Monday, November 23, 2009
There is a lot of evidence that incremental innovations yield more over the long term than breakthrough innovations, in part because there are so many more of them and that they are cheaper to develop and commercialize. BUT there are two big BUTs.
1. In the longer term, it is the breakthrough innovations that lead t...o real improvements in quality of life. So if we want to make a difference in the world, we need to have breakthrough innovations.
2. It is the pursuit of breakthrough innovations that create talented innovators. These people may be necessary to keep the stream of incremental innovators going. So if we all shift to "minnovation" as this HBS blogger suggests, we may reduce our innovation capability in the long run.
Thursday, November 19, 2009
Breast Cancer Screening
1.Comparing statistical evidence and anecdotal evidence. No matter what the debate is about, there is always a great story that illustrates the benefits of one side or another. This is true whether your side has any merit or not. Anecdotes are a great political tactic, but should never be used to set policy. And yet, I have heard so many stories of the "42 year old woman named XXXX whose life was saved because she had a mammogram. Not only is she thankful for the screening, but so are her husband, teenage daughter, . . . ." Of course that will happen when millions of women are screened. But it is irrelevant to the policy decision.
2. Ignoring the costs of false positives. For every cancer that is found (true positive) there are millions of false positives. These false positives are real women too. They go through the fear that they have cancer, the pain of a biopsy, the hassle of the procedure, etc. It's not just about rationing care to lower costs. There are emotional costs as well. And there are many more false positives than there are true positives (see next comment).
3. Ignoring base rates: I have also heard the testimonials of women who say "Yes, I was afraid for a few days and had to undergo the pain and hassle of a biopsy. But it was worth it to find my cancer. So the cost benefit analysis is clearly in favor of screening." But what this argument fails to consider is that millions of women go through the fear, pain, and hassle for every cancer that is found. And in many cases, the cancer would have been found and treated even without the mammogram so even the true positives are not really true positives.
4. Validity bias. The people being quoted or interviewed vary tremendously on whether they are experts on the topic. For some reason, a cancer survivor is seen as an expert on breast cancer diagnosis or statistical analysis. Sorry, but having cancer does not make you an expert. Not even on the pain and suffering part because each woman's experience is different and your pain, while real, may not be typical.
5. Sample size bias. Also in these interviews, people toss in the results of studies. But if one study looked at thousands of women and another looked at dozens, they are not comparable. And yet, the discussion doesn't account for this.
6. Availability bias. It's much easier to think of the extreme cases (where a woman's life was saved by screening) than the more typical cases (false positives, minor cancers that would have been caught anyway, etc.). So the debate focuses on these salient stories instead of the real evidence.
7. Confirmation bias. Once a person decides which side they are on, they completely ignore all of the evidence to the contrary, even when it is being presented to them directly in a one-on-one discussion. It's amazing how good we are at this.
There are more too. But this is enough for today. Can we perhaps focus more on intelligent policy development instead of emotion-based policy development so we can actually create useful and effective policies? Anyone? Anyone?
Friday, November 13, 2009
Viva La Difference Part Deux
Let's take public school policy. The government has a stake in this because a stronger educational system would lead to stronger economic growth and a higher standard of living for us all. So lets say that boys learn better with blue textbooks and girls learn better with green textbooks. Do we mandate to textbook companies that they need to spend the extra money to create two colors of textbooks, and then mandate that school systems spend more to buy them (as the increased costs would invariably be passed on)?
One example of gender-based policy is the famous Title IX which mandates that schools need to have equal numbers of male and female athletes, regardless of the interest of students, fans, or revenue. This means if a school has 100 male football players, they need to support 3 or 4 female sports to make up the difference - since most sports have 25-30 players.
If men respond better to a blood pressure drug than women do, should we mandate the the drug company spends extra money finding a similarly effective drug for women?
If you are answering yes to some of these and no to others, I will repeat a comment from a previous post. Do you have some logical basis for the difference?
Thursday, November 12, 2009
Viva La Difference!
First, should system designers create different systems for each gender? When it comes to simple things like apparel, it’s pretty obvious. Men and women have different anthropometry and different style preferences and there is no conflict. We have always had different clothing choices for men and women. Good thing too. I just don’t look very good in a dress and I can’t imagine trying to walk in heels.
But let’s think more broadly about this issue. There are biological differences that lead to different nutritional needs. Should our breakfast cereals be fortified differently? Different meal choices? And with health care we need different drugs. How far do we go with this? We already have drugs specifically targeting male and female diseases (breast cancer v prostate cancer being an obvious one), but what about making different versions of blood pressure medicine? How about different versions of Amazon.com to match different web navigation styles or background color preferences? When you log in (or using cookies) you would be automatically directed to the right version.
It gets harder when we talk about education. Boys and girls seem to learn better in single gender classrooms, but then their socialization might lag. A hybrid school may be ideal. More research would be needed to find out the best combination. But is this a direction we should pursue? What if boys learn better in an all boy classroom but girls learn better when it's 50/50? What would we do then?
I’m not really sure where I am going with this train of thought. Since most design stems from business needs, I suppose the choice comes down to whether the differences create enough customer demand that people will pay more for gender-customized products in each market. They would have to be willing to pay more to cover the added R&D, design, and manufacturing costs required to make two (or more) different sets of products in each category. For apparel, obviously the decision was made generations ago. These questions are just now being asked in these other industries. I am curious how far it will go.
Thursday, September 10, 2009
Growing up in a recession
This is from the abstract of a very interesting paper just out of the NBER (www.nber.org).
“. . . we show that individuals growing up during recessions tend to believe that success in life depends more on luck than on effort, support more government redistribution, but are less confident in public institutions. Moreover, we find that recessions have a long-lasting effect on individuals’ beliefs.”
I have some thoughts on these three findings that I would like to share.
First, layoffs are more likely during a recession (obviously). And because of the fundamental attribution error, people who are laid off are more likely to blame bad luck rather than themselves for it happening (which is often true, but even if it isn’t). And since being laid off is such a salient event, I think it is clear that recession increases the population’s belief that luck is an important factor in life (I could provide more details on the development of long term memories and the generalization of memories to overall life perspectives, but I think you get the point). This will be more of a permanent belief for those who grow up in a recessionary environment because they don’t have existing “good times” schema to anchor the development of their societal beliefs.
The second finding also makes sense. When you think life has treated you unfairly (see #1), you are more likely to want “the government” to compensate you. Many people see government support as this vague entity and don’t realize it has to be paid for by the rest of us in taxes and slows economic growth to the detriment of the very job market they need to recover. It is kind of like wanted "life" to compensate you for the bad luck that it caused. And even for those who recognize that other people ultimately pay for government support, they owe it to us because our layoff was bad luck, not our fault.
And yet the reduced confidence in public institutions also makes sense. Even as we want the government to fix our problems and expect it to because it was caused by bad luck, the fact that the recession happens in the first place is evidence that the government doesn’t know what it’s doing.
Ironically, government is often the least efficient way to help the unemployed population recover from a layoff. But this combination of beliefs increases our desire to want it to.
Sunday, August 30, 2009
The brighter side of religion
o religious people report better health
o they say they have more energy
o that their health is better
o that they experience less pain
o their social lives and personal behaviors are also healthier
o they are more likely to be married
o they are more likely to have supportive friends
o they are more likely to report being treated with respect
o they have greater confidence in the healthcare and medical system
o they are less likely to smoke.”
This was in a study of 300,000 observations in 140 countries, so it’s a pretty powerful sample size statistically. As a religious person myself, it is always good to see the positive side.
Saturday, August 22, 2009
The tradeoffs of diversity
But for now, let me focus on the research itself. What he found is not surprising really, but in the context of his research, it has some possibly disturbing implications for a liberal viewpoint.
It turns out that homogeneous populations (people of the same age, gender, race, ethnicity, religion, etc) tend to interact more and better than heterogeneous populations. Men seem to know how to talk to other men than they do to women (surprise surprise!!). But also old people with old people and Catholics with Catholics. This leads to more trust among neighbors in the more homogeneous community.
And the effects on the neighborhood encompass relations among everyone. It seems that just being in a heterogeneous neighborhood reduces trust overall so we even trust people very similar to us less when we live among a diverse group. This difference in trust has broader implications. Trust leads to greater social capital, which increases the overall success and welfare of the community. Less crime, higher income growth, and overall community success. And when you look in detail at the research that shows that diverse teams make better decisions, it turns out that demographics is one of least effective kinds of diversity. Differences in experience, personality, approaches, and thinking styles are all more important. So taken together, demographically homogeneous groups will be more successful in the long run.
Where Dr. Putnam got worried is that this suggests we should stop integrating neighborhoods, schools, companies, and the country at large. Even immigration policy should be affected in countries that are still largely homogenous, such as Scandinavia. This was counter to everything he believed in from a more ethical point of view. Again, the ethics is a topic for a later post.
There is also research that shows smarter people build more social capital, regardless of demographics. So perhaps the solution is to make sure we surround ourselves with smart people. Then we can be integrated. Of course, we quickly bang up against the limitation that not everyone is endowed with the gift of superior smarts. We could try to use immigration policy to let in lots of demographically diverse smart people (which is a good policy for all sorts of reasons). But we would also have to limit immigration for the other half of the curve – another illiberal policy.
So what is the answer to this conundrum? For ethnic and racial differences, maybe all we really need to do is wait a few generations. With the rapid increase in inter-racial mixing, pretty soon there won’t be such big differences among us. I see this in Miami to an extent I never would have dreamed years ago. Almost every couple in the city is mixed in some way. Then we just need to find better ways to communicate between genders and age groups. This is easier than with race and ethnicity because of course we grow up in families that have all different ages and genders so we get more used to it at ages when we are still malleable.
Until then . . . . Let’s just work hard on open communication and trust, even when your gut is not so sure.
