Author: Art Diamond

High Costs of Public Sector Unions

(p. A11) . . . the costs of public-sector unions are great. “The byproduct of political management of the economy is waste,” the author notes. Second, pension and benefit obligations weigh down our cities. Trash disposal in Chicago costs $231 per ton, versus $74 in non-union Dallas. Increasingly, such a burden is fatal. When Detroit declared bankruptcy in 2013, a full half of the city’s$18.2 billion long-term debt was owed for employee pensions and health benefits. Even before the next downturn, other cities and some states will find themselves faltering because of similarly massive obligations.
There is something grotesque about public workers fighting for benefits whose provision will hurt the public. Citizens who vote Democratic may choose not to acknowledge the perversity out of party loyalty. But over the years a few well-known Democrats have sided against the public-sector unions. “The process of collective bargaining as usually understood cannot be transplanted into the public service,” a Democratic politician once declared. His name? Franklin Roosevelt.

For the full review, see:
AMITY SHLAES. “BOOKSHELF; Public Unions vs. the Public; Pension and benefit obligations weigh down our cities. Trash disposal in Chicago costs $231 per ton, versus $74 in non-union Dallas.” The Wall Street Journal (Fri., Jan. 16, 2015): A11.
(Note: ellipsis added.)
(Note: the online version of the review has the date Jan. 15, 2015.)

The book under review is:
DiSalvo, Daniel. Government against Itself: Public Union Power and Its Consequences. New York: Oxford University Press, 2015.

Mandated Health Treatment Regulations Are Often Reversed

(p. A25) After spending nearly two decades in medicine, I am still amazed by how spare the evidence is on which we doctors base our medical decisions. Treatment guidelines, often accompanied by a de facto mandate, are frequently reversed.
Only a few years ago, for example, beta-blocker drugs were routinely recommended for almost all patients undergoing noncardiac surgery. Since then, research has shown that these drugs may significantly increase the risk of stroke at the time of surgery. I remember colleagues questioning the beta-blocker recommendation for certain patients and being admonished for not being “evidence-based.” I shudder to think how many patients were left disabled by strokes because of the blanket adoption of this standard.
What is in vogue today is often discarded tomorrow. Hormone replacement therapy for women after menopause is an example of a once widely implemented treatment that we have now largely abandoned. In September, in response to new research, the American College of Cardiology revoked a major recommendation on heart-attack treatment. “Science is not static but rather constantly evolving,” said its president, Patrick T. O’Gara, in explaining the decision.
. . .
Instead of being allowed to deliver “patient-centered” care, many physicians feel they are being co-opted by regulations. Some feel pressured to prescribe “mandated” treatment, even to frail older adults who may not benefit. Guidelines are supposed to assist and advise. But all too often, recommended care in certain situations becomes mandated care in all situations.

For the full commentary, see:
SANDEEP JAUHAR. “Don’t Homogenize Health Care.” The New York Times (Thurs., DEC. 11, 2014): A25.
(Note: the online version of the commentary has the date DEC. 10, 2014.)

Private Power Lights the Darkness

(p. A10) NUSEIRAT CAMP, Gaza Strip–It was just after sunset when the power went out in this Palestinian refugee camp. Within seconds, Ali al-Majdalawi flipped a switch on a blue generator in his backyard and the lights in 500 homes flickered back on again.
The 64-year-old patriarch runs what he calls the A. Majdalawi Electricity Co., a pop-up utility that consists of three generators and a spider’s web of power lines radiating from an empty lot he owns in the camp.
Mr. Majdalawi has no license to operate his company. But he does have an invoice pad at the ready and boasts a long list of customers including five mosques, a library and a police station.
. . .
Along with three partners, Mr. Majdalawi, a retired school official for the U.N., invested $80,000 of their savings to buy several diesel-powered generators two years ago and set about building their own power-delivery network.
The community of about 65,000 began in 1948, the year of Israel’s creation, when hundreds of families displaced by war between Jews and Arabs set up rows of temporary dwellings. Decades later, the refugees and their descendants still live here, tightly packed among schools run by the United Nations and a cemetery built into a sand dune at the center of town.
Because his company is private, Mr. Majdalawi couldn’t use municipal power polls to string up lines. He and his sons asked neighbors to let them use the walls of their homes for the wiring and allow crews to come in for periodic maintenance.
In most other respects, the business runs much like any other electricity company. Customers apply to join the grid and if approved, one of Mr. Majdalawi’s sons enters their names into a computer for monthly billing. Most clients request two amperes, enough to run lights, a television and a computer during blackouts. The price is 120 shekels a month, about $30.
“It is an alternate grid,” explained Mr. Majdalawi’s son, Rafet, the company’s chief accountant.
Deya Shaheen, a 25-year-old barber, said Mr. Majdalawi’s electricity has kept his year-old shop in business. The electric razors and the lights he uses to light the shop when customers drop in at night are powered on the three amperes he receives from the grid.On many nights, his shop is filled with young men looking for somewhere to watch soccer matches on television.
“Look, the power thing destroys your life,” he said. “People go to bed early not because they are sleepy, but because there is no power. There is nothing to do, no TV, no Internet. It is just dark.”

For the full story, see:
NICHOLAS CASEY. “Entrepreneur Fills in Gaza Electricity Gap; Palestinian Territory’s One Power Plant Meets Barely a Quarter of Demand, Posing an Obstacle in Reconstruction Efforts.” The Wall Street Journal (Weds., DEC. 24, 2014): A10.
(Note: ellipsis added.)
(Note: the online version of the story has the date DEC. 23, 2014, and has the title “Entrepreneur Fills in Gaps in Gaza Electricity Supplies; Palestinian Territory’s One Power Plant Meets Barely a Quarter of Demand.”)

Congress Appropriates Funds to Test Concussion Theory of Rain

(p. 190) the first century A.D., when the Greek moralist Plutarch came up with the notion that rain followed military battles. Napoleon believed as much and fired cannons and guns at the sky to muddy up the ground between him and his attackers. Civil War veterans who wallowed in cold slop believed that ceaseless, close-range artillery fire had opened up the skies. In the late 1890s, as the first nesters started to dig their toeholds on the dry side of the one hundredth meridian, Congress had appropriated money to test the concussion theory in Texas. The tests were done by a man named Dyrenforth. He tried mightily, with government auditors looking over (p. 191) his shoulder, but Dyrenforth could not force a drop from the hot skies of Texas. From then on, he was called “Dry-Henceforth.”
Government-sponsored failure didn’t stop others from trying. A man who called himself “the moisture accelerator,” Charles M. Hatfield, roamed the plains around the turn of the century. A Colonel Sanders of rainmaking, Hatfield had a secret mixture of ingredients that could be sent to the sky by machine. In the age before the widespread use of the telephone, it was hard to catch up with the moisture accelerator after he had fleeced a town and moved on.

Source:
Egan, Timothy. The Worst Hard Time: The Untold Story of Those Who Survived the Great American Dust Bowl. Boston: Houghton Mifflin, 2006.

Smart Phones Bring Power to the Patient

(p. A11) We instinctively reach for our smartphones when we need to take pictures, get directions, deposit checks or reserve a table. Eric Topol, a cardiologist and digital pioneer, thinks that they are ready to perform at least one more task: revolutionize health care. In “The Patient Will See You Now,” he argues that smartphones will democratize medicine by bringing data and control directly to the people.
The power of doctors, says Dr. Topol, “can be likened to that of religious leaders and nobility” in centuries past, when knowledge and authority belonged to a small elite. He notes that we’ve never seen “a discrete challenge to the medical profession” akin to Luther ‘s challenge to the Roman Catholic Church or democracy’s challenge to monarchy and despotism. “But we’ve not had the platform or landscape for that to be accomplished. Until now.” Smartphones, he says, enable a range of medical applications to move from the hospital to the home, and they shift medicine’s locus of control from doctor to patient.

For the full review, see:
DAVID A. SHAYWITZ. “BOOKSHELF; Doctor Android; In the same way that Luther challenged the Catholic Church, smartphones are poised to upend the medical profession.” The Wall Street Journal (Tues., Jan. 13, 2015): A11.
(Note: the online version of the review has the date Jan. 12, 2015.)

The book under review is:
Topol, Eric. The Patient Will See You Now: The Future of Medicine Is in Your Hands. New York: Basic Books, 2015.

Police Unions Make It Harder to Get Rid of Bad Cops

(p. A29) A small percentage of cops commit most of the abuses. A study by WNYC News in New York found that, since 2009, 40 percent of the “resisting arrest” charges were filed by just 5 percent of New York Police Department officers. In other words, most officers rarely get in a confrontation that leads to that charge, but a few officers often get in violent confrontations.
But it’s very hard to remove the bad apples from the force. Trying to protect their members, unions have weakened accountability. The investigation process is softer on police than it would be on anyone else. In parts of the country, contract rules stipulate that officers get a 48-hour cooling-off period before having to respond to questions. They have access to the names and testimony of their accusers. They can be questioned only by one person at a time. They can’t be threatened with disciplinary action during questioning.
More seriously, cops who are punished can be reinstated through a secretive appeals process that favors job retention over public safety. In The Atlantic, Conor Friedersdorf has a riveting piece with egregious stories of cops who have returned to the force after clear incompetence. Hector Jimenez was an Oakland, Calif., cop who shot and killed an unarmed 20-year-old man in 2007. Seven months later, he killed another unarmed man, shooting him in the back three times while he ran away. The city paid damages. Jimenez was fired. But he appealed through his union and was reinstated with back pay.

For the full commentary, see:
David Brooks. “The Union Future.” The New York Times (Fri., DEC. 19, 2014): A29.
(Note: the online version of the commentary has the date DEC. 18, 2014. )

Delta and Atlanta Protect Their Huge Hartsfield-Jackson Airport from Little Silver Comet Field

(p. B6) DALLAS, Ga. — Airports do not get much smaller than Silver Comet Field at Paulding Northwest Atlanta Airport, where an undeveloped two-lane road weaves to a church-quiet setting framed by small hills.
On a recent weekday morning, four small business jets were planted on the tarmac, if it can be called that. Nine automobiles dotted the parking lot, most of them driven there for a meeting. Outside the two-story building that serves as the terminal, which was reminiscent of a lodge in off-peak season, there was no sign of human life.
Only 50 miles away sits the world’s most bustling airport, Hartsfield-Jackson. It maintains a monopoly on commercial flights in Atlanta, the largest metropolitan region without a secondary airport.
Paulding Northwest would like to change that grip on the market. The airport has applied for a commercial license so it can introduce two flights a week, and has since encountered stiff opposition.
Leading the charge against the bid is the Atlanta-based Delta Air Lines, which averages about 1,000 daily departures from its sprawling hub.
But the airport’s supporters are crying foul, saying that Delta, along with the city of Atlanta, which owns Hartsfield-Jackson, has managed to throw up a series of barriers, legal and political, against the bid.

For the full story, see:
MIKE TIERNEY. “Fighting for 2 Fights a Week.” The New York Times (Tues., DEC. 23, 2014): B6.
(Note: the online version of the story has the date DEC. 22, 2014, and has the title “Tiny Airport Fights for Sliver of Atlanta Market.”)

The Federal Government’s “Arrogance on a Grand Scale” Encouraged the Dust Bowl

(p. 126) In the last years of the wheat boom, Bennett had become increasingly frustrated at how the government seemed to be encouraging an exploitive farming binge. He went directly after his old employer, the Department of Agriculture, for misleading people. Farmers on the Great Plains were working against nature, he thundered in speeches across the country; they were asking for trouble. Even in the late 1920s, before anyone else sounded an alarm, Bennett said people had sown the seeds of an epic disaster. The government continued to insist, through official bulletins , that soil was the one “resource that cannot be exhausted.” To Bennett, it was arrogance on a grand scale.
“I didn’t know so much costly misinformation could be put into a single brief sentence,” he said.

Source:
Egan, Timothy. The Worst Hard Time: The Untold Story of Those Who Survived the Great American Dust Bowl. Boston: Houghton Mifflin, 2006.

Former Nebraskan Writes that Football Breaks the Soul

(p. C1) The poet Erin Belieu was born in Nebraska. It’s a place where, she once wrote,

football is to life what sleep deprivation is

to Amnesty International, that is,
the best researched and the most effective method
of breaking a soul.

Ms. Belieu got out, soul entirely unbroken. She’s spent the past two decades composing smart and nettling books of poems, beginning with “Infanta” (1995), which was chosen for the National Poetry Series by Hayden Carruth. I’ve admired her three previous books, but her new one, “Slant Six,” seems to me better by an order of magnitude. It’s got more smoke, more confidence, more wit and less tolerance for obscurity. Her crisp free verse has as many subcurrents as a magnetic field.

For the full review, see:
DWIGHT GARNER. “From a Slim Book, Many Observations.” The New York Times Book Review (Weds., DEC. 10, 2014): C1 & C4.
(Note: italics in original.)
(Note: the online version of the interview has the date DEC. 9, 2014, and has the title “From a Slim Book, Many Observations.” The name of the interviewer, presumably the author of the italicized passage above, is not given in either the online or print versions.)

The book under review is:
Belieu, Erin. Slant Six. Port Townsend, WA: Copper Canyon Press, 2014.

Ways Technology May Decrease Inequality

(p. 7) As the previous generation retires from the work force, many more people will have grown up with intimate knowledge of computers. And over time, it may become easier to work with computers just by talking to them. As computer-human interfaces become simpler and easier to manage, that may raise the relative return to less-skilled labor.
The future may also extend a growing category of employment, namely workers who team up with smart robots that require human assistance. Perhaps a smart robot will perform some of the current functions of a factory worker, while the human companion will do what the robot cannot, such as deal with a system breakdown or call a supervisor. Such jobs would require versatility and flexible reasoning, a bit like some of the old manufacturing jobs, but not necessarily a lot of high-powered technical training, again because of the greater ease of the human-computer interface. That too could raise the returns to many relatively unskilled workers.

For the full commentary, see:
TYLER COWEN “TheUpshot; Economic View; The Technological Fix to Inequality.” The New York Times, SundayBusiness Section (Sun., DEC. 7, 2014): 7.
(Note: ellipses, and bracketed date, added.)
(Note: the online version of the commentary has the date DEC. 6, 2014, and has the title “TheUpshot; Economic View; How Technology Could Help Fight Income Inequality.” )