Friday, January 16, 2004

Globalization and the Export of American Labor: Outsourcing non-IT knowledge work -- now it's the lawyers

Neal St. Anthony, Star Tribune, On business: Outsourcing hits legal services
First it was the apparel workers -- the working class -- who saw their $10-an-hour jobs go overseas.

More recently, the United States has started to export to India the $35,000-a-year customer-service center jobs from the likes of American Express Financial Advisors and $50,000 technical-support positions from IBM and ADC Telecommunications to India and elsewhere where educated, English-speaking workers are hired for a tenth of the cost to communicate with U.S. customers by phone and over the Internet.

Now, six-figure lawyers and legal support staffs are starting to sweat.

At West, the Eagan-based legal-publishing unit of Canada's Thomson Corp., there's a buzz over a small test office in Bombay, India, where Indian lawyers may one day interpret and synthesize U.S. court decisions for subscribers of Westlaw, the online legal network relied upon by thousands of practicing U.S. attorneys.

To date, this work has been the growing province of a group of 150-plus editor-lawyers in Eagan and elsewhere who review court decisions, synopsize them and write "headnotes" for each point of law. This work is then keyed into Westlaw's league-leading database, enabling lawyers to quickly review and cite decisions and other relevant case law in West's venerable classification system.

So far, just a few months into the quiet Indian pilot-office experience, the half-dozen or so Indian lawyers have been doing online interpretation and legal-classification of "unpublished decisions" of U.S. state and lower courts that are not considered big deals -- or "precedential" in legal parlance.

West editor-lawyers, who make up to $100,000 per year, continue to do the "published opinion" work and are editing the work of the Indian lawyers.

The Indian lawyers are trained in British Common Law, different than U.S. law. But they've been brought into West for in-house training, and more through West trainers in Bombay.

Their work so far has been good, and has the West editors "terrified" that the pilot program will blow into a wholesale operation, which would displace lawyers in Eagan and elsewhere making five or more times the Indian lawyers.

Kyle Christensen, a spokesman for the 6,000-employee West unit in Eagan, said the Eagan workforce has been expanded in recent years to accommodate case analysis and headnoting for Westlaw.

And, as part of its expansion to start giving the same treatment to unpublished opinion, West opened the Bombay office to "assess potential improvement in the product and how we might better use outside resources," Christensen said.

"None of the work, to this point, that has been completed in India has made it into any of our publications. It's a test. It's possible that some of the low-end support could work out. The analysis, headnoting, detailed classification will remain in Eagan." he said.

Referring to the Indian office, Christensen said: "They're not actually providing analysis. They're doing some review of how to assign key numbers to administrative law decisions. And they're doing some training on writing headnotes for unpublished decisions."

The West spokesman is quick to add that dozens of West lawyers also work in Minnesota to interpret the legal decisions of British, Spanish, Greek and other courts for lawyers in those countries.

Still, West's Indian office is a toehold in what once was considered an all-American business, immune from the foreign competitors that took manufacturing, and now services jobs, overseas.

The American Lawyer reported recently that General Electric and other U.S. behemoths are starting to use low-cost Indian lawyers to supplant some of the work formerly done by outside U.S. law firms.

A vice president of the Chicago-based outsourcing firm Mindcrest, which has an Indian subsidiary that handles legal work, told the American Lawyer that business is booming for basic research and low-rung work usually done by paralegals and junior lawyers for U.S. corporations and law firms.

Moreover, Forrester Research of Cambridge, Mass., the market research firm, predicts that by 2015, more than 489,000 U.S. lawyer jobs -- about 8 percent of the total, will shift to lower-cost countries.

Ironically, a Twin Cities personnel recruiter says the trend will grow because corporations and senior partners at law firms will have a financial incentive to farm out the less-costly boilerplate work now done by junior people.

Ron Kreps, the managing partner of the Minneapolis office of Fulbright & Jaworski, said: "West provides a great service, you bet they do. We can't just rely on a West editor and keynotes, but yes, they get you started. And it's very important that the keynotes are accurate.

"I don't care where the people sit who write them, but I do care that they know U.S. common law and the trends in the U.S. And that's different than British common law. The bigger question is: Can professional services be done offshore? That's the question a lot of professions are worried about."

Globalization, long the nightmare of displaced Minnesota taconite miners, electronics assemblers and North Carolina textile workers, takes on a different wrinkle when it starts to claim not just the job of Jane Lunchpail, but also threatens the jobs of those who were banking on country club memberships.

Fascinating, an understated and very well written summary. Not surprising; I've been predicting this one for a couple of years. Nice to have confirmation though.

The synthesis and extension of existing "content" (industry term for this type of knowledge) has no regulatory barriers. It requires intellect and domain knowledge, it requires an ability to read but not speak or write English, it does not require physical presence. If the domain knowledge is costly in the US, but substantially less costly overseas, the work will move very quickly. In other words, the barrriers to migration of work in this instance are very low and the incentives are high.

I know of one corporation in the medical content domain who's essentially outsourcing some of their content management and development to a (relatively) "low wage" nation. (In this case English speaking and highly industrialized, but physician wages in many nations are a fraction of US physician wages. The same thing is true for lawyers.)

I think this globalization, which does put my own job at risk, is a great thing for the world. Insofar as we are a part of this world, it's a great thing for us. The challenge for a great leader is to find a way mitigate the great hurt it will do to many people in the US. Injuring the career prospects of lawyers is likely to lead to more change than unemploying blue collar workers and IT professionals. Lawyers are close to politicians, and politicians have the power. The danger is a stupid protectionist response, one that will harm us and the world. The other choice, however, is far too novel for our current administration to consider. One can only pray that a miracle occurs and Bush is displaced from power this year.

Gore on Bush: Orwellian language

NYT, Herbert: Masters of Deception
...Amid cheers, he [Gore] made it clear that the broad interests of the American public are consistently betrayed by the policies and practices of President Bush and his administration. 'They devise their policies with as much secrecy as possible,' he said, 'and in close cooperation with the most powerful special interests that have a monetary stake in what happens. In each case, the public interest is not only ignored, but actively undermined. In each case, they devote considerable attention to a clever strategy of deception that appears designed to prevent the American people from discerning what it is they are actually doing.

'Indeed, they often use Orwellian language to disguise their true purposes. For example, a policy that opens national forests to destructive logging of old-growth trees is labeled Healthy Forest Initiative. A policy that vastly increases the amount of pollution that can be dumped into the air is called the Clear Skies Initiative.

Orwellian language has been a strong feature of the Republican party since Gingrich. Stalinists and Nazis were past masters of the art; it's important for any power structure where self deception is critical.

Krugman compares the Bush administration to Nixon. I think Bush is a curious blend of Nixon and Reagan; a fascinating combination of a sharp mind, extraordinary discipline, unbounded arrogance, and a total lack of curiousity about the world.

Wednesday, January 14, 2004

The extraordinarily rapid selection and evolution of the human brain


Evolution of Gene Related to Brain - Nicholas Wade -NYT

A gene that helps determine the size of the human brain has been under intense Darwinian pressure in the last few million years, changing its structure 15 times since humans and chimps separated from their common ancestor, biologists have found.

The gene came to light two years ago, when a disrupted form of it was identified as the cause of microcephaly, a disease in which people are born with an abnormally small cerebral cortex...

The gene, known as the ASPM gene, has been under steady selective pressure throughout the evolution of the great apes, a group that includes orangutans, gorillas, chimpanzees and humans, Dr. Lahn and colleagues say in an article being published today in the journal Human Molecular Genetics. By contrast, the versions of the gene possessed by monkeys, dogs, cats and cows show no particular sign of being under selective pressure.

The progressive change in the architecture of the ASPM protein over the last 18 million years is correlated with a steady increase in the size of the cerebral cortex, the part of the brain responsible for higher cognitive function, during the ape and human lineage. Evolution has been particularly intense in the five million years since humans split from chimpanzees.

"There has been a sweep every 300,000 to 400,000 years, with the last sweep occurring between 200,000 and 500,000 years ago," Dr. Lahn said, referring to a genetic change so advantageous that it sweeps through a population, endowing everyone with the same improved version of a gene.

But since the last sweep, the gene seems to have been kept stable by what geneticists call purifying selection, the removal of any change that makes a significant difference to the gene's protein product, according to an independent study by Dr. Jianzhi Zhang, an evolutionary biologist at the University of Michigan. Dr. Zhang's report was published last month in the journal Genetics.

Early hominids like Australopithecus africanus, which lived some three million years ago, had a brain that weighed about 420 grams (15 ounces); modern human brains range from 1,350 to 1,450 grams, an increase that Dr. Zhang calls "one of the most rapid morphological changes in evolution." The brain of a typical patient with microcephaly is the same weight as that of an australopithecus, Dr. Zhang noted, as if disruption of the gene negated three million years of development.

Disruption of the ASPM gene was identified as a cause of microcephaly two years ago by Dr. Geoffrey Woods, a British pediatrician, and Dr. Christopher Walsh, a neurogeneticist at the Harvard Medical School. Their finding instantly caught the interest of evolutionary geneticists.

At least five other genes, yet to be identified, can cause microcephaly when disrupted by a mutation, so ASPM is not the only determinant of human brain size. But given what is now known about its evolutionary history, it does seem to be an important one. It acts during fetal development to prescribe the number of cells in the future cerebral cortex.

Most human genes exist as families of similar members, formed when one gene gets accidentally duplicated one or several times. The ASPM gene is "almost unique," Dr. Walsh wrote by e-mail, because in all known animal genomes, it has resisted the usual duplication events and been maintained as a single copy. Single-copy genes can cause serious disease if disrupted by mutation. But their advantage, in terms of evolution, is that "you only have to edit them once to create a lasting change," Dr. Walsh said.

Evidently, the ASPM gene has been heavily edited, but with an apparently fortunate result.

This is breathtaking work, and it fits in well with a series of articles I've posted about over the past few months. Comparative DNA analysis shows very extensive changes in many genetic determinants of brain morphology and cognitive functions -- all of which appears to have slowed or stopped in the past 150,000 years. We are freshly made.

We don't know what those selection pressures were, but it's commonly assumed that they are due to human interactions, both competitive and cooperative. We've had no significant predators for some time. What was the first mutation that set us down the road that chimpanzees did NOT follow?! It is the fascinating difference, something that causes us to enter into a building pattern of cognitive development. (Science Fiction fans will recognize the "altered evolution" theme of a myriad of good and bad science fiction stories.)

Our "newness" also suggests that cognition may be frail and fragile, with many "new'" genes that may lack redundancy. This is a single copy gene! I suspect cognitive defects (schizophrenia, learning disorders, pervasive developmental delay/autism, etc) are FAR more common in humans than in any other animal. Our cognition is frail.

Can we estimate the capabilities of an Australopithecus from studying persons afflicted with microcephaly?

This research also points the way to the next shocking scandal -- enhanced chimpanzees. I am sure some research in the next 10 years will create a chimpanzee with an enhanced brain -- if they haven't already done so. Let me be among the first to insist on their civil rights.

O'Neill learns Cheney is the mole -- a great story of the Bush White House

Paul O'Neill, Unplugged, or What Would Alexander Hamilton Have Done? NYT OpEd
... Mr. O'Neill's is a woeful tale of what it feels like to sit in the office once occupied by Alexander Hamilton and be subservient to people like Karl Rove and Karen Hughes.

'We need to be better about keeping politics out of the policy process,' Mr. O'Neill told Dick Cheney, his old friend from the Ford administration who had recommended him for the job early on. In this tale, the Treasury secretary repeatedly implores the vice president to foster a more open and rigorous policy-making process in the White House, but to no avail. These scenes are reminiscent of a spy thriller in which the protagonist warns the head of counterintelligence that there is an enemy mole in their midst, only to discover that his confidant is actually the mole.

Long after the reader has figured it out, Mr. O'Neill finally realizes that Mr. Cheney is the leader of the inner circle ....

O'Neill appears to have been genuinely shocked by how things turned out. How could he have been so naive? He should have known better. If we knew how he fooled himself we might understand how to awaken the other fools.

$1 Billion for Mars, $1.5 billion for marriage.

Bush Plans $1.5 Billion Drive for Promotion of Marriage
Bush adds $1 billion to NASA's budget and calls it a Mars mission. He then puts 1.5 billion into marriage promotion.

The media goes nuts.

A few points.

1. $1 billion is not going to take us to Mars.
2. $1.5 billion to promote marriage is sheer flaming idiocy.
3. Bush is evidently printing money. No wonder the dollar is falling.

Tuesday, January 13, 2004

The Maher Arar Case: American Disgrace, take II

The Maher Arar Case: Archive Entry From Brad DeLong's Webjournal
Christopher Pyle writes about the Maher Arar case:

Torture by proxy / How immigration threw a traveler to the wolves: On Sept. 26, 2002, U.S. immigration officials seized a Syrian-born Canadian at Kennedy International Airport, because his name had come up on an international watch list for possible terrorists. What happened next is chilling.

Maher Arar was about to change planes on his way home to Canada after visiting his wife's family in Tunisia when he was pulled aside for questioning. He was not a terrorist. He had no terrorist connections, but his name was on the list, so he was detained for questioning. Not ordinary, polite questioning, but abusive, insulting, degrading questioning by the immigration service, the FBI and the New York City Police Department.

He asked for a lawyer and was told he could not have one. He asked to call his family, but phone calls were not permitted. Instead, he was clapped into shackles and, for several days, made to "disappear." His family was frantic.

Finally, he was allowed to make a call. His government expected that Arar's right of safe passage under its passport would be respected. But it wasn't. Arar denied any connection to terrorists. He was not accused of any crimes, but U.S. agents wanted him questioned further by someone whose methods might be more persuasive than theirs.

So, they put Arar on a private plane and flew him to Washington, D.C. There, a new team, presumably from the CIA, took over and delivered him, by way of Jordan, to Syrian interrogators. This covert operation was legal, our Justice Department later claimed, because Arar is also a citizen of Syria by birth. The fact that he was a Canadian traveling on a Canadian passport, with a wife, two children and job in Canada, and had not lived in Syria for 16 years, was ignored. The Justice Department wanted him to be questioned by Syrian military intelligence, whose interrogation methods our government has repeatedly condemned.

The Syrians locked Arar in an underground cell the size of a grave: 3 feet wide, 6 feet long, 7 feet high. Then they questioned him, under torture, repeatedly, for 10 months. Finally, when it was obvious that their prisoner had no terrorist ties, they let him go, 40 pounds lighter, with a pronounced limp and chronic nightmares.

Why was Arar on our government's watch list? Because "multiple international intelligence agencies" had linked him to terrorist groups. How many agencies? Two. What had they reported? Not much.

The Syrians believed that Arar might be a member of the Muslim Brotherhood. Why? Because a cousin of his mother's had been, nine years earlier, long after Arar moved to Canada. The Royal Canadian Mounted Police reported that the lease on Arar's apartment had been witnessed by a Syrian- born Canadian who was believed to know an Egyptian Canadian whose brother was allegedly mentioned in an al Qaeda document.

That's it. That's all they had: guilt by the most remote of computer- generated associations. But, according to Attorney General John Ashcroft, that was more than enough to justify Arar's delivery to Syria's torturers.

Besides, Ashcroft added, the torturers had expressly promised that they would not torture him.

I've written about this before. We need the Washington Post or the New York Times to get to the bottom of this. Reporting has been limited to a few blogs. Are the allegations correct?

60 years ago Americans imprisoned Americans with Japanese ancestors -- because of their ancestry. That was a national disgrace. We are again disgracing ourselves.

Sunday, January 11, 2004

NYT: Insurance pays $2000 for smoking cessation advice

Focus on ’Prevention’ Divides Cancer Experts: "The 2,000 people, the worried well, who come each year to Memorial Sloan-Kettering's cancer prevention center will learn that many cancers can, in fact, be prevented, and that it is up to them to have the appropriate medical tests and to live right.

For their $2,000 fee, most of which is paid by health insurance, they may be steered to smoking cessation sessions, or watch a cooking demonstration and hear a talk by a nutritionist. They will learn the early signs and symptoms of cancer and they almost certainly will have a cancer screening test.

... Cancer prevention has become a buzzword these days, with some medical centers, like M. D. Anderson Cancer Center in Houston, planning entire buildings just for prevention. Its center will open in about a year, big as eight and a half football fields.

We used to give away this advice for free, at the end of the much-derided annual "physical exam". Apparently at $2000 a pop, paid by health insurance (!?!) it's much more effective. It must come as a shock to patients to learn they can reduce their cancer risk by not smoking.

This fits perfectly with marketing and economics research on pricing theory. If the patients/students were paying out of pocket I'd say this was "medical infotainment" -- marginally useful information that has a high entertainment value. But their insurance companies are paying?! There's something wrong here.

As for Sloan-Kettering and MD Anderson -- this is a variant of what they've done for years; live off the worried well. To some extent this may be subsidizing other care and research they provide.

Friday, January 09, 2004

BBC - US fears of 'dirty bomb' - homeless men with radium pellets

BBC NEWS | Americas | Fresh US fears of 'dirty bomb'
Scientists have been secretly testing radiation levels in major US cities as part of the latest security alert, the Washington Post has reported.

The newspaper says officials feared a radioactive "dirty bomb" could target New Year celebrations. It says the government sent out dozens of nuclear scientists with detection equipment hidden in briefcases and golf bags to check for radioactive material...

... The first and only alert came in Las Vegas on 29 December, when detection devices picked up a trace of radiation, the newspaper says.

The White House was notified, but the radiation was found to have come from a cigar-sized radium pellet, used to treat cancer, that a homeless man had found and hidden among his belongings.

Ok ... so substantial hunks of radium pellets are just ... errrr .... lying around? This is supposed to be reassuring? How many cigar sized radium pellets does it take to build a dirty bomb anyway?

Thursday, January 08, 2004

Nursing Shortage Forces Hospitals to Cope Creatively

Nursing Shortage Forces Hospitals to Cope Creatively
A study by Dr. Aiken found that patients scheduled for routine surgery were 31 percent more likely to die in a hospital with a patient-to-nurse ratio of eight to one than in a hospital with a ratio of four to one. The study was published last year in The Journal of the American Medical Association.

There are probably vast differences, particularly in the wealth of the facility and the patient population, between low ratio and high ratio institutions. So the results are noteworthy but not conclusive -- as with all studies of this nature.

That said, I have a strong belief that overburdening health care workers increases error rates. (Duh!) Nursing is under particular stress. It is a peculiar profession in the combination of shift work, physical demands, emotional burden, and cognitive and training requirements. Medicine is not nearly so physically demanding. A paraplegic physician can excel at a very wide variety of work in almost all settings, a paraplegic nurse would probably not do direct patient care. It is not surprising that the role cannot be filled at any affordable price -- particulary as the US population ages. It is hard to be 55 and moving patients around.

Nursing will have to split into several different roles with different training requirements. In particular I think a lot of the physical aspects of nursing, which are often very satisfying to care providers, may shift to other workers.

Wednesday, January 07, 2004

Nicholas Kristof (NYT): The God Gulf - comment - The Yahwites and the Jesites

Op-Ed Columnist: The God Gulf
America is riven today by a 'God gulf' of distrust, dividing churchgoing Republicans from relatively secular Democrats. A new Great Awakening is sweeping the country, with Americans increasingly telling pollsters that they believe in prayer and miracles, while only 28 percent say they believe in evolution. All this is good news for Bush Republicans, who are in tune with heartland religious values, and bad news for Dean Democrats who don't know John from Job.

From an email to Nicholas Kristof:

Great article on American religion. You are the only columnist I know of leading on this most critical of issues.

I think you've skirted, however, a second great schism, between the "Yahwites" and the "Jesites". Both call themselves Christian, but they are as different as the Old and New Testaments -- and equally irreconcilable.

The Yahwites worship Yahweh, and draw their theology from the Old Testament -- a quintessentially Republican document. The Jesites follow a blend of the teachings of Paul and Christ, a doctrine that is more comfortably Democrat or even secular humanist. Mainstream Prostestant and Catholic churches, now in decline, lean towards Jesism; the evangelicals tend to Yahwism.

The Yahwites are in ascendance. In their doctrine God rewards virtue with wealth, and punishes his enemies with brutal power -- sowing salt upon the fields of the dead. The Jesites, always a minority, are in retreat. In particular the teachings of Jesus are so peculiar and demanding as to be almost unattainable for most humans. Jesites are always falling short of their ideal. Frustrating and not so marketable as Yahwism.

There is only a small theological gap between the Yahwites and the Wahaabi, so it is ironic that fundamentalist Islam should see Bush as their virulent enemy. Not the first irony in history.

Iraq's Arsenal Was Only on Paper (washingtonpost.com)

Iraq's Arsenal Was Only on Paper (washingtonpost.com)
Iraq's Arsenal Was Only on Paper
Since Gulf War, Nonconventional Weapons Never Got Past the Planning Stage

A long and thorough article on the Iraqi program. Since the invasion of Iraq we've learned how weak our intelligence has been; Libya has confirmed the suspicion that much that was suspected of Iraq was true only of Pakistan.

Late in the article it presents one of the few mitigating explanations of our intelligence failure -- that we read the same reports Sadaam read, and those reports were deceptions designed to preserve the lives and advance the careers of Iraqi engineers and scientists. This theory has the advantage that it may also explain why Sadaam set himself up for invasion. It will be interesting to see if it survives the inspection of historians.

Tuesday, January 06, 2004

Yes, the religious right is winning -- roll over Dawin.

Salon.com News | Avenging angel of the religious right
This September, Discovery [front for the religious right] lobbied the Texas State Board of Education to mandate language in its high school biology textbooks challenging what Chapman called 'fake facts' in evolutionary studies. After a heated debate in which dozens of Discovery fellows and their opponents from the scientific community testified, a panel voted to adopt the textbooks after a promise from the commissioner of the Texas Education Agency that all remaining 'factual errors' would be addressed by publishers before the textbooks get into the hands of students. Discovery hailed this as a major victory, but the effect is clear: The fact that both human and other mammal embryos have gill slits -- which proves to mainstream scientists that we share an evolutionary lineage with prehistoric vertebrates -- is slated for 'correction.'

Since Texas is the second-largest purchaser of textbooks in the nation (next to California), it has a major influence on what publishers decide to put in their books. And so, as it has gone with other cleverly orchestrated Ahmanson-funded campaigns, Discovery's small victory is intended to have national consequences.

If you don't like the facts, then change 'em. It worked for Mao, it works here too.

Ahmanson and Christian Reconstructionism -- Wahaabism for the west

Salon.com News | Avenging angel of the religious right
... It was then that he found his salvation in the church and in R.J. Rushdoony, a prolific author and an influential theologian of the far right. Rushdoony is the father of Christian Reconstructionism, a strange variant of Calvinism that stresses waging political struggle to put the earth, and in particular the U.S., under the control of biblical law. In his 30-some books, he advocated everything from the end of government-administered social welfare and public schools to the execution of homosexuals. For around 20 years, until Rushdoony's death in 1995, Ahmanson served on the board of his think tank, Chalcedon, granting it a total of $1 million. In exchange, Rushdoony acted as Ahmanson's spiritual advisor, imbuing him with a sense of order and a mission.

Biblical Law for the US. Islamic Law for Saudi Arabia. There's less distance between Wahaabism and GWB than is commonly thought.

Salon.com | Joe Conason's Journal - Cockburn on Rupert Murdoch

Salon.com | Joe Conason's Journal
Murdoch offers his target governments a privatized version of a state propaganda service, manipulated without scruple and with no regard for truth. His price takes the form of vast government favors such as tax breaks, regulatory relief (as with the recent FCC ruling on the acquisition of Direct TV), monopoly markets and so forth. The propaganda is undertaken with the utmost cynicism, whether it's the stentorian fake populism and soft porn in the UK's Sun and News of the World, or shameless bootlicking of the butchers of Tiananmen Square.

More interestingly the Wall Street Journal's editorial page does the same thing, but only for Republicans and without a very clear payoff.