Monday, May 19, 2025

Notes from Messina (kidney exchange and the Accademia Peloritana dei Pericolanti)

 We traveled last week from Prague to Sicily, for the Matching in Practice workshop in  Messina, which was rich in kidney exchange. I was glad to reconnect with the Director of the National Transplant organization, Dr. Giuseppe Feltrin, and with Professors Antonio Nicolò and Antonio Miralles.

But a funny thing happened first, at the University of Messina. I was inducted into the university's Accademia Peloritana dei Pericolanti, founded in the early 1700's, at a time when autocrats didn't look fondly on universities (imagine that!). The symbol of the Academy is a ship sailing in the Strait of Messina (between Scylla and Charybdis) with the motto "Inter utramque viam periclitantes," "Taking risks between both paths," reflecting (I was told) the perils of navigating the strait between scholarship and politics.  It seemed very appropriate for the times.

Here's the story in the local news: with a picture:


 


Sunday, May 18, 2025

Notes from Prague (kidney exchange, market design, and progress on a new book)

I flew back to California yesterday, after spending some time in Czechia and Italy talking about kidney exchange.  Here is a video of the public talk I gave at Prague Castle.  Among other things it highlights the Czech kidney exchanges with Israel. (I had the pleasure of meeting  Prof. Jiri Fronek, the distinguished surgical pioneer who led the Czech side of that effort.)

https://youtu.be/jrrlNWMkQyE?feature=shared


I also had the privilege of visiting CERGE-E(Center for Economic Research and Graduate Education - Economics Institute) where my host was Prof  Štěpán Jurajda.  He and I first met when we were both at the University of Pittsburgh in the 1990s.

And here's an interview with the Economic newspaper  Hospodářské noviny  that starts off with the optimistic notion that I may have just (largely) completed the draft of a new book:)

Zkoumá trhy, kde peníze nevládnou. Ledvinu ani lásku si za ně většinou nekoupíte, říká nobelista Alvin Roth [ He explores markets where money doesn't rule. You can't usually buy a kidney or love with it, says Nobel laureate Alvin Roth]

“Before flying from the USA to Prague, economist and Nobel laureate Alvin Roth managed to send the publisher a draft of his new book, which he is currently finishing. He calls it Controversial Markets. Between an afternoon lecture for students at the CERGE-EI Institute in Prague and an evening lecture at Prague Castle, he also found time for an interview with Hospodářské noviny, in which he outlines what his new book will be about. One of the controversial markets he deals with, for example, is the organ transplant market."


Friday, May 16, 2025

Wine barrels, barrel brokers, and tariffs

 Wine barrels are traded and reused internationally.

The Guardian has the story:

Stained, warped and terroir rich: the global and shockingly sustainable lives of wine barrels
Wood barrels circle the world and can be used for more than a century. They tell a story, but they’re imperiled by tariffs
  by Kiki Aranita

"In the alcohol industry, when ageing liquor can easily take decades, the vessels that house them can also become more covetable over the years. In an age of disposable materials and dire news of plastics polluting our environment, reused wooden barrels exist in stark contrast. The lives of barrels are long, shockingly sustainable and currently imperiled by trade war.

"Many circumnavigate the globe and end their days in distilleries in remote corners of the world, originating in the forests of Hungary and moving from mountain towns in Canada to distilleries in the Caribbean and Mexico. At Hamilton, new American oak barrels hold fresh distillate, alongside the dinosaurs: French cognac barrels that show their age

...

“We think of barrels as teabags. It gets used first for bourbon, like the first steep of a teabag. You get a lot of color and flavor from the barrel quickly. If you use the barrel again, it’ll take longer to impart, so maybe it’s used for scotch, which sits and ages longer. You mute the barrel’s flavors along the way.”

...

"The international use of barrels is part and parcel of the global liquor industry. Large conglomerates like LVMH, Brown-Forman and Suntory have multiple spirits brands in their portfolios, and barrels make their rounds internally. A Kentucky-made barrel might end up in Scotland to age scotch because Brown-Forman owns both the Jack Daniel’s and Glendronach brands.

...

"Distilleries that aren’t owned by large conglomerates enlist the help of a barrel broker who can source unique barrels. Mara Smith sources old pinot noir barrels from France through a broker, as they give her Inspiro tequila a rosy hue and flavors like “berries, some nuttiness, a floral [aroma] on the nose”.

...

"Rizzo outlines a Laws Whiskey barrel’s typical lifespan. “We age our Four Grain Bourbon and send those used bourbon barrels [after four to 10 years] to a local apiary, Bee Squared, in Berthoud, Colorado. They age their honey in those used barrels for 90 days to produce a glorious local barrel-aged honey. We then get those barrels back and put more bourbon into them to make a natural honey-aged bourbon [which takes a year and a half of ageing]. One went to our friends at Lady Justice Brewing, who aged a honey bock beer in the honey barrel. Once that was finished in six months to two years, they put malted barley grain inside the barrel for another six months to two years to flavor the grain to produce another beer. And then the barrel is made into furniture.” These barrels had seven lives.

"Recent tariffs are making the very aspect of manufacturing barrels, distilling alcohol and selling its finished product more expensive. In American winemaking, particularly in California, French oak barrels will be affected by the EU’s retaliatory tariffs. Since barrels are essentially an ingredient in any given type of alcohol’s recipe, a winemaker would not be able to easily switch out a type of wood they have used previously for something available domestically."

Thursday, May 15, 2025

Chronic diseases in the U.S.

 The top three chronic diseases--Hypertension, Obesity, and Diabetes--all contribute to the fourth, Kidney Disease.

How Chronic Disease Became the Biggest Scourge in American Health
Americans live shorter and sicker lives than people in other high-income countries
   By  Brianna Abbott  | Graphics by  Josh Ulick