Grown Lungs
and in the Boston Globe: N.E. researchers create functioning lung tissue--A vital step in the quest to build organs.
From the Globe: "Two teams of researchers from New England have built living, breathing lung tissue in the laboratory — feats of engineering that could speed up the development of new drugs and bring researchers a step closer to the tantalizing dream of growing replacement lungs for patients."
In the meantime, I'm cheered by the progress we're making in primitive medicine, back in these days at the dawn of the 21st century (see here and, more generally, here, or my post last summer at which a prize was awarded to Mike Rees for some of that progress).
HT: Steve Leider
Sunday, July 4, 2010
Ribald 4th of July: memories of July 1970
"Every July 4 since 1912, except for the two world wars, large crowds have gathered in the heather-covered hills of Rebild in Jutland, Denmark to celebrate US Independence Day.
The site of the celebration is the beautiful Rebild National Park (20 kilometers south of Aalborg), presented to the Danish nation by Danish-Americans in 1912. "
This reminds me that in July of 1970 I was in Fredericia Denmark, briefly employed by the J.P. Schmidt cigarfabrik (sold in 1982 to the Scandinavian Tobacco Group). I wasn't rolling cigars, but programming computers, or rather a computer, an IBM 360 model 20, that used a language called Report Program Generator (RPG) that apparently has descendents still in use today. (To compile, a giant stack of punchcards had to be turned upside down to be placed on the card reader...I know that some of you don't know what punchcards were...)
On July 1, 1970, the second Vietnam War draft lottery was conducted back in the United States, to determine the draft order of men born in my year. This was long before the internet, and so I waited a day for the International Herald Tribune to report on the story, but they only reported the first number chosen, and the last. I called the American consulate in Copenhagen to try to find out my lottery number, but they didn't have the whole list either (I got the impression they thought that most Americans living in Denmark at the time may have already decided not to respond to the draft...). I had to wait for a letter from my parents to arrive, telling me that I had a number that might have made me an infantryman had I been a year older, but that with the war winding down left me free to remain a student.
Two days after July 4 I heard cannon (or maybe fireworks) on the old town wall, and came in to work to hear that this was an annual celebration of the Danish victory in The Battle of Fredericia 6th of July 1849, in which the Danes had beaten back a German siege of the fortified town. I recall my colleagues told me that it had been celebrated each year since, "except when we are occupied by the Germans."
Let's all celebrate independence with a boisterous (if not ribald) 4th of July.
The market for fireworks, July 4th 2010
"“there are virtually no fireworks being manufactured in the U.S.,” says John Rogers, who travels to China three to four times a year with the American Fireworks Standards Laboratory, a Bethesda, Md.–based nonprofit focused on consumer safety. Rogers says 90 percent of the world’s fireworks originate in China"
...
"As for the other 10 percent, James Widmann, president of Connecticut Pyrotechnic Manufacturing, says some originate in India, Spain and other parts of Europe. Mexico, he says, could eventually become a major supplier to the U.S. because of its ability to send fireworks here by truck rather than shipping them overseas—a process fraught with obstacles. “Most shipping companies don’t want to risk sacrificing 99 percent of their cargo” for the sake of the “1 percent that can blow it all up”
Saturday, July 3, 2010
Sidney Siegel and Psychology & Economics
"Abstract: In the 1950s before Kahneman and Tversky showed how behavioral economics could bring economics and psychology into a unified framework, a social psychologist, Sidney Siegel, entered the realm of economics and laid the foundation of experimental economics. This paper gives an assessment of Siegel's effort to meld psychology and economics and shows that Siegel was not only a contributor to the methodology of experimental economics but also a pioneer of behavioral economics. Although his legacy was paramount in the work of the Nobel Prize winner Vernon Smith, Siegel endorsed a very different approach to making interdisciplinary research effective. "
Friday, July 2, 2010
White House aides aren't lured by their current salaries
Advertising versus data on dating web sites
And here is an older WSJ story:Marriage-Maker Claims Are Tied in Knots--Online Dating Sites Say Hordes of People Ultimately Marry, but Their Methods Have Plenty of Hitches of Their Own,along with an online post pointing out that there may be special selection problems facing online surveys of online activity: How Many Marriages Started Online?
Thursday, July 1, 2010
School choice in Spain
"Hey Al,
Recently, a letter in the Spanish newspaper "La Vanguardia" questions the new mechanism to assign students to universities in Spain.
Link to the letter in Catalan:http://www.lavanguardia.es/lv24h/20100623/53951521785.html
The writer of the letter (a high school student) wonders whether the introduction of *multiple* access grades (the novelty) is desirable. He discusses a hypothetical scenario in which multiples access grades may in fact lead to an undesirable assignment.
I was happily surprised with his analysis. Basically, he implicitly describes the deferred acceptance mechanism through a simple but very nice example that has a priority structure with a cycle (as in Ergin, Econometrica 2002). Then, he makes the point that the assignment is fair (or stable) but not very desirable (since it is inefficient).
It was impossible for me to not react to the letter. My response (in Spanish) was published in the Blog section of the same newspaper:http://www.lavanguardia.es/lv24h/20100624/53951867284.html
In my response, I first mention that with a single access grade there is indeed no incompatibility between stability and efficiency. Next, I argue that in certain situations it might be convenient, however, to have multiple access grades in which case the deferred accepted mechanism is a natural candidate mechanism (referring to the original work of Gale and Shapley, 1962, and the application in the National Resident Matching Program). I also point out that the incompatibility between stability and efficiency in the situation with multiple access grades cannot be solved by using some other mechanism. Finally, I mention that the deferred acceptance mechanism is "hassle-free" (i.e., strategy-proof) and that the experience in Boston and New York (high schools) has been very positive. Therefore, there are reasons to believe that the deferred acceptance mechanism with multiple access grades will work satisfactorily in the assignment of students to Spanish universities."
Heads of government for and against same-sex marriage
Icelandic Leader in Milestone Gay Marriage
"Iceland's prime minister made history last week when she wed her longtime girlfriend, becoming the world's first head of government to enter a gay marriage. But fellow Nordic nations hardly noticed when 67-year-old Johanna Sigurdardottir tied the knot with her longtime partner -- a milestone that would still, despite advances in gay rights, be all but inconceivable elsewhere. Scandinavia has had a long tradition of tolerance for alternative lifestyles -- and cross-dressing lawmakers and homosexual bishops have become part of the landscape. ''There is some kind of passion for social justice here,'' respected cross-dressing Swedish lawmaker Fredrick Federley said. ''That everybody should be treated the same.'' "
While in Australia, this from the new prime minister:
Gillard against gay marriage
"Prime Minister Julia Gillard says she does not support legalising gay marriage in Australia.Labor policy on gay marriage will remain the same under her prime ministership, Ms Gillard told Austereo show today."We believe the marriage act is appropriate in its current form, that is recognising that marriage is between a man and a woman, but we have as a government taken steps to equalise treatment for gay couples," Ms Gillard said."
Wednesday, June 30, 2010
The market for kidneys in Iran
Among other things, it is full of institutional detail and comparisons. Here are a few things that caught my eye.
Comparing total (live plus deceased) kidney donation across countries, per million population, the most recent figures (from 2007) are Iran 27.1%; UK 33.5%; Spain 49.5%; US 54.7%. (His source is the Barcelona-based Transplant Procurement Management Organization, whose international database I have yet to fully explore.)
His description of the market for kidneys in Iran includes the following
"After the donor passes the initial tests, the administrators contact the first patient in the same waiting list as the donor’s blood type [and other components of a match]...
If the patient who is on the top of the waiting list at the moment is not ready for the transplant ..., the next patient will be called... until a ready patient will be found. Then a meeting between the two parties is arranged (they are provided with a private area within the foundation building if they want to reach a private agreement) and they will be sent for tissue tests. If the tissue test gives the favourable result, a contract between the patient and the donor will be signed and they will be provided with a list of the transplant centres and doctors who perform surgery.
When the patient and the donor are referred to transplant centre, a cheque from the patient will be kept at the centre to be paid to the donor after the transplant takes place. The guide price has been 25m Rials (≈ $2660) until March 2007 for 3 years and at this time18 it has been raised to 30m Rials (≈ $3190). This decision has been made because the foundation was worried of a decreasing trend in number of donors.
"In some cases, the recipient will agree to make an additional payment to the donor outside the system; it is not certain how common this practice is, but according to the foundation staff the amount of this payment is not usually big and is thought to be about 5m to 10m Rials (≈ $530 to $1060). The recipient also pays for the cost of tests, two operations, after surgery cares, and other associated costs (like accommodation and travel costs if the patient travels from another city). Insurance companies cover the medical costs of the transplant and the operations are also performed free of charge in state-owned hospitals.
"In addition, the government pays a monetary gift to the donor for appreciation of her altruism (currently, 10m Rials), as well as automatic provision of one year free health insurance, and the opportunity to attend the annual appreciation event dedicated to donors...
"The minimum monthly legal wage for 2007 was Rials 1,830k (later raised to 2,200k for 2008). The minimum payment of Rials 45m is around 2 years of minimum wage. "
...
"[T]o prevent international kidney trade, the donor and recipient are required to have the same nationality. That means an Afghan patient, who is referred to the foundation, should wait until an Afghan donor with appropriate characteristics turns up. This is to avoid transplant tourism. "
...
"the donors are mostly men (Table 7). This can be because of the two facts. Firstly, the ages between 22 and 35; when the donation is accepted; is the fertility age; and women are less likely to be considered as potential donors. Secondly, as we mentioned before since men are supposed as the main breadwinner of the family, it is more likely that they sell their kidneys in order to overcome financial difficulties. Female donors count for around 18% of traded kidneys in our data; it is in contrary with the Indian case where 71% of the sold kidneys were from female donors (Goyal et al. 2002)."
In his sample of 598 transplants (Table 6), 539 were "traded kidneys," 10 "non-traded" and 49 "Cadaver", i.e. the vast majority of kidney transplants were live donor transplants with compensation to the donor.
Market for prayers in Iran
In Islamic Iran prayer sellers' trade is booming
"TEHRAN (Reuters Life!) - In Islamic Iran where clerics rule, unofficial "prayer sellers," who promise to intercede with the divine to solve all manner of life's problems, are seeing their business boom."
...
"Iran's clerics also believe in the power of prayer but they advise people against using prayers that lack a religious basis. Magic and superstition are both illegal under Islamic law.
"Writing prayers quoting Shia's immaculate Imams and receiving money for that has no legal obstacle," said Grand Ayatollah Lotfollah Safi Golpaygani when asked about the religious legitimacy of the prayer sellers. "
"But referring to prayers written by hustlers without reliable sources is not permitted, and getting money for those kinds of prayers is (religiously) forbidden," he told news website hawzah.net.
"Despite what Iranian clerics say, none of YaAli's customers ask him about the basis of his knowledge, which he says is founded on the Koran.
"It is not important where his knowledge comes from, I just want my problems to be solved," said Marjan, 24, who complains it is getting harder to see YaAli as customer demand increases."
Tuesday, June 29, 2010
A degree is a degree
This insight is from the news report Fake degree scandal roils Pakistani politics.
(See my earlier post on the Market for bogus colleges.)
Espionage: the market for secret information
"They had lived for more than a decade in American cities and suburbs from Seattle to New York, where they seemed to be ordinary couples working ordinary jobs, chatting to the neighbors about schools and apologizing for noisy teenagers.
"But on Monday, federal prosecutors accused 11 people of being part of a Russian espionage ring, living under false names and deep cover in a patient scheme to penetrate what one coded message called American “policy making circles.” "
The story in the Harvard Crimson adds an interesting detail: Kennedy School Grad Arrested in Russian Spy Raid.
"Called the “Boston Conspirators” in a complaint filed in the U.S. District Court for the Southern District of New York, Heathfield and Foley are alleged to have met with a “former legislative counsel for US Congress” and a “member of faculty in economics.” The documents redacted the affiliation of the faculty member."
It's true that the publication process in Economics is ridiculously slow, but I thought the internet had removed the need for cells of long term sleeper spies to find out what's in our working papers...
Monday, June 28, 2010
Live kidney donation: how to ask in Chicago
Signaling you're not 'overqualified' in a recession
"Dumbing down a resume is a way for job seekers to show that they are going to be respectful, said Akerlof, citing the “20 percent rule,’’ which states that bosses should be 20 percent smarter than their employees.
“I think it’s not so much that you’re lying about what your resume is, it’s that you’re trying to convey an appropriate attitude,’’ he said."
Sunday, June 27, 2010
Misc. organ transplant links
The ‘blood group O problem’ in kidney transplantation—time to change? discusses the Eurotransplant Kidney Allocation System, which apparently allows some O kidneys to go to patients who aren't type O.
Mike Rees' revolution of non-simultaneous non-directed donor chains continues to bear fruit in unexpected ways: LOYOLA PROGRAM A RADICAL SHIFT IN LIVING DONOR KIDNEY TRANSPLANTS
"In a first, four people step forward to donate kidneys to complete strangers across the country with no strings attached."...
"It's extremely rare when someone asking for nothing in return steps forward at a hospital and offers to donate a kidney to a complete stranger.
What's rarer still is what has happened at Loyola University Medical Center -- four people have stepped forward and offered to donate kidneys to four complete strangers and none have asked for a thing in return.
"This is completely unique and totally unheard of," said Garet Hill, founder of the nonprofit National Kidney Registry, which coordinated the donations. "We have never had four donors from one institution come forward at one time to offer up kidneys for donation with no strings attached."
The selfless acts by the four have helped Loyola launch its Pay-it-Forward Kidney Transplant Program, the first of its kind in the Midwest, and the largest number of altruistic donors to ever begin such a program in the United States."
Here's a collection of kidney exchange stories and videos from MSNBC, some rather old: http://article.wn.com/view/2010/05/04/Kidney_swap_program_posts_high_success_rate/
And here's a live donor story: From Fear To Elation: Prepping To Be An Organ Donor
Deceased donor allocation policies are also a very big deal. Alex Tabarrok at MR has a thought provoking post on one aspect of the debate: Optimizing Kidney Allocation: LYFT for LIFE which touches on the issue of how it's often difficult to make changes in health care policy that aren't Pareto improvements, even if they are improvements by other measures.