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

• UNOS Kidney Committee Allocation Concepts:Not As Different As Some Want You to Believe… (Microsoft Powerpoint Required)

Benjamin Hippen, MD, Metrolina Nephrology Associates, P.A. and the Carolinas Medical Center, Charlotte, NC

• Are We Clear On The Concept? Empirical And Normative Concerns (Microsoft Powerpoint Required)

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:

• Clarification of Media Reports on OPTN Kidney Allocation Concept Document (Internet Connection Required)
  
  
• Concepts for Kidney Allocation – Concepts for Kidney Allocation prepared by the UNOS Kidney Transplantation Committee (40 pages) (Acrobat Reader Required))

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

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

New proposals for allocating deceased-donor kidneys

NPR On Point discusses kidney allocation proposals

How not to assign kidneys

Debate on kidney allocation in NEJM

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.

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."

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.

RELATED

• GRAPHIC Getting into
  the Lyndon School
• Special section: Inside the
  school assignment maze

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."

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.

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(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

Misc. repugnant transactions

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

Student suspended from fraternity for having sex with girl on university roof

"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.

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."

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 Clerks" University 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.

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

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."

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.

Edelman on Bloomberg on Google

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

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"

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.

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."

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."

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.

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 )

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