Should Hospital Workers Who Don’t Get a Flu Shot Be Required to Wear a Mask?
A few weeks ago, before the flu was national news, a reader who works at a hospital in Portland, Or., wrote to say:
“The organization I work for just started this policy, I think it is very interesting and may push those who don’t want to get a flu shot for whatever reason to get a flu shot to avoid the stigma of wearing a mask. The employee comment section has ranged from HIPPA violations to discrimination for those who can’t have a flu shot based on egg allergies.”
Here’s the policy:
Read More »You may have heard by now: Flu season is ramping up in Oregon, with cases now starting to affect hospitalized patients in greater numbers. For individuals whose immune systems are compromised by other conditions, the flu can be life threatening.
To keep patients safe, a new Influenza Vaccination and Masking policy requires that workforce members do one of two things during flu season:
Latest Posts
How Is Early-Childhood Intervention Like Compound Interest?
Jason Fletcher, who teaches public health at Yale, has written earlier on the connection between ADHD and crime. (The gist: “children who experience ADHD symptoms face a substantially increased likelihood of engaging in many types of criminal activities.”) He now has a new working paper called “The Effects of Childhood ADHD on Adult Labor Market Outcomes” (abstract, PDF):
While several types of mental illness, including substance abuse disorders, have been linked with poor labor market outcomes, no current research has been able to examine the effects of childhood ADHD. As ADHD has become one of the most prevalent childhood mental conditions, it is useful to understand the full set of consequences of the illness. This paper uses a longitudinal national sample, including sibling pairs, to show important labor market outcome consequences of ADHD. The employment reduction is between 10-14 percentage points, the earnings reduction is approximately 33%, and the increase in social assistance is 15 points, which are larger than many estimates of the black-white earnings gap and the gender earnings gap. A small share of the link is explained by education attainments and co-morbid health conditions and behaviors. The results also show important differences in labor market consequences by family background and age of onset. These findings, along with similar research showing that ADHD is linked with poor education outcomes and adult crime, suggest that treating childhood ADHD can substantially increase the acquisition of human capital.
The more research of this sort that we see, the easier it is to believe the following: compound interest may indeed be the eighth wonder of the world, but early-childhood investment and intervention is probably Wonder 7.5.
The Midol Monopolist
A student writes that she became a monopolist in her freshman dorm — hoarding Midol to sell to her dorm-mates at the time each month when dorm-mate had a quite inelastic demand for this product. She also realized that at that time, there is an increasingly inelastic demand for chocolate-chip cookies, so she hoarded and sold those, too. She correctly notes that the two goods are complementary over time — more of both consumed on some days than on others. But I bet that over a short interval, they are substitutes — the satisfaction from one reduces the demand for the other. This illustrates how we need to think about the time dimension of consumer choice. I would also bet that her monopoly doesn’t last long. Anybody can bring the two products to the dorm and sell them — there are few barriers to entry. A better description is that she’s an innovating entrepreneur in what inherently will be a competitive industry.
(HT: A.S.)
Surprising New Findings on Obesity
One of the first Freakonomics Radio podcasts we made was an episode about the (surprisingly tenuous) link between obesity and health problems. A new study in The Journal of the American Medical Association finds that “Grade 1 obesity overall was not associated with higher mortality, and overweight was associated with significantly lower all-cause mortality.” Writing for The Daily Beast, Kent Sepkowitz explains:
Compared to people with a normal weight (a BMI less than 25), the overweight (BMI between 25 to 30) had a 6 percent lower mortality rate—and both groups had a rate about 15 percent lower than the obese, especially the very obese (BMI above 35).
The explanation for the finding is uncertain. Perhaps the pleasantly plump but not obese have an extra reserve—a literal spare tire—that confers a survival advantage should they become seriously ill, whereas the lean-iacs do not. Or maybe the thin ones were thin because of a serious illness that, in the course the various studies, killed them. Or maybe the thin ones were thin because they were chain smokers living off Scotch and potato chips. Or just maybe the occasional pig-out does soothe the soul and make for a happier, healthier individual.
(HT: Andrew Sullivan)
What Can We Learn From Congress and African Farmers About Losing Weight?
I have an op-ed in the Wall Street Journal in which I call for some respect for Congress’s fiscal cliff idea. Congress, back in 2011, couldn’t agree on a budget, so it came up with a way to force the hand of its future self. This idea of forcing one’s own future behavior dates back in our culture at least to Odysseus, who had his crew tie him to the ship’s mast so he wouldn’t be tempted by the sirens; and Cortes, who burned his ships to show his army that there would be no going back.
Economists call this method of pushing your future self into some behavior a “commitment device.” [Related: a Freakonomics podcast on the topic is called "Save Me From Myself."] From my WSJ op-ed:
Read More »Most of us don’t have crews and soldiers at our disposal, but many people still find ways to influence their future selves. Some compulsive shoppers will freeze their credit cards in blocks of ice to make sure they can’t get at them too readily when tempted. Some who are particularly prone to the siren song of their pillows in the morning place their alarm clock far from their bed, on the other side of the room, forcing their future self out of bed to shut it off. When MIT graduate student Guri Nanda developed an alarm clock, Clocky, that rolls off a night stand and hides when it goes off, the market beat a path to her door.
What’s the Best Way to “Sponsor” Baby Girls?
A reader named Gunjan Aggarwal writes:
Read More »I came to the U.S. 7 years ago, worked in U.K./Switzerland/Netherlands/India prior to that. I work in human resources and have been fortunate to have been successful thus far in my career. We are moving on to a new location and a new job this year but this year will also perhaps give me an opportunity to invest some time/leadership on a cause that I have been very keen to “do something about”: contribute towards improving the lot of the girl child in India.
I have always thought of crowd-sourcing an incentive scheme by which we will “adopt” a few girls in their womb and give the parents a small amount every month, $50, to give birth to their girl child, to educate her till the age of 21. I was even more determined to do this in the wake of all the news about crimes against women in India — but then I heard your podcast on the “Cobra Effect.”I would love to connect and get your thoughts on “scheming” this incentive forward!
Petitioning the President
The Atlantic has a roundup of the 12 goofiest petitions submitted so far to the White House’s We the People initiative. Our two favorites: “Secure resources and funding, and begin construction of a Death Star by 2016″ and “authorize the production of a recurring television program featuring Vice President Joe Biden.”
A petition to “Direct the United States Mint to make a single platinum trillion-dollar coin” has so far garnered only 5,149 signatures (as compared to the Death Star’s 33,836 signatures), even though Paul Krugman recently endorsed of the idea. Stephen Colbert has also weighed in on the #Mintthecoin movement.
Shanzhai Skyscrapers
China is famously a hotbed of copying. Western firms constantly kvetch about Chinese knockoffs of their products—and often with good reason. China’s intellectual property laws are fairly strong, at least on paper. The problem is that the laws aren’t effectively enforced – and it’s an open question whether the Chinese government is capable of shutting down the copyists. China’s uneasy relationship with intellectual-property law is due in no small part to China’s “shanzhai” culture. What is shanzhai? The literal meaning of the word is “mountain stronghold,” but it has come to connote imitation, and more, imitation done in a way that is upfront about its fakery and may even be celebrated for it.
Shanzhai culture is incredibly vibrant and shows no sign of slowing down. Shanzhai cellphones, for instance, are sometimes applauded for their ingenuity. Some include nifty features not seen on the original they are imitating. Some mash-up features found on competing phones into a single device. All are cheap. Read More »
How Political Are Judges?
Cass Sunstein, writing on Bloomberg View, reviews the research on judicial voting patterns to determine whether judges are really as “political” as people seem to think. The good news: federal judges aren’t nearly as bad as politicians. ”Judges are far from mere politicians; we don’t see anything like the kind of polarization found in Congress,” writes Sunstein. “At the same time, judicial predispositions matter, and they help explain why judges are divided on some of the great issues of the day.”
The research also indicates that even judges are subject to a phenomenon called “group polarization.” ”[J]udicial voting becomes a lot more ideological when judges sit on panels with two others appointed by presidents of the same political party,” Sunstein explains. “For example, Republican appointees side with plaintiffs complaining of disability discrimination about 29 percent of the time — but that number drops to 17 percent when they are sitting with two fellow Republican appointees.”
As for the Supreme Court, Sunstein highlights research from a new book on the political leanings of Supreme Court justices since 1937:
Strikingly, they find that of the six most conservative justices in their entire sample, no fewer than three are currently on the court (Clarence Thomas, Antonin Scalia and Samuel Alito). A fourth makes the top 10 (John Roberts). By contrast, none of the current justices ranks among the most liberal six, and only one makes the liberal top 10 (Ruth Bader Ginsburg).
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. He's employed as a historian at Texas State University and lives in Austin, Texas. 
. His research focuses on intellectual property and international affairs. 
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