Sunday, January 23, 2011

Are We Still Discussing Health Care?

Well, yes, sorry.

This NPR piece on health care was interesting, relevant to a discussion we had recently. It's an interview with Atul Gawande on ways he radically lowered costs of a few systems by providing more comprehensive care to the biggest consumers of medical care in those groups.

Sometimes I go off about the huge RAND study, which showed that giving people free care can lead to greater costs without improved outcomes, except for in a few areas like heart health and optics. Well, there's a moment in the interview above where Atul Gawande essentially agrees that it's a bimodal* issue, but he adds mental health issues to the list where cheap substitutes (or skipping care) is really, really bad. He then notes that those are the areas where most expenditures are found (maybe not optics, but literal hearts and minds).

*ie, there's two clusters in the data. (Here, one overconsuming unnecessary care and another underconsuming necessary care. Gawande would argue that, by the numbers, the second group is a bigger worry.)

I still think we should partition our health care approaches by medical issue, but Gawande changed my mind in one important way: I feel much better about erring on the side of more care now.

My favorite NPR piece on health care is still from This American Life, on all the ways patients, doctors, insurers, drug companies and hospitals each make things worse in their own way. (Part Two)

And it's always important to note that medical bills cause two out of three bankruptcies. There's this common cycle where expensive consumers of health care have to miss large amounts of work. The incentives and the justification are there for the employer and insurance company to push this person out of work. The individual now has impossible bills and no job.

It's a fact that was common in the rhetoric of the bill, but wasn't directly addressed. Some costs are lowered and caps are used for consumers, but medical bankruptcy law remains essentially the same. It remains to be seen how this will turn out.

So, I'll confess I was against this bill because I wanted a more strict decoupling of employment and insurance, and more of an issue by issue solution. But now that it takes some steps that way, I'm strongly against repeal.

Repeal was recently debated at IQ²US, most of that audience agreed with me.

Saturday, March 13, 2010

From Groklaw, "An Explanation of Computation Theory for Lawyers"

Groklaw, "An Explanation of Computation Theory for Lawyers," from back in late 2009:

Consider the following list of statements.

* All software is data.
* All software is discovered and not invented.
* All software is abstract.
* All software is mathematics.

If my understanding of the US patent law is correct, whether or not any of these statements is true could determine whether or not software is patentable subject matter. The resolution of this issue has serious consequences to the computer electronics and software industries.

When you know computation theory, you know without a shred of a doubt that each of these statements states a fact that is grounded in well-established mathematics. If you don't know computation theory, these statements will probably look to you like debatable issues.

Tuesday, December 08, 2009

While Thinking About Climategate, Copenhagen

Freakonomics recently had a nice article on Climategate as a Rorshach test. Original coverage here. For the record, I originally read Climategate thinking, "One the one hand, a lot of academics have these sort of aggressive private conversations about their dissatisfaction with their data. On the other hand, the data really should have been released years ago if we're going to set global policies based on it."

Fossil fuels have undeniably bad side effects, but cheap energy means cheap everything. Not just luxury goods, but also cheap food on the table and cheap clothes on the backs of a ton of impoverished folks around the world. Research facilities, schools and hospitals all benefit from cheap power. Moves to reduce access to cheap energy will work like a consumption tax on everything. Consumption taxes are regressive, so ultimately higher energy prices end up as just another way to rape the poor.

Not only is cheap power good for the poor, it also has conservational benefits. We often substitute water for power and vice versa, reduced use of one necessarily means increased use of the other in agriculture and manufacturing. (See NYT journalist Charles Duhigg's work on water conservation for details).

So granting that fossil fuel consumption leads to terrible harms, reduced access to cheap energy leads to terrible harms as well.

There's a scene in Gore's film where he says that moving off carbon it's a question of rich people getting piles of gold or global annihilation. That's an unfair picture on both sides of the analysis, and it trivializes the problem.

But here's the part of the story that excites me. Solar, unlike any other power technology, responds to Moore's Law. As Ray Kurzweil points out, we are generating twice as much of our power from solar panels every couple years. While every other power generation technology is increasing linearly, or stalling out in competition with cheap-as-in-nearly-free coal, solar is doubling its deployment every two years. In a decade and a half, we can generate all the world's power through then super-high-density solar collectors. We're talking about collectors that are one hundred times as effective per square inch as current technology.

Even if the doubling doesn't continue, we have a finite amount of improvements to make in this technology before it will always be more efficient than coal.

So at Copenhagen, we can fight human nature and tell folks to stop using the cheap mountains of energy beneath their feet, and in so doing, punish the people who are worst off around the world. Or we can try to pour resources into hastening the day when we have ubiquitous cheap (as-in-unmetered) solar power for rich and poor alike.

I'm not a global warming skeptic, I'm just for option two.

Addendum:

The FT is discussing climate in advance of Copenhagen. Found here, or here (alternate link).

In it, Martin Wolf makes two arguments especially worth noting.

1) "[I]t is not enough to argue that the science is uncertain. Given the risks, we have to be quite sure the science is wrong before following the sceptics."

This is a bit like Pascal's Wager, so let's revisit Pascal's Mugger. Suppose I write Mr. Wolf a letter saying that I have uncovered new data which shows me a way to avoid global catastrophe, but I need $100 to do so. It's uncertain that I'm telling the truth, but the risks I outline are horrendous. We'll see if Mr. Wolf is willing to bear this small cost after performing the probability calculus.

This is not to say that carbon consumption has no risk, but we're now determining how aggressive our response should be, so we need concrete analysis and a concrete timeline. Must we radically deindustrialize tomorrow or face the destruction of the world? Or, as India recommends, can we put this whole thing off 40 years? If we take the most uncertain model simply because it has the most dire consequences, we will undoubtedly make the wrong decisions about how to proceed.

2) The World Bank suggests that costs of carbon reduction to the poor will be low.

Well, not exactly. The World Bank has pointed out that the poor consumer spends far less on power than the rich consumer. But the World Bank has also noted that poor consumers spend far higher percentages of their income on power.[PDF, p11] We should measure the impact to a consumer not in raw dollars, but in how much additional income must be diverted to overcome this new cost. I stand by my assessment that blanket increases in energy prices hurt the poor more than anyone else.

In principle, I agree with Mr. Wolf that with any abatement, "the cost should fall on the wealthy." But this is easier said than done. The factory and merchant who supply low cost clothing to the poor, might themselves not be poor. The research facility which designs and manufactures solar panels might itself not be poor. The hospital which admits poor patients might itself not be poor...

Also notable, Superfreakonomics has some climate coverage which has raised some eyebrows, you can find out more on their blog. Here's a post responding to criticisms, explaining how they came about.

Friday, October 09, 2009

Are Professional Sports Diseased or Dying?

The incomparable Wright Thompson (a fellow Mizzou alumnus), has a fascinating story on ticket prices and their effect on the social contract held between sports teams and their fans.

As a sports fan I agree with the general tone of the article. While owners and athletes quibble over who should be portrayed as the greediest, the fans are continually asked to pay more and more exorbitant prices. If fans unite in solidarity attempting to leverage demand against supply to drive down prices, owners can simply move the entire franchise to another attention starved city (see Oklahoma City, Oklahoma (NBA) or Jacksonville, FL (NFL)).

Tuesday, September 22, 2009

Breaking News: Boris Yeltsin was a Drunk

If there were any questions as to why relations with Russia have become noticeably more difficult since Bill Clinton left office, it could be the foreign policy of the Bush administration.

...Or it could be that Boris Yeltsin likes to walk around the U.S. in his underwear.

I guess we'll never know.

Wednesday, September 16, 2009

No Such Thing as "East Coast Bias"

One thing that is consistently brought up when critiquing the sports media is the concept of an 'East Coast Bias'. I've long held this to be less a stereotype and more of a truism. I have found today that this concept is false. Kind of. Deadspin (one of the most vitriolic websites in all of sports) had the writers of the now defunct FJM website on as guest editors. They enlightened me today with their deconstruction of multiple articles claiming the greatness of Derek Jeter (and his deservedness of the AL MVP ----- baseball, people).

It became clear to me (combined with the knowledge that the BBWAA gives writers in each city hosting a MLB franchise two votes) that an 'East Coast Bias' does not exist. In its place, there is merely a lack of rational, well-crafted sports writing on the East Coast.

At least in baseball.

Thursday, September 10, 2009

Newcastle United Football Club and Relegation

Following a team through relegation has its upside: you get to see your team win. Solid consolation.

Newcastle somehow got crushed by Leyton Orient in the preseason, but now that the league has started, they lead the table with 13 points (4-1-0).

UPDATE: ESPN360 offers a wide variety of live sports online, from Eurobasket to Australian Rugby. The Football League (the second highest league in the UK) is available, and access is free on college campuses. I can watch Cardiff City play Newcastle United Sunday morning legitimately and for free.

Whiteout

One of my favorite comics is released as a film tomorrow. It's called Whiteout. There aren't any tights.

Mercury News suggests it's among the worst films of all time.

The Orlando Sun doesn't have anything good to say either.

I liked the comic because Greg Rucka made the protagonist stunningly vulnerable. She is not some superhot action hero; it's not Charlie's Angels. She's a normal person doing a job. She does not come through the experience unscathed, emotionally nor physically. Her motivations are complex and feel realistic as she gets pulled into something a little over her head.

Apparently whatever was good in the comic was ditched for the film and replaced with a shower scene.

Sunday, September 06, 2009

Why The Webapp Model Has Already Won

Users might have mixed feelings about webapps vs. desktop apps, but developers do not.

Desktop apps, your men are already dead.

Friday, September 04, 2009

David Goldhill's Health Care Piece in the Atlantic

Ok, health care discussions are hitting overload, they are getting dull and wearing everyone out. But I always like a piece that takes a viewpoint outside of those most prominently discussed and argues that viewpoint carefully.

How American Health Care Killed My Father

I wouldn't say the article is controversial, it just argues that the health insurance industry creates perverse incentives, and discusses some reasons for that. It is interesting that this is widely acknowledged, yet not the target for reform.

Wednesday, September 02, 2009

People are Strange: Reason #2

A Bank of America branch manager in downtown Tampa Bay, Florida refused to cash a man's check because he would not submit a thumbprint (standard operating procedure for BoA).

The man was born with no arms.

Note: The worst part of the situation was the refusal by the bank's manager to admit wrongdoing. The extended article from the St. Petersburg Times notes the bank manager stating (paraphrased) "We offered him two alternatives to the thumbprint - open an account or bring your wife in".

Tuesday, September 01, 2009

Disney Buys Marvel

Well, Disney is buying Marvel.

The day Wolverine teams up with Mickey Mouse in a wacky crossover is coming.

Android Developer Fears Poverty, Loneliness

Larva Labs posted sales numbers for its apps, comparing the viability of the Android Marketplace with the iPhone App Store. Conclusion: Unlike the untold riches to be found in the App Store, the $60/day they get from Android is not helping them buy "that summer home."

First, it should be noted that Android only has 1/5th the market share of the iPhone, and it has been out for under a year (the iPhone was released in June of 2007). So all of these complaints should be taken with a grain of salt when looking forward. But even assuming this is a fair assessment of the long term...

1) $60/day might not let you retire, but as passive income off a simple JAVA game tossed out in a few weeks? It's nothing to sneeze at.

2) There are probably plenty of folks funneling money into overvalued apps in the iPhone App Store, but it isn't obvious to me why these sort of disposable games deserve a summer home's worth of compensation.

Larva Labs listed some shortcomings of the Android Marketplace contributing to their struggles. Among their concerns: it is hard for users to find pay apps, since there are so many highly rated free apps dominating the Android Marketplace.

This did not immediately strike me as a massive problem. If you are producing what others gladly produce for free, you should not expect extravagant returns. If highly rated free software is dominating the platform, wonderful. People who own Android-capable devices get entertained for free, and the fine minds at Larva Labs are suddenly available to address second rate problems of the world, like curing cancer.

Despite the clear advantages I see in this aspect of the Android Marketplace, the commenters remain overwhelmingly sympathetic to Larva Labs. One commenter echoed frustration with the Android Marketplace, because it was far too easy for users to receive a refund on his products. (The Android marketplace allows a 24 hour period after installing an app to completely remove it and request a refund.) So the Android store encourages devs to make apps people actually want to keep using, rather than novelties that will be used once. Here again I think a virtue is being mistaken for a flaw.

Larva Labs closes with a bit of a threat: "I’m sure Android will be on a lot of phones at some point in the future, whether it’ll be possible to target it profitably as a small developer I’m not sure."

If not, guess we'll have to tough it out with all those highly rated free apps. Maybe one of those will synthesize a tiny violin.

Monday, August 31, 2009

Wikipedia's Trustworthiness Mesaures Will Fail

Wikipedia is implementing a measure of trust, by highlighting recently edited content in bright colors.

I worry about all moves of Wikipedia to bake in reliability of content, because they all seem to degrade the key virtues of Wikipedia. However, I think this change is an especially bad idea.

This change gives vandals a new method of attack. Suppose you cannot get your text into the article, because your viewpoint on 9/11, the holocaust, or the moon landing is too... exotic. Under this change, even if you can't get your views into the article, you can flag the mainstream view as unreliable. You can simply replace text periodically with anonymous duplicates, rendering an entire long standing article suddenly unreliable.

The highlighting might also provide a target for unreliable edits. It's hard to say how it will play out, but any push on editing is ill advised. Either the bright orange signal of untrustworthiness will cry out to readers for perpetual conflicting edits. Or maybe the ecosystem will push the other way, and users will see a far greater need to edit long standing "reliable" text which provokes minor quibbles.

The game theory analysis of Wikipedia as it stands is very good. Opposing editors stand roughly in equipoise, with little ability to set their position in stone without external review. When there is a skirmish over the facts, an appeals process is instituted, and a record of that process is kept with the article. These disputes on the vast majority of articles are settled over time with a rigorous appeal to uninterested third parties and external evidence. A few major articles become perennial targets for debate, but those articles get certain levels of protection and greater scrutiny by established editors.

This new method gives more power to minor editors. It allows either side, even if it cannot win the battle of text, to permanently mark any content unreliable. The rules of the game are counterintuitively being shifted in favor of the vandals.

Mostly, I distrust moves to bake in reliability because they cater to a vocal group who do not now and never will use Wikipedia. Anyone who actually uses the site on a day to day basis intuitively understands when content is reliable and not, through a quick glance at history or the size and scope of the article. Independent reviews of the quality of Wikipedia find it comparable to the quality of Britannica. The stylistic problems of Wikipedia, which I've noted before, are far more prominent to anyone remotely acquainted with the service. Changes like this, insofar as they are an attempt to appease Wikipedia's critics, will inevitably fail. Unlike an article on Wikipedia, the opinions of these critics are not open to revision.

Friday, August 21, 2009

Town Hall Anger Has Not Subsided

The Kansas City Star has an excellent piece on the possible roots of the anger directed at health care reform. The thrust of the story focuses on the fact that despite government's best intentions, many Americans lives have gotten worse - and because of this there is an ever growing distrust of government and belief that government does not solve people's problems effectively. This is highlighted by stories of flaws with the 'Cash for Clunkers' program, falling approval ratings for Obama, and perceptions that Wall Street benefited more than Main Street (see - Bailout; banking and auto industries).

Thursday, August 13, 2009

Smartphone text input: Radial Menu?

I wonder if texting via some sort of radial menu would be faster than the teeny QWERTYs on smart phones.

I'm thinking of something like this:



You'd navigate the wheel with your thumb. The top menu is on top of the image, two submenus are displayed below, they would activate as soon as you made the first part of the gesture.*

It may be counterintuitive to dream of replacing one press with a few swipes, but I'm thinking Fitt's Law might make the radial menu faster than thumb typing on tiny keys.

* Maybe it'd be preferable to have you confirm the gesture by returning your thumb back to the center of the radial, I'm not sure. In the first method, a "k" would be typed by dragging your thumb down on the text area, then pushing it straight up again. In the second method (the "confirmation" version of the radial menu), a "k" would be "down-(center)-up-center". The "confirmation" method could highlight the part of the radial currently selected, to give better user feedback, and it would be better for smaller touchpad areas.

It might also be faster to organize the keys by frequency, so instead of "A-E" you'd have "ETAON"

Free trade ruling a win for free speech in China?

The free trade infrastructure is currently the best framework to ensure other states actually comply with international standards on certain issues. The offenses are complaint driven, and there are clear penalties for violations.

Now we see the free trade framework from the GATT and WTO extended to cover free speech in China, by forcing it to allow certain books and publications (and CDs/DVDs) into the country.

My fantasy: bureaucratic sprawl extends the jurisdiction of the WTO to cover human rights abuses as well, and maybe international aggression, or "having crazy dictators".

Wednesday, August 12, 2009

Meghan McCain vs. The Far Right

Meghan McCain is feuding with Coulter and Malkin.

Malkin said that Meghan McCain should just get it over with and leave the Republican party.

Ordinarily, I wouldn't think anyone would care. But this raises an interesting question. What would a split in the Republican Party look like?

The first view that springs to mind is that a moderate Republican party would just split the base of the right, leaving it powerless, giving total control to the Democrats.

I don't think this is accurate.

A moderate Republican party (or moderate Democratic party) would pull some people from the original party, but would also pull a number of people across the aisle from the other party. It would become very attractive to those sick of political hyperboles, and it would be very attractive to the conflicted moderates who make up the bulk of the electorate.

The moderate party might gain immense power in its ability to exchange votes on key issues with either other party. They could temporarily trade factional alliance at any time to give either party the majority, becoming the all important swing vote in US politics.

There would be obstacles, sure. New parties are magnets for fail. But if a few high profile individuals made the move, it might gain credibility and momentum.

Another worry is that the right-left axis isn't really a linear spectrum. Meghan McCain's position on homosexuality is in some ways more liberal than Obama's. Once you stake out your moderate viewpoint by hammering out specifics issue by issue, you probably no longer look moderate, but look like a hodgepodge of positions that give everyone something to be upset about. But hey, that's how the two parties we have work now, I think that limitation could be overcome.

At the end of the day, I think Malkin's correct. Meghan McCain should leave the party to support a small government party that's socially liberal and fiscally restrained. Only then would Coulter and Malkin realize how isolated and extreme their views have become.

Sunday, August 09, 2009

Banning Laptops from Coffee Shops?

Wall Street Journal has a story, picked up by Chris Matyszczyk at cnet, about coffee shops discouraging laptop use.

Could these trends ever become widespread?

The economics here are the same as air conditioning, free parking, or the IKEA ferry, or any other service extended for free to intice patrons. A business provides free parking to encourage patrons to buy their primary goods. There are some differences, wifi has a more regular cost of upkeep, for one, but even parking lots will require periodic service and repair given time. Each one provides a benefit that will be attractive to customers not really interested in buying your products, but just interested in the service.

So long as the business attracted exceeds the cost of upkeep, you'll want to keep paying for the service. It will run into adverse selection problems. You have three options:
1) keep the service open, knowing that the business you attract outstrips its cost, despite free riders
2) ditch the service
3) try to exclude the free riders ("these spaces reserved for customers only" signs, limited access to the internet or regulations about staying with laptops during peak hours)

None of these solutions is clearly the best for all situations. The value of each approach is dependent upon a number of variables (how much business is attracted, how much you might alienate potential customers by attacking free riders, how much the cost scales with greater use...). Even from cafe to cafe, these factors will vary.

So I don't see one approach, like banning laptops, becoming the universal response in all cafes, without some big shift in the fundamental economics.