Wednesday, September 24, 2014

Kidneys for sale: debates about Iran and it's implications for markets in the West

As I indicated in my post yesterday, the conversation about compensating kidney donors is heating up. Various email correspondents brought to my attention the latest issue of the American Journal of Bioethics, which has a "target" article by Julian Koplin of Monash University and a number of responses and comments. Koplin argues that the experience of kidney sales in Iran should give pause to advocates of (even) regulated markets in the developed world. A number of the commentators argue that the evidence that he cites from Iran is now outdated, among other things. But the conclusions of the commentators are all over the map, from pro to anti and including appeals for allowing some experimentation to gather more evidence, and arguments against 'crossing the Rubicon' by allowing such trials.

I don't know of an ungated URL where you can read this, but of course if you have electronic access to a University library you can likely download it there.

Volume 14, Issue 10, 2014< Prev

The American Journal of Bioethics

ISSN
1526-5161 (Print), 1536-0075 (Online)
Publication Frequency 
12 issues per year
 

Editorial

Nancy S. Jecker
pages 1-6

  • DOI:10.1080/15265161.2014.953858
  • Published online: 17 Sep 2014
  • Citing articles: 0
  • Article Views: 18

Target Article

Julian Koplin
pages 7-18

  • DOI:10.1080/15265161.2014.947041
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (16) 
  • Article Views: 15
Further Information

Open Peer Commentaries

I. Glenn Cohen
pages 19-21

  • DOI:10.1080/15265161.2014.947787
  • Published online: 17 Sep 2014
  • Citing articles: 0
  • Article Views: 7

James Taylor
pages 21-22

  • DOI:10.1080/15265161.2014.947802
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 9

Alexander M. CapronGabriel M. Danovitch & Francis L. Delmonico
pages 23-25

  • DOI:10.1080/15265161.2014.947048
  • Published online: 17 Sep 2014
  • Citing articles: 0
  • Article Views: 10

Alberto Giubilini
pages 25-27

  • DOI:10.1080/15265161.2014.947797
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 11

Erik Malmqvist
pages 27-29

  • DOI:10.1080/15265161.2014.947799
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 7

Samuel J. Kerstein
pages 29-30

  • DOI:10.1080/15265161.2014.947798
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 7

Benjamin Hippen
pages 31-33

  • DOI:10.1080/15265161.2014.947047
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 7

Monir Moniruzzaman
pages 33-35

  • DOI:10.1080/15265161.2014.947801
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 6

Kiarash Aramesh
pages 35-37

  • DOI:10.1080/15265161.2014.947044
  • Published online: 17 Sep 2014
  • Citing articles: 0
  • Article Views: 8

Sigrid Fry-Revere
pages 37-38

  • DOI:10.1080/15265161.2014.947042
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 11

Miran Epstein
pages 39-40

  • DOI:10.1080/15265161.2014.947043
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 6

Atieh PajouhiFarzaneh ZahediZeinab Pajouhi & Bagher Larijani
pages 40-42

  • DOI:10.1080/15265161.2014.947443
  • Published online: 17 Sep 2014
  • Citing articles: 0
  • Article Views: 6

Ryan Tonkens
pages 42-44

  • DOI:10.1080/15265161.2014.947046
  • Published online: 17 Sep 2014
  • Citing articles: 0
  • Article Views: 7

Julie AllardAviva Goldberg & Marie-Chantal Fortin
pages 44-45

  • DOI:10.1080/15265161.2014.947442
  • Published online: 17 Sep 2014
  • Citing articles: 0
  • Article Views: 7

Dominique Martin & Sarah White
pages 46-48

  • DOI:10.1080/15265161.2014.947045
  • Published online: 17 Sep 2014
  • Citing Articles:
    CrossRef (1) 
  • Article Views: 7

Tuesday, September 23, 2014

Pope Francis on organ donation and organ trafficking

The Declaration of Istanbul Custodian Group (DICG) requested an audience with Pope Francis: Pope Francis meets with DICG representatives (some links have gone stale, see update at bottom...)
"The DICG delegation included Executive Director Professor Francis Delmonico, executive board member Dr Beatriz Dominguez-Gil, Dr Mirela Busic and Professor Mehmet Haberal, who supports the DICG through the Haberal Foundation. Professor Ignazio Marino, the Mayor of Rome, arranged the meeting at the request of the DICG.

A review of the global state of affairs in organ donation and transplantation was presented to the Pope, and the ongoing challenges of meeting needs for transplantation and preventing organ trafficking were discussed. DICG members expressed concern about recent proposals to introduce financial incentives for organ donation in the United States, particularly with regards to the potential influence of such proposals on policy and practice in developing countries most vulnerable to organ trafficking.

The importance of legal measures combatting organ trafficking, such as the recent Council of Europe Convention, was noted. The DICG also reported on recent successful progress in donation and transplantation in countries and regions such as Spain, Croatia, and Eastern Europe, and the importance of eliminating barriers to organ donation, for example through measures to remove or reimburse costs associated with living kidney donation.

At the conclusion of the meeting, Pope Francis expressed his conviction that "organ trafficking and commercialization are immoral".
***********

Here's some other coverage of that meeting:

Pope calls for more people to donate organs – Rome mayor
"“The pope authorised me to say that in his view organ donation through generosity must be encouraged, but the commercial use of organs is immoral,” mayor Ignazio Marino said, after meeting with Francis on Friday.
“We need to explain that donating organs is a gesture of love. Each of us, for example, has two kidneys, and giving one of them to a relative or a person we love is a beautiful gesture. Entering into the spiral of trade and sales is a crime,” the pope said, according to Marino.
The meeting with Marino and a world delegation of transplant experts came as the United States debates whether or not to introduce financial incentives for organ donation, which could include reimbursing costs of travel for donors and lost wages, as well as providing long term health insurance.
Lengthy waiting lists, with thousands dying through a lack of organs, have lead some in the US to suggest the market for human organs should be legalized.
The Buenos Aires pope slammed those who profit from the poor to traffic organs, saying he had seen “many Argentine children with long scars on their backs because their families had sold one of their kidneys,” Marino said.
“Exploiting the poverty of a mother who sells a kidney to feed her children, for a few hundred euros (dollars), with that kidney then trafficked and sold on for hundreds of thousands of euros, that is a crime,” he said.
The Holy See did not publish a transcript of the audience."
*************

and from the Vatican news service:
Pope Francis meets a group of transplant surgeons; including the mayor of Rome
"Pope Francis met on Friday morning with the mayor of Rome, Ignazio Marino, who was accompanied by a group of surgeons who specialize in organ transplants.  The mayor is a transplant surgeon himself, and trained at the Transplant Centre of the University of Cambridge and the University of Pittsburgh's Starzl Transplantation Institute.
...
"No statement was released by the Holy See Press Office after the meeting with the Holy Father, but Marino spoke about his conversation with Pope Francis.
“The Pope did not mince his words,” Marino told journalists. “"He has authorized us to say publicly  that we need to encourage the donation of organs out of compassion, but the trade in organs is immoral and a crime against humanity.”


************

For background, here are all my many posts related to compensation for donors, including this one perhaps reflecting the American proposals that the DICG is concerned about:

Many groups are starting to advocate experiments on compensating organ donors 

**********
Updated to replace stale link (updated June 2022)
Try this one:


Monday, September 22, 2014

Golden Goose Award festivities and video on the simultaneous ascending auction design by McAfee, Milgrom and Wilson

The awards ceremony was on Thursday in Washington.
Bob and Mary Wilson go to Washington (photo by Peter Cramton)


Here's the 2014 Golden Goose Award video: the first segment, three and a half minutes, is devoted to the work of Preston McAfee, Paul Milgrom and Bob Wilson on the simultaneous ascending auction for spectrum.

The 2014 Golden Goose Awards from DOCUinc on Vimeo.


Here's my earlier post.

Sunday, September 21, 2014

The Onion proposes a school choice lottery

The Onion notices that school choice is a high stakes game: New Charter School Lottery System Gives Each Applicant White Pill, Enrolls Whoever Left Standing

"Introducing key changes to the lottery system that governs the admissions process, the New York City Charter School Center notified potential students this week that openings will now be filled by randomly distributing white pills to applicants and enrolling those left standing.

"In place of the existing electronic lottery system conducted in the spring, education officials explained that applicants would receive identical white pills, among them a small number of innocuous placebos corresponding to the amount of open spots, and then wait approximately 30 minutes to determine the survivors and new charter school enrollees."

Saturday, September 20, 2014

Same sex marriage still widely regarded as repugnant in Egypt, and a little less so in China

Two prohibited same sex marriages, one in Egypt and one in China (in the British embassy there) draw very different reactions.

The BBC has the story from Egypt.

Arrests over Egypt 'gay wedding'

The Egyptian authorities have arrested seven men accused of appearing in a video apparently showing a gay wedding.
The video, showing a group of men celebrating on a Nile river boat, was widely shared on social media.
The men could face charges of inciting debauchery and spreading images that violate public decency.
Homosexuality is not explicitly outlawed in Egypt, but gay men are periodically accused of charges such as scorning religion or debauchery.
line
Gay rights around the world
Map showing anti-gay laws around the world
line
(The link goes to an interactive version of the above map, where you can mouse-over to see the sometimes chilling state of affairs in far flung places.)


The Telegraph has the story from China

British diplomat's gay marriage draws attention in China

Gay marriage at residence of British ambassador to Beijing goes viral on Chinese internet

"A British diplomat has become a gay icon in China after marrying his American partner on the lawn of the ambassador's residence in Beijing.
...
"Gay unions are not legal in China, where the government adopts a "three nots" approach to homosexuality: not approved, not disapproved, not promoted."

Friday, September 19, 2014

Diverse approaches to surrogacy in the U.S.

The NY Times has an interesting survey about the divided state of the union regarding surrogacy, with different approaches among states in the U.S.: Surrogates and Couples Face a Maze of Laws, State by State

"While surrogacy is far more accepted in the United States than in most countries, and increasing rapidly (more than 2,000 babies will be born through it here this year), it remains, like abortion, a polarizing and charged issue. There is nothing resembling a national consensus on how to handle it and no federal law, leaving the states free to do as they wish.

"Seventeen states have laws permitting surrogacy, but they vary greatly in both breadth and restrictions. In 21 states, there is neither a law nor a published case regarding surrogacy, according to Diane Hinson, a Washington, D.C., lawyer who specializes in assisted reproduction. In five states, surrogacy contracts are void and unenforceable, and in Washington, D.C., where new legislation has been proposed, surrogacy carries criminal penalties. Seven states have at least one court opinion upholding some form of surrogacy.

"California has the most permissive law, allowing anyone to hire a woman to carry a baby and the birth certificate to carry the names of the intended parents. As a result, California has a booming surrogacy industry, attracting clients from around the world.
...
"Many states are now considering certain limits and trying to find middle ground.

“My sense of the big picture is that we’re moving toward laws like the one in Illinois, which accepts that the demand for surrogacy isn’t going away but recognizes the hazards and adds regulations and protections,” said Joanna L. Grossman, a family law professor at the Hofstra University law school.

"The Illinois law requires medical and psychological screenings for all parties before a contract is signed and stipulates that surrogates be at least 21, have given birth at least once before and be represented by an independent lawyer, paid for by the intended parents.

"The law allows only gestational surrogacy, in which an embryo is placed in the surrogate’s uterus, not the traditional kind, in which the surrogate provides the egg. In addition, it requires that the embryo created in a petri dish must have either an egg or a sperm from one of the intended parents.

“That eliminates some of the concerns about designer babies,” Professor Grossman said.

Lawmakers in New York, Washington, D.C., and elsewhere are considering measures to allow surrogacy.

"But not all states are moving in that direction. In Kansas, for example, there was a hearing in January on proposed legislation that would have imposed a $10,000 fine, or a year in prison, on those entering into a surrogacy contract. The proposal was shelved after a hearing that was packed with supporters of surrogacy, including women who had been surrogates and parents who brought their children through surrogacy, arguing passionately for the benefits.
...
"The Louisiana bill, like some others, would only have allowed “altruistic” surrogacy, in which the surrogate, usually carrying a baby for a friend or relative, receives no compensation beyond the reimbursement of expenses."

Thursday, September 18, 2014

Kidney exchange at Google Zeitgeist 2014: 15 minute video

On Tuesday I spoke about kidney exchange at Google's Zeitgeist conference. I was the second to last speaker, right before President Clinton, who spoke last. There are subtitles for the hearing impaired.




And here is a very short introduction to that talk, a two minute video introduction of matching markets (basically the first two minutes of my talk, as far as I can see).

Wednesday, September 17, 2014

Surgical Grand Rounds at U of Cincinnati Hospital

I'll be giving two lectures today at the U of Cincinnati. Steve Woodle is there, one of the pioneers of kidney exchange.


Grand Rounds With Nobel Laureate Alvin Roth  http://healthnews.uc.edu/news/?/25102/
Date:Wednesday, Sept. 17, 2014
Time:9 a.m. - 3:30 p.m.
Location:Surgical Amphitheater and Kresge Auditorium

Description:

Alvin Roth, PhD, co-winner of the Nobel Memorial Prize in Economics  in 2012 and a founder of the New England Program for Kidney Exchange, will give two presentations. His visit is hosted by the Department of Surgery, Division of Transplantation.

9 a.m.: J. Wesley Alexander Lecture, Surgical Grand Rounds, Surgical Amphitheatre, "Application of Market Design Principles for Kidney Exchange."

2:30 p.m.: UC College of Medicine Special Lecture, Kresge Auditorium, "Design of Markets for the National Residency Matching Program."

















Tuesday, September 16, 2014

John Van Huyck, 1956-2014

John and Patsy and their (then) two boys spent a memorable year visiting at Pittsburgh when Emilie and I were there. I teach his papers just about every year.

Here's the obituary: the link at the end leads to a page on which condolences and memories can be left.

July 17, 1956 – September 11, 2014

John Bronston Van Huyck, age 58, died in his home in College Station, TX, on September 11, 2014. The Funeral Service will be held at 11:00am on Thursday, September 18th, at St. Mary's Catholic Church, 603 Church Avenue, College Station, with Deacon Ted Baker presiding. A reception will follow immediately after in the parish activity center. John's remains will be laid to rest at the family farm in Virginia.

John was born in Aberdeen, MD, July 17, 1956, the son of Alfred and Mary Elizabeth Van Huyck. He lived for four years in India growing up, and traveled widely throughout his life, including biking across Europe and driving across the continental US. He dreamed of eventually sailing across the Mediterranean in a small boat with his friends and family, and enjoyed taking multiple trips to Europe with his sons, of which he had three from his marriage to Patsy Johnson. John graduated from the University of Virginia with a Bachelor's degree, and went on to Brown University where he earned both a Masters and a Doctorate in economics.

He applied his talents to the study and teaching of economics as the Rex B. Grey professor at Texas A&M University. In this role, he was a scholar’s scholar and as such made contributions that changed the way economists look at the world. From the very beginning of his academic career, John produced influential works over a broad range of subjects. He began this work with contributions to the way the economy in general is understood and progressed to becoming one of the world’s premier figures in experimental economics and economic game theory.

John played a large part in the acceptance of experiments as a method to improve understanding of economic behavior and to predict the impact of events on the economy. He was instrumental in illustrating how people learn from events and how this learning contributes to stability in the complex economic world. John’s work in no small way contributed to the fundamental acceptance of experimental methods in economics, a branch that has produced several Nobel Laureates.

"Today, economists have absorbed so well what Van Huyck, [Raymond C.] Battalio and [Richard O.] Beil showed that we find it natural, but it was a big surprise when they published the first paper... He had three experiments... that helped economists understand why coordination is hard, even when it’s in everyone’s interest to coordinate. He showed it with a set of experiments using games in which even though everyone knew that everyone wanted to coordinate on a high number, the fear that someone else would slip up caused coordination to fail." (Alvin E. Roth, Nobel Laureate)

He was more than just an academic thinker. He was a true renaissance man. He was deeply interested in the relation between governmental actions, political behavior and the freedom of individuals to pursue their own independent interests. Any one of the many economists who had the privilege of interacting with John came away with a better understanding of the world around them.

Above all else, John loved being a father. He sometimes told the story of how he had wished for a son at a neighborhood wishing well, and was overjoyed to be given three. John served as a Cub Scout den leader for Pack 317, and his oldest two sons both achieved the rank of Eagle Scout. He kept himself abreast of the advances in technology, taking advantage of new forms of media to create home video recordings of his family's life, and teaching his sons computer programming. John held himself to high standards in his work and his personal life, and strove to be a great man of virtue and character.

He is survived by his beloved sons, Carl Phillips, Don Ashfield and Bjorn Bennett Van Huyck; their mother, Patsy; his parents, Alfred and Betty Van Huyck; and his sister, Nancy Chockley, her husband, Frederick, and their children, Katherine and Wilson.

The family requests memorial contributions be made towards the funding of a scholarship in John's name at Texas A&M University. Please send contributions to Texas A&M Foundation in memory of John B. Van Huyck, Ph.D., 301 Coke Building, 4223 TAMU, College Station, TX 77843-4223.


Please share memories and tributes to John at www.hillierfuneralhome.com.

Monday, September 15, 2014

Profile of Ken Arrow

My office neighbor Ken Arrow is profiled by Janet Stotsky in the September 2014 issue of the IMF's magazine Finance and Development. At 93, he continues to be a role model: Path Breaker 

Here are the concluding paragraphs:

"Arrow, 93, said he has always been more stimulated by working out problems and that once he works them out “I must say I kind of lose interest.” That’s why even though he received a Nobel Prize for his work on general equilibrium theory, he is prouder of his work on social choice theory.
Several other researchers, such as the late Lionel McKenzie, were working on the same problems in general equilibrium theory at the time Arrow and Debreu formulated their model. “In some respects . . . if I weren’t there, it wouldn’t have made that much difference.”
But no one else was asking the social choice questions. “So that I am proud of.”

Sunday, September 14, 2014

Living kidney donors to get expenses reimbursed in Ireland

Here's the story from the Irish Times: Living kidney donors to get expenses reimbursed. Note the "fine balance" the director of organ donation speaks of--the question of compensation for donors remains one that people treat very gingerly.

"People who donate their kidneys while alive are to get out-of-pocket expenses paid back in a scheme to encourage more organ donation.
"The Department of Social Protection has agreed to continue payments to living kidney donors during the period of donation and recuperation, according to a briefing note prepared for Minister for Health Leo Varadkar.
"It says the removal of financial disincentives would potentially increase the number of living donors. “It is generally accepted that living kidney donors should not be unduly burdened with the financial costs associated with donation. Several countries currently provide reimbursement of non-medical expenses associated with donation.”

"Organ Donation and Transplant Ireland director Dr Jim Egan said good progress had been made on the policy and it would be ready soon. A fine balance has to be struck between covering legitimate expenses and not “incentivising” people to donate organs, he said.Although the briefing note says the policy would go to Mr Varadkar “shortly” for approval and would start at the beginning of September, the deadline was not met.
"Last year, there were 294 transplants, of which 185 were kidney transplants. The organs came from 86 deceased and 38 living donors. The number of living donors is up from two in 2005, when the practice began."

Saturday, September 13, 2014

Obesity is a growing medical problem...in unexpected ways

Obesity contributes to many diseases, including kidney and liver diseases that eventually require transplants. But it impacts the medical system in other ways. The Telegraph has the story:  Hospitals buy special fridges to store overweight bodies as obesity crisis escalates: Doctors warn Britain's obesity crisis could 'cripple' the NHS as hospitals are being forced to buy and rent specialist equipment to deal with overweight patients

"Britain’s obesity crisis is so serious that hospitals are buying specialist equipment to keep bodies cool because they are too large to fit into mortuary fridges."

Friday, September 12, 2014

Speaking about school choice to high school teachers (video)

I recently gave a talk at SIEPR, to high school teachers, about school choice. They had good questions, which start after minute 38 in the video (the early questions are hard to hear, but you can infer their gist from my answers, and the later questioners have a microphone...)

Thursday, September 11, 2014

Many groups are starting to advocate experiments on compensating organ donors

There's a lot of discussion these days about clinical trials of incentives for organ donation as a way of increasing supply.

Here's a blog post from the AST, the American Society of Transplantation, on removing financial disincentives:  The Cost of Giving

" it is increasingly obvious that we impose on donors’ financial risk, a concept that threatens our perceptions of donation as an altruistic act. Gill et al (JASN, 2014 Jul 17, epub) documented, in the recent economic downturn, greatest decline in living donation among those most challenged socioeconomically, indicating the role of financial risk in discouraging “altruistic” donors.
All this is occurring against a backdrop of intense controversy regarding “incentives” for donation that has raged for years, incorporating both national and global perspectives on ethics, economics, black markets, free markets, and so on. Amidst so much controversy, though, some light is beginning to emerge. Strong ethical and economic arguments can be advanced for and against incentives. The Declaration of Istanbul outlines important precepts that address unethical practices, including underground markets, on a global basis. However, in the United States, with a well-developed organ recovery infrastructure and rule of law, examples from the underground market (as were the basis of a recent New York Times expose) may be less relevant. There is emerging support in the US for a regulated infrastructure that could address the financial implications of organ donation. The National Living Donor Assistance Center (NLDAC) already offers limited assistance for those means-tested as unable themselves to underwrite the cost of donation. Extending assistance to eliminate all financial costs regardless of means, including access to healthcare, is now considered a mainstream view (far from the reception for a similar proposal from a small working group eight years ago: Gaston et al, AJT 6: 2548, 2006).
...
"Participants in two recent meetings (both held in Chicago in June and sponsored in part by AST) will soon be publishing white papers that seek to clarify the discussion regarding compensation of living donors in the US. It is obvious that a great deal can be done within NOTA to remove disincentives (as both white papers are likely to endorse). In medicine, it is usually desirable to address controversy with evidence, as might be obtained via limited demonstration projects of targeted incentives. Though these would likely require amendment of NOTA, such has already occurred twice with the Charlie Norwood and HOPE acts, both crafted in response to a changing environment and both endorsed by AST. Our task, if we are to do everything possible for our wait-listed patients and protecting all the interests of potential donors, is to make sure we get the nuances right."


And here is an open letter, signed by a variety of interested parties
HOW TO END THE WAIT FOR ORGAN TRANSPLANTS

"We support current efforts to prevent diabetes and hypertension and to make the donation process fairer and more efficient, but they will not resolve the shortage. Additional approaches must be tried. Sadly, transplant policy has been governed by an unsubstantiated assumption: that donors cannot receive benefits for donating without being exploited or coerced. It is critical to examine that assumption. We hereby call for the swift initiation of evidence-based research on ways to offer benefits to organ donors in order to expand the availability of transplants."

Wednesday, September 10, 2014

Brand names and informed consumers--pharmacists seem to like generic drugs

Here's an illuminating look at the economics of brands, as in brand-name products, when there are close substitutes available.

"Do Pharmacists Buy Bayer? Sophisticated Shoppers and the Brand Premium" 
Chicago Booth Research Paper No. 14-17
by BART J. BRONNENBERG,  JEAN-PIERRE H. DUBE,  MATTHEW GENTZKOW,  JESSE M. SHAPIRO

We estimate the effect of information on consumers’ willingness to pay for branded goods in physically homogeneous consumer packaged goods categories. In a case study of headache remedies, we find that college education, working in a healthcare occupation, and other proxies for product knowledge predict more purchases of private labels relative to brands. Pharmacists devote almost 90 percent of headache remedy purchases to private labels, against 71 percent for the average consumer. The effect of knowledge is similar across a broad set of health products, and in a set of relatively homogeneous food products, but smaller for food and drink products overall. We conclude that a significant share of the willingness to pay for brands in these categories would disappear in a world where consumers were fully informed.

Tuesday, September 9, 2014

Of Markets and Money: video of 12 minute interview

Here's a video of a 12 minute interview I gave to Deutsche Welle while in Lindau, which just appeared here. It starts with my education in Operations Research, and moves on to market design and economics generally. A busy 12 minutes.



Monday, September 8, 2014

You can do a lot of good if you don't worry about who gets the credit

Shane Greenstein's' piece on false claims of credit for inventing email got me thinking about the larger question of attributing and claiming credit (especially after I initially mis-identified Shane as his co-blogger JG who shared the post to G+...).  Often, accomplishments have many parents. (And sometimes someone who helps disseminate the news is mistakenly credited as its source.)

Market design in particular is an outward facing part of economics, and much of what needs to be accomplished requires economists to play a helping role. So I've always liked the sentiment in the title of this post, whose origins turn out to be (fittingly) hard to attribute. Quote Investigator looks into it and finds many early origins and variations.

[1] A man may do an immense deal of good, if he does not care who gets the credit for it.

[2] This was the opportunity for a man who likes to do a good thing in accordance with the noble maxim … “Never mind who gets the credit.”

[3] The way to get things done is not to mind who gets the credit of doing them.

[4] There is no limit to what a man can do who does not care who gains the credit for it.

"These sayings are certainly not identical, but they are closely interlinked thematically. Quotation number [1] appeared in a diary entry from the year 1863 in which the words were recorded as spoken by a Jesuit Priest named Father Strickland. This is the earliest citation located by QI.
In 1896 the text of [2] was published, and the phrase “Never mind who gets the credit” was dubbed the noble maxim of Edward Everett Hale.
In 1905 quotation [3] was published, and the words were attributed to Benjamin Jowett who was a theologian and classical scholar at Oxford University. But one of the author’s who made this attribution decided it was flawed, and in a later book he reassigned credit for the saying from Jowett to a “Jesuit Father”. This is probably a reference to Father Strickland. This maxim is the same as quote [A] given by the questioner above.
Expression [4] was used by Charles Edward Montague in 1906, but he did not claim coinage of the phrase. He said it was the favorite saying of his friend and colleague the journalist William T. Arnold. But Montague did not credit Arnold as originator either. He left the attribution anonymous by using the locution “someone has said”.
In 1922 Montague published a close variant of saying [4], “There is no limit to what a man can do so long as he does not care a straw who gets the credit”, in his book “Disenchantment”. For this reason he is sometimes cited in modern texts and databases.
Finally, quotation [B] which is similar to [4] appeared in the 1980s on a small plaque atop the desk in the Oval Office of the White House during the Presidency of Ronald Reagan."

[B] There is no limit to what a man can do or where he can go if he doesn’t mind who gets the credit.

Sunday, September 7, 2014

Shane Greenstein on a false history of email

Sometimes people believe that they deserve more credit than they're getting, and Shane Greenstein writes about a man who believes he should be credited with inventing email.  (Earlier this morning I mistakenly identified the author of the post as Shane's co-blogger Joshua Gans; apologies to both.) Apparently the fellow who thinks he invented email and should get the credit for it is pretty clearly mistaken, but the Huffington Post took the bait, and so Shane organizes his post about how that makes HuffPo a much less trustworthy news source than he had hoped. (Apparently some things on the internet just aren't true...)  HuffPo and the Loss of Trust

"Now for the detail: HuffPo published a multipart history of email that is historically inaccurate. Yes, you read correctly. More specifically, a few of the details are correct, but those are placed next to some misleading facts, and these are embedded in a certifiably very misleading historical narrative. The whole account cannot be trusted.
The account comes from one guy, Shiva Ayyadurai, who did some great programming as a teenager. He claims to have invented electronic mail in 1978 when he was fourteen. He might have done some clever programming, but electronic mail already existed by the time he did his thing. Independent invention happens all the time in technological history, and Shiva is but another example, except for one thing. He had his ideas a little later than others, and the other ideas ended up being more influential on subsequent developments. Shiva can proudly join the long list of geeky teenagers who had some great technical skills at a young age, did some cool stuff, and basically had little impact on anybody else.
Except that Shiva won’t let it go. This looks like nothing more than Shiva’s ego getting in the way of an unbiased view.
Look, it is extremely well established that the email systems in use today descended from a set of inventors who built on each other’s inventions. They did their work prior to 1978. For example, it is well documented that the “@” in every email first showed up in 1971. Ray Tomlinson invented that. Others thought it was a good idea, and built on top of the @. We all have been doing it ever since. Moreover, this is not ancient history. Tomlinson has even written about his experiences, and lots of people know him. This is easy to confirm.
Though Ayyadurai’s shenanigans were exposed a few years ago, he persists. In the HuffPo piece yet again he pushes the story in which his inventions played a central place in the history of electronic mail. This time he has a slick infographic telling his version of things, and he managed to get others to act as shills for his story. He also now accuses others of fostering a conspiracy against his views in order to protect their place in history and deny him his.As if. “A teenager invented electronic mail” might be a great headline, and it might sound like a great romantic tale, but this guy is delusional."
Shane focuses on trust in news sources, but I can't help sympathize a bit with the delusional guy.  I know of many cases in which someone feels, often with considerable justice, that they don't get the credit they deserve. That's part of the problem with apportioning credit, and it may be a near universal feeling. You can certainly witness it among academics, and probably also among top athletes who don't make it to the Olympic podium or the Hall of Fame, and maybe even among some of those who do. Maybe a good sanity check on whether you are delusional is if you think there's a conspiracy...

Saturday, September 6, 2014

You know game theory is becoming mainstream when...

...There's a company offering to do your game theory homework for you...(I'll leave out the URL to avoid steering traffic...)




Friday, September 5, 2014

My talk in Baku, on Repugnant Markets, Prohibited Transactions (video)

Back in May I was in Baku, where I was a guest of the State Customs Committee of the Republic of Azerbaijan, and the International Network of Customs Universities (INCU). I spoke on Repugnant Markets and Prohibited transactions.

Customs departments have a natural interest in those things, because they have two jobs: to raise revenue by collecting taxes from legal imports, and to prevent illegal imports. A lot of illegal imports are goods for which it’s illegal to make a market at all, like narcotic drugs, or elephant ivory. Trading in drugs and ivory are both forbidden by United Nations conventions as well as by domestic laws. But black markets exist in drugs and ivory also, so customs departments have their work cut out for them.

I recently got the link to the video of my talk, which lasts about an hour.


Thursday, September 4, 2014

Could/should eating rabbits become repugnant?

We see lots of old repugnancies fading away (such as bans on same sex marriage), but new ones form from time to time too (like the ban on eating horse meat in California, which went into effect in 1998). Now Whole Foods is selling rabbit meat, and demonstrators are demonstrating their repugnance. The Atlantic has the story:
Are Rabbits Pets or Meat? : "Some people are incensed that Whole Foods is selling rabbit meat, and the debate they're caught up in reveals the contradictions in how we relate to different creatures in different ways. "

"No one is talking about selling kittens and puppies at the meat counter, but for the group of bunny-loving pet owners protesting near the Whole Foods in Union Square, they might as well be. Fifty or so women and men of all ages carry signs, pass out flyers and pamphlets, and try to spread their message to passing Manhattanites. “Boycott Whole Foods,” they say, “because they’re killing rabbits.”
Earlier this year, after developing its own welfare standards, Whole Foods launched a rabbit-meat pilot program across several North American regions that involves selling whole rabbit carcasses. In response, rabbit-protection activists organized a day of action this past weekend outside of more than 40 stores across the country. 
“Remember,” explains one website dedicated to this day, “Whole Foods says they are carrying rabbit meat because of customer demand. We need to show that enough customers demand that Whole Foods NOT carry rabbit meat.”
...
“God, that’s disgusting!” a woman says as she walks by, accepting a pamphlet from one of the protesters. “Rabbit is delicious,” says another, waving away the flyer. For every person who stops to the sign the petition, there are plenty more who don’t care or can’t be bothered."


HT: Muriel Niederle

Wednesday, September 3, 2014

NY Times editorial on reducing the kidney shortage

Here it is. They don't endorse a cash market, but are interested in everything else...
Ways to Reduce the Kidney Shortage

The United States and many other nations are confronting a heart-rending problem: The number of kidneys available for transplants falls far short of the need.

While some argue that the way to reduce the growing shortage is to pay living donors for kidneys, either in cash or government benefits, there are many ways to increase the supply without paying for human organs, which is prohibited by the 1984 National Organ Transplant Act and generally opposed by the World Health Organization.

In the United States, the number of kidney transplants fell to 14,000 last year, while the waiting list for kidneys currently exceeds 100,000 patients. The average wait time for a transplant has risen to almost five years; more than 4,000 people die each year while waiting and a great many more, possibly thousands, become too sick to undergo transplantation and are dropped from the wait lists.

The first step in easing the shortage is to end the current shameful waste of organs.

Hundreds of kidneys taken from deceased donors that are suitable for transplant are discarded every year, probably more than 1,000 some experts say. Surgeons typically hope to transplant a kidney within 24 hours to 36 hours of the time it is recovered and placed on ice for evaluation. Sometimes the clock runs out before a suitable recipient can be found. The United Network for Organ Sharing, which runs the allocation system, will revise its formulas in December in ways that it believes will increase the utilization of donated kidneys and thus reduce wastage.

Meanwhile, many patients, possibly in the hundreds, who do receive transplants become ill again because they can’t afford to pay for antirejection drugs that can cost more than $1,000 a month; Medicare stops paying for the drugs after three years unless the patient is old or disabled. Congress ought to extend coverage for as long as necessary.

Equally important is increasing the number of people who agree in advance to donate their organs for transplantation or research. Many people already do that through driver’s license check-offs, but a stronger national campaign to get more people to allow donation could help increase the kidney supply.

To encourage more living donors, some disincentives could be corrected. Some experts propose that government agencies or health insurers pay all costs a living donor faces, like travel and lodging for trips to the transplant center for evaluation and then for surgery, dependent care while recovering from the surgery and wages lost while recuperating.

Others want to make sure that donors can jump to the top of the transplant list if they develop disease in their remaining kidney, and also allow their loved ones to jump to the top of the list if they unexpectedly need a transplant. Some say donors should be given government-paid life insurance to cover a death during surgery or later complications from the surgery.

The American Society of Transplant Surgeons and American Society of Transplantation have proposed pilot projects to test the effect of many of these ideas. Most of these proposals seem consistent with the Declaration of Istanbul, a consensus statement adopted in 2008 by an international meeting of experts that aimed to increase the kidney supply while protecting poor people from illegal organ traffickers. But some may skirt close to infringing the federal law.

A few advocates would go further by having state or federal agencies offer benefits to donors, perhaps a tax credit, college tuition, early access to Medicare or a contribution to a retirement fund. But such benefits, though not cash, clearly have monetary value, and raises the troubling issue of inducing people — most likely the poor — to sell their kidneys, which violates federal law.

There are lots of reforms that could be made without resorting to paying for kidneys. Congress ought to hold hearings on the best ways to reduce the shortage and save more lives on the waiting list."

Tuesday, September 2, 2014

Don't take "No" for an answer: a reconsideration of how to do deceased donor registration



Don't Take 'No' For An Answer: An Experiment With Actual Organ Donor Registrations

Judd B. KesslerAlvin E. Roth

NBER Working Paper No. 20378
Issued in August 2014
NBER Program(s):   HC 
Over 10,000 people in the U.S. die each year while waiting for an organ. Attempts to increase organ transplantation have focused on changing the registration question from an opt-in frame to an active choice frame. We analyze this change in California and show it decreased registration rates. Similarly, a "field in the lab" experiment run on actual organ donor registration decisions finds no increase in registrations resulting from an active choice frame. In addition, individuals are more likely to support donating the organs of a deceased who did not opt-in than one who said "no" in an active choice frame.


The paper has attracted a small bit of more or less accurate press and blog attention, which is good for a paper that attempts to shed light on what may be a mistaken public policy initiative. Here's a sample.

One way to boost organ donations: Just keep asking

Don’t Take No For an Answer: Lessons From Organ Donation

In The Papers: Skills Gap, Organ Donation And Parental Politics

Ask often to get more organ donors

Monday, September 1, 2014

Banks for blood and sperm

At The Atlantic,  Rebecca Rosen writes about Banks of Blood and Sperm: How the idea of a "bank" shapes the way people think about storing and distributing body fluids, in an interview of  Kara Swanson, the author of Banking on the Body (which I blogged about here).

Very interesting.  For example:

"What happened as the metaphor [of a bank] became more used in the 1950s and 1960s, was that a backlash developed against the market implications of the metaphor. The doctors and lay people who ran blood banks in the 1950s and 1960s, pushed the metaphor to its extremes—they told patients that each transfusion was a “loan” that needed to be repaid. Patients could repay in kind, or pay stiff replacements fees instead—fees that a bank could use to buy blood from a professional donor—always with the goal of keeping sufficient inventory.

The emphasis on buying and selling led blood banks into trouble in the courts—attorneys for patients injured from transfusions (which happened sometimes, if mismatched blood was given, or the blood contained a disease) argued that banked blood was a product. Product liability law was developing to find the manufacturer of a dangerous product liable even without negligence. Doctors, blood banks, and hospitals were horrified to have themselves considered product manufacturers. They began to backpedal from the banking metaphor by trying to make banked blood seem less like a product exchanged in markets.

What happened, with blood banks, and also with other kinds of banks, is that the banking metaphor and the backlash encouraged doctors, patients, and those of us who might be suppliers, to focus on one aspect—the supplier. Was the supplying body paid or unpaid? Paid suppliers, who were obviously entering into a market transaction, were treating their bodies as a source of private property, and were acting as though they were selling a product. Unpaid suppliers, were seen as giving gifts, out of altruism, and keeping themselves out of a market."
...
"In law, we thus divide body products into two categories: those which we legally mandate as gifts only—all organs—and everything else, which can be gifted or sold, at the discretion of the supplier. Organs is defined broadly—bone marrow, for example, is an “organ.” This means that bone marrow, which can now be extracted from the blood in a procedure similar to the way blood plasma is harvested, cannot be sold by anyone. (Blood plasma is routinely sold, by the way.)
...
"I argue in the book that the simple pay-suppliers/don’t-pay-suppliers approach to thinking about body products, which resulted from the banking metaphor, needs to be replaced with more nuanced thinking. Should we treat different types of organs (hearts v. bone marrow) differently? Can we think about compensation schemes that are not free markets, but are managed to support the public goals of increasing body-product supply? Can those schemes protect suppliers and recipients alike by keeping suppliers safe from exploitation, and recipients safe from diseased products? I use history to suggest that the answers can sometimes be yes. Body products used to be routinely paid for, and doctors thought about these potential problems and addressed them. Over time, we have forgotten this past, and come to assume that buying body products is always dangerous and bad.

I like to remind people that lots of altruistic gestures are compensated—the doctors, and nurses, and everyone who works on a transplant operation are all in caring professions. They are doing those jobs because they want to help people (at least we hope and assume so). But we wouldn’t suggest that they shouldn’t be paid because to offer payment for such efforts would be insulting or immoral or cause their altruistic tendencies to be replaced by mercenary concerns.

Yet that is how we treat organ supply—that offering money would do all those bad things. Why should the supplier of a body product be the only person in that life-saving supply chain who is not compensated? People might choose not to be compensated, but if they want to be, and if more folks will act as suppliers with that incentive, why not?

To give a more specific historical example, let’s think about mothers’ milk stations in the 1930s. At that time, in most cities, such a station existed. It was established and supervised by a doctor or doctors, and its daily operations were run by nurses. Lactating women came to the station to express their breast milk and were paid by the ounce. Payment was used to ensure an adequate supply. The supply was used for sick and/or premature infants who lack a maternal source of milk."

**************
In the meantime, here's a news article published around the same time, from the business side:
More blood banks merging to cut costs--Officials cite need for new model

"The proposed merger of Green Tree’s Institute for Transfusion Medicine with Florida-based OneBlood is the latest in a series of blood bank consolidations nationally, symptomatic of lean times for hospitals as they try to cut costs and reduce transfusions.

The deal, announced July 25, would create one of the largest blood banks in the country, with combined revenues of $480 million, if it goes through. The two firms jointly distribute nearly 2 million units of blood annually, serving 313 hospitals in eight states.

Only the American Red Cross would collect and distribute more blood."