Joseph Stiglitz on Transparency in Government
A graduate of Amherst College, Joseph E. Stiglitz received his PHD from MIT in 1967, became a full professor at Yale in 1970, and in 1979 was awarded the John Bates Clark Award, given biennially by the American Economic Association to the economist under 40 who has made the most significant contribution to the field. He has taught at Princeton, Stanford, MIT and was the Drummond Professor and a fellow of All Souls College, Oxford. He is now University Professor at Columbia University in New York and Chair of Columbia University's Committee on Global Thought. He is also the co-founder and Executive Director of the Initiative for Policy Dialogue at Columbia. Stiglitz helped create a new branch of economics, "The Economics of Information," exploring the consequences of information asymmetries and pioneering such pivotal concepts as adverse selection and moral hazard, which have now become standard tools not only of theorists, but of policy analysts. In 2001, he was awarded the Nobel Prize in economics for his analyses of markets with asymmetric information, and he was a lead author of the 1995 Report of the Intergovernmental Panel on Climate Change, which shared the 2007 Nobel Peace Prize. His most recent book, The Three Trillion Dollar War: The True Cost of the Iraq Conflict measures the war's opportunity cost to Americans.
Card: Does the government have a transparency problem?
Stiglitz: Well, the first point is a broader point. You know, I begin talking about the problems in our financial system related to lack of transparency. Well, one of the problems in our government is also been a lack of transparency. The way we financed this war, we’ve been using emergency appropriations, 24, 25 of them, you know, it’s understandable at the beginning of the war while we use emergency appropriations but 6 years into the war to say we are surprised? The reason why that’s important is that normal appropriation process entails a lot of scrutiny to make sure there’s not [waste], there’s not fraud. But the Bush administration deliberately wanted to avoid that kind of scrutiny. They wanted to say that victory is around the corner and we keep turning the corner and turning the corner and turning the corner, no victory. And so, we have to have another appropriation, another appropriation, another appropriation until we wrote our book. I don’t think there was any real comprehensive accounting of what this… the war is costing. Well, that was one of the reasons that we wrote the book. I testified before Congress and I said, “We should not to have to write this book.” You know this is your responsibility, to come to the American people and say, “This is what the war is costing. This is a big project.” This is what it’s costing, you have to make the judgment about the benefits versus the cost but we couldn’t tell you what the costs are. You… but this is a vast undermining of democratic processes, the… so the lack of transparency, the lack of good accounting. I talked before about the bad accounting procedure in Wall Street. Well, government’s accounting procedures are similarly very bad and for a similar reason, deception. One of the… one of the problems was they didn’t want us to know what the future cost were going to be. Every firm in the country, every responsible firm, uses what is called a [IB] accounting, that is to say when you’re taking action, you’re taking to account the future cost. We’ve been using cash accounting. So we don’t report the cost of the future disability payments, the future healthcare cost of those who are disabled. Until we talked about it, there was no real accounting of what these future liabilities are going to be, the 600 billion dollars, that’s a lot of money. So… but we’ve seen in Wall Street is that there are consequences of bad accounting and the same thing is true of the government. [IB] bad accounting, bad information, you make bad decisions. So, an example was, the President said he’ll get the military everything that it needs. Well, in writing our book, one of the things we discovered and since been reported in a lot of the press, was the military commanders in 2005 has asked for these special vehicles called MRAPs. They have resistant to explosive devices… the devices that caused so many injuries and deaths. We didn’t give it to them. Why? Because it would increase the up front cost. The cost that the people would be injured was not on the books. If that was on the books then we would see what was going on and we’d say, “We’re being penny wise and pound foolish,” but our accounting encourages us to do exactly that. So, the accounting framework is led to decisions that have increased total cost and of course, [IB] huge human toll on our troops and on their families. So, you know, deliberate deception and another example of this deliberate deception is, if you go to the government’s website about the number of people injured. When they talk about the deaths, they talk about deaths whether they’re due to hostile action or non-hostile action, now over [4,000]. When they talk about injuries, they only talk about hostile injuries and it’s how they classify some of these hostile injury. So, for instance, a plane… a helicopter that shot down at night is a hostile injury but if it’s flying at night because it can’t fly in day because it would be shut down, that’s just an accident, not reported in the hostile injuries. Another example is you have a convoy, the first vehicle in the convoy hits a mine, a explosive device, somebody’s injured, that’s a hostile injury. The second vehicle crashes into the first vehicle because of the other mine, that’s just an automobile accident, not reported. And what we’ve discovered is the total number of injuries was twice, injuries and diseases, people evacuate, twice what the government is reporting. We had to use, working with the veteran’s groups which had been very supportive of our book, discovered that… we had to use the Freedom of Information Act to find out what was going on. So, the first piece of what needs to be done is to have better accounting systems so that we know what is going on. But now on the contractors themselves, it’s not just that the contractors cost us so much money, they actually undermine our mission. Let me give you an example, in the beginning of the war, the unemployment rate soared to 60%. We knew that we had to win and hearts and minds of the people, we knew that young men with arms and unemployed are an explosive mixture, we knew that we had not protected the [arm caches] in our march to Baghdad, we got them… those arms get in the hands of potential insurgence. But as the unemployment soared, we turned to contractors to do all kinds of things and the contractors were not focusing on our mission and we’re not focusing on what was necessary for us to win the hearts and minds of the people, they’re focusing on their bottom line, maximizing profits, whatever the consequences. So, they could find cheaper labor and they [IB] the Philippines, that’s what they did. They brought in cheap labor from outside when the unemployment rate was 60%. Of course, that contributed to the resentment, to the anger in Iraq and that explosive mixture of unemployed people with arms exploded and thus began the insurgency. Meanwhile, of course, we were getting… alienating other countries around the world, like the Philippines, one of our close allies. The Philippines has a minister who’s in charge of people from the Philippines working abroad and wanted to make sure that they are treated well, that they’re safe, obviously worried about what was going in Iraq. They said, “This is too dangerous, we don’t want them to be kidnapped and put all kinds of stress,” so they stamped the passports, Not Valid for Iraq. Well, a little while ago, I was talking to the Philippines’ minister and he said, you know what? They discovered that there are 7,000 Filipinos working in Iraq, they go through American checkpoints. We know that they are violating their… their, you know, their… that we are going against Filipino law but, you know, our focus is on minimizing cost, whatever it does, whatever the consequences. Another example that we talked about in our book is… it was discovered that one of the [IB] subsidiaries through a lot of the contractors go is in the Cayman Islands, why? I mean, is Cayman Islands such a great place to do business? Well, obvious, they’re avoiding Social Security Medicare taxes. And what kind of example is the US government setting for private employers? That you should go to the Cayman Islands so you avoid Medicare taxes and Social Security taxes? But those are costs that we are going to have to pick up, we, the taxpayer. Because if they get sick, when they’re old, we will pay those bills. We will still have to pay their Social Security benefits. So again, it’s a… one of those things where the accounting system is… they’re trying to hide the total cost, save money in a penny wise way, [IB], burden it on American taxpayers and their future. But, you know, that’s under somebody else’s is watch. That would be gone and we’ll have to be paying the problems, dealing with the problems for decades to come.
Joseph Stiglitz on Transparency in Government
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The COVID-19 pandemic is making health disparities in the United States crystal clear. It is a clarion call for health care systems to double their efforts in vulnerable communities.
- The COVID-19 pandemic has exacerbated America's health disparities, widening the divide between the haves and have nots.
- Studies show disparities in wealth, race, and online access have disproportionately harmed underserved U.S. communities during the pandemic.
- To begin curing this social aliment, health systems like Northwell Health are establishing relationships of trust in these communities so that the post-COVID world looks different than the pre-COVID one.
COVID-19 deepens U.S. health disparities<p>Communities on the pernicious side of America's health disparities have their unique histories, environments, and social structures. They are spread across the United States, but they all have one thing in common.</p><p>"There is one common divide in American communities, and that is poverty," said <a href="https://www.northwell.edu/about/leadership/debbie-salas-lopez" target="_blank">Debbie Salas-Lopez, MD, MPH</a>, senior vice president of community and population health at Northwell Health. "That is the undercurrent that manifests poor health, poor health outcomes, or poor health prognoses for future wellbeing."</p><p>Social determinants have far-reaching effects on health, and poor communities have unfavorable social determinants. To pick one of many examples, <a href="https://www.npr.org/2020/09/27/913612554/a-crisis-within-a-crisis-food-insecurity-and-covid-19" target="_blank" rel="noopener noreferrer">food insecurity</a> reduces access to quality food, leading to poor health and communal endemics of chronic medical conditions. The U.S. Centers for Disease Control and Prevention has identified some of these conditions, such as obesity and Type 2 diabetes, as increasing the risk of developing a severe case of coronavirus.</p><p>The pandemic didn't create poverty or food insecurity, but it exacerbated both, and the results have been catastrophic. A study published this summer in the <em><a href="https://link.springer.com/article/10.1007/s11606-020-05971-3" target="_blank">Journal of General Internal Medicine</a></em> suggested that "social factors such as income inequality may explain why some parts of the USA are hit harder by the COVID-19 pandemic than others."</p><p>That's not to say better-off families in the U.S. weren't harmed. A <a href="https://voxeu.org/article/poverty-inequality-and-covid-19-us" target="_blank" rel="noopener noreferrer">paper from the Centre for Economic Policy Research</a> noted that families in counties with a higher median income experienced adjustment costs associated with the pandemic—for example, lowering income-earning interactions to align with social distancing policies. However, the paper found that the costs of social distancing were much greater for poorer families, who cannot easily alter their living circumstances, which often include more individuals living in one home and a reliance on mass transit to reach work and grocery stores. They are also disproportionately represented in essential jobs, such as retail, transportation, and health care, where maintaining physical distance can be all but impossible.</p><p>The paper also cited a positive correlation between higher income inequality and higher rates of coronavirus infection. "Our interpretation is that poorer people are less able to protect themselves, which leads them to different choices—they face a steeper trade-off between their health and their economic welfare in the context of the threats posed by COVID-19," the authors wrote.</p><p>"There are so many pandemics that this pandemic has exacerbated," Dr. Salas-Lopez noted.</p><p>One example is the health-wealth gap. The mental stressors of maintaining a low socioeconomic status, especially in the face of extreme affluence, can have a physically degrading impact on health. <a href="https://www.scientificamerican.com/index.cfm/_api/render/file/?method=inline&fileID=123ECD96-EF81-46F6-983D2AE9A45FA354" target="_blank" rel="noopener noreferrer">Writing on this gap</a>, Robert Sapolsky, professor of biology and neurology at Stanford University, notes that socioeconomic stressors can increase blood pressure, reduce insulin response, increase chronic inflammation, and impair the prefrontal cortex and other brain functions through anxiety, depression, and cognitive load. </p><p>"Thus, from the macro level of entire body systems to the micro level of individual chromosomes, poverty finds a way to produce wear and tear," Sapolsky writes. "It is outrageous that if children are born into the wrong family, they will be predisposed toward poor health by the time they start to learn the alphabet."</p>Research on the economic and mental health fallout of COVID-19 is showing two things: That unemployment is hitting <a href="https://www.pewsocialtrends.org/2020/09/24/economic-fallout-from-covid-19-continues-to-hit-lower-income-americans-the-hardest/" target="_blank" rel="noopener noreferrer">low-income and young Americans</a> most during the pandemic, potentially widening the health-wealth gap further; and that the pandemic not only exacerbates mental health stressors, but is doing so at clinically relevant levels. As <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413844/" target="_blank" rel="noopener noreferrer">the authors of one review</a> wrote, the pandemic's effects on mental health is itself an international public health priority.
Working to close the health gap<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDc5MDk1MS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYxNTYyMzQzMn0.KSFpXH7yHYrfVPtfgcxZqAHHYzCnC2bFxwSrJqBbH4I/img.jpg?width=980" id="b40e2" class="rm-shortcode" data-rm-shortcode-id="1b9035370ab7b02a0dc00758e494412b" data-rm-shortcode-name="rebelmouse-image" />
Northwell Health coronavirus testing center at Greater Springfield Community Church.
Credit: Northwell Health<p>Novel coronavirus may spread and infect indiscriminately, but pre-existing conditions, environmental stressors, and a lack of access to care and resources increase the risk of infection. These social determinants make the pandemic more dangerous, and erode communities' and families' abilities to heal from health crises that pre-date the pandemic.</p><p>How do we eliminate these divides? Dr. Salas-Lopez says the first step is recognition. "We have to open our eyes to see the suffering around us," she said. "Northwell has not shied away from that."</p><p>"We are steadfast in improving health outcomes for our vulnerable and underrepresented communities that have suffered because of the prevalence of chronic disease, a problem that led to the disproportionately higher death rate among African-Americans and Latinos during the COVID-19 pandemic," said Michael Dowling, Northwell's president and CEO. "We are committed to using every tool at our disposal—as a provider of health care, employer, purchaser and investor—to combat disparities and ensure the <a href="https://www.northwell.edu/education-and-resources/community-engagement/center-for-equity-of-care" target="_blank" rel="noopener noreferrer">equity of care</a> that everyone deserves." </p><p>With the need recognized, Dr. Salas-Lopez calls for health care systems to travel upstream and be proactive in those hard-hit communities. This requires health care systems to play a strong role, but not a unilateral one. They must build <a href="https://www.northwell.edu/news/insights/faith-based-leaders-are-the-key-to-improving-community-health" target="_blank" rel="noopener noreferrer">partnerships with leaders in those communities</a> and utilize those to ensure relationships last beyond the current crisis. </p><p>"We must meet with community leaders and talk to them to get their perspective on what they believe the community needs are and should be for the future. Together, we can co-create a plan to measurably improve [community] health and also to be ready for whatever comes next," she said.</p><p>Northwell has built relationships with local faith-based and community organizations in underserved communities of color. Those partnerships enabled Northwell to test more than 65,000 people across the metro New York region. The health system also offered education on coronavirus and precautions to curb its spread.</p><p>These initiatives began the process of building trust—trust that Northwell has counted on to return to these communities to administer flu vaccines to prepare for what experts fear may be a difficult flu season.</p><p>While Northwell has begun building bridges across the divides of the New York area, much will still need to be done to cure U.S. health care overall. There is hope that the COVID pandemic will awaken us to the deep disparities in the US.</p><p>"COVID has changed our world. We have to seize this opportunity, this pandemic, this crisis to do better," Dr. Salas-Lopez said. "Provide better care. Provide better health. Be better partners. Be better community citizens. And treat each other with respect and dignity.</p><p>"We need to find ways to unify this country because we're all human beings. We're all created equal, and we believe that health is one of those important rights."</p>
Can passenger airships make a triumphantly 'green' comeback?
Large airships were too sensitive to wind gusts and too sluggish to win against aeroplanes. But today, they have a chance to make a spectacular return.
Vegans and vegetarians often have nutrient deficiencies and lower BMI, which can increase the risk of fractures.
- The study found that vegans were 43% more likely to suffer fractures than meat eaters.
- Similar results were observed for vegetarians and fish eaters, though to a lesser extent.
- It's possible to be healthy on a vegan diet, though it takes some strategic planning to compensate for the nutrients that a plant-based diet can't easily provide.
Comparison of fracture cases by diet group
Credit: Tong et al.<p>The results showed that vegans were especially vulnerable to hip fractures, suffering 2.3 times more cases than meat-eaters. Vegetarians and pescatarians were also more likely to suffer hip fractures, though to a lesser extent.</p><p>One explanation may be that non-meat eaters consume less calcium and protein. Calcium helps the body build strong bones, particularly before age 30, after which the body begins to lose bone mineral density (though consuming enough calcium through diet or supplement can <a href="https://ods.od.nih.gov/factsheets/Calcium-Consumer/" target="_blank">help offset losses</a>). Lower bone mineral density means higher risk of fracture.</p><p>Protein seems to help the body absorb calcium, <a href="https://www.bonejoint.net/blog/did-you-know-that-certain-foods-block-calcium-absorption/#:~:text=Historically%2C%20nutritionists%20have%20warned%20that,may%20increase%20intestinal%20calcium%20absorption." target="_blank" rel="noopener noreferrer">when consumed in normal levels</a>. The recent study, along with past research, shows that people who don't eat meat tend to have lower levels of both protein and calcium. When the researchers accounted for non-meat eaters who supplemented their diets with calcium and protein, fracture risk decreased, but still remained significant.</p>
Credit: Pixabay<p>Another explanation is body mass index (BMI). Non-meat eaters tend to have a lower BMI, which is associated with higher fracture risk, particularly hip fractures. In the new study, vegans with a low BMI were especially likely to suffer hip fractures. That might be because having more body mass provides a cushioning effect when people fall.</p><p>Still, the study has some limitations. For one, White European women were overrepresented in the sample. The researchers also didn't collect precise data on the type of calcium or protein supplementation, diet quality or causes of fractures.</p><p>Another complicating factor: Producers of vegan products, such as plant-based milk, are increasingly fortifying foods with nutrients like calcium and protein, so modern vegans are potentially at lower risk of deficiency.</p><p>The researchers wrote that their findings "suggest that bone health in vegans requires further research."</p>
Staying healthy on a vegan diet<p>So, does a vegan diet necessarily lead to worse bone health? Not necessarily. But it's safe to say that people who don't consume meat, dairy and eggs should be extra vigilant about consuming enough essential nutrients. That can be harder than it seems.<br></p><p>One major reason is that the body generally has an easier time absorbing nutrients from animal foods than plant-based products. So, while a salad could contain the same amount of calcium as a glass of milk, the body absorbs more calcium when you drink milk. What's more, there are some molecules and <a href="https://www.healthline.com/nutrition/7-nutrients-you-cant-get-from-plants#5.-Docosahexaenoic-acid-(DHA)" target="_blank">nutrients you simply can't get from plants</a>.</p><p>As such, many vegans round out their diets with supplements, including zinc, iron, iodine, long-chain omega-3s, and vitamins D, K-2, and B-12, to name a few. If you're on a vegan diet or considering making the switch, it's probably best to consult a dietician, and to make sure you maintain a <a href="https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html" target="_blank" rel="noopener noreferrer">healthy BMI</a>.</p>
A study by UK archaeologists finds that longbows caused horrific injuries similar to modern gunshot wounds.
- UK archaeologists discover medieval longbows caused injuries similar to modern gunshot wounds.
- The damage was caused by the arrows spinning clockwise.
- No longbows from medieval times survived until our times.
Battle of Agincourt.
The angle of entry into a cranium found during the excavation at a medieval Dominican friary in Exeter, England.
Credit: Oliver Creighton/University of Exeter
Never made a turkey before? Don't worry, science can help.
- This year, many people will be making a Thanksgiving dinner for the first time. It's often harder than it looks.
- Luckily, an online calculator website has one just for thawing turkey, and can explain why you need to wait so long.
- The website has other calculators as well, for needs you didn't know you had.
How to thaw a turkey using science!<p> The Omni Calculator <a href="https://www.omnicalculator.com/" target="_blank" rel="noopener noreferrer">website</a> is home to calculators that can determine many things, including how <a href="https://www.omnicalculator.com/other/sunscreen" target="_blank" rel="noopener noreferrer">long you can be in the sun safely</a>,<a href="https://www.omnicalculator.com/other/sunscreen" target="_blank" rel="noopener noreferrer"> </a>to the odds of your town having a <a href="https://www.omnicalculator.com/other/white-christmas" target="_blank" rel="noopener noreferrer">white Christmas</a>. It now has a dedicated tool for finding how long it will take you to prep your <a href="https://www.omnicalculator.com/food/turkey-thawing" target="_blank" rel="noopener noreferrer">turkey</a> in time for a socially distanced holiday. The <a href="https://www.omnicalculator.com/food/turkey-thawing" target="_blank">Turkey Thawing Calculator </a>was created by Jagiellonian University cognitive science graduate Maria Kluziak with the help of Wojciech Sas, a Ph.D. candidate in molecular magnetism and nanostructures at the Institute of Nuclear Physics in Poland. </p><p>The fundamental problem is that you need to add heat to the frozen bird to unfreeze it without also encouraging the growth of bacteria. To do this, you have to put the turkey somewhere where it will heat up slowly and evenly. There is a trick, though; this can take a long time because of the amount of energy involved. Exactly how long you need to spend on it can be hard to determine if you've never done it before. </p><p>This is where practical, day-to-day science comes in. The processes of heating something are well-studied areas of thermodynamics which we use every day. <br> <br> As Kluziak tells Big Think: </p><p>"If you look closely, you'll notice how we're all surrounded by numbers. Yet most of the time people choose to go with their intuition while making day-to-day decisions. We, as scientists and experts in our own fields, are trying to build a world where people make better, more informed decisions backed by concrete science - Using physics to chill drinks, math to find out how much pizza to get, and even calculating how much groceries are enough to survive a quarantine. It works."</p>
So, how do I thaw a turkey?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDgwNjA0Ny9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTY0NzI3NTQzN30.hr2xv0tzFU_12bA-wwKwBPv0Tou_ZcdMoF1VDlov-0k/img.png?width=980" id="07afc" class="rm-shortcode" data-rm-shortcode-id="522a8b8370fecb9dcb3bf483adea6fa5" data-rm-shortcode-name="rebelmouse-image" />
Credit: Omni Calculator<p> By slowly exposing the turkey to cool air or water, it heats up to a point where the bird is above freezing but not so warm that bacteria will start multiplying. Two of the safe ways to do this stand above all others; you can thaw it in the refrigerator or the sink.<br> <br> Using a refrigerator can take days; the calculator creators suggest a day for every four pounds of bird. Doing it with cold water in the sink is faster, needing only two hours per pound, but requires that you drain and refill the sink with new, cold water every thirty minutes. The ideal temperature during thawing shouldn't exceed 39°F/4°C.</p><p>"In our thawing model, we use a scientific approach, which is based on the use of heat transfer equations," the scientists write. "Since these types of problems are, in general, very complicated, we use some approximations, which allow us to estimate the thawing time with reasonable accuracy. As a result, you can see how the average temperature of the turkey changes in time." </p><p>You can learn more about the equations and get tips on using the calculator <a href="https://www.omnicalculator.com/food/turkey-thawing" target="_blank" rel="noopener noreferrer">here</a>. You can also learn why you shouldn't use a hairdryer or a tub full of hot water to do the job. <br> <br> One of the best parts of science is that its findings are often universally applicable. If you understand why something works in one case, you can use it everywhere else. Kluziak reminds us why this might be great for cooking:<br> <br> "The rules that govern the process of thawing are roughly the same for every kind of food, what's different are the numbers that determine the more specific things like thawing time. The general ideas remain the same regardless of the food, and I would say they are pure common sense. For example, if you're defrosting food, don't do it at room temperature to avoid bacteria - this is true every time!"<strong></strong></p><p><strong> </strong>Whoever said you'd never use the science you learned in high school at home didn't understand how often we use physics—this calculator remind us that it is everywhere. So fear not, ye first-time turkey chefs! Science can help you have your main course and eat it too. </p>