Wednesday, October 16, 2024

New fellows of the Econometric Society

Congratulations to the 42 newly elected Fellows of the Econometric Society. That's up from 29 new Fellows elected in 2023, which is a step towards the goal (about which I blogged last year*) of electing more Fellows.  But elections depend on recognition that isn't equally available to every specialty and geography, so there are still many nominees and others who would be jewels in the crown of the Society.

"The Society is pleased to announce the election of 42 new Fellows of the Econometric Society. The 2024 Fellows of the Econometric Society follow.

Jerome Adda, Bocconi University 

Cristina Arellano, Federal Reserve Bank of Minneapolis (Secondary affiliation: Latin America)

Costas Arkolakis, Yale University

John Asker, University of California, Los Angeles (Secondary affiliation: Australasia)

David Atkin, Massachusetts Institute of Technology

Paul Beaudry, University of British Columbia

Sascha O. Becker, University of Warwick and Monash University

Sandra E. Black, Columbia University

Estelle Cantillon, Universite Libre de Bruxelles

Alessandra Casella, Columbia University

Thomas Chaney, University of Southern California

David Dorn, University of Zurich

Janice Eberly, Northwestern University, Kellogg School of Management

Kfir Eliaz, Tel Aviv University

Erica Field, Duke University

Andrea Galeotti, London Business School

Francisco Gallego, Pontificia Universidad Caatolica de Chile

Maitreesh Ghatak, London School of Economics (Secondary affiliation: Asia)

Olivier Gossner, CNRS - CREST; London School of Economics

Ayşe Ökten İmrohoroğlu, University of Southern California

Henrik Kleven, Princeton University

Kala Krishna, The Pennsylvania State University

Jeanne Lafortune, Pontificia Universidad Catolica de Chile

Francesco Lippi, LUISS University; Einaudi Institute for Economics and Finance

Deborah J. Lucas, Massachusetts Institute of Technology

Annamaria Lusardi, Stanford University

N. Gregory Mankiw, Harvard University

Kalina Manova, University College London

Elena Manresa, New York University

Enrique G. Mendoza, University of Pennsylvania (Secondary affiliation: Latin America)

Ismael Y. Mourifie, Washington University in St Louis (Secondary affiliation: Africa)

Barry Nalebuff, Yale School of Management

Andrew Newman, Boston University

Efe A. Ok, New York University

Guillermo Ordonez, University of Pennsylvania

Maria Petrova, Universitat Pompeu Fabra

Mar Reguant, IAE-CSIC; Northwestern University

Diego Restuccia, University of Toronto

Andrés Rodríguez-Clare, University of California, Berkeley (Secondary affiliation: Latin America)

Andrea Weber, Central European University

Luigi Zingales, University of Chicago Booth School of Business

Gabriel Zucman, Paris School of Economics; University of California, Berkeley

Finally, the Society would like to express its gratitude to the members of the 2024 Fellows Nominating Committee: Jan Eeckhout (chair), Mariacristina De Nardi, Marcela Eslava, Richard Holden, Yuichi Kitamura, Yaw Nyarko, and Nathan Nunn."

 

As I wrote last year, Congratulations again to the new Fellows, who have received the carefully considered and frugally awarded applause of their peers. 

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*Last year:

Tuesday, October 10, 2023

Tuesday, October 15, 2024

Medical aid in dying comes up for a vote in England

 The upcoming vote on legalizing medical aid in dying in England and Wales has attracted controversy along lines that will be familiar to readers of this blog, concerning both fundamental values and slippery slopes.  But a comment by British Cardinal Vincent Nichols introduces an argument that I hadn't heard stated so clearly before, about the religious significance of suffering.  But first, here's the background, from the BMJ.

MPs set for historic vote on bill to legalise assisted dying in England and Wales,  by Clare Dyer, 07 October 2024  BMJ 2024;387:q2191

"A bill to legalise assisted dying for terminally ill people in England and Wales is expected to be introduced in the House of Commons on 16 October.

...

"Hundreds of terminally ill people from the UK have travelled to the Swiss clinic Dignitas to end their lives. But friends and relatives who help them are at risk of prosecution for assisting a suicide, which carries a maximum prison sentence of 14 years.

...

"Surveys of public opinion show that about two thirds of the public support allowing assisted dying. The BMA dropped its opposition in 2021 to take a neutral position on a change in the law."

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And here is a story about objections from a religious point of view, from the senior Catholic official in England.

UK’s top Catholic bishop urges faithful to lobby MPs to oppose assisted dying  by Hayden Vernon Sat 12 Oct 2024 

"The archbishop of Westminster continued: “The suffering of a human being is not meaningless. It does not destroy that dignity. It is an intrinsic part of our human journey, a journey embraced by the eternal word of God, Christ Jesus himself. He brings our humanity to its full glory precisely through the gateway of suffering and death.

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Earlier:

Friday, March 1, 2024

Monday, October 14, 2024

Nobel prize in economics to Daron Acemoglu, Simon Johnson, James A. Robinson

  "The Royal Swedish Academy of Sciences has decided to award the Sveriges Riksbank Prize in Economic Sciences in Memory of Alfred Nobel 2024 to Daron Acemoglu, Simon Johnson, James A. Robinson “for studies of how institutions are formed and affect prosperity”

These three have a broad scope of work together.  One aspect that fits well with this year's prizes in Physics and Chemistry is a connection to artificial intelligence, particularly in the book Power and Progress by Acemoglu and Johnson:  

Power and Progress: Our Thousand-Year Struggle Over Technology and Prosperity  May 16, 2023 by Daron Acemoglu and Simon Johnson 

Here's the blurb by Abhijit Banerjee and Esther Duflo

"One powerful thread runs through this breathtaking tour of the history and future of technology, from the Neolithic agricultural revolution to the ascent of artificial intelligence: Technology is not destiny, nothing is pre-ordained. Humans, despite their imperfect institutions and often-contradictory impulses, remain in the driver’s seat. It is still our job to determine whether the vehicles we build are heading toward justice or down the cliff. In this age of relentless automation and seemingly unstoppable consolidation of power and wealth, Power and Progress is an essential reminder that we can, and must, take back control."

Sunday, October 13, 2024

Stable matching in Scientific American

 Here's a short article in Scientific American, describing the deferred acceptance algorithm and mentioning some uses for stable matching. (When I was a child, Scientific American opened a window on science for me...)

The ‘Stable Marriage Problem’ Solution Underpins Dating Apps and School Admissions. An elegant matchmaking algorithm called Gale-Shapley can find the best possible pairings for everybody.   By Max Springer

"Let’s create a reality dating show unlike any other in one key aspect. First, we’ll rent a villa on a tropical island. Then we’ll fly in five men and five women, each with their own (heterosexual) dating preferences. Our goal, though, is the exact opposite of the Love Island franchise: we want absolutely zero drama. Can we ensure that everyone pairs off with a partner and sticks with them, without jealousy rearing its ugly head?" 

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Along the way they briefly quote these luminaries (in the order in which they appear): 

Vijay Vazirani, Jon Kleinberg, Utku Ünver, and Éva Tardos.

Saturday, October 12, 2024

Kim Krawiec interview about WHO demands for national self sufficiency in blood donation and kidney exchange

 The University of Virginia takes note of the recent Krawiec & Roth paper I blogged about in August.

Here is their interview with Kim about the paper:

WHO Stifles International Blood and Organ Donations, Argue Professors. Professor Kimberly Krawiec, Nobel Prize Winner Alvin E. Roth of Stanford Argue World Health Organization Policies Need Revision

Here are the first two Q&As

"What motivated you to critique the WHO principles of self-sufficiency and nonremuneration in organs and blood? ​

"The severe shortage of both blood products and transplantable organs, especially kidneys, was our motivation and has motivated much of our other work, both together and separately. In the United States alone, the organ transplant waiting list is approximately 100,000 people, and if current trends continue, it will only grow in the coming years.

"Shortages of blood products present a similar challenge. Although wealthy countries are typically able to satisfy domestic whole blood needs, the vast majority of low- and middle-income countries (LMIC) are not. As a result, in many LMIC, shortages of blood for transfusion contribute to maternal death, death from traffic accidents and complications from childhood anemia. Moreover, even wealthy countries experience seasonal shortages of whole blood or deficiencies in some blood components, such as platelets, which are harder to collect and have a shorter shelf life.

The shortage of plasma-derived medicinal products (PDMPs) is particularly severe and entirely preventable. PDMPs are life-saving treatments for multiple acute and chronic conditions for which there are no alternative treatments. Yet these life-saving therapies are unavailable to much of the world’s population. The United States, one of the few countries to pay plasma donors, supplies 70% of the world’s plasma needs, with Germany, Austria, Hungary, Czechia and Latvia (which also permit some form of payment for plasma donors) supplying another 20% of the world total. In other words, a handful of countries supply plasma to the rest of the world, including other wealthy countries. Meanwhile, LMIC who can neither collect and process their own nor afford to purchase blood products on the open market (or are prevented from doing so under the terms of the foreign aid that supports their health system) simply do without, to the detriment of their citizens.

"How do current WHO policies on organ and blood donation contribute to this problem?

"WHO policy mandates both national (or sometimes only regional) self-sufficiency and an absence of remuneration for both blood products and transplantable organs — what we refer to in the paper as “the twin principles.” These twin principles are unhelpful separately and unworkable together. Their effect on blood products is particularly stark — no country that fails to compensate donors is self-sufficient in plasma collection and few LMIC collect sufficient supplies of whole blood.

"The self-sufficiency mandate presents a real hurdle to progress in transplantation, especially for smaller countries and LMIC. This is especially the case because some of the most exciting and promising developments for increasing the availability of transplants have been in kidney exchange, a mechanism that leverages in-kind exchange, rather than financial compensation, to encourage and facilitate donation among those with willing but incompatible partners. But kidney exchange works best when a large pool of patient-donor pairs can engage with one another. So, requiring that transplantation be contained within national boundaries unnecessarily limits access to transplants that could be achieved only by cross-border exchange."

Friday, October 11, 2024

Medical Aid in Dying Laws in the U.S.

 JAMA has a review of the current state of medical aid in dying in the 12 U.S. jurisdictions (if Delaware proceeds) that now allow it.

Medical Aid in Dying Laws: More Accessible in More States by Thaddeus Mason Pope, JD, PhD, JAMA. 2024;332(14):1139-1140. doi:10.1001/jama.2024.15925


"Delaware may soon become the 12th US jurisdiction to authorize medical aid in dying. The Ron Silverio/Heather Block End-of-Life Options Law1 becomes a statute as soon as the governor acts and takes effect once the Delaware Department of Health and Social Services promulgates regulations to implement the statute. Delaware could follow 11 other US jurisdictions that have authorized medical aid in dying; more than 15 000 patients have received prescriptions for medical aid in dying since 1998 in California, Colorado, Hawaiʻi, Maine, Montana, New Jersey, New Mexico, Oregon, Vermont, Washington, and Washington, DC.

...

"Medical aid in dying has become an increasingly prominent end-of-life option. More than 20 states considered new medical aid in dying legislation in 2024, and most of the 11 jurisdictions that previously authorized medical aid in dying have amended their original statutes during the past 5 years (eTable in the Supplement).2-6 When enacting or amending medical aid in dying statutes, state policymakers have been carefully recalibrating the balance between safety and access

...

"Medical aid in dying is only available to terminally ill adults with decision-making capacity. They must have an “incurable and irreversible illness” with a prognosis of 6 months or less. If patients can navigate the other eligibility requirements and safeguards, they can get a prescription for lethal medications that they might later self-ingest to hasten their death.6

"Hospice and palliative care are often sufficient to address the suffering of patients, and one-third of those who receive medical aid in dying prescriptions never obtain them from the pharmacy or ingest them.3,4 Most of the remaining patients administer the prescriptions by mixing the powdered drugs with 2 oz to 3 oz of apple juice or push a plunger on a feeding or rectal tube. The patients fall asleep within minutes and usually die within an hour. There is never intravenous administration of the prescriptions or clinician- or third-party administration of the prescriptions.

...

"The Delaware end-of-life options law would require the patient to make 3 requests, 2 of which must be separated by at least 15 days.1 A waiting period has been a requirement in all jurisdictions that have authorized medical aid in dying. However, significant evidence showed that many patients either died or lost decision-making capacity before expiration of the waiting period.4 Many states (California, Colorado, Hawaiʻi, New Mexico, Oregon, and Washington) have either shortened their waiting periods or permit the waiting period to be waived when the patient is likely to die or lose decision-making capacity.

"The Delaware end-of-life options law would be limited to residents of Delaware1; however, for nonresidents, Delaware residency can be established by renting an apartment in Delaware.4 Residency requirements remain an additional hurdle in a long list of obstacles that terminally ill patients must navigate to become eligible. Within the past 2 years, both Oregon and Vermont removed their residency requirements.2,4,6 And the constitutionality of New Jersey’s residency requirement is being challenged in federal court.6 Nationwide, many bills proposed in 2024 omitted residency preconditions.

...

"Commentators regularly express concerns about the use of medical aid in dying in Canada7 and in Europe. It is important to protect vulnerable populations from coercion, duress, and inadequately considered choices; patients should not be steered toward choosing to request medical aid in dying. In addition, the adverse effects of orally ingested medications must be mitigated.4 In California, SB 1196 would have probably solved that problem by permitting (self-administered) intravenous administration of the end-of-life prescriptions. However, any change that would allow intravenous administration and other new and imminent expansions for medical aid in dying raise their own set of novel challenges for US clinicians.

"Given the number of bills and other indicators of interest, medical aid in dying is likely to be authorized in more states over the next few years, and the use medical aid in dying is likely to increase with more accessible terms and conditions. Although medical aid in dying continues to be used by less than 1% of dying patients,2 it is becoming a more integral part of end-of-life care."

Thursday, October 10, 2024

Kidney exchange in Brazil, continued (with pictures)

 In August I posted about a trip to Brazil with Mike Rees where we traveled with Dr. Gustavo Ferreira, the director of transplantation at the hospital Santa Casa de Misericórdia de Juiz de Fora

Part of our trip was spent in the capital, Brasilia, talking to the government about extending Brazilian transplant law to allow kidney exchange, after which we went to Juiz de Fora.  Here's my blog post about that trip:  Kidney exchange in Brazil: prelude

That post concluded by saying "On Saturday we had an exciting finish to the trip, but it's not my story to tell yet, so I'll blog again after there is an official announcement."

Now Brazil's first three-way kidney exchange has been announced, as part of a clinical trial that I hope will help change Brazilian law to allow kidney exchange as a regular medical procedure.  The three donors and three recipients all did well, and left the hospital very shortly after the actual surgeries, but came back to tell their stories to the Brazilian news show Profissão Repórter (Professional Reporter). You can see the video here  https://globoplay.globo.com/v/12997336/

It's in Portuguese but you will quickly get the idea, presented even more briefly on Instagram by the transplant nephrologist Dr. Juliana Bastos here: https://www.instagram.com/reel/DA4JBVIsFta/?igsh=d2hnb3hoNjJxN2I4     where you can see the three incompatible patient-donor pairs rearrange themselves for the camera into the three-way exchange in which each patient received an organ from a compatible donor. (Dr. Bastos recently added a PhD to her MD, with a dissertation on kidney exchange.)

Here's another Instagram link to the video.

I had the privilege of observing parts of five of the six surgeries (three nephrectomies and three transplants), and some pictures are below.  

If someone directs a movie about this kind of transplant surgery, there will be two dramatic scenes, one in which the donated kidney is carried across the hall to the transplant operating room, and the second showing the moment the clamps are removed from the blood vessels of the transplanted kidney, so that it turns from grey to pink as blood returns to it. 

But here's a photo I took at  the start of what I think is the most dramatic moment of the surgery, as the artery from the kidney is just about to be connected to the artery of the recipient.

The artery from the donated kidney is the small white tube being pointed to by the instrument held in the fingers at the top right of the picture. Immediately in front of it--the long red tube--is the artery of the recipient, to which it must be connected so that blood can again flow to the kidney.  Notice that a small incision has already been made in the recipient's artery--this is where the two will be attached. The connection has to be perfect, so that the blood can flow without obstruction that could cause a clot.


The surgeon who first figured out how to do this kind of vascular surgery, Dr. Alexis Carrel, won the 1912 The Nobel Prize in Physiology or Medicine


I was able to follow the proceedings thanks to the running commentary offered to me by the Brazilian surgeons and by Mike Rees (who wasn't busy doing surgery). That wasn't the only kind of support Mike offered me in the OR (as I balanced on a pair of stools to better appreciate the commentary):



And here's a post-op picture of most of the big team that made it happen:


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Parabéns ao Gustavo e à Juliana! Congratulations. Your work and leadership can make a big difference not just to your patients, but to people all over Brazil.
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Earlier:

Monday, August 12, 2024

Wednesday, October 9, 2024

IV fluid shortages in the U.S.--perhaps we should allow international imports?

There's a hurricane-induced shortage of intravenous (IV) fluid.  Maybe we should import some? (But...international borders...)

An obstacle is that FDA approval of the factories is usually needed, but can be (and in the past has been) suspended, to allow imports from places that do their own high quality inspection (like Australia and Ireland in 2017--I guess it's good that the labels are in English) .  

More generally, after the Covid pandemic we learned of the fragility of supply chains that have concentrated overseas sources (like surgical masks from Wuhan).  The reaction has been to onshore more production. But concentrated domestic production also makes for fragile supply chains, and being able to diversify to overseas producers could strengthen them.

Statnews has the story:

White House should declare national emergency over IV fluid shortages caused by Helene, says hospital group. Hurricane Helene shuttered a Baxter plant that manufactures 60% of IV solutions for the U.S.  By Brittany Trang 

"Amid Hurricane Helene shuttering a major IV solution manufacturing plant and Hurricane Milton now barreling toward other IV manufacturing facilities in central Florida, the American Hospital Association on Monday asked the Biden administration to declare a shortage of IV solutions and invoke national emergency powers to ease the crisis. 

'In late September, Hurricane Helene shut down a Baxter plant in Marion, N. C., which manufactures approximately 60% of the IV solutions for the U.S. Both Baxter and “all other suppliers” of IV solutions have restricted how much their customers can order and have stopped taking new customers, AHA president Rick Pollack wrote in the organization’s letter to Biden. As a result, hospitals have declared internal shortages and restricted IV use. 

...

"In addition, the letter asked for the government to declare a national emergency and public health emergency so that Medicare and Medicaid rules around IV infusions can become more flexible, and to invoke the Defense Production Act to expand the production of IV solutions and bags. The AHA also suggested the government put the Federal Trade Commission and Department of Justice on alert for price gouging during the shortage.

Another step the FDA could take is to allow the importation of IV bags from other countries,* as it did when Hurricane Maria shut down Baxter’s Puerto Rico-based IV saline plants in 2017. That shortage mostly affected small IV bags. According to Vizient, a health care performance improvement company, the North Carolina Baxter plant is largely a producer of large IV bags, including saline, dextrose, and Ringer’s lactate solutions.

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*In 2017: "To address a shortage of intravenous solution bags exacerbated by Hurricane Maria, the Food and Drug Administration has granted permission for a health supply company to import certain products to the United States from Australia and Ireland."

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Related:

Wednesday, August 28, 2024

Tuesday, October 8, 2024

An own-goal in replication science--retraction of a paper that reported high replicability

  A 2023 paper reporting high replicability of psychology experiments has been retracted from Nature Human Behavior. The retraction notice says in part 
"The concerns relate to lack of transparency and misstatement of the hypotheses and predictions the reported meta-study was designed to test; lack of preregistration for measures and analyses supporting the titular claim (against statements asserting preregistration in the published article); selection of outcome measures and analyses with knowledge of the data; and incomplete reporting of data and analyses."

RETRACTED ARTICLE: High replicability of newly discovered social-behavioural findings is achievable

This article was retracted on 24 September 2024

Matters Arising to this article was published on 24 September 2024

This article has been updated

Abstract

Failures to replicate evidence of new discoveries have forced scientists to ask whether this unreliability is due to suboptimal implementation of methods or whether presumptively optimal methods are not, in fact, optimal. This paper reports an investigation by four coordinated laboratories of the prospective replicability of 16 novel experimental findings using rigour-enhancing practices: confirmatory tests, large sample sizes, preregistration and methodological transparency. In contrast to past systematic replication efforts that reported replication rates averaging 50%, replication attempts here produced the expected effects with significance testing (P < 0.05) in 86% of attempts, slightly exceeding the maximum expected replicability based on observed effect sizes and sample sizes. When one lab attempted to replicate an effect discovered by another lab, the effect size in the replications was 97% that in the original study. This high replication rate justifies confidence in rigour-enhancing methods to increase the replicability of new discoveries.

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In general, I'm more optimistic about replications than preregistrations for identifying replicable results and testing hypotheses about them.  In this case, preregistration apparently revealed that what was written up as a replication study had begun as something else, and that the goal posts had been moved ex post, apparently in inappropriate ways.
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Somewhat related are my posts on the Einstein Foundation Award for Promoting Quality in Research.

Monday, October 7, 2024

October 7, 2023

 There aren't enough days in the year to remember all of important history by naming a day, but some days stand out. The oldest one I know is the 9th day of the month of Av in the Jewish calendar, Tisha b'Av

But October 7 is likely to be remembered for a long time, an unimaginable day whose dire consequences are still unfolding.

The Genesis Prize Foundation remembers the first anniversary with these videos:

"This week we mark a full year since October 7 when Hamas murdered 1,200 innocent people in Israel and dragged over 200 hostages into Gaza. And while media attention has shifted to Iran and Lebanon, it is important that the world not forget that over 100 hostages still remain in captivity in unbearable conditions in Gaza.

"Our foundation will not stop speaking out until they are all home.

"As we all struggle with how to cope with this unimaginable reality, one thing we can do is continue to share the stories of those directly impacted, and keep the plight of the hostages top of mind for communities around the world.

"Please watch and share these documentaries about October 7.

 

 

 

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This from The Telegraph:
In a heartbreaking dispatch to mark the anniversary, witnesses recall the heroism of victims and the true depravity of the attack.  by Allison Pearson  

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The New Yorker has this story:

In the same issue is this poem by the Gazan poet Mosab Abu Toha about deaths there:
Published in the print edition of the October 7, 2024, issue.

Sunday, October 6, 2024

Technology and crime: cloning giant sheep

 There are things you can go to prison for that wouldn't have been possible to do not long ago.

The Washington Post is on the case:

Rancher sentenced to 6 months in prison for illegally cloning giant sheep. Arthur “Jack” Schubarth, 81, previously pleaded guilty to creating giant hybrid sheep via illegally imported genetic material.  By Kyle Melnick

"The Montana rancher’s illegal scheme began in 2012, when he paid for his son to hunt one of the world’s largest sheep species in Kyrgyzstan, court documents say. Arthur “Jack” Schubarth then used parts of the sheep in the following years to breed an even larger hybrid species and sell those animals to hunters.

"Now, Schubarth is set to spend six months in prison for the ploy after pleading guilty to two felony wildlife counts in March. Both counts stemmed from violations of the Lacey Act, a federal conservation law that prohibits interstate sales of falsely labeled animals and sales of animals to states where they’re illegal to own.

...

"Much of the scheme played out at Schubarth’s 215-acre ranch in Vaughn, Mont., where he bred and sold mountain sheep, mountain goats and similar breeds. Schubarth paid for his son to take multiple trips to Kyrgyzstan in 2012 and 2013. In January 2013, Schubarth’s son brought back viable tissue from a Marco Polo argali, a rare and large species native to central Asia, but didn’t declare the materials when he reentered the United States, court documents allege.

...

"Schubarth sought to create an even more valuable species, according to prosecutors. Sheep with larger horns and bodies are worth more to hunters, including at private shooting preserves, where hunters pay to pursue captive game.

...

"Schubarth agreed to a contract with a cloning facility in 2015, and by late the following year, he had 165 cloned embryos of Marco Polo argali. He implanted embryos in his ewes and in May 2017 bred a male argali, who he named Montana Mountain King.

"In the following years, Schubarth bred Montana Mountain King’s semen with other ewe species, creating more hybrid sheep that he sold to captive hunting facilities, mainly in Texas. To do so, he bought Rocky Mountain bighorn sheeps’ testicles, despite Montana prohibiting trade of game animals."

Saturday, October 5, 2024

The NAS proposes that bans on studying marijuana and its effects should be relaxed

 The National Academy of Sciences has just issued a new report on marijuana and public health.  Among their recommendations is that bans on research should be rescinded. (Because marijuana is currently a Schedule I drug in the Controlled Substances Act, it's hard to get permission to study it and its effects...)

Cannabis Policy Impacts Public Health and Health Equity (2024)

Friday, October 4, 2024

Nondirected liver donation in Canada--from the beginning

The Ottawa Citizen has the story:

The Gosling Effect: How one man (and his liver) forever changed Canadian health care. In 2005, Kevin Gosling became the first living Canadian to anonymously donate an organ to a stranger. It set a cascade of kindness into motion.  by Elizabeth Payne 

"It had been a long road for the then-46-year-old from Cornwall, Ont. For months, health officials wouldn’t take him seriously when he offered to donate the organ anonymously. We don’t do that here, he was told. Not only that, it had never been done before anywhere in Canada.

"Some top officials in Canada’s leading liver transplant program were adamantly opposed to Gosling’s proposal. They said it was unethical and immoral. They questioned his motives, even his sanity. But Gosling persisted, so far as to undergo months of physical and psychological testing and preparation.

"After more than a year and a half, everything was set to go.

...

"Gosling didn’t know much about the recipient. He only knew that it was a child.

...

"Gosling’s stubborn altruism and unwavering belief that he could make a life-changing difference to someone in desperate need almost single-handedly changed Canada’s health-care system.

"In the 19 years since that fateful day when transplant surgeons removed part of Gosling’s liver and transplanted it into the body of the very ill child, the Toronto General Hospital has completed more than 137 such operations involving people donating anonymously to strangers – more than any other hospital in the world.

...

"He was a pioneer in an area in which Canada is now a world leader – the act of anonymously donating part of a liver – a phenomenon that continues to be met with disbelief in some parts of the world.

...

"Gosling’s offer was turned down multiple times until he was eventually put in touch with the head of the multi-organ transplant program at University Health Network, one of only two hospitals in the country where living liver transplants are now routinely done. Along the way he met health officials who were adamantly opposed to the idea, even citing the Hippocratic oath. (Later, he was told by one staunch opponent that following Gosling’s case had made him change his mind.)"

HT: Colin Rowat

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See also:

Cattral, Mark S., Anand Ghanekar, and Nazia Selzner. "Anonymous living donor liver transplantation: The altruistic strangers." Gastroenterology 165, no. 6 (2023): 1315-1317.


and here are all my posts on nondirected donors: https://marketdesigner.blogspot.com/search/label/nondirected%20donor