Category: Travel

My Conversation with Ezekiel Emanuel

Very much a fun one, here is the audio and transcript, here is part of the opening summary:

Do we overrate the importance of doctors? What’s the importance of IQ versus EQ in the practice of medicine? What are the prospect for venture capital in biotech? How should medical training be changed? Why does he think the conventional wisdom about a problem tends to be wrong? Would immortality be boring? What would happen if we let parents genetically engineer their kids?

Tyler questions Emanuel on these topics and more, including the smartest thing his parents did while raising him, whether we have right to medical self-defense, healthcare in low- versus high-trust institutions, and much more.

Here is one excerpt:

COWEN: How can we improve medical education?

EMANUEL: Cut it down. Make it shorter.

COWEN: Cut it down? Why does that make it better? Or does it just make it cheaper?

EMANUEL: No, I think it will make it better. So, we have a lot of memorization, a lot of . . . So, let’s go back to the start. The four years of medical school: two years of preclinical in the classroom learning about biochemistry, genetics, anatomy, microbiology; and the two years of clinical time in the hospital, on the wards.

That dates from 1910. We haven’t really updated it much, except in this one way: we’ve cut down the preclinical time because — less of it — and it changes so fast, by the time you learn it in medical school, get out as a doctor, it’s out of date, A; and B, it’s more or less irrelevant to managing most patients…

And then, by the way, in med school, spending your time in a hospital is not the future. The future of American medicine is out of the hospital. So we need more rotations, more experiences for students out of the hospital.

No med school has made that big shift, and those are the shifts that are going to have to happen over the next 15 or so years.


COWEN: Is there a right to medical self-defense that should override FDA bans on drugs and medical devices? I want to try something that’s not approved —

EMANUEL: No. I don’t like that.

COWEN: I’m saying it’s my body. But why don’t you like it?

EMANUEL: No, no, no, no, no, no, no, no, no, Tyler.


COWEN: Now, you’ve written a much-misunderstood article about how hard you would try yourself to live past the age of 75. Would not the suspense of world and national history always keep you wanting a bit more extra time?

So, say I’m 75. I’ve decided I agree with you, but the NBA Finals aren’t over yet. I want to see game seven. I want the Mueller report to come out. Isn’t there always something?

And then, it’s kind of intransitivity of indifference. Every day there’s something, and you just keep on hanging on, even if one accepts your arguments in the abstract. Can you talk me out of that?

EMANUEL: No, no, Tyler, I think you’re exactly right. That’s why people do hang on. It’s because . . . you know, so I talked to my father, who — he says, “Zeke, you’re absolutely right. I’ve become slower, physically slower, mentally slower. My life” . . . what ends up happening is your life cones down, and you begin to overvalue certain small things. Like the NBA Finals. Like what’s in the Mueller report.

We all know, from any cosmic standpoint — even not a cosmic standpoint, just a 2,000-foot standpoint — most of those things are not irrelevant. It’s really cool to know.

You often ask — and this happens to me all the time. I teach undergraduates. Pretty smart undergraduates. Very smart undergraduates. MBA students, nurses, doctors, right? They have no understanding of history. So, whoever finishes in the NBA Finals, in five years, people have forgotten.

Recommended, interesting throughout.

There is no great stagnation, refitted tuk-tuk edition

An Essex man has said he is “over the moon” after setting a new tuk-tuk land speed record, having purchased the three-wheeled Thai vehicle during a “boozy night on eBay”.

Over the course of two laps, Matt Everard reached a speed of 74.306mph (119.583km/h) after being set a target of 68.35mph (110km/h) by Guinness World Records.

Everard, 46, a freight firm boss from Billericay, drove the 1971 Bangkok taxi on Monday at the Elvington airfield in North Yorkshire, with his cousin, Russell Shearman, 49, as his backseat passenger.

Everard, a father of two, has spent more than £20,000 improving the vehicle after buying it from a seller in Bolton in 2017, saying he has worked on “every nut, bolt and bearing”.

Here is the full story, via Michelle Dawson.

My Conversation with Karl Ove Knausgaard

Here is the audio and transcript, this was one of my favorite Conversations. Here is the CWTeam summary:

Knausgård’s literary freedom paves the way for this conversation with Tyler, which starts with a discussion of mimesis and ends with an explanation of why we live in the world of Munch’s The Scream. Along the way there is much more, including what he learned from reading Ingmar Bergman’s workbooks, the worst thing about living in London, how having children increased his productivity, whether he sees himself in a pietistic tradition, thoughts on Bible stories, angels, Knut Hamsun, Elena Ferrante, the best short story (“Tlön, Uqbar, Orbis Tertius”), the best poet (Paul Celan), the best movie (Scenes from a Marriage), and what his punctual arrival says about his attachment to bourgeois values.

Here is one excerpt:

KNAUSGÅRD: You have this almost archetypical artist putting his art before his children, before his family, before everything. You have also Doris Lessing who did the same — abandoned her children to move to London to write.

I’ve been kind of confronted with that as a writer, and I think everyone does because writing is so time consuming and so demanding. When I got children, I had this idea that writing was a solitary thing. I could go out to small islands in the sea. I could go to lighthouses, live there, try to write in complete . . . be completely solitary and alone. When I got children, that was an obstruction for my writing, I thought.

But it wasn’t. It was the other way around. I’ve never written as much as I have after I got the children, after I started to write at home, after I kind of established writing in the middle of life. It was crawling with life everywhere. And what happened was that writing became less important. It became less precious. It became more ordinary. It became less religious or less sacred.

It became something ordinary, and that was incredibly important for me because that was eventually where I wanted to go — into the ordinary and mundane, even, and try to connect to what was going on in life. Life isn’t sacred. Life isn’t uplifted. It is ordinary and boring and all the things, we know.


COWEN: So many great Norwegian writers — Ibsen, Sigrid Undset, Knut Hamsun — there’s nationalism in their work. Yet today, liberals tend to think of nationalism as an unspeakable evil of sorts. How do we square this with the evolution of Norwegian writing?

And if one thinks of your own career, arguably it’s your extreme popularity in Norway at first that drove your later fame. What’s the connection of your own work to Norwegian nationalism? Are you the first non-nationalist great Norwegian writer? Is that plausible? Or is there some deeper connection?

KNAUSGÅRD: I think so much writing is done out of a feeling of not belonging. If you read Knut Hamsun, he was a Nazi. I mean, he was a full-blooded Nazi. We have to be honest about that.

COWEN: His best book might be his Nazi book, right? He wrote it when he was what, 90?


COWEN: On Overgrown Paths?


COWEN: To me, it’s much more interesting than the novels, which are a kind of artifice that hasn’t aged so well.


COWEN: But you read On Overgrown Paths, you feel like you’re there. It’s about self-deception.

KNAUSGÅRD: It’s true, it’s a wonderful book. But I think Hamsun’s theme, his subject, is rootlessness. In a very rooted society, in a rural society, in a family-orientated society like Norway has been — a small society — he was a very rootless, very urban writer.

He went to America, and he hated America, but he was America. He had that in him. He was there in the late 19th century, and he wrote a book about it, which is a terrible book, but still, he was there, and he had that modernity in him.

He never wrote about his parents. Never wrote about where he came from. All his characters just appear, and then something happens with them, but there’s no past. I found that incredibly intriguing just because he became the Nazi. He became the farmer. He became the one who sang the song about the growth. What do you call it? Markens Grøde.

COWEN: Growth of the Soil.


COWEN: Arnold Weinstein has a book on Nordic culture, and he argues that the sacrifice of the child is a recurring theme. It’s in Kierkegaard’s Fear and Trembling. It’s in a number of Ibsen plays, Bergman movies. Has that influenced you? Or are you a rejection of that? Are you like Edvard Munch, but with children, and that’s the big difference between you and Munch, the painter?

I told you we ask different questions.

KNAUSGÅRD: Yeah, yeah. You just said different. You didn’t say difficult.

Knausgaard showed up for the taping carrying a package of black bread, which he forgot to take with him when leaving.  So for the rest of the day, I enjoyed his black bread…

What is the chance we are being visited by space aliens?

That is the driving question behind my latest Bloomberg column, perhaps some of you can be talked up to one in a thousand.  Here is the opening bit:

For the last several years, the U.S. military has observed an increase in what it calls “unexplained aerial phenomena.” The rest of us may know them by their more common name — unidentified flying objects — and we should all strive, as the Navy is doing, to take these reports more seriously.

Sometimes, according to the Washington Post, well-trained military pilots “claimed to observe small spherical objects flying in formation. Others say they’ve seen white, Tic Tac-shaped vehicles. Aside from drones, all engines rely on burning fuel to generate power, but these vehicles all had no air intake, no wind and no exhaust.” They also appear to exceed all known aircraft in speed and have been described by a former deputy assistant secretary of defense as embodying a “truly radical technology.”

Meanwhile, Avi Loeb, chair of the Harvard astronomy department, recently suggested that a passing object in space, named Oumuamua, might be a lightsail from an advanced alien civilization, as evidenced by its apparently strange movements.

And this:

Also keep in mind the history of the New World before the European arrival and conquest. There were legends of fair-skinned visitors from abroad, perhaps stemming from the Vikings and their explorations, but one day this “alien contact” turned out to be very real indeed — through Columbus, Cortés and others. To be oblivious of another civilization for a long time, and then suddenly encounter it, is a common theme in human history. Perhaps this has not happened for the last time.

There is much more at the link.

Emergent Ventures, fourth cohort of award recipients

Kadeem and Savannah Noray, graduate students at Harvard, economics and HKS, general support and also to study how to identify undervalued, high potential K-12 students.

José Luis Ricón, for blogging and to develop further platforms for information dissemination. 

Arun Johnson, high school student in the Bay Area, to advance his work in physics, chemistry, nuclear fusion, and for general career development.

Thomas McCarthy, undergraduate at Dublin, Trinity College, travel grant to the Bay Area, and for his work on nuclear fusion and running start-up programs to cultivate young Irish entrepreneurs.

Natalya Naumenko, economist, incoming faculty at George Mason University, to study the long-term impact of nuclear explosions on health, and also more broadly to study the history of health in the Soviet Union and afterwards.  

Paul Novosad, with Sam Asher, assistant professor at Dartmouth, to enable the construction of a scalable platform for the integration and dissemination of socioeconomic data in India, ideally to cover every town and village, toward the end of informing actionable improvements.

Alexey Guzey, travel grant to the Bay Area, for blogging and internet writing, plus for working on systems for improving scientific patronage.

Dylan DelliSanti, to teach an economics class to prisoners, and also to explore how that activity might be done on a larger scale.

Neil Deshmukh, high school student in Pennsylvania, for general career support and also his work with apps to help Indian farmers identify crop disease and to help the blind interpret images.

Here is my previous post on the third cohort of winners, with links to the first and second cohorts.  Here is my post on the underlying philosophy behind Emergent Ventures.  You can apply here.

Is “the better car experience” the next big tech breakthrough?

That is the question I raise in my new Bloomberg column, here is one excerpt:

Another reality of the contemporary automobile is that Tesla has managed to rethink the entire design. The dashboard and interior are reconfigured, the drive is electric, software is far more prominent and integrated into the design, voice recognition operates many systems, and there are self-driving features, too. Whether or not you think Tesla as a company will succeed, its design work has shown how much room there is for improvement.

You might object that cars have numerous negative features — but that’s where there is much of the potential for major transformation. Cars cause a lot of air pollution, but electric cars (or maybe even hydrogen cars) are on their way, and they will lower noise pollution too, as hybrids already do.

Cars also create traffic congestion, but congestion pricing can ease this problem significantly, as it already has in Singapore. Congestion pricing used to be seen as politically impossible, but the Washington area recently instituted it for one major highway during rush hour. The toll is allowed to rise as high as $40, but on most days it is possible to drive to work for about $10 and home for well under $10, at speeds of at least 50 mph. Manhattan also will move to congestion pricing, for south of 60th Street in Midtown, and the practice will probably spread, both within New York and elsewhere, partly because many municipalities are strapped for cash. As for building new highways, transportation analyst Robert W. Poole Jr. argues in his new book that there is plenty of room for the private-sector toll concession model to grow, leading to more roads and easier commutes.

In other words, the two biggest problems with cars — pollution and traffic congestion — have gone from “impossible to solve” to the verge of manageability.

There is much more at the link, and here is the closer:

Right now there are about 281 million cars registered in the U.S., and they have pretty hefty price tags and demand many hours of time. The basic infrastructures and legal frameworks are already in place. So, despite the current obsessions with robots and gene editing, it should be evident that the biggest tangible changes from technology in the next 20 years are likely to come in a relatively mundane area of life — namely, life on the road.

Markets in everything those new service sector jobs

TITUSS BURGESS doesn’t like to travel and says he knows “zero” about South Africa, which would seem to make him an unlikely host for a 10-day tour of that nation, especially one that costs nearly $27,000 a head. But on a chill March night, the actor, best known for his role as Titus Andromedon on the Netflix series “Unbreakable Kimmy Schmidt,” patiently posed for selfies with travel journalists at a Manhattan wine bar to kick off Heritage Tours’ new Spotlight Series of trips. The company describes the tours as “immersive small-group experiences enhanced by the presence of expert personalities and influencers.”

…While Mr. MacMillan says that the hosts for his trips were chosen for their connection to the destinations, the link can seem tenuous. Courtney Reed, who played Princess Jasmine in Disney ’s “Aladdin” on Broadway will be hosting a trip to Spain focused on wine, fashion and food. She’s never been to Spain, but is “extra thrilled” about going. “I think my role is just to provide social ambience,” she said. “I’m a very easygoing person and I can create extra flair just having fun and appreciating our surroundings. I’m like a cheerleader….We’re going to have a blast!”

…Other travel companies are hitching their wagons to stars who don’t merely gild the travel experience, but add bona fide knowledge or expertise. “There’s only so much caviar and champagne you can give passengers, so we like to enrich their experience in an intelligent way,” said Barbara Muckermann, chief marketing officer of Silversea Cruises. The cruise line, which has at least one expert lecturer on each of its ships, invited nine artists, writers and other creative types including authors Paul Theroux, Pico Iyer and Saroo Brierley to make appearances during its 133-day World Cruise 2019. Besides giving lectures, each is contributing to a commemorative anthology that Silversea line is creating for the passengers.

There is more at the link, by Kevin Doyle at the WSJ, via the excellent Samir Varma.

My Conversation with Margaret Atwood

She requires no introduction, this conversation involved a bit of slapstick, so unlike many of the others it is better heard than read.  Here is the audio and transcript.  Here is the opening:

COWEN: Just to start with some basic questions about Canada, which you’ve written on for decades — what defines the Canadian sense of humor?

MARGARET ATWOOD: Wow. [laughs] What defines the Canadian sense of humor? I think it’s a bit Scottish.

COWEN: How so?

ATWOOD: Well, it’s kind of ironic. It depends on what part of Canada you’re in. I think the further west you go, the less of a sense of humor they have.


ATWOOD: But that’s just my own personal opinion. My family’s from Nova Scotia, so that’s as far east as you can get. And they go in for deadpan lying.


COWEN: In 1974, you wrote, “The Canadian sense of humor was often obsessed with the issue of being provincial versus being cosmopolitan.”


COWEN: You think that’s still true?

ATWOOD: Depends again. You know, Canada’s really big. In fact, there’s a song called “Canada’s Really Big.” You can find it on the internet. It’s by a group called the Arrogant Worms. That kind of sums up Canada right there for you.

The burden of the song is that all of these other countries have got all of these other things, but what Canada has is, it’s really big. It is, in fact, very big. Therefore, it’s very hard to say what is particularly Canadian. It’s a bit like the US. Which part of the US is the US? What is the most US thing —

COWEN: Maybe it’s Knoxville, Tennessee, right now. Right? The Southeast.

ATWOOD: You think?

COWEN: But it used to be Cleveland, Ohio.

ATWOOD: Did it?

COWEN: Center of manufacturing.

ATWOOD: When was that? [laughs] When was that?

COWEN: If you look at where the baseball teams are, you see what the US —

And from her:

ATWOOD: Yeah, so what is the most Canadian thing about Canada? The most Canadian thing about Canada is that when they ran a contest that went “Finish this sentence. As American as apple pie. As Canadian as blank,” the winning answer was “As Canadian as plausible under the circumstances.”

And a question from me:

COWEN: But you’ve spoken out in favor of the cultural exception being part of the NAFTA treaty that protects Canadian cultural industries. Is it strange to think that having more than half the [Toronto] population being foreign born is not a threat to Canadian culture, but that being able to buy a copy of the New York Times in Canada is a threat?

In addition to Canada, we talk about the Bible, Shakespeare, ghosts, her work habits, Afghanistan, academia, Peter the Great, writing for the future, H.G. Wells, her heretical feminism, and much much more.

Solve for the (tri-state) equilibrium

New York recently approved congestion pricing, a plan to make it more expensive to drive into the heart of Manhattan. Officials in New Jersey are enraged and have griped, half-jokingly, that it will cost less to travel to California than to cross the Hudson River.

And they are vowing revenge.

The mayor of Jersey City suggested that New Jerseyans should toll New Yorkers entering their state.

Here is more from Emma G. Fitzsimmons at the NYT.

The ferry subsidy culture that is New York City

One of the new routes Mr. de Blasio announced this year — between Coney Island and Wall Street — is projected to require a subsidy from the city of $24.75 for every passenger, according to a report from the Citizens Budget Commission, a nonpartisan, nonprofit civic organization.

The commission said that the average subsidy for each passenger in the system’s first year of operation was $10.73, far more than the $6.60 subsidy the de Blasio administration originally estimated.

…Although it would cost $27.50 per person to ride the ferry from Coney Island to Wall Street, according to the Citizens Budget Commission’s report, the estimated 1,100 commuters will only pay $2.75.

Those are some high costs for a boat that sits on the water…here is the full story by Patrick McGeehan (NYT).

My Conversation with Emily Wilson

She is a classics scholar and the translator of my favorite edition of Homer’s Odyssey, here is the audio and transcript.  Here is part of the CWT summary:

She and Tyler discuss these [translation] questions and more, including why Silicon Valley loves Stoicism, whether Plato made Socrates sound smarter than he was, the future of classics education, the effect of AI on translation, how to make academia more friendly to women, whether she’d choose to ‘overlive’, and the importance of having a big Ikea desk and a huge orange cat.

Here is one excerpt:

COWEN: Let’s jump right in on the Odyssey. I want you to explain the whole book to me, but let’s start small. Does Odysseus even want to return home?

WILSON: [laughs] He does as the poem starts. As the poem starts, he spent the last seven years on the island of a goddess called Calypso, originally, the poem implies, quite willingly. So, it seems as if he’s changed his mind about whether or not he wants to go home. But as the poem begins, he does want to get back home to Ithaca, to his wife, Penelope, and his son, Telemachus.

COWEN: Do you think he means it? Or is he just self-deceiving? Because he takes the detour into the underworld. He hangs around with Circe for many years. There’s a contrast with Menelaus, who acts as if he actually does want to get home. Who’s lying to whom in this story?

WILSON: Odysseus, of course, is lying all the time, so it’s very hard for the reader to get a firm grasp on what are his motives. Also, when he tells Calypso that he desperately wants to get back home, it’s very striking to me that he doesn’t give his motives. He says to Calypso, “You’re much more beautiful than my wife is, and you’ve promised to make me immortal. It’s a great offer, but I want to go home.” He doesn’t explain what is it that drives that desire to go home.

And you’re quite right: he makes many detours. He spends another year, quite willingly, with Circe, another goddess. So it seems as if he’s easily distractible from the quest, for sure.


COWEN: Should we consider electing politicians by lot today? Is it such a crazy idea?

WILSON: I think it’s a great idea.

COWEN: Great idea?

WILSON: Yes, yeah.


COWEN: Now, you have another well-known book. It’s called Seneca: A Life. On reading it, this is my reaction: why are the Stoics so hypocritical? Seneca spends his life sucking up to power. He’s very well off, extremely political, and possibly involved in murder plots, right?

WILSON: [laughs] Yes, that’s right. Yes.

COWEN: What is there about Stoicism? Marcus Aurelius is somewhat bloodthirsty, it seems. So, are the Stoics all just hypocrites, and they wrote this to cover over their wrongdoings? Or how should we think about the actual history of Stoicism?

WILSON: I see Seneca and Marcus Aurelius as very, very different characters. Marcus Aurelius was militaristic, bloodthirsty, and an expander of the Roman Empire. He was happy to slaughter many barbarians. He was fairly consistent about thinking that was a good idea, and also fairly consistent in associating his dream of culture and military imperialism with Stoic models of virtue.

Whereas Seneca was very much constantly unable to fully act out the ideals that he had. One of the reasons he’s so interesting as a writer is that he’s so precise in articulating what it means to have a very, very clear vision of the good life and to be completely unable to follow through on living the good life.

COWEN: But why would you accumulate so much wealth if you’re a true Stoic?

You can buy Emily’s translation of Homer here, and she is now working on doing The Iliad as well.

Do female board members matter?

Maybe less than you might think, at least once you adjust for geographic distance:

Recent literature has shown that gender diversity in the boardroom seems to influence key monitoring decisions of boards. In this paper, we examine whether the observed relation between gender diversity and board decisions is due to a confounding factor, namely, directors’ geographic distance from headquarters. Using data on residential addresses for over 4,000 directors of S&P 1500 firms, we document that female directors cluster in large metropolitan areas and tend to live much farther away from headquarters compared to their male counterparts. We also reexamine prior findings in the literature on how boardroom gender diversity affects key board decisions. We use data on direct airline flights between U.S. locations to carry out an instrumental variables approach that exploits plausibly exogenous variation in both gender diversity and geographic distance. The results show that the effects of boardroom gender diversity on CEO compensation and CEO dismissal decisions found in the prior literature largely disappear when we account for geographic distance. Overall, our results support the view that gender-diverse boards are “tougher monitors” not because of gender differences per se, but rather because they are more geographically remote from headquarters and hence more reliant on hard information such as stock prices. The findings thus suggest that board gender policies, such as quotas, could have unintended consequences for some firms.

Here is the paper by Zinat S. Alam, Mark A. Chen, Conrad S. Ciccotello, and Harley E. Ryan.  Via the excellent Kevin Lewis.