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August 31, 2006

Don't Change That Number
Tommy Tutone's legacy lives on in a Phoenix-area plumber's jingle. (Warning: This link sings.)

Update: Reader Lance Jonn Romanoff writes that "Rhode Island's Gem Plumbing has been using that number and a variation of the song in their jingles for years." What is it about plumbers?

Posted by Virginia at 11:59 PM | TrackBack


August 25, 2006

It Won't Play in Grand Prairie
D Magazine writer and Freakonomics ticket holder Teresa Gubbins informs me that the local Levitt-and-Dubner show's been cancelled: "sniff sniff, the Grand Prairie stop of the Freakonomics tour just got cancelled. due to poor ticket sales. I did my part to 'support the economist scene' and bought one! but to no avail." Tickets ran $29.50 to $65. Someone needs to tell these guys about price elasticity.
Posted by Virginia at 03:40 PM | TrackBack


Doggy Cell Phones

Explained here. (Via Liquid Treat.)

Posted by Virginia at 02:15 PM | TrackBack


Safer Than It Looks
My neighbors and I were understandably worried when we saw this door at the condo complex across the street. It certainly looks like evidence of a violent break-in. But, no. It turns out to be quite the opposite: proof you can no lock at all--or even a door that fully closes--for a week without inviting burglars. The story, as relayed by our community police officer, is this:
"The officers found the door as described. To our amazement the owner was home passed out on his couch. We woke him and he maintained no crime had been committed, he alluded that he had to cause the damage to gain entry into his unit. He obviously has not concerned himself with repairs."

The orange sticker on the window is a false alarm sticker.

Posted by Virginia at 11:15 AM | TrackBack


August 24, 2006

What Wal-Mart Did to Mexican Detergent
This NBER abstract caught my eye:
Openness and Industrial Response in a Wal-Mart World: A Case Study of Mexican Soaps, Detergents and Surfactant Producers by Beata Smarzynska Javorcik, Wolfgang Keller, James R. Tybout - #12457 (ITI PR IO)

Abstract:

This paper uses a case study approach to explore the effects of NAFTA and GATT membership on innovation and trade in the Mexican soaps, detergents and surfactants (SDS) industry. Several basic findings emerge. First, the most fundamental effect of NAFTA and the GATT on the SDS industry was to help induce Wal-Mart to enter Mexico. Once there, Walmex fundamentally changed the retail sector, forcing SDS firms to cut their profit margins and/or innovate. Those unable to respond to this new environment tended to lose market share and, in some cases, disappear altogether. Second, partly in response to Walmex, many Mexican producers logged impressive efficiency gains during the previous decade. These gains came both from labor-shedding and from innovation, which in turn was fueled by innovative input suppliers and by multinationals bringing new products and processes from their headquarters to Mexico. Finally, although Mexican detergent exports captured an increasing share of the U.S. detergent market over the past decade, Mexican sales in the U.S. were inhibited by a combination of excessive shipping delays at the border and artificially high input prices (due to Mexican protection of domestic caustic soda suppliers). They were also held back by the major re-tooling costs that Mexican producers would have had to incur in order to establish brand recognition among non-Latin consumers, and in order to comply with zero phosphate laws in many regions of the United States.

If, like me, you hate the clunky interface and the $5 fee for NBER papers, you can find a downloadable copy of the paper here. I haven't had a chance to read it yet, but the story accords with others I've heard. It's yet another example of why Wal-Mart (and NAFTA) is the essence of evil in certain quarters: The company may raise living standards for the many, but it does so by shaking up long-established institutions and industries. Too much dynamism!

Posted by Virginia at 05:21 PM | TrackBack


No Wonder Condoleezza Rice Wears It
In considering the pros and cons of mineral makeup, NYT Style writer Christina Valhouli misses the most timely: You can take it on an airplane.
Posted by Virginia at 05:14 PM | TrackBack


A Foodie Who Likes Wal-Mart
In response to a comment by Jerry Hausman in my Forbes column, Pam Regis writes:
I'm a foodie, but I live more than an hour's drive from high-end gourmet markets. My life improved enormously when a Wal-Mart superstore opened just 15 minutes from my house. It sells food. And although Hausman is probably right when he says that "diversity isn't as good" in the food selection at Wal-Mart compared to a fine gourmet market, this much-maligned store has added enormously to the culinary diversity available to me in my life pre-Wal-Mart. The jasmine rice (brown and white), the couscous, the chiplotle peppers in adobo sauce now in my cupboard are from Wal-Mart, and every week I find an ingredient, usually ethnic, that, before Wal-Mart, I had not been able to buy locally. Of course, I also find low prices on Diet Coke, paper products, and cleaning supplies.

I don't buy Wal-Mart's produce, bread, or fish. My "old" supermarket supplies these needs. Two stores are always better than one.

As I've often noted, in many places even boring old chains can increase the quality and variety available to consumers. There's also something to be said for Wal-Mart's basic business competence in keeping the right products on the shelves. The only Wal-Mart near me is a small "neighborhood market" with relatively little variety. But at least, unlike Albertson's (the slightly closer grocery store), they manage to keep Diet Coke in stock. And their employees are supernice.

The photo above is the tofu selection at the upscale Wal-Mart Supercenter in Plano, a "laboratory store" where I did some field research yesterday.

Posted by Virginia at 11:14 AM | TrackBack


August 21, 2006

Value-Added Metal Making
The Philadelphia Inquirer's Eils Lotozo reports on how the aesthetic imperative saved an old-line sheet-metal manufacturer. Here's an excerpt:
What do you do with an aging manufacturing concern when it's left in the dust by changing technology and the global economy?

That's the question Adam Kamens faced when he took over the Frankford factory his parents launched in 1965 to make magnetic shielding for the aerospace industry, science labs and medical devices.

Kamens' solution for the floundering business? Parlay its sheet-metal expertise into custom fabrication for high-end, high-design environments.

These days, Amuneal Manufacturing Corp.'s clients include Barneys New York, Anthropologie, and the women's wear chain Lilly Pulitzer, whose 15 shops feature store fittings and floor-to-ceiling cast-fiberglass palm trees made by the Philadelphia company.

Amuneal engineered and installed the interactive displays and architectural features for the Nintendo World Store in New York. For Abercrombie & Fitch's flagship store there, it created a four-story staircase made of metal strips woven on a specially built loom....

"We've been lucky," says Kamens, who now employs a workforce of 80--about a quarter are people with art and design backgrounds. "Our customers have been amazing. They've taught us about this business, and they've been our best salespeople."

Claudia Dominguez, who moved on from Barneys to become head of visual merchandising and store design for The Limited Brands, says there isn't another company like Amuneal.

"They just bring so much to the table," Dominguez says. "You can hire all the architects in the world, and they just pump out drawings. But the people at Amuneal will say, 'I know that's what the shop drawings look like, but I don't think it will work. Let me give you some options.' "

Check out the rest here.

Posted by Virginia at 11:31 PM | TrackBack


Kidney Blogging Cont'd
Several readers have called my attention to this Freakoonomics blog posting on an Israeli court's ruling that kidney donors should be paid by the country's HMOs. (The original Ha'aretz article is here.) I was particularly struck by this comment from "kazulanth":
I work in transplant, and off the top of my head there are three major reasons why it’s a great cost-saving move for insurance companies to pay donors. First, the cost for just finding and getting a cadaveric kidney is billed to the insurance as $25,000 flat fee. So right there, having a living kidney donor is much cheaper for the HMO, which is a good reason to pay living donors. Also, often people wait so long on the list that they become sicker and are more expensive, so if they’ve got a living donor and can be transplanted earlier, so much the better. Third, dialysis is EXTREMELY expensive, and transplant is a really cheap option comparatively, even when you factor in the lifetime of drugs. $800 a month of drugs versus $3000 per week of dialysis.

People who worry about organ markets because they're concerned about the poor are on the wrong side of the issue. Poor patients, and there are many of them, would greatly benefit from payment, which would also save taxpayers money compared to keeping people on an infinite entitlement to dialysis.

In other news, this Dallas Morning News story on a local teacher's kidney donation to her father-in-law does an admirable job of explaining how straightforward the procedure is. And the donor makes a nice point in favor of live donation:

"I couldn't ask for a better father-in-law," she said. "Often, when someone gets an organ transplant, the donor's dead.

"This way, I get to see the effects of the transplant, and I'm very much alive, and we have this cool connection."

On a down note, Lisa Cunningham, the Boston-area kidney patient who had to switch hospitals when hers refused to do a transplant from a stranger, has lost her donor for medical reasons.

Posted by Virginia at 11:29 PM | TrackBack


Higher Living Standards
My latest Forbes column looks at why official statistics seem to understate the increase in living standards--and why people are so eager to believe in economic stagnation. (The headline is unfortunate.)

If you would like to receive my articles by email, send a message to postrel-list-subscribe-at-yahoogroups.com.

Posted by Virginia at 08:47 PM | TrackBack


August 20, 2006

The Man Who Saved Neon
Rudi Stern, who is widely credited with saving neon in the 1970s, has died. He was hospitalized for lung cancer shortly after I interviewed him for my Atlantic column on neon signs. "I wanted to turn people on to the beauty of it," he said of neon, "to the creative, expressive possibilities of it."
Posted by Virginia at 05:39 PM | TrackBack


Target Comes to Melrose Place

Target is, of course, well known for persuading designers to turn their skills--and publicity-generating ability--to its mass market. The latest twist, as explained in this report is to open full-blown, but temporary, boutiques like this "pop up" Paul & Joe store on Melrose Place in L.A. My niece Rachel and I hit it on July 29, the day Moore's story ran, and it was packed with women eager to buy discount-priced clothes in a non-discount environment. Many didn't want to wait in the long lines for dressing rooms and turned the anteroom to the curtained-off changing spaced into a sort of Lohmann's communal dressing area.

Is paying for temporary retail space worth it? That depends on the cost, of course, and also on whether the promise of a boutique helps sign the designer in the first place. The prices aren't any higher in the special space, and the Paul & Joe boutique doesn't sell the everyday items that account for most of Target's revenue (and to which its designer products drive traffic). The Melrose Place store certainly helped generate publicity in Los Angeles, but everything else I've seen on the Paul & Joe line emphasized the options available everywhere else--ordinary Target stores and the GO International section of the Target website

Posted by Virginia at 05:27 PM | TrackBack


Pay for Performance
Talk about economist-as-rock-star: The Freakonomics tour is coming to Dallas (OK, really to Grand Prairie), and you can buy tickets on Ticketmaster.
Posted by Virginia at 05:04 PM | TrackBack


August 13, 2006

Keeping Journalism Honest
LAT media critic Tim Rutten, not a man known for his love of blogs, calls on mainstream news organizations to provide much tougher scrutiny of the photos coming out of the Middle East--and credits bloggers (notably Charles Johnson) for uncovering widespread fakery.
There are, however, two problems here, and they're the reason this controversy shouldn't be allowed to sputter to its inglorious conclusion just yet: One of these has to do with the scope of what strongly appears to be wider fabrication in the photojournalism Reuters and other news agencies are obtaining from their freelancers in Lebanon. The other is the U.S. news media's grudging response to the revelation of Hajj's misconduct and its utter lack of interest in exploring whether his is a unique or representative case.

Thus far, only a handful of relatively brief stories on this affair have appeared in major American papers. The Times picked up one from the Washington Post, which focused mainly on the politics of Johnson's website. The New York Times, which ran one of Hajj's photos on its front page Saturday, reported that it has published eight of his pictures since 2003, but none were altered. It then went on to quote other papers about steps they take to detect fraudulent images. No paper has taken up the challenge of determining whether there's anything dodgy about the flow of freelance photos Reuters and other news agencies-- including the Associated Press, which also transmitted images made by Hajj--are sending out of tormented Lebanon.

Johnson is co-founder with mystery novelist and screenwriter Roger L. Simon of another online site, www.pajamas media.com. It aggregates mostly right wing blogs from around the world and has ambitions as a politically inflected alternative news source. It's worth taking the time to go there and to click on the link giddily labeled "Reutersgate." Make what you will of the analysis, much of which is feverish, sneering and tending toward the mechanistically conspiratorial. What's hard to imagine is how anybody can look at the photos and not conclude that they're riddled with journalistic deceit.

Many, including grisly images from the Qana tragedy, clearly are posed for maximum dramatic effect. There is an entire series of photos of children's stuffed toys poised atop mounds of rubble. All are miraculously pristinely clean and apparently untouched by the devastation they purportedly survived. (Reuters might want to check its freelancers' expenses for unexplained Toys R Us purchases.) In some cases, the bloggers seem to have uncovered the same photographer using more than one identity. There's an improbable photo by Hajj of a Koran burning atop the rubble of a building supposedly destroyed by an Israeli aircraft hours before. Nothing else in sight is alight. (With photos, as in life, when something seems too perfect to be true, it's almost always because it is.) In other photos, the same wrecked building is portrayed multiple times with the same older woman--one supposes she ought to be called a model---either lamenting its destruction or passing by in different costumes.

There's more, and it's worth your time to take a look. That's one of the undeniable strengths of the Internet and of the blogosphere, and the fact that it is being employed to help keep journalism honest ultimately is to everybody's benefit.

Is anyone listening? (Does anyone east of Silver Lake read the LAT?)

Posted by Virginia at 11:27 PM | TrackBack


Symptoms Everywhere
I've always walked on my toes, and I can't stand clothing tags touching my neck. Does that mean I have some form of autism? Or does it just mean people don't recognize perfectly normal behavior when it isn't normal for their genetic family?
Posted by Virginia at 01:15 AM | TrackBack


"A Gooey Mixture of Anger and Demoralization"
Jonathan Rauch files a depressing report from St. Bernard Parish, Louisiana, a community completely wrecked by Katrina. Contrary to most disasters (the Northridge earthquake comes to mind), where TV footage often makes concentrated damage look widespread, here you never turn the corner and find the untouched area. Making matters worse are the many, many regulations written without true emergencies in mind. Jonathan writes:
Back in St. Bernard many people, presented with such arguments, will concede that every rule has its reasons. When a fire marshal told Voitier, the school superintendent, that she could not use an urgently needed mobile classroom because the doors were too close together, he was following a rule that may well make sense in normal times.

The trouble is that nothing -- not anything -- is normal in St. Bernard. The collective effect of all the rules and procedures has been to slow recovery in the early stages, when momentum was critical. Still more damaging, perhaps, is the psychological toll, a gooey mixture of anger and demoralization that drains energy and amplifies despair. It amounts to bureaucracy fatigue. Most welfare mothers know this feeling well, and many become used to it (or learn to game the system), but St. Bernard had always cherished its sense of independence. The parish was stunned by the hurricane, and then was stunned again to be pitched into a blizzard of pettifoggery, precisely when it felt too prostrate to cope.

"It just irritates my soul," says Joseph Di Fatta Jr., a parish council member. "There has to be a balance of the laws and the lives of the people. Right now, the emotional distress people are suffering is greater than the harm of inappropriately burying a can of spray paint."

Read the whole thing and the policy-oriented sidebar.

Posted by Virginia at 01:15 AM | TrackBack


August 10, 2006

Urban Dynamism
Urban critic Karrie Jacobs (no relation) finally gets around to reading The Death and Life of Great American Cities and finds that Jane Jacobs's classic doesn't say what people think. Her column in Metropolis is well worth a read. Here's an excerpt:
Like many people, I’d made plenty of assumptions based on second- or thirdhand readings. For instance, because Jacobs is repeatedly cited in Suburban Nation, the New Urbanist tract by Andres Duany, Elizabeth Plater-Zyberk, and Jeff Speck, I assumed that she would have been a willing accomplice to that movement. It seems logical that Jacobs--with her reputation for advocating "close-grained" detail and mixed use--would support the calibrated street life meted out by Duany and his ilk. But as I read Jacobs it became clear that she never intended her ideas to be applied to smaller suburban settlements. She was writing only about big cities, with all their native grit and mess. Moreover, she consistently ridiculed the Garden City movement of the nineteenth century, the clearest precursor to New Urbanism, attributing to it the notion of "harmony and order imposed and frozen by authoritarian planning."

The Jacobs I thought I knew--an advocate for small-scale thinking and an opponent of large-scale projects--is not the one I discovered when I actually began to read her text. Her main argument was quite different: she used the example of her own Greenwich Village neighborhood to make the case that all planning and development should "generate city diversity"; but she did so to contrast the rich detail of urban life with the bold strokes then typical of planners. "The main responsibility of city planning and design should be to develop--insofar as public policy and action can do so--cities that are congenial places for this great range of unofficial plans, ideas, and opportunities to flourish, along with the flourishing of the public enterprises," Jacobs wrote.

Karrie Jacobs concludes on a note that echoes The Future and Its Enemies (which cites Jane Jacobs):

The mistake made by Jacobs’s detractors and acolytes alike is to regard her as a champion of stasis--to believe she was advocating the world’s cities be built as simulacra of the West Village circa 1960. Admirers and opponents have routinely taken her arguments for complexity and turned them into formulas. But the book I just read was an inspiration to move forward without losing sight that cities are powerful, dynamic, ever-changing entities made up of myriad gestures big and small. The real notion is to build in a way that honors and nurtures complexity. And that’s an idea impossible to outgrow.

Speaking of classics on urban dynamism, I've finally gotten around to reading Reynar Banham's brilliant Los Angeles: The Architecture of Four Ecologies. Written in 1971, when Los Angeles was still a notably mobile city, it's somewhat dated but still relevant to thinking about L.A. in particular and 20th-century urban forms in general. (L.A. is the quintessential 20th-century city. As for this century, who knows?) And it's full of great insights--how the vernacular of Spanish Colonial Revival architecture supports modernism, for instance--and set pieces. Here's a riff on Disneyland:

The greatest of these ironies has to do with transportation, and this underlies the brothel comparison. Set in the middle of a city obsessed with mobility, a city whose most characteristic festival is the Rose Parade in Pasadena, fantastically sculptured Pop inventions entirely surfaced with live flowers rolling slowly down Colorado Boulevard every New Year’s Day--in this city Disneyland offers illicit pleasures of mobility. Ensconced in a sea of giant parking-lots in a city devoted to the automobile, it provides transportation that does not exist outside--steam trains, monorails, people-movers, tram-trains, travelators, ropeways, not to mention pure transport fantasies such as simulated space-trips and submarine rides. Under-age children, too young for driver's licences, enjoy the licence of driving on their own freeway system and adults can step off the pavement and mingle with the buses and trams on Main Street in a manner that would lead to sudden death or prosecution outside.

But more than this, the sheer concentration of different forms of mechanical movement means that Disneyland is almost the only place where East Coast town-planning snobs, determined that their cities shall never suffer the automotive 'fate' of Los Angeles, can bring their students or their city councilors to see how the alternative might work in the flesh and metal--to this blatantly commercial fun-fair in the city they hate. And seeing how well it all worked, I began to understand the wisdom of Ray Bradbury in proposing that Walt Disney was the only man who could make rapid transit a success in Los Angeles. All the skill, cunning, salesmanship, and technical proficiency are there.

They are also at diametrical variance with the special brand of 'innocence' that underlies the purely personal fantasies of Los Angeles. Innocence is a word to use cautiously in this context, because it must be understood as not comprising either simplicity or ingenuousness. Deeply imbued with standard myths of the Natural Man and the Noble Savage, as in other parts of the US, this innocence grows and flourishes as an assumed right in the Southern California sun, an ingenious and technically proficient cult of private and harmless gratifications that is symbolized by the surfer's secret smile of intense concentration and the immensely sophisticated and highly decorated plastic surf-board he needs to conduct his private communion with the sea.

Aside from teaching me new things about a city I love, Banham made me want to reread The Martian Chronicles, which I didn't get at all the first time--when I was maybe 9 years old.

Posted by Virginia at 05:08 PM | TrackBack


Smooth Flying
I flew from LAX to Portland, Oregon, this morning. After learning at 8:10 that super-security measures were in effect, I left early for my 11:00 flight. No problems, and the lines weren't especially long, though that could be because I was traveling Alaska Airlines rather than one of the big carriers. I did check my micro-suitcase rather than hassle with security, only to discover that my fluids would have passed, thanks to travel-size packaging. At LAX at least, they're using a four-ounce cutoff for liquids and gels.

As someone who travels all the time, I'm acutely aware that even thwarted terrorist plots are costing us basic freedoms of travel. Five years from now, iPods and laptops may be as rare on airplanes as lit cigarettes. On the bright side, I guess that will be good for book sales.

Posted by Virginia at 04:29 PM | TrackBack


August 03, 2006

A Really Good Tipper
A Tennessee man is donating a kidney to the waitress at a diner where he's a regular. Drew Harris of The Bartlett Express reports:
[Cindy] Boswell was diagnosed with polycystic kidney disease in 1996 and now her kidneys function is at only 15 percent of the normal rate. For months she has been preparing for a kidney transplant--undergoing medical tests and filling out paper work--but has not been able to find a suitable donor. That changed one morning while she was filling up Dale Paulson's coffee at the cafe.

"He was a regular customer that I had been waiting on for about eight or nine months. For the longest time, I didn't even know his name--we called him the poached egg guy because that's what he always ordered," Boswell said. "One day, I was a little down and he asked me what was wrong. So I told him about my medical problems and that I needed a kidney. He told me that he would donate me one of his."

At first Boswell was taken aback. She didn't believe the words she had just heard. After all, she and Paulson had only been on a first name basis for about two weeks.

"I told him it was not something to joke about, that it wasn't very funny," Boswell said. "And that's when he said,'‘No, I am serious.'"

A year and a half earlier, Paulson offered to donate his kidney to his cousin in Michigan who had kidney disease. Surgery on Paulson's foot delayed the donation, and his cousin committed suicide under excruciating pain.

That event, combined with the unexpected death of his wife in 2003, planted the desire in Paulson's heart to help those in need. During these trying times, he believes God was preparing him to help Boswell.

Paulson's ability to turn tragedy into life-saving inspiration is admirable. Too bad some medical authorities don't respect the same sympathetic impulses when they arise from Internet communication rather than poached-egg orders.

Assuming final tests go well, the transplant should take place within a few weeks. A fund has been set up to help Boswell cover her out-of-pocket costs, including $1,500 a month (presumably for immunosupressant drugs) after the surgery and had already raised $8,000 before the article ran. Donations can be made to: City of Memphis Credit Union, c/o Cindy Boswell Transplant Fund, 2608 Avery Ave., Memphis, TN 38112.

Posted by Virginia at 08:20 PM | TrackBack


"To Save Lives Without Limitation"
At the recent World Transplant Congress 2006. pediatric nephrologist Richard N. Fine, MD, the outgoing president of the American Society of Transplantation, called on his medical colleagues "to challenge prior prohibitions and enhance approaches that have heretofore been taboo to the transplant professional."
Both the Talmud and Koran extol us to save lives without limitations. At present, transplant professionals are not enthralled with solicitation of a donor for individual specific recipients. Such solicitation, whether on the Internet or billboards or by utilization of the media is an anathema to the transplant professional. The primary reason that such methodologies are offensive is because they circumvent "equity". The playing field is not level because individuals with means or brashness have a potential distinct advantage. However, no one is actually harmed by such events and everyone potentially benefits because the waiting list shrinks as more individuals receive the gift of life.

It is time that we cease to be pious about "equity" in the acquisition of solid organs for transplantation? Equity is in the eyes of the beholder: Is it equitable that a child with AIDS living in the United States is provided drugs that can sustain life whereas a similar child born in Africa or parts of Asia will die because the world economies do not deem provision of such drugs a priority; Is it equitable that children in many areas of the world go to bed hungry every night yet the silos in the Midwest of the United States are overflowing and the harvest is stockpiled in the open fields; Is it equitable that a child born in Ethiopia or Sierra Leone has a life expectancy of fewer than 33 years whereas one born in the U.S. can expect to live an average of 78?

It is time that we enhance all approaches to increase the availability of solid organs without the prejudice of the taboos of the past. We should not arbitrarily dismiss such extraordinary solicitations but should strive to incorporate any legitimate methodology that results in a "life" being saved.

Since 1984, it has been a felony in the United States to pay for an organ for transplantation. Why is paying for a body part so repugnant? I believe the major impetus for such prohibition is fear. Fear that impoverished individuals will be exploited and/or coerced to donate part of their body. Fear that unscrupulous individuals will monopolize the donation efforts for financial gain. Fear that potential donors will not be appropriately evaluated and that follow-up care will not be provided thereby jeopardizing their health.

Parenthetically, in the United States there is no statute that mandates lifelong follow-up and medical care for live donors and no registry that categorizes the long-term potential adverse consequences of solid organ donation.

Is it wrong for an individual, who because of the fate of circumstances is impoverished and relegated to a life of poverty and who wishes to utilize part of his/her body for the benefit of another and in return will be provided with financial compensation that could obliterate a life of destitution for the individual and his/her family? If we can put a man on the moon we can surely devise a system that guarantees the short and long-term safety of potential donors, guarantees that the financial reward is not subverted and assures that availability is not limited to the wealthy. I realize that there are substantive risks to financially incentizing organ donation. In addition to potential exploitation and coercion of potential donors and manipulation of the process by unscrupulous individuals, a deleterious impact on altruistic donation could result.

I realize that this approach is iconoclastic; however, our current efforts have fallen far short of providing an adequate number of solid organs. If we, as Transplant Professionals, do not seize the opportunity of exerting a leadership role in expanding potential sources of organs we risk that less dedicated and committed individuals will potentially control the process. I also realize that the recent IOM report on organ donation was unenthusiastic about the concept of incentivization.

Therefore, I challenge the Transplant Community to reassess attitudes that potentially limit availability of organs for transplantation and suggest pursuing the following:

(1) SLIDE 11: Support the Collaborative to ensure that an increasing number of centers are involved in this innovative approach to increasing availability of deceased donor solid organs. Lobby the Federal Government to increase rather than decrease funding for the Department of Transplantation to enhance this effective effort.

(2) SLIDE 12: Partner with alternative approaches to solicit organ donation --Internet, billboards, media--to assure that potential donors receive optimal information and counseling and that the maximal number of potential recipients have access to these approaches.

(3) SLIDE 13: Re-evaluate the prohibition of financial incentives for both live and deceased donor organ donation. Initiate serious discussions to develop a system that assures optimal surveillance of the entire process and prevents exploitation and coercion of both donor and recipient.

(4) SLIDE 14: Actively advocate for a long-term live-donor registry and pursue the assurance that all live donors receive lifetime insurance coverage for any medical issue linked to the donation of a solid organ.

I've put the full text of Dr. Fine's speech online here.

Posted by Virginia at 02:28 PM | TrackBack


Kidney Blogging Cont'd
Dick Cass, president of the Baltimore Ravens, donated a kidney to a friend from law school. The WaPost's Les Carpenter reports with remarkable matter-of-factness, reflecting Cass's own attitude:
"Maybe I'm intellectualizing this too much. But it's not a great risk," he said late last week as he sat in his office at the team's headquarters. "When you can do this for someone, it makes you feel good. It's really easy. It sounds silly, I know, to say that, but it's not that big a deal."

As a kidney donor, I agree completely. A kidney donation is a big deal to the recipient, but public perceptions drastically exaggerate what's involved for the donor. That not only discourages volunteers. It also warps public policy. As I noted in my AEI talk (large PDF of the PowerPoint here), many bioethicists have promulgated a faulty and patronizing series of assumptions, which shape organ-donation policy:

1) Normal people won't give up an organ except under coercion.
2) Anything that encourages a decision to donate is by definition coercion.
3) To avoid coercion, living donors should be discouraged.

I hope Cass's example inspires other donors, and that his attitude spreads.



Signs of Our Times
My new Atlantic column looks at the persistent appeal of neon signs. Despite civic campaigns against them--most recently in Madrid--neon signs remain beloved features of the urban landscape and increasingly valuable collector items. This old motel sign recently sold for $21,275 at auction. As neon signs have become less common on the roadside, they've become more and more treasured as artwork and memorabilia. The question now is whether, as LEDs replace neon in many commercial applications, there will be enough demand for glass bending craftsmanship to keep those skills alive.

The free link to the article is only good for a couple of days. The permanent link, which requires a (bargain price!) Atlantic subscription, is here.

Posted by Virginia at 12:53 AM | TrackBack



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