Traveling Health Volunteers Often Do Harm

(p. D3) Tens of thousands of religious and secular institutions now send hundreds of thousands of health volunteers from the United States out into the world, generating close to an estimated $1 billion worth of unpaid labor. Volunteers include experienced medical professionals and individuals who can provide only elbow grease; between these extremes of competence are the hordes of students in the health professions, among whom global volunteering has become immensely popular.
. . .
Students may take advantage of the circumstances to attempt tasks well beyond their expertise. Seasoned professionals may cling to standards of practice that are irrelevant or impossible to sustain in poor countries. Unskilled volunteers who do not speak the language may monopolize local personnel with their interpreting needs without providing much of value in return.
Problems may lie with the structure of a program rather than the personnel. Volunteer projects may be choppy and discontinuous, one set of volunteers not knowing what the previous group was up to, and not able to leave suggestions for the next group. Medications may run out. Surgery may be performed with insufficient provisions for postoperative care.
Even well-organized programs may undermine hosting communities in unanticipated ways: For instance, a good volunteer-based clinic may sap confidence in local medical care and, providing free services, threaten to put local physicians out of business.
. . .
A few studies on the long-term effects of short-term good works are ongoing. In the meantime, “there is little evidence that short-term volunteer trips produce the kinds of transformational changes that are often promised,” Dr. Lasker finds.

For the full review, see:
ABIGAIL ZUGER, M.D. “The Folly of the Well-Meaning Traveling Volunteer.” The New York Times (Tues., APRIL 26, 2016): D3.
(Note: ellipses added.)
(Note: the online version of the review has the date APRIL 25, 2016, and has the title “Books; Book Review: ‘Hoping to Help’ Questions Value of Volunteers.”)

The book under review, is:
Lasker, Judith N. Hoping to Help: The Promises and Pitfalls of Global Health Volunteering, The Culture and Politics of Health Care Work. Ithaca, NY: Cornell University Press, 2016.

“Practice Makes Perfect, but It Doesn’t Make New”

(p. 12) Child prodigies rarely become adult geniuses who change the world. We assume that they must lack the social and emotional skills to function in society. When you look at the evidence, though, this explanation doesn’t suffice: Less than a quarter of gifted children suffer from social and emotional problems. A vast majority are well adjusted — as winning at a cocktail party as in the spelling bee.
What holds them back is that they don’t learn to be original. They strive to earn the approval of their parents and the admiration of their teachers. But as they perform in Carnegie Hall and become chess champions, something unexpected happens: Practice makes perfect, but it doesn’t make new.
. . .
In adulthood, many prodigies become experts in their fields and leaders in their organizations. Yet “only a fraction of gifted children eventually become revolutionary adult creators,” laments the psychologist Ellen Winner. “Those who do must make a painful transition” to an adult who “ultimately remakes a domain.”
Most prodigies never make that leap. They apply their extraordinary abilities by shining in their jobs without making waves. They become doctors who heal their patients without fighting to fix the broken medical system or lawyers who defend clients on unfair charges but do not try to transform the laws themselves.

For the full commentary, see:
Grant, Adam. “How to Raise a Creative Child.” The New York Times, SundayReview Section (Sun., JAN. 31, 2016): 12.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date JAN. 16, 2016, and has the title “How to Raise a Creative Child. Step One: Back Off.”)

Grant’s commentary is related to his book:
Grant, Adam. Originals: How Non-Conformists Move the World. New York: Viking, 2016.

American Indians Suffer from Lack of Property Rights

(p. A15) There are almost no private businesses or entrepreneurs on Indian reservations because there are no property rights. Reservation land is held in trust by the federal government and most is also owned communally by the tribe. It’s almost impossible for tribe members to get a mortgage, let alone borrow against their property to start a business. The Bureau of Indian Affairs regulates just about every aspect of commerce on reservations.
Instead of giving Indians more control over their own land–allowing them to develop natural resources or use land as collateral to start businesses–the federal government has offered them what you might call a loophole economy. Washington carves out a sector of the economy, giving tribes a regulatory or tax advantage over non-Indians. But within a few years the government takes it away, in many cases leaving Indian tribes as impoverished and more disheartened than they were before.
. . .
What American Indians need first is less regulation. There is a reason that Native Americans say BIA, the initials for the Bureau of Indian Affairs, really stands for “Bossing Indians Around.”

For the full commentary, see:
NAOMI SCHAEFER RILEY. “The Loophole Economy Is No Jackpot for Indians; Running casinos or selling tax-free cigarettes can’t substitute for what tribes truly need: property rights.” The Wall Street Journal (Thurs., July 28, 2016): A15.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date July 27, 2016.)

The above commentary by Riley is related to her book, which is:
Riley, Naomi Schaefer. The New Trail of Tears: How Washington Is Destroying American Indians. New York: Encounter Books, 2016.

Mather and Boylston Risked Much to Fight Smallpox

I enjoyed reading the book reviewed below. From the title, and from reviews, I had the impression that it would mostly be about the smallpox epidemic and the innoculation conflict. I was surprised that of equal, or greater, importance in the book is the role of James Franklin’s newspaper in laying the intellectual groundwork for the American Revolution. I learned from that part of the book too, but some might feel misled from the title about what the book was mainly about. (I think “fever” in the title is intended as a double entendre, referring both to a fever from smallpox, and a fever from the ideas of liberty.)

(p. A11) Inoculation was proposed by Cotton Mather, a figure much diminished in the 30 years since Salem. He had suffered a terrible sequence of tragedies, losing his wife and 10 of his children to accidents and epidemic disease. He had also been marginalized within the religious community by quarrels and scandals. But he had become an assiduous student of science, corresponding with the Royal Society in London and learning from its “Transactions” that inoculation against smallpox had long been practiced in Constantinople. Mr. Coss shows how Mather’s investigations led him to consult a source closer to home. His slave Onesimus, when asked whether he had ever had smallpox, replied “both Yes, and No”: He had been inoculated as a child in Africa, receiving a mild infection and subsequent immunity.

Inoculation was commonplace across swaths of Africa, the Middle East and Asia, Mr. Coss explains, but this inclined the doctors of Enlightenment-era Europe to regard it as a primitive superstition. Such was the view of William Douglass, the only man in Boston with the letters “M.D.” after his name, who was convinced that “infusing such malignant filth” in a healthy subject was lethal folly. The only person Mather could persuade to perform the operation was a surgeon, Zabdiel Boylston, whose frontier upbringing made him sympathetic to native medicine and who was already pockmarked from a near-fatal case of the disease.
“Given that attempting inoculation constituted an almost complete leap of faith for Boylston,” Mr. Coss writes, “he spent surprisingly little time agonizing over it.” He knew personally just how savage the toll could be. On June 26, 1721, just as the epidemic began to rage in earnest, Boyston filled a quill with the fluid from an infected blister and scratched it into the skin of two family slaves and his own young son.
News of the experiment was greeted with public fury and terror that it would spread the contagion. A town-hall meeting was convened, at Dr. Douglass’s instigation, at which inoculation was condemned and banned. Mather’s house was firebombed with an incendiary device to which a note was attached: “I will inoculate you with this.”

For the full review, see:
MIKE JAY. “‘BOOKSHELF; An Ounce of Prevention; When Cotton Mather advocated inoculation during a smallpox outbreak, young Benjamin Franklin helped foment outrage against him.” The Wall Street Journal (Thurs., March 3, 2016): A11.
(Note: the online version of the review has the date March 2, 2016, and has the title “‘BOOKSHELF; When Ben Franklin Was Against Vaccines; When Cotton Mather advocated inoculation during a smallpox outbreak, young Benjamin Franklin helped foment outrage against him.”)

The book under review, is:
Coss, Stephen. The Fever of 1721: The Epidemic That Revolutionized Medicine and American Politics. New York: Simon & Schuster, 2016.

“You Call It Procrastination, I Call It Thinking”

(p. 7) A few years ago, . . . , one of my most creative students, Jihae Shin, questioned my expeditious habits. She told me her most original ideas came to her after she procrastinated. I challenged her to prove it. She got access to a couple of companies, surveyed people on how often they procrastinated, and asked their supervisors to rate their creativity. Procrastinators earned significantly higher creativity scores than pre-crastinators like me.
I wasn’t convinced. So Jihae, now a professor at the University of Wisconsin, designed some experiments. She asked people to come up with new business ideas. Some were randomly assigned to start right away. Others were given five minutes to first play Minesweeper or Solitaire. Everyone submitted their ideas, and independent raters rated how original they were. The procrastinators’ ideas were 28 percent more creative.
Minesweeper is awesome, but it wasn’t the driver of the effect. When people played games before being told about the task, there was no increase in creativity. It was only when they first learned about the task and then put it off that they considered more novel ideas. It turned out that procrastination encouraged divergent thinking.
Our first ideas, after all, are usually our most conventional. My senior thesis in college ended up replicating a bunch of existing ideas instead of introducing new ones. When you procrastinate, you’re more likely to let your mind wander. That gives you a better chance of stumbling onto the unusual and spotting unexpected patterns. Nearly a century ago, the psychologist Bluma Zeigarnik found that people had a better memory for incomplete tasks than for complete ones. When we finish a project, we file it away. But when it’s in limbo, it stays active in our minds.
Begrudgingly, I acknowledged that procrastination might help with everyday creativity. But monumental achievements are a different story, right?
Wrong. Steve Jobs procrastinated constantly, several of his collaborators have told me. Bill Clinton has been described as a “chronic procrastinator” who waits until the last minute to revise his speeches. Frank Lloyd Wright spent almost a year procrastinating on a commission, to the point that his patron drove out and insisted that he produce a drawing on the spot. It became Fallingwater, his masterpiece. Aaron Sorkin, the screenwriter behind “Steve Jobs” and “The West Wing,” is known to put off writing until the last minute. When Katie Couric asked him about it, he replied, “You call it procrastination, I call it thinking.”

For the full commentary, see:
Grant, Adam. “Step 1: Procrastinate.” The New York Times, SundayReview Section (Sun., JAN. 17, 2016): 1 & 6-7.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date JAN. 16, 2016, and has the title “Why I Taught Myself to Procrastinate.”)

Grant’s commentary is related to his book:
Grant, Adam. Originals: How Non-Conformists Move the World. New York: Viking, 2016.

“Doctors Often Do Not ‘Know’ What They Are Doing”

(p. A11) Into the “swift currents and roiling waters of modern medicine” plunges Dr. Steven Hatch, whose informative “Snowball in a Blizzard” adds an important perspective. Dr. Hatch believes that our health-care system can “champion patient autonomy” and facilitate “more humane treatment, less anxiety, and better care” by revealing to patients the “great unspoken secret of medicine.” What’s the secret? Simply stated, “doctors often do not ‘know’ what they are doing.” In Dr. Hatch’s view, despite spectacular advances in biomedical science, modern “doctors simply cannot provide the kind of confident predictions that are often expected of them.”
. . .
He begins where Donald Rumsfeld ended: There will always be “known knowns, known unknowns, and unknown unknowns” in medicine. Dr. Hatch illustrates this spectrum of uncertainty with engaging exposés of popular screening tests like mammograms (attempting to detect breast cancer is like “finding a snowball in a blizzard”); common drug treatments, like those used to lower serum cholesterol or blood-pressure levels (about which expert national guidelines seem to change almost yearly); and health-care coverage in the lay media (whose “breaking news” too often ignores the uncertainty of the news being broken). Throughout his book, Dr. Hatch’s message is “caveat emptor,” warning his readers to beware not only the pseudoscientists, flim-flammers, anti-vacciners and celebrity doctors but also the all-too-certain pronouncements of the medical establishment.

For the full review, see:
BRENDAN REILLY. “BOOKSHELF; Give It To Me Straight, Doc; Doctors can’t really be certain if any treatment will help a particular person. But patients are looking for prescriptions, not probabilities.” The Wall Street Journal (Tues., March 15, 2016): A11.
(Note: the ellipsis between paragraphs, and the first two in the final quoted paragraph, are added; the third ellipsis in the final paragraph is in the original.)
(Note: ellipsis added.)
(Note: the online version of the review has the date March 14, 2016.)

The book under review, is:
Hatch, Steven. Snowball in a Blizzard: A Physician’s Notes on Uncertainty in Medicine. New York: Basic Books, 2016.

Brazilians See Government as a Father Who Should Hand Out Subsidies to His Favorites

(p. 9) . . . “Brazillionaires” offers more than a flat collection of billionaire tales. Cuadros shrewdly presents his collage of immense wealth against an underlying background of corruption. There are kickbacks for government contracts. There are gigantic taxpayer subsidies: In 2009 alone, the state-run development bank, BNDES, lent out $76 billion, “more than the World Bank lent out in the entire world.” And of course there are lavish campaign contributions, attached to the inevitable quid pro quos. JBS, which leveraged government loans to become the largest meatpacking company in the world, spent $180 million on the 2014 elections alone. “If every politician who had received JBS money formed a party,” Cuadros writes, “it would be the largest in Congress.”
In his telling, Brazilians seem to embrace the cozy relationship between business and government as a source of pride rather than a risk for conflicts of interest. In one passage, Cuadros underscores the contrast between Adam Smith and the 19th-century Brazilian thinker José da Silva Lisboa, viscount of Cairu. Lisboa’s “Principios de Economía Politica” was meant to be an adaptation of Smith’s “Wealth of Nations.” But rather than present a paean to the invisible hand of the market, the viscount offered a rather paternalistic view of economic progress.
“The sovereign of each nation must be considered the chief or head of a vast family,” he wrote, “and thus care for all those therein like his children, cooperating for the greater good.” Swap “government” for “sovereign” and the passage still serves as an accurate guide to the Brazilian development strategy. It’s just that some children — the Marinhos, the Camargos — are cared for better than ­others.
. . .
It would be wrong, . . . , to understand Brazil’s plutocracy as the product of some unique outcrop of corruption. The hold on political power by the rich is hardly an exclusive feature of Brazil. ­Latin America has suffered for generations from the collusion between government and business. Where I grew up, in Mexico, it is the norm.

For the full review, see:
EDUARDO PORTER. “Real Rich.” The New York Times Book Review (Sun., JULY 24, 2016): 9.
(Note: ellipses added.)
(Note: the online version of the review has the date JULY 22, 2016, and has the title “Watching Brazil’s Rich: A Full-Time Job.”)

The book under review, is:
Cuadros, Alex. Brazillionaires: Wealth, Power, Decadence, and Hope in an American Country. New York: Spiegel & Grau, 2016.

Creativity Is Correlated with “Openness to Experience”

(p. D3) “Insightful problem solving can’t be boiled down to any single way of thinking,” the authors say. Creative people have messy processes, and often messy minds, full of contradictions.
Contrary to the well-worn notion that creativity resides in the right side of the brain, research shows that creativity is a product of the whole brain, relying especially on what the authors call the “imagination network” — circuits devoted to tasks like making personal meaning, creating mental simulations and taking perspective.
While creative people run the gamut of personalities, Dr. Kaufman’s research has shown that openness to experience is more highly correlated to creative output than I.Q., divergent thinking or any other personality trait. This openness often yields a drive for exploration, which “may be the single most important personal factor predicting creative achievement,” the authors write.
These are people energized and motivated by the possibility of discovering new information: “It’s the thrill of the knowledge chase that most excites them.”
Once the idea is found, alas, the creative process begins to resemble something more like grinding execution. It’s still creative, but it requires more focus and less daydreaming — one reason highly creative people tend to exhibit mindfulness and mental wandering.
“Creativity is a process that reflects our fundamentally chaotic and multifaceted nature,” the authors write. “It is both deliberate and uncontrollable, mindful and mindless, work and play.”

For the full review, see:
CHRISTIE ASCHWANDEN. “Books; The Blessed Mess of Creativity.” The New York Times (Tues., FEB. 9, 2016): D3.
(Note: the online version of the review has the date FEB. 8, 2016, and has the title “Books; Review: ‘Wired to Create’ Shows the Science of a Messy Process.”)

The book under review, is:
Kaufman, Scott Barry, and Carolyn Gregoire. Wired to Create: Unraveling the Mysteries of the Creative Mind. New York: TarcherPerigee, 2015.

“Hong Kongers Will Not Bow Down to Brute Force”

(p. A1) HONG KONG — Blindfolded and handcuffed, the bookseller was abducted from Hong Kong’s border with mainland China and taken to a cell, where he would spend five months in solitary confinement, watched 24 hours a day by a battery of Chinese guards.
Even the simple act of brushing his teeth was monitored by minders, who tied a string to his toothbrush for fear he might try to use it to harm himself. They wanted him to identify anonymous authors and turn over data on customers.
“I couldn’t call my family,” the man, Lam Wing-kee, said on Thursday. “I could only look up to the sky, all alone.”
Months after he and four other booksellers disappeared from Hong Kong and Thailand, prompting international concern over what critics called a brazen act of extralegal abduction, Mr. Lam stood before a bank of television cameras in Hong Kong and revealed the harrowing details of his time in detention.
“It can happen to you, too,” said Mr. Lam, 61, who was the manager of Causeway Bay Books, a store that sold juicy potboilers about the mainland’s Communist Party leadership. “I want to tell the whole world: Hong Kongers will not bow down to brute force.”
. . .
(p. A14) In the months since Mr. Lam and his colleagues disappeared, the industry has fallen on hard times. Causeway Bay Books has closed, and many Hong Kong bookstores have pulled titles about Chinese politics from their shelves.
The disappearances shocked people in Hong Kong and reverberated internationally. Many saw the episode as an expansion of China’s authoritarian legal system beyond its borders, in clear violation of the “one country, two systems” framework that allows Hong Kong to maintain a high degree of autonomy from Beijing.
Thousands of people took to the streets of Hong Kong to demand the booksellers’ release. Diplomats from Britain, the European Union and the United States also registered concern.

For the full story, see:
ALAN WONG, MICHAEL FORSYTHE and ANDREW JACOBS. “Defying China, Hong Kong Bookseller Describes Detention.” The New York Times (Fri., JUNE 17, 2016): A1 & A14.
(Note: ellipsis added.)
(Note: the online version of the story has the date JUNE 16, 2016, and has the title “Defying China, Hong Kong Bookseller Describes Detention.”)

Technology Platforms Will Create Decades of Gales of Creative Destruction

(p. A11) For traditional businesses, economies of scale are the key to competitive advantage: Larger firms have lower average costs. In the digital economy, network effects matter most. In “Matchmakers” (Harvard Business Review, 260 pages, $35), David S. Evans (a consultant) and Richard Schmalensee (a professor of management) highlight two particular forms.
Direct network effects occur when additional users make a service more valuable for everyone. If one’s colleagues are all on, say, LinkedIn, it will be hard for another professional network to exert a strong appeal. Without the critical mass of LinkedIn, the alternative will have less utility even if its features are better. Indirect network effects arise from positive feedback loops between opposing sides of a market. The value of Rightmove, for instance, the leading online real-estate site in Britain, comes from a matching function: Since each home is unique, buyers prefer the site with the most properties, and real-estate agents favor the site with the most buyers. This virtuous cycle magnifies Rightmove’s advantage even though participants on each side of the market compete with one another: More buyers increase competition for the same homes, and agents compete for buyers.
. . .
“Matchmakers” is . . . measured and analytical . . . . The authors fairly conclude that, while the telegraph was “a far more important multisided platform” than anything produced so far by the Internet, platforms are “behind the gales of creative destruction that . . . will sweep industries for decades to come.”

For the full review, see:

JEREMY G. PHILIPS. “Why Facebook’s Imitators Failed; If one’s coworkers are all on the same platform, any alternative will have less utility–even if its features are better.” The Wall Street Journal (Thurs., May 19, 2016): A11.

(Note: the ellipsis between paragraphs, and the first two in the final quoted paragraph, are added; the third ellipsis in the final paragraph is in the original.)
(Note: the online version of the review has the date May 18, 2016.)

The book under review, is:
Evans, David S., and Richard Schmalensee. Matchmakers: The New Economics of Multisided Platforms. Boston: Harvard Business Review Press, 2016.

In Cultural Revolution, Chinese “Tried to Turn Their Homes into Fragile Islands of Freedom”

(p. C8) Mr. Dikötter’s greatest contribution with “The Cultural Revolution,” which is the third in a trilogy on China during the Mao era, is his undermining of the conventional view of the period following Mao’s death in 1976. The prevailing narrative, much encouraged by the Communist Party, is that the Chinese state began “lifting” hundreds of millions of people out of poverty through its sage adoption of capitalist-style policies officially called “reform and opening,” beginning with an end to systemwide economic planning and the restoration of markets.
Drawing on a growing body of existing research, Mr. Dikötter argues that China’s markets were not born of the official reforms of the late-1970s and early 1980s but rather got their start before the Cultural Revolution had ended in 1976. He writes of peasants and city dwellers who had completely lost faith in the system and began improvised acts of survival and resistance, like the private trading of goods and labor, which was banned, and even small-scale industrial output.
“Senseless and unpredictable purges were designed to cow the population and rip apart entire communities, producing docile, atomized individuals loyal to no one but the Chairman,” Mr. Dikötter writes. The outcome, as with so many extreme, top-down uses of power, was almost the exact opposite. As surreptitious markets began to flourish in response to scarcity, “people from all walks of life tried to turn their homes into fragile islands of freedom.”​

For the full review, see:
HOWARD W. FRENCH. “‘Bombard the Headquarters’; The twin pillars of Mao’s campaign were uprooting supposed reactionaries and the promotion of sycophancy.” The Wall Street Journal (Sat., May 28, 2016): C8.
(Note: the online version of the review has the date May 27, 2016.)

The book under review, is:
Dikötter, Frank. The Cultural Revolution: A People’s History, 1962-1976. New York: Bloomsbury Press, 2016.