Kidney exchange and school choice in German (two interviews)

In Stern, in German, Bernhard Albrecht talks to  me about Tauschbörse für Organe, "Exchange of Organs."

Offering kidney, seeking kidney
Filesharing are in vogue. Some exchange Sammelbildchen, other clothing. The Nobel laureate economist Alvin Roth has developed a system to swap bodies. Who could benefit?


And today in Berliner Zeitung,  Nobel Prize winner Alvin Roth about the chaos at school choice and organ donation  (Nobelpreisträger Alvin Roth über das Chaos bei Schulwahl und Organspende)

(The latter interview comes without a byline, but I believe the interviewer was by the political correspondent Tobias Peter.)

School choice in Indianapolis

The Indy Star has the story on the changes to come: School choice made easier for Indy parents

"The good news is that change is coming. A new non-profit organization, Enroll Indy, launched by a Mind Trust Education Entrepreneur Fellowship, is working with Indianapolis Public Schools, the Mayor’s Office and the State Charter School Board to streamline the school application process for public school families. Its plan includes a new school information source for parents to learn about their options; a robust effort to work directly with families on navigating the process; a streamlined application that includes both IPS and charter schools; a shared deadline across all schools and a much-needed window of transparency into school enrollment.

For nearly a year, stakeholders in both IPS and the charter sector have worked together on recommendations focused on making enrollment more efficient, equitable and transparent. As such, Enroll Indy is poised to launch a system this fall that will dramatically improve access for all families.

This new system not only will make the enrollment process easier for all families, but it will provide robust data and information to our city as a whole. It will provide new information on the type of schools families want and where they want them, meaning districts and authorizers will be able to collaborate strategically to meet the needs of families, rather than starting schools with no information on the neighborhood’s needs or wants. This data also will enable us to ensure schools are behaving fairly and serving all students, not just those who are easiest to educate."

The global system of refugee protection

I'm at the Center for Migration Studies (CMS*) in New York, attending a conference on the global system of refugee protection, and how it interacts with a myriad of related concerns, among which security has become prominent.

Refugee protection/resettlement is a wicked problem, in all the senses of the word. After the first day of discussion I have to admit its complexity is head-breaking.

Everything having to do with refugee resettlement is complicated by the highly charged political environment in which it is now discussed, and the big consequences this can have. For example, Fiona Adamson of the University of London's School of Oriental and African Studies showed some refugee/migrant-inspired posters from the recent Brexit campaign to take Britain out of Europe, like this one.

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*As it happens I began the week at the other CMS, in Baltimore, talking about kidney exchange.

Campaign against research misconduct in the Netherlands

Inside Higher Ed has the story: The Dutch Fight for Research Integrity (and the url is more informative than the headline--https://www.insidehighered.com/news/2016/06/23/netherlands-starts-major-campaign-against-research-misconduct )

"There are two parts of the Dutch investigation into research integrity: a program called Fostering Responsible Research Practices, which will include a national survey of researchers and research grants into the area, and a fund for replication studies of important “cornerstone” research that has been relied on to make policy or has attracted lots of media attention.
The programs are set to be signed off soon and calls for proposals are expected before the end of the summer.
The mass survey of researchers in the Netherlands will encompass all disciplines, including humanities scholars, who, like scientists, can be “selective” in their use of sources, he said. The anonymized results will be reported back to universities so they can judge the extent of the problem."

Charter schools and school choice

Souls, a journal of Black Politics, Culture, and Society, has a special issue on New Orleans schools.

Volume 17, Issue 3-4, 2015 

• Taylor & Francis
•  

Souls

A Critical Journal of Black Politics, Culture, and Society

ISSN
1099-9949 (Print), 1548-3843 (Online)

Special Issue: Education in New Orleans: A Decade after Hurricane Katrina

The papers are by and large critical of recent reforms, including school choice.  New Orleans Recovery School District has mostly charter schools.
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And here's a paper just published in the AER that looks at the effects of charter schools, using the fact that some non-charters have been taken over, which changes the selection criteria (students already in a takeover school are grandfathered in...)

American Economic Review 2016, 106(7): 1878–1920

Charters without Lotteries: Testing Takeovers in New Orleans and Boston

Atila Abdulkadiroğlu, Joshua D. Angrist, Peter D. Hull and Parag A. Pathak

Charter takeovers are traditional public schools restarted as charter schools. We develop a grandfathering instrument for takeover attendance that compares students at schools designated for takeover with a matched sample of students attending similar schools not yet taken over. Grandfathering estimates from New Orleans show substantial gains from takeover enrollment. In Boston, grandfathered students see achievement gains at least as large as the gains for students assigned charter seats in lotteries. A non-charter Boston turnaround intervention that had much in common with the takeover strategy generated gains as large as those seen for takeovers, while other more modest turnaround interventions yielded smaller effects.

Full-Text Access | Supplementary Materials

Civil servants study market design in Melbourne

The Centre for Market Design in Melbourne is offering a course leading to a Specialist Certificate in Economic Design:

"Sixty international and national government decision makers completed the Specialist Certificate in Economic Design in Canberra last Friday (24 June 2016) with the aim of deepening their economic knowledge.
"The new graduate course, accredited by the University of Melbourne, and developed and taught by the Centre for Market Design (CMD) brings policymakers up-to date with the latest developments in microeconomics.
"It provides public servants with a conceptual framework for analysing policies and evaluating their effect, with emphasis on the resource and information constraints policymakers and market designers face.
...
"Economic design includes the design of procurement mechanisms and sales auctions, double-auctions in two-sided markets, algorithms for matching (e.g. students to schools, or children to kindergarten), and the writing of performance contracts.

The market for first year lawyers: some top salaries are moving to 180K

After years at which top salaries for brand new lawyers at big firms were concentrated at $160,000, the magic number seems to be jumping to $180K.

See Above the Law: http://abovethelaw.com/2016/06/salary-wars-scorecard-which-firms-have-announced-raises/

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See this earlier post: Wednesday, August 15, 2012 Salaries of new law grads

Can a family that has decided to end life support decide a loved one should be a living donor?

Transplantation is a field full of the kind of wrenching discussions that you might expect to find as hypotheticals in a philosophy class. The WSJ follows one such discussion:
The Difficult Ethics of Organ Donations From Living Donors

"The family proposed that doctors put Mr. Osterrieder under anesthesia and perform surgery to remove a kidney for transplant. Like any living donor, he would be expected to survive the procedure. Then, a few days later, the ventilator would be removed and he would be allowed to die.

“Just the feeling something good would come out of this helped us,” says Kim Shuster, 31, one of Mr. Osterrieder’s daughters.

"A labyrinth of federal and state rules and regulations, as well as those of individual transplant centers, guide organ procurement. The family met with the hospital’s ethics committee, spoke with doctors and talked among themselves. Everyone wanted to make sure the choice reflected Mr. Osterrieder’s wishes, but there was also discussion about how the family might feel if their decision made news and strangers, not to mention relatives, criticized them.

"Kathy Osterrieder says she, her children and son-in-law all agreed, “if any of us are not on board, we won’t do this.” Whatever happens, she told them, “we have to survive as a unit.”

"The ethics committee gave its approval, and the hospital reached out to the federally designated organ-procurement service that helps coordinate donations in the region. The organization’s leaders were moved. But when they put out a call to 14 different transplant centers to find a surgeon to perform the operation, “we could not find a surgeon who was willing,” says Kurt Shutterly, chief operating officer of the Center for Organ Recovery and Education, based in Pittsburgh.

"The surgeons didn’t feel it was ethical to remove Mr. Osterrieder’s kidney without his direct authorization, Mr. Shutterly recounts. They also worried, he says, that if a living donor died soon after the procedure, it might jeopardize an institution’s entire transplant program.
...
"Earlier this year, an Organ Procurement and Transplantation Network and UNOS working committee wrote a report about the ethical considerations of a type of “imminent-death donation,” in which a living donor through a surrogate donates an organ before the planned withdrawal of ventilator support. The committee found that, under certain circumstances, the practice may be ethical, but some people who read the report expressed significant enough concerns that the committee determined, for now at least, that it didn’t want to move forward with trying to change UNOS policy. The report is expected to be posted soon for public comment.

“It is powerful to think that someone at the end of life, who has suffered a lot of illness, would want to do something to help someone else by being a living donor,” says Peter Reese of the University of Pennsylvania, chairman of the OPTN/UNOS ethics committee.

"And yet, despite the fact that offering an organ is an exquisitely personal decision, transplantation is a highly communal process, from the involvement of many medical disciplines in the extraction of the organ to the decision about who receives it. “If all those people don’t agree and we try to push this forward, we run the risk of undermining the whole enterprise,” Dr. Reese says. “Organ transplantation requires public trust to a massive degree.”

Who finds sales of genetically modified food repugnant? (Hint: they are disgusted)

Here's a paper on a source of firm opposition to genetically modified food:

Sydney E. Scott, Yoel Inbar, and Paul Rozin
Evidence for Absolute Moral Opposition to Genetically Modified Food in the United States
Perspectives on Psychological Science May 2016 11: 315-324

Abstract

Public opposition to genetic modification (GM) technology in the food domain is widespread (Frewer et al., 2013). In a survey of U.S. residents representative of the population on gender, age, and income, 64% opposed GM, and 71% of GM opponents (45% of the entire sample) were “absolutely” opposed—that is, they agreed that GM should be prohibited no matter the risks and benefits. “Absolutist” opponents were more disgust sensitive in general and more disgusted by the consumption of genetically modified food than were non-absolutist opponents or supporters. Furthermore, disgust predicted support for legal restrictions on genetically modified foods, even after controlling for explicit risk–benefit assessments. This research suggests that many opponents are evidence insensitive and will not be influenced by arguments about risks and benefits.

A matching market for polygamy: SecondWife.com

Here is a (combinatorial?) site for plural marriage for Muslims: SecondWife.com

“then marry women of your choice, two or three, or four but if you fear that you shall not be able to deal justly, then only one”
- Quran 4:3

Repugnance and the social acceptance of kidney exchange (in French)

Here's an article, en français, that considers repugnance as central to the design (and public acceptance) of kidney exchange:

Brisset Nicolas, « Un marché sans marchandise ? Répugnance et matching market », Revue d'économie politique 2/2016 (Vol. 126) , p. 317-345 
URL : www.cairn.info/revue-d-economie-politique-2016-2-page-317.htm.

Here is its table of contents. (Google Translate is helpful but far from perfect in reading the article for those of us who are linguistically impaired...)

Plan de l'article

1. Introduction
2. Roth et la répugnance : le cas des organes
2.1. La solution marchande au manque d’organes
2.2. Le rejet de la solution marchande et la solution de Roth
3. Les critiques de la solution marchande
3.1. Motivation et effet d’éviction
3.2. Commerce de détresse et liberté du donneur
4. Donner corps à la répugnance
4.1. Conventions, marquage et incitation : du marchand et du non marchand
4.2. Don-contre-don et limite de la solution marchande
5. Conclusion

Here's more info on the author: Nicolas Brisset.

Matching markets--a short instructional video from the Core Project

Here's a short (4 minute) teaching video put together by the CORE Project ("Teaching Economics as if the last three decades had happened") from a much longer videotaped discussion on market design, matching markets, kidney exchange and repugnant transactions.




Here's a link to a CORE class that uses this video:

Introducing Unit 20: Innovation, information and the networked economy

Volatility in the political marketplace-Brexit

Will the United Kingdom of England, Scotland, Wales and Northern Ireland break up, following the 52% to 48% vote for the UK to leave the European Union? (Scotland and Northern Ireland voted to remain in the EU...).

Ken Rogoff has a characteristically well-written article (Britain’s Democratic Failure) arguing that such momentous decisions should be taken by super-majorities, not by a simple majority.

"The real lunacy of the United Kingdom’s vote to leave the European Union was not that British leaders dared to ask their populace to weigh the benefits of membership against the immigration pressures it presents. Rather, it was the absurdly low bar for exit, requiring only a simple majority. Given voter turnout of 70%, this meant that the leave campaign won with only 36% of eligible voters backing it.
This isn’t democracy; it is Russian roulette for republics. A decision of enormous consequence – far greater even than amending a country’s constitution (of course, the United Kingdom lacks a written one) – has been made without any appropriate checks and balances."

Scotland, of course, has voted in the past to remain part of the UK--might it vote differently in the future? By a similarly narrow margin?  

Airbnb and racial discrimination by hosts

The NY Times follows the story: Airbnb Vows to Fight Racism, but Its Users Can’t Sue to Prompt Fairness

"SAN FRANCISCO — Brian Chesky, chief executive of Airbnb, made a vow this month to root out bigotry from his business.

His online room-sharing company has recently been grappling with claims of discrimination, with several Airbnb users sharing stories on social media about how they were supposedly denied a booking because of their race. The issue came into the open in December, when a working paper by Harvard University researchers found it was harder for guests with African-American-sounding names to rent rooms through the site.

“This is a huge issue for us,” Mr. Chesky said at a company event in San Francisco in early June. “We will be revisiting the design of our site from end to end to see how we can create a more inclusive platform.”

But even as Mr. Chesky promised to stamp out racism from Airbnb, the company’s class-action litigation policy makes it tough — if not impossible — for customers to push the start-up to make any substantive changes on the issue. Airbnb requires that people agree to waive their right to sue, or to join in any class-action lawsuit or class-action arbitration, to use the service.

That clause, known as a class-action waiver, crops up whenever someone logs into Airbnb’s site. In March, the company updated its terms of service for new users, partly tohighlight that clause. Last month, Airbnb users were unable to log in and use their accounts until they agreed to the updated terms, including the class-action waiver language.

...

"For Airbnb, an effective response to discrimination claims is needed to blunt any fallout on its business. The company, valued at about $25 billion, has hosts in more than 34,000 cities and 191 countries and is positioning itself as an alternative to hotels. Airbnb recently raised $1 billion in debt to help finance its growth, according to a person familiar with the deal who spoke on the condition of anonymity because the transaction is not public. The credit facility wasreported earlier by Bloomberg.

Airbnb’s expansion depends partly on whether people of different nationalities and ethnicities feel welcomed to the platform in the same nondiscriminatory way that they are welcomed at international hotel chains. Two rival room-sharing services, Innclusive and Noirbnb, are now marketing themselves as services that provide inclusive and safe short-term rentals for people of any race or ethnicity.

Ms. Murphy, the Airbnb adviser, said the company recognized that eliminating discrimination was in its best interests. She said Airbnb’s relative youth — the company was founded in 2008 — meant it could deal with the issue in a more agile way than companies with entrenched cultures that may have needed the pressure of litigation to do the right thing.

“Airbnb is part of a new area of commerce, and the conditions for transactions are still developing,” she said. “That’s why it’s important to get it right.”

Repugnance watch: Nude photos as collateral for loans

The Guardian has the story: China's 'naked loans' force female students to bare all in return for more cash

"Shady internet lenders in China are reportedly coercing female college students to provide nude pictures of themselves as collateral – a loan-for-porn scheme that has prompted anger on the country’s internet.

Under the arrangement reported by state media this week, some college students have agreed to send photos of themselves naked, holding their identification cards, to potential lenders. In exchange, they became eligible for higher loan amounts – two to five times the normal sum, the state-run Beijing Youth Daily reported.

Lenders tell the students they will publish the photos online if the loans are not repaid on time, often at usurious interest rates.

According to state media, the loan scheme is taking place on JD Capital’s Jiedaibao website. Jiedaibao is a platform where individuals - often friends and acquaintances – can lend or borrow money, striking their own arrangements."

Repugnance watch: US ceases efforts to end global trade of polar bear parts

The Guardian has the story: US ceases efforts to end global trade of polar bear parts

"The US government has quietly dropped its campaign for an international ban in the trade of polar bear parts, which would have given the practice the same outlaw status as the elephant ivory market.

The US Fish and Wildlife Service has spent several years attempting to ban the overseas trade of polar bear skins, teeth, paws and other parts from Canada, which permits the hunting of the Arctic predators.

However, the federal agency has said it won’t pursue the matter further at an international summit of the Convention on International Trade in Endangered Species of Wild Fauna and Flora (Cites), in September. Instead, the US will focus on the threat posed to polar bears from climate change.

...

"The US’s bid to ban the polar bear trade has garnered support from the UK, Germany and Russia but has been opposed by Canada, which insists that hunting is sustainable and an important cultural practice of the native Inuit people. Hunting can also generate income for communities, with tourists paying up to $50,000 for the chance to shoot a polar bear."

A skeptical view of the Iranian market for kidneys, from Shiraz

Here's an article (gated) from a recent issue of Transplantation, describing how the transplant program in Shiraz is discouraging patients from the (legal) market there for buying kidneys from living unrelated donors (they impose a six month waiting time for such transplants). Most patients who have transplants at Shiraz are receiving deceased donor kidneys.

Transplantation:

June 2016 - Volume 100 - Issue 6 - p 1165–1169

doi: 10.1097/TP.0000000000001164

In View: Around the World

Paid Living Donation and Growth of Deceased Donor Programs

Ghahramani, Nasrollah MD

Abstract

Abstract: Limited organ availability in all countries has stimulated discussion about incentives to increase donation. Since 1988, Iran has operated the only government-sponsored paid living donor (LD) kidney transplant program. This article reviews aspects of the Living Unrelated Donor program and development of deceased donation in Iran. Available evidence indicates that in the partially regulated Iranian Model, the direct negotiation between donors and recipients fosters direct monetary relationship with no safeguards against mutual exploitation. Brokers, the black market and transplant tourism exist, and the waiting list has not been eliminated. Through comparison between the large deceased donor program in Shiraz and other centers in Iran, this article explores the association between paid donation and the development of a deceased donor program. Shiraz progressively eliminated paid donor transplants such that by 2011, 85% of kidney transplants in Shiraz compared with 27% across the rest of Iran's other centers were from deceased donors. Among 26 centers, Shiraz undertakes the largest number of deceased donor kidney transplants, most liver transplants, and all pancreas transplants. In conclusion, although many patients with end stage renal disease have received transplants through the paid living donation, the Iranian Model now has serious flaws and is potentially inhibiting substantial growth in deceased donor organ transplants in Iran.

More on Chinese college admissions

Two stories in the NY Times shed some light on the high stakes game of college admissions in China.

China Tries to Redistribute Education to the Poor, Igniting Class Conflict

China Threatens Jail Time for College Entrance Exam Cheaters

Kidney black market arrests at Apollo hospital in Delhi

Each morning when I manage this blog I erase spam comments, and many of them relate to kidney sales. You can see typical ones on the Google+ page of the (apparently mis-spelled) Appollo Hospital in India.
So I noted with interest this recent story about arrests connected to that hospital.


Kidney Racket: At Least 3 Recipients, 5 Donors Traced
Delhi | Press Trust of India |

"NEW DELHI:  Delhi Police have traced at least three recipients and five donors in connection with the international kidney racket linked to Apollo Hospitals in Delhi, even as the investigators sought legal opinion regarding slapping charges on them.

Five persons, including two personal secretaries of a nephrologist in Apollo Hospital, have been arrested in connection with the kidney racket which is believed to have its ramifications in countries including Sri Lanka and Indonesia, an official privy to the investigation said.

Till this afternoon, three of the recipients were traced in Kolhapur, Jammu and Kashmir and Ghaziabad.

Prima facie the recipients shelled out over Rs. 40 lakh for each transplant, of which not even 10 per cent reached the donor, the official said.

He further said, the police have traced over five donors, including three women, who are presently admitted in a hospital in Delhi.

During investigation it came to light that the gang members used to prepare forged papers to establish the relationship between donors and recipients, to adhere to the law.

The police have come across five cases in Apollo Hospital, in which the donors were shown as wife, brother, father or brother-in-law (2 cases) of recipients, the official said, adding that while average time of hospital stay for the donors was six days, for the recipients it was 12 days.

Meanwhile, the police have sought legal opinion in slapping charges on the donors and recipients under relevant provisions of law. Lawyers have been consulted for the purpose, the official said.

The accused arrested so far in the case include Aditya Singh and Shailesh Saxena, who worked as personal secretaries of Apollo Hospital doctors for 3-4 years, and three touts identified as Aseem Sikdar, Satya Prakash and Devashish Moulik.

The touts used to lure financially poor people from West Bengal, Uttar Pradesh and other parts of the country for donating kidney. Mr Moulik landed in the police net following a fight with his wife, whose kidney he had sold off.

Medical tests of recipient and donor were conducted and once the compatibility match was done, operations were conducted at Apollo Hospital in southeast Delhi.

"We are cooperating and providing all information required to help the police in their investigation pertaining to the alleged kidney sale racket," said a press statement by Indraprastha Apollo Hospital."

Pollak on Marriage Markets

Here's a new NBER paper on marriage by Bob Pollak:

Marriage Market Equilibrium

Robert A. Pollak

NBER Working Paper No. 22309
Issued in June 2016
NBER Program(s):   CH   LS 

The standard Beckerian analysis of marriage market equilibrium assumes that allocation within marriage implements agreements made in the marriage market. This paper investigates marriage market equilibrium when allocation within marriage is determined by bargaining in marriage and compares that model with the standard model. When bargaining in marriage determines allocation within marriage, the marriage market is the first stage of a two-stage game. The second stage, bargaining in marriage, determines allocation within each marriage. This analysis is consistent with any bargaining model with a unique equilibrium as well as with Becker's "altruist model," the model that underlies the Rotten Kid Theorem. Marriage-market participants are assumed to rank prospective spouses on the basis of the allocations they foresee emerging from bargaining in marriage. The first stage game, the marriage market, determines both who marries and, among those who marry, who marries whom (assortative marriage). When bargaining in marriage determines allocation within marriage, the appropriate framework for analyzing marriage market equilibrium is the Gale-Shapley matching model, not the Koopmans-Beckmann assignment model. These models have different implications for who marries, for who marries whom, and for the Pareto efficiency of marriage market equilibrium.