A bloody fool

Istvan Kantor has been banned from many of the finest museums for scrawling a large X in his own blood on the walls of the Museum of Modern Art in New York, the Ludwig Museum in Cologne, the National Gallery of Canada in Ottawa and other galleries. (NYTimes)

Thus it might not seem surprising that On March 10, Kantor found himself once again being escorted by several security guards at Canada’s National Gallery. Except this time, Kantor was being escorted into the building to receive the Governor General’s award in visual and media arts, one of the highest artistic awards in Canada. Along with the award came more than $12,000 in taxpayer funds.

Kantor’s other artistic achievements? “A video showing two performers slashing the throats of two cats and wearing their bleeding bodies as hats.” Also a peformance ensemble featuring fornicating file cabinets.

I try to keep an open mind about the avant-garde, really I do, but it’s this sort of nonsense that gives Jesse Helms a good name.

Acting white

When John McWhorter argued in Losing the Race: Self-Sabotage in Black America that aspects of African-American culture, such as anti-intellectualism, were debilitating and counter-productive he was accused by some of being a self-hating sellout. It’s going to be harder to take that line against Henry Louis Gates, distinguished scholar and chair of Harvard’s African and African American Studies Department.

At a recent talk in Washington to promote his new book, Behind the Color Line: Dialogues with African Americans, Gates had this to say:

I remember a poll where black kids were asked to list the things they considered ‘acting white. The top three things were: making straight A’s, speaking standard English and going to the Smithsonian. Now, if anybody had said anything like that when we were growing up in the ’50s, first, your mother would smack you upside the head and second, they’d check you into a mental institution.

Talking about the misogny, homophobia, and violence found in hip-hop culture Gates said:

What I’m trying to figure out is why our kids…embrace those modes of behavior as authentically black. It is killing our people. And it makes me sick….Our leaders are geniuses at jumping on white racism…when anti-black racism by anybody manifests itself, I’ll be right there pouncing on it, too. But unless we do the second, necessary, act of leadership, which is to critique pathological forms of behavior with any African American community, our people will be doomed, doomed to perpetuate the class divide…

Born to Sue?

Frank Sulloway’s Born to Rebel (BTR) was a smash hit when it was published in 1996. Sulloway’s thesis, that laterborns are born to rebel while first-borns are conformist defenders of the status quo, was initially greeted with some skepticism among experts who knew of an earlier review of the large literature on birth order that had found little evidence for an effect on personality. The thesis struck a cord with the public, however, and Sulloway seemed to have gathered so much data from so many different sources (including scientific revolutions, political revolutions, religious revolutions etc.) that with a few exceptions (such as the great Judith Harris) the book won over skeptics and carried the day. Michael Shermer, Mr. Skepticism himself, said, for example, that Born to Rebel was “the most rigorously scientific work of history every written.”

Two devastating studies of BTR, however, have just now been published in the September 2000 issue of Politics and the Life Sciences (alas this issue is not online, perhaps for reasons discussed below). After exhaustive efforts, the studies failed to replicate key results in BTR – that is the authors tried to replicate what Sulloway said he did, on the data that he said he used and they could not reproduce anything close to his results. Now, you may be asking, how it is that the September 2000 issue of PLS has only now been published? And therein lies a story.

When Politics and the Life Sciences decided to publish the initial critique of BTR by Frederic Townsend, after peer review by four referees, it invited Sulloway to respond along with a number of others in a roundtable format that they had used in previous debates. Sulloway was guaranteed ample room to respond to Townsend and was invited to submit his own names for roundtable participants. He initially agreed but shortly thereafter he wrote to Gary Johnson, the editor of the journal, threatening that if the critique were published he would sue both the journal and the editor personally for what he considered to be defamation. Even if the Townsend article were thoroughly revised he insisted to the editor that it would be “appropriate – indeed legally mandatory – for you to preface his article with an editorial forewarning that reads more or less as follows”:

It is not normally the policy of this journal to publish data that are known, in advance, to be actually or potentially in error, especially when such data are being used in an attack on another scholar. However, as editor of this journal, I have decided…to publish these erroneous data in their present form. Readers are warned, however, that none of Townsend’s empirical claims, or the conclusions based upon them, can be trusted with any degree of certainty. Townsend has also made other blatant errors of fact and interpretation that are now known to the editor and that seriously affect the credibility of this paper….

Of course, the editor refused this absurd request. Sulloway later wrote to the president of the editor’s university (with copies to the chair of the Board of Trustees and the university’s legal counsel), saying:

…I intend to file charges of misconduct against one of your faculty members, Gary R. Johnson….these allegations include, but are not necessarily limited to: defamation/libel, false light invasion of privacy, fraud, promissory estoppel, and breach of fiduciary duty…I will also be blowing the whistle by filing formal charges of scientific misconduct against Gary Johnson with the American Political Science Association, the Human Behavior and Evolution Society, members of Congress who have shown a concern about science fraud, and all other professional organizations with which Professor Johnson or his journal….are affiliated.

Bear in mind that Johnson is only the editor of the journal and not even the primary critic! Naturally, Sulloway’s threats delayed publication of the journal, as more referees were involved and revisions took place, but the worst was yet to come. The journal’s publisher refused to publish the debate unless the parties involved committed not to sue him, his printer, his distributor, the journal, or the association. Of course, Sulloway refused. The heroic Johnson and the association then decided to publish the journal on their own. As a result, the final publication, including Sulloway’s response, is nearly five years late.

All of this, and there is much more that I have not reported, is from Johnson’s shocking editorial explaining the long delay. Perhaps the most disturbing aspect of the whole ordeal is that our legal system, sometimes described as Russian Roulette, has gotten sufficiently capricious and arbitrary that Sulloway’s abusive legal threats were nearly successful. Johnson writes:

The virtual terror that Sulloway’s legal threats have prompted in some of those associated – directly or indirectly – with the events described in this editorial suggests to me that contemporary science must adapt to a changed socio-legal environment if the capacity for open dialogue and critical exchange that is the lifeblood of science and scholarship is to be protected. Scholars, scientists, and publishers cannot focus properly on what should be their principal concerns if the threat of catastrophic legal costs hangs over them and their organizations and journals.

How to market culture, Italian style

When all else fails, offer a discount:

The cover of the current issue of Poesia, an Italian poetry magazine, shows a caricature of Eugenio Montale, a Nobel laureate in literature, standing on a cloud next to a tall stack of books. The headline reads, “One million volumes.”

It is a reference to the special edition of Montale’s poetry distributed during February with some copies of the Milan newspaper Corriere della Sera, which has a daily circulation of 686,000. Though the book reached that number in part because it was a giveaway, experts were nonetheless impressed, as well as by the book offered as an option along with the newspaper the following Monday: poems by Pablo Neruda. That book cost readers 5.90 euros, or about $7.20, and it sold more than 250,000 copies. There’s more poetry where that came from. Corriere della Sera plans a series of 30 books featuring the works of great poets, one each Monday, and at a relatively low price…

The strategy has been so successful that today nearly every Italian paper on the newsstand sells at least one discounted product – a book, DVD, CD or videotape – at least one day a week. The sales have helped raise circulation modestly and have given an unexpected infusion of cash to newspapers.

In other words, give newspapers a high prestige gloss, to mobilize eyeballs for advertisers. Note that cheap advertising than subsidizes quality poetry. Here is some more on the economics:

Gruppo Editoriale L’Espresso, which publishes La Repubblica and the weekly L’Espresso, last month cited the editorial initiatives as a reason that its net profit rose 47 percent last year, to 67.8 million euros, or about $82.9 million. In 2003, the two newspapers sold 34 million books, 2 million DVD’s and 1.6 million compact disks at prices ranging from 4.90 to 12.90 euros. La Repubblica itself costs 1.20 euros at the newsstand; L’Espresso costs 2.80 euros. Cost-cutting and improvements in online operations also helped raise profit, the company said.

“We thought we were going to appeal to a niche market because Italians aren’t known as being great readers,” said a spokesman for Gruppo Editoriale L’Espresso, who said company policy required anonymity.

He said the publisher expected to break even by selling 50,000 copies in the first series, but that around 500,000 copies of each of 50 volumes of 20th-century masterpieces were sold.

“It was instead an incredible success,” he said, “and created a new phenomenon for the Italian market.”

La Repubblica is now selling a six-volume set of Italian poetry from the 13th century to the present. The paper has sold about 120,000 copies of each volume at 7.90 euros a book.

If the numbers are good for newspapers’ bottom lines, they have book publishers worried. Almost half of the 100 million books sold in Italy in both 2002 and 2003 were sold with newspapers and magazines at newspaper kiosks, according to the Italian Publishers Association.

“Newspapers are no longer just vehicles for information – they’ve become a distribution system,” said Federico Motta, president of the publishers association.

Newspapers have several advantages over traditional book publishers, he said, starting with a distribution network of around 40,000 newsstands throughout Italy.

Click here for the full story. Americans, in contrast, sell books at discount superstores, such as Wal-Mart. Or now you can buy digital music at Starbucks. Not to mention those Picassos

The bottom line: The sale of culture is increasingly about the best way to mobilize notice and attention. Over the next century, expect traditional cultural intermediaries to disappear or be radically transformed. When you buy art from a traditional gallery, sales and certification are bundled together in the same institution. As the division of labor increases, we should expect sales and certification to become separate functions, performed by separate groups of people. The reality is that coffee shops, newspaper stands, Wal-Marts, or whatever are now the institutions that hold our attention. They will become our new cultural suppliers.

Off-label drugs

Alex has written much about the importance of off-label uses for drugs, which are not generally restricted by the FDA. I came across the following in the 17 March 2004 Wall Street Journal, Marketplace section:

A high-price biotech drug, developed in the 1980s to treat a rare form of hemophilia, is fast becoming a blockbuster, with physicians around the world using it to stanch severe bleeding from car accidents, gunshot wounds and postsurgery hemorrhaging.

But here’s the rub: The drug, a human bloodclotting protein called NovoSeven that costs $5,000 a dose, hasn’t been approved by the Food and Drug Administration for such uses…Some doctors are hailing NovoSeven as a lifesaver, with word spreading about near-miraculous cures of dying patients. It’s the new wonder drug,” says Thomas Scalea, director of the shock trauma center at the University of Maryland Medical Center. He says the center has used the drug 80 times in three years, saving about 35 lives.

Not all doctors agree about the merits of the drug, and insurance companies will not reimburse drug usage for this purpose.

Question: Should the FDA have regulatory power over the off-label use of this drug to stop traumatic bleeding? If it had had such power, would any of these lives have been saved at all? In his paper, Alex asks the requisite follow-up question. If it is bad idea to give the FDA regulatory power over off-label uses why give it so much power over initial uses?

As things stand now, the FDA will not allow “human trials” of the drug in the laboratory, although real life trials occur in hospitals on a regular basis. Furthermore the company’s sales force cannot promote the drug for non-hemophilia uses and must wait for doctors to ask, noting that it employs 25 full-time people simply to handle the flood of inquiries.

Further comment by Alex is welcome. This is his bailiwick not mine, I just thought the example was especially striking. Here is some basic information about the drug, here is the company’s web site.

Further thoughts on artificial hearts

A number of people emailed me or blogged (eg. here and here) on my post, Artificial heart won’t save lives. The number of transplants is constrained by the number of donated organs thus the main effect of the artificial heart, which is just a temporary stop-gap, is to redistribute organs. The artificial heart makes some people better off at the expense of other people who are made worse off. No one challenged this conclusion but it seemed to make some people uncomfortable. Two arguments were raised in opposition, both of which are weak.

First, the heart does allow some people to live a little bit longer – this is a benefit, but a few weeks of life while chained to a big machine doesn’t seem like a big breakthrough to me. Second, the artificial heart could allow for better matching. Theoretically true, but there are already many more patients on the waiting list than there are hearts available so the opportunity for better matching is negligible. Consider, that for a given heart there are now 3500 people on the waiting list to choose from – how much better is the match going to be if we add a few more people to this list?

I am not against artificial hearts (some people say I have one!) perhaps one day the technology will improve enough so that someone on an artificial heart can be taken off the list, but the issue is comparative. Suppose that we put the funds gong into artificial hearts into programs to increase organ donation. One donated organ is say good for 10 years of extra life. Average time on the artificial heat is 77 days and it is not clear how many of these days represent extra days of live. Let’s say very charitably that 50 days are extra then this means that one real heart is worth 73 times as much as an artificial heart (10*365/50) and that is before adjusting for quality of life.

Artificial heart won’t save lives

An FDA panel announced today that they would support approval of a new artificial heart. NPR and other media suggested that the new heart, which is designed only for temporary use and is not portable, would save lives by extending survival time until a transplant became available. But even if the artificial heart performs exactly as designed and even if it prolongs the lives of those who receive it, it won’t save lives overall.

The mathematics is simple; there are approximately 2200 hearts donated for transplant every year (data here). That means we can save 2200 lives a year and no more. All the artificial heart can do, therefore, is change who gets saved. Some people who previously died will live long enough to receive a transplant but this means there will be one less heart available for someone else on the waiting list. The artificial heart will make the waiting list longer but it will not save lives.

The only way we can truly save lives is to increase the number of organ donors. As readers of Marginal Revolution will know I have suggested financial compensation and organ donor clubs as the only realistic solutions.

Markets even in things you can’t imagine anyone would want

Read about restaurants where you do your own cooking, and no this is not just Korean barbecue. In some places you cook your own steak, at least they still wash the dishes for you.

The same article offers us some sad news:

Last fall, when almost 100,000 of the “surveyors” who contribute to the Zagat dining guides nationwide were asked what “irritates” them the most about dining out, 74% said service; only 6% said food.

And no, it’s not because they’re all dining at Matsuhisa.

That being said, I don’t think poor taste is the only culprit here. Often we blame the person we can see — the waiter — more than the person we can’t see, namely the chef. Economists have long understood the distinction between the seen and the unseen, let us not forget that the fallacy applies to other contexts as well.

Why has Russian health collapsed?

The health care collapse in the former Soviet Union is old news, less well known is the contrast between Russia and Poland:

…another Slavic nation with a traditional affection for vodka — Poland — is experiencing one of the greatest improvements in health ever known. The difference tells a story of how democracy has transformed the center of Europe in the past 15 years — and how it has failed in Russia.

Start with the figures. In the early 1980s life expectancies in Soviet Russia and Communist Poland were roughly similar, and both were starting to get worse. Cancer and cardiovascular disease were beginning a rapid rise, in lock step with their prime causes: smoking and alcoholism.

Two decades later, Poland’s life expectancy for men, at 70, has risen by four years since the collapse of communism and now is more than 10 years longer than that of Russian men. In Poland, cardiovascular disease has fallen by 20 percent in a decade, while in Russia, it has risen by 25 percent. Sudden deaths from accidents and other external causes have fallen 19 percent in Poland, while in Russia the rate has soared to an unprecedented level. Poland’s rate of HIV infection is one of the lowest in Europe; Russia has one of the world’s highest rates of new infection.

Polish researcher Witold Zatonski has an explanation for this difference:

…he has boiled his answer down to a simple slogan: “Democracy is healthier.” “It’s the only way to explain what has happened,” he said during a recent visit to Washington. “It turns out that the free-market economy and a free political debate correlate directly with good health in Eastern and Central Europe.”

I was incredulous when I first read this, apparently I was not the only one:

That conclusion used to be doubted by some of Zatonski’s colleagues, both in Poland and in the West. After all, democracy brought Poland freedom for cigarette and alcohol advertising, Western brands, and a parliament presumably susceptible to special interests. Tobacco companies spent $100 million a year on marketing to Poles in the 1990s.

Remarkably, though, all that money and influence have been outweighed by the other products of a free society, especially independent civic organizations and media that promote knowledge and open debate about health issues.

It is well known from happiness surveys (see the work of Bruno Frey) that people are happier in democracies, so maybe there is a link to health as well, even after adjusting for income.

What about the comparative statics?

In addition to Poland, the Czech Republic, Hungary and other newly democratic states have recorded dramatic gains in health. But Ukraine and Belarus, which have followed Russia’s political course of far more restricted freedom, have seen their health measures decline. The Baltic states of Latvia, Lithuania and Estonia, which were once republics of the Soviet Union, at first shared Russia’s downward spiral; but since 1995, as they have built Western-style democracy, they have reversed the trend and now follow Poland’s path.

Here is a comprehensive paper with data and cross-country comparisons. From this excellent piece I learned the following:

1. Health in Belarus has continued to decline. Since Belarus has stayed largely communist, the country may serve as a possible control for where Soviet health was headed before communism fell.

2. In Russia, many of the biggest negative health changes have come for the 18-34 group, not for the elderly.

3. In the CIS countries, injuries and violence account for a quarter of all deaths about men aged 25-64; this is six times higher than the death rate from Western Europe.

4. Homicide and suicide rates in CIS countries exceed those for the West by about 20 times.

5. In Russia, deaths from all external causes correlate closely with deaths from alcohol poisoning.

6. Men of low educational background have been to most vulnerable to bad health.

7. Russian life expectancy has declined but it actually improved during the 1994-8 period and has moved with economic crises.

Here is some additional information on mortality trends in Eastern Europe, here is another related link. Zatonski has a longer essay, which I do not currently have access to.

The bottom line: Here is what I used to think: “I blamed the Russian health collapse on the loss of relative status for the elderly. While market reforms have increased aggregate wealth, this has been mostly for the young. Older people have lost their grip on power, and suffered psychologically through their loss of international relative status as well. They lost the will to live and died early.”

Here is what I now think: “Russian young and middle-aged men have found few useful institutional supports during the transition. They’ve gone crazy with drinking and violence.” That being said, I don’t think we have sorted out the relative importance of economic and political factors.

Is Congress becoming worse?

In fundamental ways that have gone largely unrecognized, Congress has become less vigilant, less proud and protective of its own prerogatives, and less important to the conduct of American government than at any time in decades. “Congress has abdicated much of its responsibility,” Nebraska Sen. Chuck Hagel said in a recent conversation. “It could become an adjunct to the executive branch.”

Hagel is no disaffected Democrat frustrated by the imperious GOP leadership. He is a conservative Republican admired by colleagues in both parties for his thoughtfulness and independence. He admits that he is atypical in his concern for Congress’s constitutional role as a check on, and a balance to, the presidency and the judiciary. “Congress is the only thing that stands in the way between essentially a modern-day democratic dictator and a president who is accountable to the people,” he says.

Throughout American history, the status and influence of the three branches of government, and particularly of the executive branch and Congress, have risen and fallen like great historical tides. For long periods, most dramatically in the last third of the 19th century, Congress was dominant. Arguably this was also true in the last quarter of the 20th century, after Congress brought an end to the Vietnam War and forced Richard M. Nixon from office. Even in the ’90s, Congress played a key role in replacing Reagan-era budget deficits with the large surpluses George W. Bush inherited when he became president in 2001.

But Congress’s influence has waned in the past few years, perhaps since the unpopular and unsuccessful effort to remove Bill Clinton from office in 1998-99. Though it occasionally resists an executive-branch proposal, Congress today rarely initiates its own policies. Few members speak up for the institutional interests of Congress. “The idea that they have an independent institutional responsibility, that the institution itself is bigger than the individuals or the parties, doesn’t occur to the bulk of [members] for a nanosecond,” said an exasperated Norman Ornstein of the American Enterprise Institute, a longtime student of Congress.

It occurs to Rep. David Obey of Wisconsin, the ranking Democrat on the House Appropriations Committee. He said that the House has given up the meaningful exercise of its powers by largely forfeiting its oversight role and abandoning all discipline on the federal budget. “Which means that this administration is essentially walking around with a free hand . . . . If the Congress is turned into a jellyfish, there are no checks and there are no balances.” Jellyfish isn’t a bad image for the backbone Congress has shown in recent times.

Read the whole story, which is instructive and stimulating throughout.

My take: The blogosphere reflects an obsession with “the Bush administration,” but the failings of Congress are essential to understanding the last few years.

Smart prostitute with heart of gold

Earlier Tyler reported that lying is more common over the phone than with email. Further evidence comes from a surprising source. In a letter to New Scientist magazine Yvette Astre writes:

I have found a similar difference between phones and email in my business.

I am a prostitute, and to get clients I advertise in the local newspaper. Normal practice is to provide a phone number as an initial point of contact. Using my cellphone was getting rather expensive, as was advertising several days a week. I also work as a volunteer for several non-profit community organisations, and there I found many people preferred emails to the phone or postal services. So I decided to try an email address instead.

The difference really surprised me. With my phone number, guys would sometimes make bookings then not turn up. Others sounded very creepy. However, using email I have had only two cancellations, and in both cases I was paid in full for the time they booked with me.

Then again, prostitutes who read New Scientist and volunteer at non-profits? Johns who pay for services not rendered? Was this letter phoned in or emailed?

Markets in everything, the ongoing saga

St. Francis Episcopal Church in Stamford, Conn., in a bid to fill empty pews, has introduced a monthly Sunday service for pet owners who wish to take their dogs and cats (and presumably birds, ferrets, and boa constrictors) to the altar to receive the host or a special benediction. Other houses of worship around the country, the paper noted, are also offering everything from pet-friendly services and prayers for the animals to pet funerals and “bark mitzvahs.”

Here is Kasha’s Bark Mitzvah. By the way, “All of Beth Shir Shalom’s Bark Mitzvahs are held in the parking lot, to avoid any “accidents” in the sanctuary.”

Here is a photo of the Episcopal version of a pet-friendly service (no fear of accidents, apparently; see also the attached comments, such as “It looks like that black dog in the picture has some sort of mind control over that old lady. It gives me the creeps.”). Here is the full story, add your own commentary, you don’t want to hear “My Take” on this one.

Make your TV a work of art

That’s right, put a digital copy of a masterpiece as a screensaver on your TV:

An expensive new digital television is big, beautiful, flat and can hang on the wall. Some might even consider the set a piece of art.

RGB Labs charges for subscriptions to images such as The Luncheon of the Boating Party by Pierre Auguste Renoir.

So why not display Picasso, Renoir, Monet and other masters on the screen itself?

Three companies have recently formed to help consumers do just that…

[One of them] Chandler’s company, Dream City, has acquired licensing rights to more than 1,000 pieces of art, including masterpieces from Cézanne, Van Gogh and Picasso. He sells them in $14.95, 30-piece collections as screensavers. A Web site offers step-by-step instructions on how to connect a PC to the TV and run a slide-show loop on your big screen.

The core idea came from Bill Gates:

Microsoft (MSFT) Chairman Bill Gates has displayed art on wall-mounted PC screens at his home for years. That’s where Chandler got the idea for Dream City.

He put a frame around a monitor hooked to an old PC, hung it on the wall and showed family photographs and art.

“At parties, people just stood there, mesmerized,” Chandler says. “I realized there was a business there.”

Here is the whole story, which includes a Renoir image on a big TV screen.

My take: The idea is a promising start, but I am repelled by the idea of copies of classic paintings in my living room. Looking at lower quality reproductions would depress me. It would also make me wonder why I cannot find anything more personal, more current, and more alive to enjoy. I am keener on the idea of art created especially for this medium, let’s hope that is forthcoming.

Addendum: Michael Giesbrecht writes: “You’re in luck, Tyler! Literally hundreds, if not thousands, of pieces of art, created especially for this medium, are taken to market each year, and have been for quite some time. Check out netflix.com. In the common vernacular, the medium is referred to as a “movie”. Many of them look great displayed on wall-mounted digital television screens.” You can put up a static image from these movies quite easily. I love Renoir but on my screen I want Blade Runner.