Socialized Medicine Seeks to Ensure “No One Does Anything New or Interesting”

(p. A15) Heart surgeons are among the superstars of the medical profession, possessing finely tuned skills and a combination of detachment and sheer guts that enables them to carve open fellow human beings and hold the most vital human organ in their hands. In “Open Heart,” British cardiac surgeon Stephen Westaby shares often astonishing stories of his own operating-room experiences, illuminating the science and art of his specialty through the patients whose lives he has saved and, in some cases, lost.
. . .
One theme in “Open Heart” is Dr. Westaby’s frustration with Britain’s National Health Service, which, he says, values saving money over saving lives. He grows frustrated as he tries to get the reluctant government-run payer to cover the costs of advanced interventions. There are other problems too: Dire situations often get worse, he says, because of treatment delays and poor attention to best practices, like administering clot-busting drugs after a heart attack. Medical directors, he says, seem intent on ensuring that “no one does anything new or interesting.”

For the full review, see:
Laura Landro. “BOOKSHELF; Priming the Pump; One procedure involved implanting a turbine heart-pumping device and screwing a titanium plug, Frankenstein-like, into the skull.” The Wall Street Journal (Fri., July 14, 2017): A15.
(Note: ellipsis added.)
(Note: the online version of the review has the date July 13, 2017.)

The book under review, is:
Westaby, Stephen. Open Heart: A Cardiac Surgeon’s Stories of Life and Death on the Operating Table. New York: Basic Books, 2017.

Geoengineering for the Timid

(p. A15) In 2012, a man named Russ George, working with the Haida people of British Columbia, tried an experiment. From the back of a rusty fishing vessel he spread 120 tons of iron-rich dust on the surface of the North Pacific Ocean. The result was a bloom of plankton, visible by satellite–and a quadrupling of the salmon catch along the coast of the Northeast Pacific. This may or may not have been a coincidence, but it was the intended result.
. . .
Far from being thanked, Mr. George was pilloried for failing to get permission for this rogue “geoengineering” gesture. A second experiment by German scientists in the Antarctic Ocean was stopped by the German government under pressure from environmentalists. A United Nations treaty–the London Convention on the Prevention of Marine Pollution–was changed to forbid “any activity undertaken by humans with the principal intention of stimulating primary productivity in the oceans.” This seems a strangely defeatist prohibition, given that a more productive ocean would not only feed more people (and whales) but also sequester more carbon dioxide from the air, through photosynthesis by plankton, potentially providing a self-financing way to prevent possible future climate change.
. . .
. . . Mr. Biello is a writer from Scientific American and is impeccably sympathetic to the environmental movement. The result is a book that explores an intriguing topic but lacks a hard edge or even a clear message.
. . .
Just in the choice of stories to tell, though, the book leans toward the notion that the solution to our environmental challenges will come from technology, and in that sense it is most welcome. Technical fixes are anathema to many environmentalists, but it has been obvious for some time now that innovation and adaptation are the way we will reverse or cope with pollution, habitat loss and climate change. By contrast, a retreat to some golden age of simpler lives more dependent on organic and natural resources is neither possible nor likely to be good for nature: Seven billion people going back to nature would leave nature in a parlous state. The way we will save the planet is by high-tech invention and prosperity, not low-tech simplification and asceticism.

For the full review, see:
Matt Ridley. “BOOKSHELF; Ruling Over Our Dominion; We are living in the Anthropocene: an era when human beings have changed the planet in ways that will be obvious in the geological record.” The Wall Street Journal (Thurs., Nov. 17, 2016): A15.
(Note: ellipses added.)
(Note: the online version of the review has the date Nov. 16, 2016.)

The book under review, is:
Biello, David. The Unnatural World: The Race to Remake Civilization in Earth’s Newest Age. New York: Scribner, 2016.

“Unfettered Science, If We Have the Courage to Let It Unfold”

(p. 26) “How to Tame a Fox” sets out to answer a simple-seeming question: What makes a dog a dog? Put another way, how did an animal that started out as a bloodthirsty predator become one that now wants nothing more than a nice belly rub and the chance to gaze adoringly at a member of another species? In the late 1950s, a Russian scientist named Dmitri Belyaev decided to address this puzzle by taking the unheard-of tack of replicating the domestication process in real time. He and his colleagues took silver foxes, widely bred in vast Siberian farms for their luxurious pelts, and made them into friendly house pets. It was a deceptively simple process: Take the puppies from only the friendliest foxes, breed them and repeat. Lyudmila Trut, the current lead researcher of the silver fox experiment, who began work as Belyaev’s intern, along with Lee Alan Dugatkin, an American scientist and writer at the University of Louisville, documents their monumental effort in this sparkling new book.
Belyaev died in 1985, but the experiment is still ongoing, with 56 generations of foxes bred to date — a far cry from the snarling creatures that used to snap at the hands of their caretakers when the research began. The new foxes run toward people, jump on the bed and nuzzle one another as well as their human caretakers. Such a behavioral transformation was to some degree expected, since they were bred from the tamest members of their groups. Perhaps more intriguing, they also look more doglike, with floppy ears, wagging tails and piebald fur.
. . .
The book, . . . , is not only about dogs, or foxes, or even science under siege from political interests. . . . It may serve — particularly now — as a parable of the lessons that can emerge from unfettered science, if we have the courage to let it unfold.

For the full review, see:
MARLENE ZUK. “Fox and Friends.” The New York Times Book Review (Sun., MAY 7, 2017): 26.
(Note: ellipses added.)
(Note: the online version of the review has the date MAY 5, 2017, and has the title “How Do You Make a Fox Your Friend? Fast-Forward Evolution.”)

The book under review, is:
Dugatkin, Lee Alan, and Lyudmila Trut. How to Tame a Fox (and Build a Dog): Visionary Scientists and a Siberian Tale of Jump-Started Evolution. Chicago: University of Chicago Press, 2017.

“The Data Run Counter to Your Anecdotes”

(p. A13) “Shattered,” by campaign reporters Jonathan Allen and Amie Parnes, narrates the petty bickering, foolish reasoning and sheer arrogance of a campaign that was never the sure thing that its leader and top staffers assumed. The authors, in a mostly successful attempt to get their sources to talk candidly, promised them that they wouldn’t be identified.
. . .
The juicy quotes would mean more if they were on the record, but mostly it works: You can’t pinpoint the identity of any one “top aide” or “close Hillary ally,” but the authors’ language leads you to believe they include the most senior Clinton advisers–Mr. Podesta, longtime Clinton confidante Huma Abedin, campaign manager Robby Mook, speechwriter Dan Schwerin, policy adviser Jake Sullivan –and probably the candidate herself.
. . .
Successful politicians must have a tacit sense of what voters want to hear and how they might be persuaded. Mrs. Clinton–in stark contrast to her husband–was never interested in that component of campaigning. You got the feeling she didn’t like people all that much.
Mr. Mook’s scientific “model” of how the campaign should run emphasized demographics, constituents’ voting histories, regional electoral patterns, and so on. When staffers objected to his directives, the authors record, the response was always the same: “The data,” as Mr. Mook at one point put it to former President Bill Clinton, “run counter to your anecdotes.”

For the full review, see:
Barton Swaim. “BOOKSHELF; Hillary the Unready.” The Wall Street Journal (Tues., April 18, 2017): A13.
(Note: ellipses added.)
(Note: the online version of the review has the date April 17, 2017, and has the title “BOOKSHELF; How Hillary Lost the White House.”)

The book under review, is:
Allen, Jonathan, and Amie Parnes. Shattered: Inside Hillary Clinton’s Doomed Campaign. New York: Crown, 2017.

Mitch Daniels Attempts Disruptive Innovation in Higher Ed

(p. A17) Last month’s announcement that Indiana’s Purdue University would acquire the for-profit Kaplan University shocked the world of higher education. The Purdue faculty are up in arms. The merger faces a series of regulatory obstacles. And it’s unclear whether the “New U,” as the entity is temporarily named, can be operationally viable or financially successful.
But Purdue’s president, Mitch Daniels, is willing to give it a shot.
The venture is unexpected, unconventional and smart. The nature of the partnership–in which Kaplan will transfer its assets to Purdue, a public university–is unprecedented. It’s also a rare instance of attempted self-disruption.
There are lessons here from the business world. In the seminal 1997 book, “The Innovator’s Dilemma,” Harvard professor Clayton Christensen describes how leading companies can do everything “right” and still be thwarted by disruptive competitors. In an effort to appease stakeholders, leaders focus resources on activities that target current customers, promise higher profits, build prestige, and help them play in substantial markets. As Mr. Christensen observes, they play the game the way it’s supposed to be played. Meanwhile, a disruptive innovation is changing all the rules.
. . .
The higher-education industry, full of brilliant and competent leaders, is ripe for disruption. Despite mounting political pressure–not to mention the struggles of indebted alumni–most college presidents believe that their institutions are providing students with good value. By and large, they remain comfortable making small, marginal tweaks to their business models. In the meantime, college becomes ever more expensive.
In contrast, Mr. Daniels has a long history of bold, innovative moves.
. . .
Mr. Daniels is setting Purdue on the right course, for good reasons, and he deserves a great deal of credit. As the saying goes, a journey of a thousand miles begins with a single step. For Purdue, the next thousand miles will consist of navigating regulatory approvals, winning the support of stakeholders, and, not least, the hard work of building New U. We can be hopeful, on behalf of those left behind by today’s higher education system, that Purdue treads a path that others can follow.

For the full commentary, see:
Alana Dunagan. “The Innovator’s Dilemma Hits Higher Ed; Purdue’s acquisition of Kaplan University is risky, unconventional, unexpected–and smart.” The Wall Street Journal (Tues., May 16, 2017): A17.
(Note: ellipses added.)
(Note: the online version of the commentary has the date May 15, 2017.)

Christensen books relevant to the passages quoted above, are:
Christensen, Clayton M. The Innovator’s Dilemma: The Revolutionary Book That Will Change the Way You Do Business. New York: NY: Harper Books, 2000.
Christensen, Clayton M., and Henry J. Eyring. The Innovative University: Changing the DNA of Higher Education from the inside Out. San Francisco, CA: Jossey-Bass, 2011.
Christensen, Clayton M., and Michael E. Raynor. The Innovator’s Solution: Creating and Sustaining Successful Growth. Boston, MA: Harvard Business School Press, 2003.

Dynamism Dying from Bad Attitudes or Bad Policies?

I agree with Tyler that the U.S. is less dynamic than it once was. But I mainly blame our bad government policies, while he mainly blames our own bad attitudes.

(p. A15) Is the “land of opportunity,” with dynamic labor markets and fresh sources of renewal, a thing of the past?

That’s the fear of Tyler Cowen, who argues in “The Complacent Class” that America is increasingly defined by an aversion to risk as well as to anything that is unfamiliar or different. He sees a broad swath of the American population losing “the capacity to imagine or embrace a world where things do change rapidly for most if not all people.” This mind-set, he says, has “sapped us of the pioneer spirit that made America the world’s most productive and innovative economy.”
. . .
To make his case, Mr. Cowen draws a contrast between the changes that Americans experienced in the first half of the 20th century and the changes of the past 50 years. The earlier period saw dramatic improvements in health and education as well as a proliferation of automobiles, airplanes and telephones. By comparison, the changes since 1965 have been modest. “A lot of our technological world seems to have stood pretty much still,” he writes, “albeit with a variety of quality improvements along the way.” He even notes that, while popular narcotics in the past were mind-altering (LSD) or activity-inciting (cocaine), today’s drugs of choice, such as heroin and opioids, “induce a dreamlike stupor and passivity.”
. . .
Given Mr. Cowen’s own innovative thinking, it’s disappointing that he does not focus more on potential remedies to the torpor he describes.

For the full review, see:

Matthew Rees. “BOOKSHELF; How American Workers Got Lazy.” The Wall Street Journal (Tues., Feb. 28, 2017): A15.

(Note: ellipses added.)
(Note: the online version of the review has the date Feb. 27, 2017.)

The book under review, is:
Cowen, Tyler. The Complacent Class: The Self-Defeating Quest for the American Dream. New York: St. Martin’s Press, 2017.

“Hubs of Genius Do Not Arise from Government Planning”

(p. 13) In the early 1960s, the Soviet Union tried to make a version of Silicon Valley from scratch. A city called Zelenograd came to life on the outskirts of Moscow and was populated with all manner of brainy Soviet engineers. The hope — naturally — was that a concentration of clever minds coupled with ample funding would result in a wellspring of innovation and help Russia keep pace with California’s electronics boom. The experiment worked as well as one might expect. Few people will read this on a Mayakovsky-branded tablet or ­smartphone.
Many similar attempts have been made in the subsequent dec­ades to replicate Silicon Valley and its abundance of creativity and ingenuity. Such efforts have largely failed. It seems near impossible to will an exceptional place into being or to manufacture the conditions that lead to an outpouring of genius.
. . .
As in the case of Zelenograd, hubs of genius do not arise from government planning or by acting on the observations of a traveler. They’re happy accidents. To attempt to clone such things or pinpoint their characteristics is futile.

For the full review, see:
ASHLEE VANCE. “Smart Sites.” The New York Times Book Review (Sun., JAN. 10, 2016): 13.
(Note: ellipsis added.)
(Note: the online version of the review has the date JAN. 8, 2016, and has the title “”The Geography of Genius,’ by Eric Weiner.”)

The book under review, is:
Weiner, Eric. The Geography of Genius: A Search for the World’s Most Creative Places from Ancient Athens to Silicon Valley. New York: Simon & Schuster, 2016.

FDR’s Attorney General Warned Black Newspapers That He Would “Shut Them All Up”

(p. 12) . . . as the former Chicago Defender editor and reporter Ethan Michaeli shows in his extraordinary history, “The Defender,” the Negro press barons attacked military segregation with a zeal that set Roosevelt’s teeth on edge. The Negro press warned black men against Navy recruiters who would promise them training as radiomen, technicians or mechanics — then put them to work serving food to white men. It made its readers understand that black men and women in uniform were treated worse in Southern towns than German prisoners of war and sometimes went hungry on troop trains because segregationists declined to feed them. It focused unflinchingly on the fistfights and gun battles that erupted between blacks and whites on military bases. And it reiterated the truth that no doubt cut Roosevelt the most deeply: His government’s insistence on racial separation was of a piece with the “master race” theory put in play by Hitler in Europe.
This was not the first time The Defender and its sister papers had attacked institutional racism. That part of the story begins with Robert S. Abbott, the transplanted Southerner who created The Defender in 1905 and fashioned it into a potent weapon.
. . .
The black press was considerably more powerful and self-assured by 1940, when Abbott died and his nephew John H. Sengstacke succeeded him.
. . .
Things stood thus in 1942, when Sengstacke traveled to Washington to meet with Attorney General Francis Biddle. Sengstacke found Biddle in a conference room, sitting at a table across which was spread copies of black newspapers that included The Defender, The Courier and The Afro-American. Biddle said that the black papers were flirting with sedition and threatened to “shut them all up.”

For the full review, see:
BRENT STAPLES. “‘A ‘Most Dangerous’ Newspaper.” The New York Times Book Review (Sun., JAN. 10, 2016): 12.
(Note: ellipses added.)
(Note: the online version of the review has the date JAN. 4, 2016, and has the title “”The Defender,’ by Ethan Michaeli.”)

The book under review, is:
Michaeli, Ethan. The Defender: How the Legendary Black Newspaper Changed America. New York: Houghton Mifflin Harcourt, 2016.

“20 Years in a Labor Camp for ‘Practicing Capitalism'”

(p. 23) “Just talk to any Chinese who lived through that time,” a middle-aged man whose father spent nearly 20 years in a labor camp for “practicing capitalism” tells the radio reporter Rob Schmitz, in “Street of Eternal Happiness,” his new book about some of the ordinary people he encounters in his Shanghai neighborhood. “We all have the same stories.”

For the full review, see:
ADAM ROSE. “‘Shanghai Confidential.” The New York Times Book Review (Sun., MAY 15, 2016): 23.
(Note: the online version of the review has the date MAY 13, 2016, and has the title “‘Street of Eternal Happiness,’ by Rob Schmitz’.”)

The book under review, is:
Schmitz, Rob. Street of Eternal Happiness: Big City Dreams Along a Shanghai Road. New York: Crown, 2016.

Banks Often Less Transparent and Less Flexible than Bank Alternatives

I saw a C-Span interview on their weekend Book TV today (3/16/17), with Professor Lisa Servon. She pointed out that many of the highly regulated, and much-criticized, alternative banking services, offer a more transparent, more flexible, and more friendly service environment than the incumbent banking industry. She even argues that for those with low-incomes, and low-education, the alternative services are often less expensive. This happens because those with low-incomes and low education are often those who by mistake or by difficult circumstance, incur high fees at banks.
She points out that many who are bankless, previously made use of bank services, but decided to go with the alternatives. She suggested that in a free market environment, some of the alternatives might creatively destroy the incumbent banks.
Servon is clearly no libertarian, but much of what she says is thought-provoking.

Servon’s book is:
Servon, Lisa. The Unbanking of America: How the New Middle Class Survives. New York: Houghton Mifflin Harcourt Publishing Co., 2017.

“Death Has Never Made Any Sense to Me”

(p. 10) . . . , Kinsley is intent on being wryly realistic about coping with illness and the terminal prospects ahead. He makes fun of a fellow boomer, Larry Ellison, the C.E.O. of Oracle, who has spent millions in a quest for eternal life, and who was quoted as saying, “Death has never made any sense to me.” Kinsley quips: “Actually the question is not whether death makes sense to Larry Ellison but whether Larry Ellison makes sense to death. And I’m afraid he does.”

For the full review, see:
PHILLIP LOPATE. “Senior Moments’.” The New York Times Book Review (Sun., APRIL 24, 2016): 10.
(Note: ellipsis added.)
(Note: the online version of the review has the date APRIL 18, 2016, and has the title “Michael Kinsley’s ‘Old Age: A Beginner’s Guide’.”)

The book under review, is:
Kinsley, Michael. Old Age: A Beginner’s Guide. New York: Tim Duggan Books, 2016.