Our Money, Our Information

There is a very interesting op ed in this morning’s New York Times from an academic who does medical research, opposing a bill that has been introduced in Congress that would “protect” academic medical journals.

Protect them from what, you ask?

Under current practice, when the NIH or other tax-supported government agency funds research, the peer-reviewed articles that are subsequently written about that research are made available on-line for free. The journals want to change that practice, so that anyone interested in the results will have to buy their journals (which are, by the way, very expensive). The op-ed’s author believes–and I agree–that research funded by taxpayers ought to be freely available to taxpayers; it doesn’t seem fair to make the public pay for something that is then given to private parties who can profit from it.

It is interesting that our debate over healthcare reform has ignored the fact that this is a widespread phenomenon in medical science. Representative of “big Pharma” talk endlessly about the money they spend on research, and what constitutes a fair return on that R & R investment. They talk a lot less about how much of the essential research is funded by taxpayers, and how much more it would cost to develop drugs if that were not the case.

When I was doing some research for a paper a few years ago–before the Affordable Care Act–colleagues from the medical school shocked me when they explained that taxpayers were shouldering between 60% and 70% of all costs for medical care. From public hospitals like Wishard, to programs like Medicare and Medicaid, to underwriting scientific research, We the Taxpayers have paid most of the tab for many years.

Whatever the merits of “private enterprise,” it doesn’t exist in medicine, and hasn’t for a very long time. Perhaps if policymakers understood that, we taxpayers would get some respect–and a return on our investment.

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Excuse Me??

A lobbyist friend sent me a new legislative proposal by Mike Delph to abolish Grand Juries in Indiana.

My considered response was: huh??

In prior sessions, with his not-too-coherent animus against immigrants, Delph established himself as not the sharpest knife in the drawer–proposing measures that (as he should have learned in law school) would not have passed constitutional muster. Despite insisting that he was acting on principle, he came off looking both mean-spirited and uninformed.

But this one is a puzzler.

Grand Juries are constitutionally required in federal courts, but because that requirement has never been “incorporated”–that is, never held to apply to the states–they are entirely optional in Indiana.Unless the law changed while I wasn’t looking–certainly a possibility–Indiana prosecutors initiate charges through the filing of something called an “information,” and only employ Grand Juries in more complicated cases, generally those involving white collar crimes or criminal financial schemes. In any event, last time I looked, the use of a Grand Jury was entirely within a prosecutor’s discretion. So why “abolish” a tool that prosecutors can use or ignore as they see fit?

There is probably a story that explains this bizarre bill, but none of the Statehouse folks I asked had any idea what it might be.

To paraphrase the voice-over that concluded each episode of  “The Naked City,” an old TV crime series: There are eight million stories in our weird Indiana legislature. This has been one of them.

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Pollyanna versus Gloomy Gus

Since I so often fill this space with depressing observations, I’m going to begin this week by indulging my inner Pollyanna.

My (non-scientific) theory is that the rash of efforts we are seeing around the country to break the backs of unions, ensconce anti-gay laws in state constitutions, and weaken government oversight of everything from financial institutions (the “banksters”) to the environment are motivated by a recognition on the part of the proponents of these measures that their window of opportunity to get the job done is fast closing.

It remains important to explain what is wrong and troubling about all of these assaults. (There is a very  good, very clear analysis of RTW here, for example.) But those of us who are astonished by the vitriol with which many of these measures are being pursued need to recognize that the sense of urgency being displayed by their proponents reflects a genuine reality: the culture is changing and they know it.

Bashing gays and union members, dismissing environmental concerns as evidence of “tree-hugging,” and characterizing all government action as “socialism” won’t have much traction in the America that is emerging.

I just wish it would emerge a bit faster.

What We Don’t Know DOES Hurt Us…

The other day, I was grading a research paper produced by  a graduate student who shares my concerns over civic literacy. The paper included a comprehensive review of available research on the topic, much of which confirmed what we had already known about the American public’s appalling deficit in basic knowledge of our government and history.

But one finding floored me.

“In 2008, the Intercollegiate Studies Institute’s American Civic Literacy Program released the results of a study that tested the civic literacy of the general public, college graduates and elected officials. More than 2500 randomly selected people took ISI’s basic 33-question civic literacy exam, and more than 1700 failed, with an average score of 49 percent, and 30 percent of elected officials unable to identify the phrase “life, liberty and the pursuit of happiness” as inalienable rights referred to in the Declaration of Independence…only 32 percent of elected officials could accurately define the free enterprise system; only 46 percent knew that Congress has the power to declare war; and only 49 percent could identify all three branches of government. Perhaps most disheartening is that civic literacy ws one of only two variables that had a negative effect on whether someone ran for public office. In other words, the more you know about American government, history and economics, the less likely you are to pursue and win elective office.” 

That explains a lot. It also raises an important question: What is the minimum content of an adequate “civics” education? What do all of us need to know in order to participate in self-governance?

In 1988, E.D. Hirsch stirred up a storm of controversy by arguing that, absent a minimal cultural literacy, students didn’t understand what they read. His basic point was that a common understanding of cultural/historical references is necessary for people to communicate. Most critics accepted that premise; where Hirsch got into trouble was by listing what he considered the necessary knowledge.

Recognizing that I’m stepping into those same choppy waters, let me just suggest some essential elements of civic literacy–beginning with an acknowledgement that neither the general public nor elected officials need to be scholars or (worse still) “intellectuals.” We are talking about very basic information necessary to conduct a rational discussion about our shared public institutions.

1) Every student who graduates from high school should know basic American history. I don’t care if they know the year the Pilgrims landed at Plymouth Rock, but they should know who the Pilgrims and Puritans were, why we fought the American Revolution, what the Enlightenment was and how it changed our definition of liberty and informed our approach to self-government and individual rights.

2) Every voter should know the basics of American government: what is meant by checks and balances and separation of powers, and the identities and duties of each of the three branches of government. Citizens should be able to recognize and define the rights protected by the Bill of Rights. (When only 51% of Americans agree that newspapers should be allowed to publish without prior government approval, we are clearly failing to provide that education.)

3) Voters don’t need to know the definition of a neutron, or how to spot a fossil, but they should know what science and the scientific method are. And they should know the difference between the scientific term “theory” and our casual use of that term.

4) Our endless debates over taxation and economic policy would benefit enormously if every student who graduated from high school could define  capitalism, socialism, fascism and mixed economy; if they knew the difference between the national debt and the deficit; and the difference between marginal and effective tax rates. (I’m always astonished by the number of people who think that being in the 50% bracket means you pay 50% of your income in taxes.)

Education reform is a hot topic right now. Basic civic knowledge needs to be at the top of that reform agenda.

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Fear Factor?

In Julius Caesar, Shakespeare has Cassius deliver the immortal line  “The fault, dear Brutus, is not in our stars..”

But what if our faults are “in our stars”? What if the age-old debate about how much of who we are is determined by nature, and how much by nurture, is gradually being decided, and the answer is nature? I, for one, don’t find it particularly appealing to think that the person I am was genetically determined, but there seems to be more and more evidence suggesting that who we are is less a matter of human will and reason than we may be comfortable with.

Sometimes, of course, recognition of the role of biology can be liberating. The discovery that genetics–not bad parenting or “perverse choices”–largely determines sexual orientation falls in that category. But what if it isn’t only being gay that is biologically determined? What if being a Rick Santorum is equally the result of a genetic roll of the dice?

A recent article in Psychology Today reports on a study from University College London that found self-described conservatives have larger amygdala than self-described liberals, and that the liberals had more gray matter in the anterior cingulate cortex, the part of the brain that helps people deal with complexity. (The results are consistent with some other recent studies; just a year ago, researchers at Harvard and UCLU reported finding a “liberal gene,” although its reported effects were limited.) The amygdala is a small, almond-shaped structure deep in the brain that is active when a person is anxious or fearful.

In other words, people who are more likely to be anxious and fearful, and less able to deal with complexity, are most likely to be politically conservative–assuming we define “conservative” as a person opposed to social and political change. Social conservatives would fit this definition; fiscal conservatives probably wouldn’t.

In one sense, such a conclusion would be consistent with what we see around us. The hysteria that Obama’s election evoked in a significant number of people is often attributed to racism (and that certainly explains a lot of it), but it is equally likely that it wasn’t the President’s race per se, but the fact that the election of a black man was unavoidable evidence of dreaded social change. As I have noted before, many of the people who seem most irrational–who think the President is a Muslim Socialist, that gays and lesbians have a diabolical “agenda,” that all Muslims are terrorists–are clearly terrified of a world they don’t understand. In the words of social historian Stephanie Coontz, they’re nostalgic for “the way we never were.”

Of course, one study doesn’t settle the nature-nurture battle, and even if these results are replicated, they don’t answer the causation question: are some people born with a larger amygdala, or did it grow larger as a result of frightening childhood experiences or authoritarian parenting? (We Moms are never wholly in the clear…)

But it does suggest that we should have some compassion for folks like Santorum. Maybe he was born that way.

Of course, if he were to become President, my amygdala would grow.

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