Deregulation of Hearing Aids Will Lower Costs and Increase Innovation

(p. A1) The Food and Drug Administration decided on Tuesday to allow hearing aids to be sold over the counter without a prescription to adults, a long-sought wish of consumers frustrated by expensive exams and devices.

The high cost of hearing aids, which are not covered by basic Medicare, has discouraged millions of Americans from buying the devices. Health experts say that untreated hearing loss can contribute to cognitive decline and depression in older people.

Under the F.D.A.’s new rule, people with mild to moderate hearing loss should be able to buy hearing aids online and in retail stores as soon as October, without being required to see a doctor for an exam to get a prescription.

. . .

“This could fundamentally change technology,” said Nicholas Reed, an audiologist at the Department of Epidemiology at Johns Hopkins Bloomberg School of Public Health. “We don’t know what these companies might come up with. We may literally see new ways hearing aids work, how they look.”

. . .

The change has been percolating for years. In 2016, a proposal for the F.D.A. to approve over-the-counter hearing aids for adults with mild to moderate hearing was released in a report by the National Academies of Science, Engineering and Medicine. The following year, Senators Chuck Grassley, a Republican of Iowa, and Elizabeth Warren, a Democrat of Massachusetts, introduced a bill enabling the agency to make the change. Congress approved the legislation and President Trump signed it into law.

Finalizing regulations has moved slowly since then, with some conflict over details, like how the federal rule would interact with state laws on hearing aid returns or warranty policies and how much the devices should amplify sound.

Mr. Biden issued an executive order last July calling for greater competition in the economy, which urged the F.D.A. to take action “to promote the wide availability of low-cost hearing aids.”

For the full story, see:

Christina Jewett. “F.D.A. Decides to Allow Over-the-Counter Sales of Hearing Aids.” The New York Times (Wednesday, August 17, 2022): A1 & A23.

(Note: ellipses added.)

(Note: the online version of the story was updated Aug. 23, 2022, and has the title “F.D.A. Clears Path for Hearing Aids to Be Sold Over the Counter.”)

Argentines Prefer “Cratered” Cryptocurrency Over Hyperinflating Pesos or Hauling “Large Stashes” of Dollar Bills

(p. A4) Even though the cryptocurrency market has cratered in recent months, many Argentines see it as a safe haven ‌in a country where surging inflation and a grinding economic crisis have battered the national currency, the peso, and people’s bank accounts.

“Money here is like ice cream,” said Marcos Buscaglia, an economist in Buenos Aires, the capital. “If you keep a peso for too long, it melts in terms of how much you can buy with it.”

. . .

Across the world, people in low-income and emerging countries have become the biggest users of cryptocurrencies, according to various reports, overtaking the United States and Europe.

Digital coins are prized in countries where the local money is volatile and where governments have made it harder for citizens to buy foreign currencies.

. . .

Argentina provides some clues about the appeal of cryptocurrencies.

Argentines have long looked to the dollar as a safe haven. Saving in dollars “is tattooed into our DNA,” said Daniel Convertini, 34, who works in communications for a ride-hailing company. “I learned to do it from my dad and my grandfather, not because I read it in some financial newspaper.”

. . .

. . . digital currencies provide an advantage by not requiring people to haul around large stashes of bills.

For the full story, see:

Ana Lankes. “Crypto Is Tumbling. But to Argentines, It Still Beats Pesos.” The New York Times, First Section (Sunday, August 21, 2022): A4.

(Note: ellipses added.)

(Note: the online version of the story has the date Aug. 20, 2022, and has the title “Crypto Is Tumbling, but in Argentina It’s Still a Safer Bet.”)

Since Adderall Is “Highly Regulated” Pharmacies and Patients Can’t “Quickly Pivot” in Response to Scarcity

(p. A13) The Food and Drug Administration has declared a nationwide shortage of Adderall, a medication used to treat A.D.H.D. that has had surging demand in recent years.

. . .

Adderall, which contains the stimulant amphetamine, is a controlled substance and highly regulated, so it is difficult for pharmacies to quickly pivot and carry new brands, analysts said.

. . .

While a number of companies make Adderall and generic versions, pharmacies may find it difficult to pivot to other suppliers because of amphetamine’s status as a controlled substance that typically includes restrictions on its use and monitoring of prescription orders. Any given pharmacy might risk raising red flags with the Drug Enforcement Administration by doubling its supply, said Erin Fox, an expert on drug shortages at the University of Utah.

“With a controlled substance, it’s harder for patients to call around and find a pharmacy that has product for them,” Ms. Fox said.

For the full story, see:

Christina Jewett. “F.D.A. Confirms Widespread Shortages of Adderall.” The New York Times (Friday, October 14, 2022): A13.

(Note: ellipses added.)

(Note: the online version of the story has the date Oct. 13, 2022, and has the title “F.D.A. Confirms Wide Shortage of Adderall.”)

Musk’s Private Starlink Infrastructure “Played a Crucial Role” in Saving Ukraine

(p. A6) KYIV, Ukraine—Elon Musk backtracked on his complaints over the cost of funding Starlink internet terminals in Ukraine and said his company would continue to pay for them, as explosions rocked the Russian-held city of Donetsk in eastern Ukraine on Sunday [Oct. 16, 2022].

Mr. Musk, the billionaire chief executive of SpaceX and Tesla, pledged to continue funding the Starlink service for Ukraine just a day after he said SpaceX couldn’t finance the service indefinitely on its own.

“The hell with it,” Mr. Musk tweeted on Saturday. “Even though Starlink is still losing money & other companies are getting billions of taxpayer $, we’ll just keep funding Ukraine govt for free.”

The 20,000 Starlink terminals estimated to be in operation across Ukraine have played a crucial role in maintaining the country’s communications during the war and are deployed at hundreds of Ukrainian military outposts where they allow commanders to call in artillery strikes or coordinate operations in areas where cell service is jammed by Russia.

For the full story, see:

Matthew Luxmoore. “Musk Says SpaceX to Cover Starlink Costs in Ukraine.” The Wall Street Journal (Monday, Oct. 17, 2022): A6.

(Note: ellipsis, and bracketed date, added.)

(Note: the online version of the story was updated Oct. 16, 2022, and has the title “Elon Musk Says SpaceX Will Continue to Cover Starlink Costs in Ukraine.”)

Environmentalists Ignore “The Unintended Impacts of Policies”

(p. A1) Nicole Kramaritsch of Roxbury, N.J., has 46 bags just sitting in her garage. Brian Otto has 101 of them, so many that he’s considering sewing them into blackout curtains for his baby’s bedroom. (So far, that idea has gone nowhere.) Lili Mannuzza in Whippany has 74.

“I don’t know what to do with all these bags,” she said.

The mountains of bags are an unintended consequence of New Jersey’s strict new bag ban in supermarkets. It went into effect in May and prohibits not only plastic bags but paper bags as well. The well-intentioned law seeks to cut down on waste and single-use plastics, but for many people who rely on grocery delivery and curbside pickup services their orders now come in heavy-duty reusable shopping bags — lots and lots of them, week after week.

While nearly a dozen states nationwide have implemented restrictions on single-use plastic bags, New Jersey is the only one to ban paper bags because of their environmental impact. The law also bans polystyrene foam food containers and cups, and restricts restaurants from handing out plastic straws unless they’re requested.

Emily Gonyou, 22, a gig worker in Roselle Park who provides shopping services for people (p. A11) through Instacart, said she was surprised when she learned the delivery company had no special plans for accommodating the ban. “They pretty much said, ‘OK, do exactly what you’re doing, but with reusable bags,’” she said.

Ms. Gonyou said she goes through up to 50 reusable bags a day, many of which, she suspects, could end up in the garbage.

Compared to single-use plastics, the more durable reusable bags are better for the environment only if they are actually reused. According to Shelie Miller, a professor at the University of Michigan School for Environment and Sustainability, a typical reusable bag, manufactured from polypropylene, must be used at least 10 times to account for the additional energy and material required to make it. For cotton totes, that number is much higher.

. . .

Dr. Miller said the bag situation in New Jersey was emblematic of a lot of environmental policies. “If we don’t pay attention to the unintended impacts of policies such as the plastic waste ban, we run into the potential of playing environmental Whac-a-Mole,” she said. “We solve one environmental problem only to create or exacerbate another problem.”

For the full story, see:

Clare Toeniskoetter. “New Jersey Bag Ban’s Unforeseen Consequence: Too Many Bags.” The New York Times (Friday, September 2, 2022): A1 & A11.

(Note: ellipsis added.)

(Note: the online version of the story has the date Sept. 1, 2022, and has the title “Why Do Some People in New Jersey Suddenly Have Bags and Bags of Bags?”)

Steve Case Sees “Local Knowledge” as a Plus for Entrepreneurs Outside of Silicon Valley

(p. A15) Steve Case, a co-founder of AOL, was one of the early internet pioneers. But he is not a creature of Silicon Valley. AOL, he points out in “The Rise of the Rest: How Entrepreneurs in Surprising Places Are Building the New American Dream,” was based in the Washington, D.C., area, and many of the early tech firms, like Dell, were not started in Silicon Valley. Hence his conviction that successful entrepreneurship can happen anywhere.

. . .

Mr. Case reckons that we are entering a new phase of tech innovation. Success now requires not only software ingenuity but also industry expertise. If true, we could be due for a wave of local entrepreneurs because these are the people who are aware of the problems their communities face. Now that tech workers can work anywhere, local knowledge and expertise will be at a premium.

. . .

. . . [A] firm that Mr. Case discusses is Catalyte, a software company based in Baltimore. Founder Michael Rosenbaum was convinced that “potential talent was being overlooked by a system that valued pedigree over innate ability” and devised a hiring approach that would ignore traditional résumé points and instead match employees “according to their abilities and potential, which would be determined through carefully calibrated metrics and AI design.” To that end, Mr. Rosenbaum decided to launch his startup in Baltimore, “a postindustrial city . . . with a large, dislocated population of workers who were not connected to the future job opportunities.” His methods paid off, resulting in a diverse workforce and one that produced “off the charts” performance results.

According to Mr. Case, spurring regional entrepreneurship requires leaning on universities and building more “innovation districts.” But these zones, which contain startups, business incubators and investment funds that support one another, have a mixed record. He sees government involvement as crucial but doesn’t contend with its past failures . . .

For the full review, see:

Allison Schrager. “BOOKSHELF; Startups Across America.” The Wall Street Journal (Monday, Sept. 12, 2022): A15.

(Note: ellipses between paragraphs, and at the start or end of a paragraph, added; ellipsis within paragraph, in original. Bracketed word also added.)

(Note: the online version of the review has the date September 11, 2022, and has the title “BOOKSHELF; ‘The Rise of the Rest’ Review: Startups Across America.”)

The book under review is:

Case, Steve. The Rise of the Rest: How Entrepreneurs in Surprising Places Are Building the New American Dream. New York: Avid Reader Press, 2022.

“The Car Emancipated the Masses”

(p. 11) Ear-shredding noise, toxic air, interminable traffic jams, chaos and death — all the result of untrammeled population expansion. Is this a description of a contemporary urban nightmare? Not quite: We’re talking about 19th-century London, although the situation in Paris and other major cities wasn’t much better. And the cause of all this misery was … the horse.

As recounted by Bryan Appleyard in his compelling new book, “The Car,” by 1900 the 50,000 horses required to meet London’s transportation needs deposited 500 tons of excrement daily. Hooves and carriage wheels threw up curtains of fetid muck. Accidents caused by mechanical failures and spooked animals were often fatal to passengers, drivers and the horses themselves. New York City employed 130,000 horses and predictions were made that by 1930 that city’s streets would be piled three stories high with dung. Yet another dire prophecy fallen victim to the continuity fallacy — the belief that a current trend will endure forever.

Things change because when problems arise, people work at solving them, and sometimes they arrive at solutions. The answer to the psychosocial and physical degradation brought on by too many people employing too many horses in the burgeoning Industrial Age was, of course, the development of the motor vehicle. Specifically, one powered by the internal combustion engine.

. . .

For all the carping and finger-pointing leveled at traditional automobiles — much of which Appleyard acknowledges as valid — he is unabashed about his appreciation for the most important machine in human history. As he points out, “The car emancipated the masses far more effectively than any political ideology; that it did so at a cost should not obliterate the importance of that freedom.”

Well said. Vroom.

For the full review, see:

Jonathan Kellerman. “Auto Erotica.” The New York Times Book Review (Sunday, September 25, 2022): 11.

(Note: ellipsis added.)

(Note: the online version of the review was updated Sept. 23, 2022, and has the title “How the Car Created the Modern World.”)

The book under review is:

Appleyard, Bryan. The Car: The Rise and Fall of the Machine That Made the Modern World. New York: Pegasus Books, 2022.

Deep-Sea Nodules Are a New Source of Scarce Metals

(p. B11) Companies could start mining the ocean floor for metals used to make electric-vehicle batteries within the next year, a development that could occur despite broad concerns about the environmental impact of deep-sea mining.

The International Seabed Authority, a United Nations observer organization that regulates deep-sea mining in international waters, is drawing up a final regulatory framework for deep-sea mining that all 168 members would need to agree to within the next 12 months. The U.S. isn’t a member of the ISA. With or without the finalized rules, the ISA will permit seabed mining by July 2023, according to people familiar with the matter.

The intent of deep-sea mining is to scrape the ocean floor for polymetallic nodules—tennis-ball-size pieces of rock that contain iron and manganese oxide layers. A seabed in the Pacific Ocean called the Clarion Clipperton Zone, which cover 1.7 million square miles between Mexico and Hawaii, contains a high volume of nodules made of battery metals, such as cobalt, manganese and lithium. The International Seabed Authority in 2010 estimated the zone had roughly 30 billion metric tons of nodules. Cobalt and other metals used in making rechargeable batteries that power products from phones to electric vehicles are in high demand, setting off a race to find and procure them. Prices of these metals are soaring as mining for them comes under scrutiny, curtailing supply.

For the full story see:

Yusuf Khan. “Deep-Sea Mining Nears Reality.” The Wall Street Journal (Tuesday, Aug. 23, 2022): B11.

(Note: as of Sept. 9, 2022, the article was not available online.)

Trang Almost Did Not Perform Simple Experiment Because “People Would Have Known This Already”

(p. D3) A team of scientists has found a cheap, effective way to destroy so-called forever chemicals, a group of compounds that pose a global threat to human health.

The chemicals — known as PFAS, or per- and polyfluoroalkyl substances — are found in a spectrum of products and contaminate water and soil around the world. Left on their own, they are remarkably durable, remaining dangerous for generations.

Scientists have been searching for ways to destroy them for years. In a study, published Thursday [Aug. 18, 2022] in the journal Science, a team of researchers rendered PFAS molecules harmless by mixing them with two inexpensive compounds at a low boil. In a matter of hours, the PFAS molecules fell apart.

. . .

At the end of a PFAS molecule’s carbon-fluorine chain, it is capped by a cluster of other atoms. Many types of PFAS molecules have heads made of a carbon atom connected to a pair of oxygen atoms, for example.

Dr. Dichtel came across a study in which chemists at the University of Alberta found an easy way to pry carbon-oxygen heads off other chains. He suggested to his graduate student, Brittany Trang, that she give it a try on PFAS molecules.

Dr. Trang was skeptical. She had tried to pry off carbon-oxygen heads from PFAS molecules for months without any luck. According to the Alberta recipe, all she’d need to do was mix PFAS with a common solvent called dimethyl sulfoxide, or DMSO, and bring it to a boil.

“I didn’t want to try it initially because I thought it was too simple,” Dr. Trang said. “If this happens, people would have known this already.”

An older grad student advised her to give it a shot. To her surprise, the carbon-oxygen head fell off.

It appears that DMSO makes the head fragile by altering the electric field around the PFAS molecule, and without the head, the bonds between the carbon atoms and the fluorine atoms become weak as well. “This oddly simple method worked,” said Dr. Trang, who finished her Ph.D. last month and is now a journalist.

For the full commentary see:

Carl Zimmer. “MATTER; Fighting Forever Chemicals With Chemicals.” The New York Times (Tuesday, Aug. 23, 2022): D3.

(Note: ellipsis, and bracketed date, added.)

(Note: the online version of the commentary has the date August 18, 2022, and has the title “MATTER; Forever Chemicals No More? PFAS Are Destroyed With New Technique.”)

The research summarized in the passages quoted above was published in:

Trang, Brittany, Yuli Li, Xiao-Song Xue, Mohamed Ateia, K. N. Houk, and William R. Dichtel. “Low-Temperature Mineralization of Perfluorocarboxylic Acids.” Science 377, no. 6608 (Aug. 18, 2022): 839-45.

Nobody Wanted to Buy Tony Fadell’s Early Inventions

(p. C7) Tony Fadell began his Silicon Valley career in 1991 at General Magic, which he calls “the most influential startup nobody has ever heard of.” He sketches his early persona as the all-too-typical engineering nerd dutifully donning an interview suit only to be told to ditch the jacket and tie before the meeting begins. He started at the bottom, building tools to check the work of others, many of whom just happened to be established legends from the original Apple Macintosh team.

General Magic failed at its ambitious goal: to create demand for its ingenious hand-held computer at a time when most people didn’t know they needed a computer at all. In other words, though the company had a great product, the product didn’t solve a pressing problem for consumers. Mr. Fadell offers candid reasons why such a smart group of people could have overlooked this basic market reality. Relaying the “gut punch of our failure,” he describes what it’s like “when you think you know everything (p. C8) then suddenly realize you have no idea what you’re doing.”

Four years later, Mr. Fadell landed as chief technology officer at Philips, the 300,000-employee Dutch electronics company, where he had a big title, a new team, a budget and a mission: The company was going to make a hand-held computer for now-seasoned desktop users who were beginning to see the need for a mobile device. Using Microsoft Windows CE as the operating system, it launched the Philips Velo in 1997. This was a $599.99 “personal digital assistant”—keyboard, email, docs, calendar, the works—in a friendly 14-ounce package. All the pieces were there, the author writes, except “a real sales and retail partnership.” No one—not Best Buy, not Circuit City, not Philips itself—knew how to sell the product, or whom to sell it to. So here was another “lesson learned via gut punch”: There is a lot more to a successful product than a good gadget, even an excellent one.

. . .

He uses his problem-solution-failure style to share stories about how he built the Nest thermostat and the Nest Labs company—from fundraising, building a retail channel and navigating patent litigation to marketing, packaging and customer support.

The best moments in this section, and perhaps the most difficult for Mr. Fadell to write, are about the acquisition of Nest by Google. He pulls no punches in describing what an outsider might call a botched venture integration. Google paid $3.2 billion for Nest in 2014 but within two years began to consider selling. “In utter frustration,” Mr. Fadell walked away. The lessons in these pages are as much for big companies acquiring startups as they are for the startups being acquired.

For the full review, see:

Steven Sinofsky. “Running The Tortuous ‘Idea Maze’.” The Wall Street Journal (Saturday, June 18, 2022): C7-C8.

(Note: ellipsis added.)

(Note: the online version of the review has the date June 17, 2022, and has the title “‘Build’ Review: Failure Is the Mother of Invention.”)

The book under review is:

Fadell, Tony. Build: An Unorthodox Guide to Making Things Worth Making. New York: Harper Business, 2022.

A.I. Cannot Learn What 4-Year-Old Learns From Trial-And-Error Experiments

(p. C3) A few weeks ago a Google engineer got a lot of attention for a dramatic claim: He said that the company’s LaMDA system, an example of what’s known in artificial intelligence as a large language model, had become a sentient, intelligent being.

Large language models like LaMDA or San Francisco-based Open AI’s rival GPT-3 are remarkably good at generating coherent, convincing writing and conversations—convincing enough to fool the engineer. But they use a relatively simple technique to do it: The models see the first part of a text that someone has written and then try to predict which words are likely to come next. If a powerful computer does this billions of times with billions of texts generated by millions of people, the system can eventually produce a grammatical and plausible continuation to a new prompt or a question.

. . .

In what’s known as the classic “Turing test,” Alan Turing in 1950 suggested that if you couldn’t tell the difference in a typed conversation between a person and a computer, the computer might qualify as intelligent. Large language models are getting close. But Turing also proposed a more stringent test: For true intelligence, a computer should not only be able to talk about the world like a human adult—it should be able to learn about the world like a human child.

In my lab we created a new online environment to implement this second Turing test—an equal playing field for children and AI systems. We showed 4-year-olds on-screen machines that would light up when you put some combinations of virtual blocks on them but not others; different machines worked in different ways. The children had to figure out how the machines worked and say what to do to make them light up. The 4-year-olds experimented, and after a few trials they got the right answer. Then we gave state-of-the-art AI systems, including GPT-3 and other large language models, the same problem. The language models got a script that described each event the children saw and then we asked them to answer the same questions we asked the kids.

We thought the AI systems might be able to extract the right answer to this simple problem from all those billions of earlier words. But nobody in those giant text databases had seen our virtual colored-block machines before. In fact, GPT-3 bombed. Some other recent experiments had similar results. GPT-3, for all its articulate speech, can’t seem to solve cause-and-effect problems.

If you want to solve a new problem, googling it or going to the library may be a first step. But ultimately you have to experiment, the way the children did. GPT-3 can tell you what the most likely outcome of a story will be. But innovation, even for 4-year-olds, depends on the surprising and unexpected—on discovering unlikely outcomes, not predictable ones.

For the full commentary see:

Alison Gopnik. “What AI Still Doesn’t Know How To Do.” The Wall Street Journal (Saturday, July 16, 2022): C3.

(Note: ellipsis added.)

(Note: the online version of the commentary has the date July 15, 2022, and has the same title as the print version.)