Category: Law
No Pain Relief for Tort Sufferers
James Hamilton takes a look at one of the key studies on Vioxx and heart attacks. He is not greatly impressed.
I took a look at one of the studies on which the decision was
justified, written by Dr. David Graham and co-authors and published in Lancet
in February. This study looked at 8,143 Kaiser Permanente patients who
had suffered a heart attack and had also at some point taken a
nonsteroidal anti-inflammatory drug (NSAID), of which Vioxx (rofecoxib)
is one. Of these patients, 68 were taking rofecoxib while 4,658 were
receiving no medication at the time of their heart attack, a ratio of
(68/4658) = 1.46%. For comparison, the study looked at 31,496 other
patients who had also at some point taken an NSAID, matched for
characteristics like age and gender with the first group, but who
didn’t have a heart attack. The ratio of rofecoxib users to those with
no current medication was slightly lower (1.05%) in this second group,
which one might summarize as a (1.46/1.05) = 1.39-fold increase risk of
heart attack from taking rofecoxib compared to no NSAID. Is that
statistically significant, in other words, can you rule out that you’d
see a difference of that size just by chance? Yes, the study claimed,
but just barely.On the other hand, this was not a controlled experiment, in which
you give the rofecoxib randomly to some patients and not others in
order to see what happens. Rather, something about either these
patients or their doctors led some of them to be using rofecoxib and
others not. Dr. Graham and co-authors looked at a variety of indicators
that suggested that the rofecoxib patients already had slightly
elevated risk factors for coronary heart disease. Once they controlled
for these with a logistic regression, their study found an elevated
risk factor of heart attack for rofecoxib takers of 1.34, which was not
statistically significantly distinguishable from 1.0.The strongest evidence from this study was a claimed dose-effect
relation. Of these 68 rofecoxib-using heart-attack patients, 10 of them
were taking doses above 25 mg per day. Only 8 patients in the much
larger control group were taking so high a dose, implying an elevated
risk factor of 5 to 1 for high-dose patients. Again observable risk
factors could explain some of this, with the conditional logistic
regression analysis bringing the implied drug-induced risk down to 3 to
1. According to the study, this elevated risk factor was still
statistically significant, even though the inference is based on the
experience of just 10 patients.The obvious question here is whether in fact the authors were able
to observe all the relevant risk factors. The study openly acknowledged
that it did not, missing such important information as smoking and
family history of myocardial infarction.…[E]ven if
there actually is an elevated risk of the magnitude the studies suggest
but can’t prove, the question is whether I might want to accept a 1 in 4,000 risk of dying from a heart attack in order to get the only medication timt makes my pain bearable and a mobile life livable. And if I say no to the Vioxx, I may end up taking something that is less effective for my pain but has risks of its own.…. How did we arrive at a
system in which 12 random Texans are assigned responsibility for
evaluating the scientific merits of statistical evidence of this type,
weighing the costs and benefits, and potentially sending a productive blue-chip American company into bankruptcy protection?
See also my op-ed Bringing the Consumer Revolution to the FDA.
The Virtues of Judicial Independence
I worry when conservatives rail against out-of-control judges. Who else but an independent judge can smack-down out-of-control bureaucrats and politicians like this?
Evil Kelo
The Kelo v. New London eminent domain case started five years ago when New London condemned a number of buildings, including the lifelong home of one 87 year old resident. The residents took the case to court and, of course, lost. Now get this. The city is claiming that since the original seizure was legal the residents have been living on city property for five years and thus owe back rent.
Namesake Susette Kelo, who owns a single-family house with her husband,
learned she would owe in the ballpark of 57 grand. "I’d leave here
broke," says Kelo. "I wouldn’t have a home or any money to get one. I
could probably get a large-size refrigerator box and live under the
bridge."
Thanks to David Theroux for the pointer.
Accident compensation in New Zealand
Get this:
New Zealand has a comprehensive no-fault insurance scheme administered by the Accident Compensation Commission (ACC). The scheme applies to all injuries incurred in New Zealand regardless of the injured person’s country of residence. Under the ACC scheme it is generally not possible to sue for damages due to an accident. To pay for the ACC scheme, levies are payable by all New Zealand resident employers, employees and self-employed contractors.
In other words, instead of being able to sue another party, you get a piddly payment from the government. Here is material on the history of ACC. Here are more details, along with accident statistics. You can buy a law review issue on ACC. Here is one criticism of ACC, from a market-oriented point of view. It is, after all, government monopolization of the accident insurance market. On the other hand, it keeps down lawyers’ salaries.
Here is further information on the safety of bungee jumping.
Addendum: Libertarians who hold great faith in market mechanisms of reputation might favor this system over strict liability. Consumers could still patronize a high-reputation, high safety bungee-jumping firm, if they wished to, thereby replicating strict liability outcomes. But other consumers could opt for the "I don’t mind not being able to sue you, anyway I know you otherwise wouldn’t exist and I love risk" kind of ride. Of course this split will work better for contractual relations than for road accidents.
New Zealand regulations which no longer exist
1. Horses and cows could not mate within sight of public roads (this remained on the books until 1950)
2. Until the mid-1970s, you could not buy margarine without a doctor’s prescription.
3. Nabokov’s Lolita was banned.
4. School milk was free, but you had to drink it.
Those are from James Belich’s insightful Paradise Reforged: A History of the New Zealanders from the 1880s to the Year 2000. Today, of course, New Zealand is one of the least heavily regulated OECD countries.
In Defense of Mercenaries
The Gurkhas have been active in the British military since 1817 but they are not British citizens they are Nepalese hired by the British. In recent years the Gurkha brigades have served in the Falklands, Kosovo, Afghanistan and now Iraq. The Indian army and Singaporean police force also hire many Gurkhas.
The Gurkhas are unusual but not unique. The United Arab Emirates, where Tyler is now, relies almost exclusively on mercenaries. The French Foreign Legion continues to attract a small number of mercenaries from around the world. During the Vietnam war the United States paid the South Korean, Philippine and Thai governments for the use of troops – these were mercenaries paid by proxy.
Should we hire more mercenaries today? Our military already has hired more than thirty thousand non-citizens. Why not bypass residency entirely and go straight to Mexico, India and elsewhere to hire soldiers? If outsourcing is good for US firms then surely it is good for the US government.
Outsourcing the military has a number of advantages. The supply of labor is nearly limitless and the price is low. Some people will object that quality is low too but if Indians can be trained to do US tax returns they can be trained to fight US wars.
One reason the Gurkhas are among the most highly regarded troops in the world is that the entrance exam is extremely difficult – only 1 in 30 applicants makes the cut. The British can pick and choose because wages are high relative to the next best alternative (the Indian army picks up many of the British rejects). Meanwhile, we are so desperate for troops in the United States that we are forcing old men and women, people who haven’t seen active duty in forty years, back into service. At US wage rates we could easily hire many thousands of Mexicans. Many Mexican noncitizens are already
serving honorably in the US military so there is no reason for quality to decline.
Mercenarism may seem unusual today but in the 18th century a typical European army contained 20-30 percent
foreign troops – mercenarism was the norm. It’s hard to see how the United States has a comparative advantage in military labor so the future may resemble the past more than it does the present.
Comments are open.
Wikipedia on Roberts
Here is a detailed biographical and intellectual profile (his wife it seems was in a feminist pro-life group), thanks to the interesting atlblogs.com for the pointer. This same blog tells us Eminem may be bowing out as a rapper…
John Roberts
A Googling of "Judge John Roberts economics" turns up little real, his paper trail is thin. Here are the useful Scotus links. The very smart Juan Non-Volokh likes him. He is a member of The Federalist Society. The Washington Post reports:
On the D.C. Circuit, Roberts voted with two colleagues to uphold the arrest and detention of a 12-year-old girl for eating french fries on a Metro train, though his opinion noted, "No one is very happy about the events that led to this litigation." In another case, Roberts wrote a dissenting opinion that suggested Congress might lack the constitutional power to regulate the treatment of a certain species of wildlife.
And Tradesports.com nailed it one hour in advance, read more here.
Social Morass
I am lecturing this week in Liberia on the importance of economic institutions that foster growth. I’ll talk about property rights, free trade, monetary stability, etc. However, there is a significant issue that Liberia (and most developing nations) need to overcome before these institutions can be effective: corruption.
In Liberia, there seems to be no stigma attached to bribe solicitation, even of the most heinous variety. For example, customs agents at Roberts International Airport showed no shame whatsoever in extorting bribes from us upon our arrival into Liberia last year. I explained to the agent that our (legal) cache of baby formula and Pepto-Bismol was for orphaned children, and that it had the potential to save the lives of children. I did this in a loud voice, in broad daylight, with many onlookers. The (male and female) agents were absolutely unfazed by any potential embarrassment. This was truly shocking to me.
Without any moral stigma attached to corruption, it will be nearly impossible to achieve any real economic growth. In addition, the incentives for creative and intelligent individuals are to vie for government employment. The ones that are particularly good will move up from $20 airport bribes to lobbying for international aid.
An Eminent Domain Case that I Favor
If rich, powerful people were subject to eminent domain I think the Kelo decision would have been decided differently. Logan Clements has a good idea for a new hotel project.
Monday, June 27, 2005
Mr. Chip Meany
Code Enforcement Officer
Town
of Weare, New Hampshire
Fax 603-529-4554Dear Mr. Meany,
I
am proposing to build a hotel at 34 Cilley Hill Road in the Town of Weare. I
would like to know the process your town has for allowing such a
development.Although this property is owned by an individual, David H. Souter, a recent
Supreme Court decision, "Kelo vs. City of New London" clears the way for this
land to be taken by the Government of Weare through eminent domain and given to
my LLC for the purposes of building a hotel. The justification for such an
eminent domain action is that our hotel will better serve the public interest as
it will bring in economic development and higher tax revenue to Weare.As
I understand it your town has five people serving on the Board of Selectmen.
Therefore, since it will require only three people to vote in favor of the use
of eminent domain I am quite confident that this hotel development is a viable
project. I am currently seeking investors and hotel plans from an architect.
Please let me know the proper steps to follow to proceed in accordance with the
law in your town.Thank you.
Sincerely,
Logan Darrow
Clements
Freestar Media, LLC
Addendum: The hotel is to be called the Lost Liberty Hotel. You can pledge to stay at the hotel if it is built, thereby demonstrating its public value, at Pledge Bank which uses assurance contracts to overcome prisoner’s dilemma problems. Thanks to Travis Corcoran for the link and starting the pledge.
The Grokster decision won’t much affect illegal file-sharing
Yes it might stifle technological innovation, but it won’t stop or perhaps even diminish illegal file-sharing. You might recall that the major file-sharing service KaZaA is missing from the suit, as it falls under Australian law. Yes there is a suit in Australia but what matters in the longer run is the strength of the most permissive international ruling. Our Supreme Court is unlikely to fit that bill.
Reason.com adds more. David Post has a detailed analysis of the case.
Why economists should feel conflicted about the Grokster ruling
…it is difficult to judge how a given level of illegal downloads will affect economic efficiency. First, the quantity of music sold in a given year is not a very accurate indicator of how much value consumers receive from music. Fans commonly experiment by buying a number of CDs, only a few of which pay off and become favorites. Many or most of the products bought are quickly regarded as disappointments and discarded; in this regard the market for CDs differs from the market for refrigerators. Whether consumers like what they bought is at least as important as the absolute size of the industry.
The Internet already helps music companies track fan demands. When fans sample on-line music, usually they can figure out whether or not they would like the entire CD. Many of these fans still buy the CD, to get better sound, to have the music in more convenient form, to receive the packaging, and so on, as discussed above. These fans usually will be happy with their purchases. As a result, it will be harder for the music companies to issue low quality CDs. Of course this tighter monitoring of quality may cause the number of new issues to decline. In nominal terms the industry will shrink, but at the same time it may produce more real value for consumers. For this reason, a shrinking music industry, as measured in terms of either dollars or new releases, can be desirable from an economic point of view.
Evaluating the efficiency consequences of illegal downloads is difficult for a more fundamental reason. Most generally, we do not understand the demand for music very well. We do not understand what most fans want from their music. Just as book buyers are not always readers, the music market is not always about the tunes. Sometimes it is about symbolic values.
It is a mystery why fans spend almost all of their music money on product of very recent vintage. Until we untangle this puzzle, and we have not yet, we will not understand how Internet music is likely to affect consumer welfare.
Most consumers are not interested in buying much music from 1950, regardless of its objective quality in the eyes of the critic. Music from 1650 is even less popular. Few people search the history of music for “the best recordings” and focus their buying on those. Rather, in any given year the most recent recordings dominate the charts. At a typical moment, all of the Billboard Top 40 singles, or albums, come from the last two years of recorded output. Every now and then there is a Beatles revival, but such events are the exception rather than the rule. Consumers evince an overwhelming preference for music produced in the very recent past.
Most likely the music market is about more than simply buying “good music,” as a critic might understand that term. People buy music to signal their hipness, to participate in current trends, or to distinguish themselves from previous generations. Buyers use music to signal their social standing, whether this consists of going to the opera or listening to heavy metal. Others value partaking in novelty per se. They find newness exciting, a way of following the course of fashion, and the music market offers one handy arena for this pursuit. For some people music is an excuse to go out and mix with others, a coordination point for dancing, staying up late, drinking, or a singles scene. Along these lines, many fans seem to enjoy musical promotions, hype, and advertising as ends in themselves, and not merely as means to hearing music. They like being part of the “next big thing.” The accompanying music cannot be so bad to their ears as to offend them, but the deftness of the harmonic triads is not their primary concern.
In other words, the features of the market that matter to the critic may not be very special to consumers at all. Most of all, consumers seem to care about some feature of newness and trendiness, more than they care about music per se. So how much does it matter, from a consumer’s point of view, if weaker copyright protection reshapes the world of music?
Under one hypothesis, the specific musics of our day are easily replaced, or in economic terminology, highly substitutable. All other things equal, people will buy the new, but they could get along with alternatives almost as well. For instance perhaps “ravers” could use Gregorian chants to define their cultural status. Indeed one chant CD (“Chant”) had a very long and successful chart run. Young rave and techno fans were among the largest buyers of this recording.
Or perhaps half the supply of music could do almost as good a job of supplying symbolic goods, especially if music companies can track fan demand with greater facility. Alternatively, individuals could rely more heavily on alternative means, such as fashion, to signal their social standing and participate in trends. These points are all speculations, but they show the difficult of pinning down what music fans really care about.
Consider two further examples. First, in the former Soviet Union, dissident rock and roll bands performed many popular culture functions and commanded a fervent following. These bands fell short of the objective critical quality of their Western counterparts. Still they provided consumers with many useful services, including a means to signal rebellion against the Soviet state. Second, in 1941, the major radio stations refused to carry the catalog of the music publisher ASCAP, in a dispute over fees. At that time ASCAP, the leading music publisher and clearinghouse in the United States, dominated the music market. The stations instead played BMI music, which was more oriented towards rhythm and blues and offered less Tin Pan Alley, crooning, and big band. Radio listeners seemed to take the sudden change in stride; there is little evidence of a serious problem. Music fans continued pretty much as before, except for the change in styles and associated music publishers.
For whatever reason, most consumers find it harder to reorient their attention towards older musics. Perhaps only new music allows for effective signaling and sorting. When music is new, individuals can show that they are connected to current modes of thinking and feeling. Not everyone can know “what is in,” because “what is in” is changing so frequently. That very fact makes it worthwhile for consumers to put effort into following the new. The music market might therefore churn product to help people communicate their identities to others, and to help people play an ongoing dynamic game of clues and cues. Furthermore previous generations already have claimed older musics, making them less well suited for social differentiation. Perhaps musical taste is a game of secession and repudiation more than anything else.
So the music of Chuck Berry “no longer fits” the world of 2005, and cannot be made to fit it. Critics still love the music, and some niche consumers will be drawn to its merits, but it can never hold the current place of Britney Spears. That is why hit reissues are rare. It is not because consumers still remember the older musics. Rather most consumers do not care about them very much. It thus appears that the value of popular music, to most consumers, consists of some temporally specific tracking quality. This may involve an ability to follow, correspond to, or perhaps even shape the spirit of the times. Rejection of the previous Zeitgeist may be part of this same process. For consumers, this tracking quality is a significant part of the value of music. The music industry is delivering the goods when its product performs this tracking function, and otherwise not. The Internet helps music perform tracking functions of this kind.
The bottom line: The welfare economics of music do not resemble those of bread or buttons. Right now we do not even know whether music is being oversupplied or undersupplied, relative to an optimum. Beware of any analysis of this case which does not consider these deeper underlying issues.
Supreme Court rules Grokster can be sued
Here is a tiny squiggle of information. Here is more information, the case is now headed back to a lower court. This seems to be the bottom line:
…in Monday’s ruling, Souter said lower courts could find the file-sharing services responsible by examining factors such as how companies marketed the product or whether they took easily available steps to reduce infringing uses. "There is substantial evidence in MGM’s favor on all elements of inducement," Souter wrote.
This legal analysis suggests the Court in fact upheld the Sony doctrine. Matt Yglesias makes some good points, see David Post as well. Here is a good argument that the ruling places a big tax on the marketing departments of technology companies.
No, I cannot be a pure utilitarian…
This is just awful:
The Supreme Court on Thursday ruled that local governments may seize people’s homes and businesses — even against their will — for private economic development.
As a result, cities have wide power to bulldoze residences for projects such as shopping malls and hotel complexes to generate tax revenue.
Read more here.
Deterrence
I am in Michigan today speaking to a large group of judges on criminal
deterrence. It should be a fun talk, judges are good listeners (or at
least they are good at pretending to listen) but I did have a dream
last night in which hundreds of judges were banging their gavels
shouting at me "guilty, guilty, guilty." Damn conscience.
Coinidentally, some of my work on crime was featured in the latest Economic Scene
column in the NYTimes (thanks Virginia!). Here is my powerpoint presentation for the judges which surveys some of the new literature on
crime and deterrence (the notes page in the powerpoint provides some
references and calculations).