Tuesday, February 17, 2009

Staggering towards health care access ...

There's just a hint these days that Americans are, for the first time in about sixteen years, starting to think about health care semi-seriously ...

Managed Care Matters - Comparative effectiveness - what's left after the sausage-making process

... As the Gooz said;

"Based on the experience of the past few weeks, it's clear the U.S. is still many years away from having a rational discussion about limiting access to technologies that have been priced far beyond a societally-agreed upon benchmark for what constitutes affordable care." ...

The mere fact that anyone mentioned "affordable", even in the context of saying we're year away from a serious discussion, is progress.

Why?

I'm so glad you asked. Excuse me while I pull out the soapbox.

There are an infinite number of ways to deliver health care services, but since the dawn of time they have mostly fallen into two large bins

  • Deluxe (luxury)
  • Adequate (spartan)

The word "quality" doesn't come in here. The appearance of luxury might mask lousy quality (think the bad years of American cars). Spartan things can be very high quality (Honda Civic, 1990).

In health care, as with everything else, a new medication, procedure, lab test, or imaging study can be very expensive. There's not that much competition, and there's a lot of development costs that need to be recovered. Five years later the prices are often a lot lower (though modern IP absurdities can keep price high). Development costs have been recovered, the technology may be "obsolete", there's more competition driving prices down, cheaper ways have been found to deliver the service, etc.

Part of what makes care "Deluxe" is the availability of new stuff. A lot of what makes care affordable is avoiding the expensive new stuff. Sometimes the new stuff is really good, so affordable care is inferior care. Sometimes the new stuff is overrated or even harmful, so affordable care is (usually in retrospect), superior care.

Real healthcare access is about making "good enough care" available to every US citizen and taxpayer. Good enough, as in at least 88% of the benefit for 50% of the cost.

Good enough care is not not Deluxe care, it's adequate care. Waiting rooms with peeling plaster instead of plush carpet. Formularies with good-enough drugs. Lacerations repaired by relatively inexpensive family docs rather than plastic surgeons. Care that follows the best affordable standard practices, rather than the preferred practices of a cutting edge surgeon featured in USA Today. (Ironically the "standard" practices usually turn out to be better in every way than the unscientific whims of a single star performer).

So that's what to watch for in discussions of Health Care reform. Any "reform" discussion that doesn't involve delivering "inferior", but good enough care, doesn't really move the ball.

The humbling of Economics

Economists are very highly paid academics. They can easily earn several times what a comparably paid physicist earns.

This may change …

Dismal scientists: how the crash is reshaping economics - The Atlantic Business Channel

...The current recession has revealed the weaknesses in the structures of modern capitalism.  But it also revealed as useless the mathematical contortions of academic economics.  There is no totemic power.  This for two reasons:

(1) Almost no-one predicted the world wide downtown.  Academic economists were confident that episodes like the Great Depression had been confined to the dust bins of history.  There was indeed much recent debate about the sources of "The Great Moderation" in modern economies, the declining significance of business cycles…

… I myself was so confident of the consensus of the end of the business cycle that I persuaded by wife after the collapse of Lehman Brothers to invest all her retirement savings in the stock market, confident that the Fed would soon make things right and we could profit from the panic of a gullible public.  The line "Where is my money, idiot?" is her's.

(2) The debate about the bank bailout, and the stimulus package, has all revolved around issues that are entirely at the level of Econ 1.  What is the multiplier from government spending?  Does government spending crowd out private spending?  How quickly can you increase government spending? If you got a A in college in Econ 1 you are an expert in this debate: fully an equal of Summers and Geithner.

The bailout debate has also been conducted in terms that would be quite familiar to economists in the 1920s and 1930s.  There has essentially been no advance in our knowledge in 80 years

.. Recently a group of economists affiliated with the Cato Institute ran an ad in the New York Times opposing the Obama's stimulus plan.  As chair of my department I tried to arrange a public debate between one of the signatories and a proponent of fiscal stimulus -- thinking that would be a timely and lively session.  But the signatory, a fully accredited university macroeconomist, declined the opportunity for public defense of his position on the grounds that "all I know on this issue I got from Greg Mankiw's blog -- I really am not equipped to debate this with anyone."…

My recollection is that Paul Krugman has done pretty well over the past few years, but he’s been the exception.

I don’t think this is a fixable problem. We don’t have the science to understand the real economic world. We need something like Asimov’s “psychohistory”, but I’m not holding my breath.

In the meantime though, it would be nice if economists would be a bit humbler.

Monday, February 16, 2009

Netbooks and the like: Nvidia's netphone project

I guess we need another word for the netbook now that Psion is enforcing their trademark.

Maybe the WeeBook? Or maybe the cellbook? (emphases mine)...

Smartphones Under Assault from Beige Box Bunch - Bits Blog - NYTimes.com

... Intel and LG also showed off a mobile Internet device, which sits somewhere between a cellphone and a netbook. The product, expected to be released next year, will run on an Intel-financed version of the Linux operating system called Moblin and Intel’s Atom processor...

... Nvidia thinks it has a leg up on Intel on both graphics performance and power consumption with these small devices through its Tegra and Ion chips.

According to Nvidia, Taiwan’s Inventec Appliances and China’s Yulong will ship Tegra-based smartphones this year...

...The Nvidia-based devices will be able to connect to televisions at hotels or in the home via HDMI, letting people stream movies off their phones. Nvidia claims these high-definition devices will cost less than $100 each...

Moblin is open source btw.

I suspect they mean $100 with a 2 year mobile services contract, meaning they're about the cost of an iPhone. If they mean they're $100 cash that's much more interesting ...

Sunday, February 15, 2009

The Obama difference

Obama visits a part of the country that voted for McCain. He accepts questions at a rally there ...
Obama goes bipartisan for real - Joan Walsh - Salon.com

...The president didn't screen his crowd or his questions...
Remember Bush? I know it's hard now. In the Bush era only loyalists could attend rallies, and only his questions could be asked.

Those were bad times.

How will history see Cheney?

I think we're going to be learning a lot of interesting things about Dick Cheney, none of them good.
An Oral History of the Bush White House | vanityfair.com

.... Lawrence Wilkerson, top aide and later chief of staff to Secretary of State Colin Powell: We had this confluence of characters—and I use that term very carefully—that included people like Powell, Dick Cheney, Condi Rice, and so forth, which allowed one perception to be “the dream team.” It allowed everybody to believe that this Sarah Palin–like president—because, let’s face it, that’s what he was—was going to be protected by this national-security elite, tested in the cauldrons of fire. What in effect happened was that a very astute, probably the most astute, bureaucratic entrepreneur I’ve ever run into in my life became the vice president of the United States.

He became vice president well before George Bush picked him. And he began to manipulate things from that point on, knowing that he was going to be able to convince this guy to pick him, knowing that he was then going to be able to wade into the vacuums that existed around George Bush—personality vacuum, character vacuum, details vacuum, experience vacuum...
I find it hard to believe he actually left the White House peacefully.

Saturday, February 14, 2009

Crooked judges and the powerful emergence of corruption

[My original post is below, but the subsequent "update" is more interesting ...]

These guys might just qualify as evil. They had their full faculties (emphases mine)...
Judges Plead Guilty in Scheme to Jail Youths for Profit - NYTimes.com

... At worst, Hillary Transue thought she might get a stern lecture when she appeared before a judge for building a spoof MySpace page mocking the assistant principal at her high school in Wilkes-Barre, Pa. She was a stellar student who had never been in trouble, and the page stated clearly at the bottom that it was just a joke.

Prosecutors say Judges Michael T. Conahan, and Mark A. Ciavarella Jr., above, took kickbacks to send teenagers to detention centers.

Instead, the judge sentenced her to three months at a juvenile detention center on a charge of harassment....

... the judge, Mark A. Ciavarella Jr., and a colleague, Michael T. Conahan, appeared in federal court in Scranton, Pa., to plead guilty to wire fraud and income tax fraud for taking more than $2.6 million in kickbacks to send teenagers to two privately run youth detention centers run by PA Child Care and a sister company, Western PA Child Care.

While prosecutors say that Judge Conahan, 56, secured contracts for the two centers to house juvenile offenders, Judge Ciavarella, 58, was the one who carried out the sentencing to keep the centers filled.

“In my entire career, I’ve never heard of anything remotely approaching this,” said Senior Judge Arthur E. Grim, who was appointed by the State Supreme Court this week to determine what should be done with the estimated 5,000 juveniles who have been sentenced by Judge Ciavarella since the scheme started in 2003. Many of them were first-time offenders and some remain in detention....
I assume they only got 7 years because they were plead guilty to secondary crimes (wire fraud) rather than the to far greater crimes sentencing unjustly for personal enrichment.

The civil suits will take whatever money they have left.

I'm opposed to the death penalty for many reasons, but it is possible to be tempted.

Update 2/15/09: I've been thinking about this. On reflection, the story is both more ambiguous and even more educational than I'd thought. Consider these stories (a lot have to do with health care conflicts of interest, but that might be because I am a physician and follow those stories) ...
The real lesson is the old one -- who watches the watchers. Humans are very bad at managing our own conflicts of interest. Our self-judgments are easily warped.

We vary of course. Con men love marks who are certain of their sharpness. I'm guessing the men (it seems to be men, doesn't it) most sure of their probity, most certain they won't be so easily corrupted, are easily taken. One day, years from now, with nothing more to think of, maybe these judges will finally realize how far they fell. Maybe not.

Doubt yourself. Be skeptical of your integrity. Above all, be sure that others can see what you're doing, and be in a position to blow the whistle.

Friday, February 13, 2009

I walk out of Slumdog Millionaire

I've walked out of two movies.

I quit Dead Poets Society when it played up the romance of teen suicide. I was annoyed, and resented being manipulated.

I left Slumdog Millionaire, a currently fashionable movie, for two reasons. For one, my stomach hurt. I suppose that's a side-effect of not watching modern television. I don't have the stomach for the torture and mutilation of children.

For another, my exploitation alarm was ringing. I gather the movie becomes terrifically uplifting, but uplift is a relative thing. The director had set the stage very low when I gave up.

I now have sympathy for those Indians who are offended and irritated by the film.

Update: I'm not the only one.

Emergence: how entropy and incentives create scams

This afternoon I went through an aneurysm-stressing experience related to Aetna's management of my employer's flexible spending account.

The details of this particular screw-up don't matter, I'll just pick on Aetna because, well, they have the voice menu system from Hell. Really though, it's the incentives, not the company.

The trick is understanding how Flexible Spending Accounts work in the US. Participating employees predict their spend in qualified programs (dependent care, health care) and set aside a portion of regular earnings to cover the costs. The amount spent is not subject to payroll tax.

The catch is the what happens to any unspent funds.. Employers get to keep 'em. I am willing to bet that, somehow, someway, the FSA administrator also benefits from unspent money.

Now here's where it gets interesting. The plan administrator and employer are clearly incented to make the claims process as problematic as possible -- but they don't have to actually do anything bad to get their money. In fact, they don't have to do anything at all.

They can let "nature" take its course. It's like gardening. Weeds are the easiest things to grow; you just have to let entropy work its magic.

Benefit systems, particularly those involving low bid outsourced companies,have a lot of complex moving parts. It's natural for things to go wrong, for communications to be forgotten, for software bugs to flourish. In fact, it takes a lot of money and effort to make the system work.

Companies with perverse incentives don't have to create scams, they simply have to let entropy build a dysfunctional system. They even don't have to know how it's built or how it works or even that it's in operation, they can still reap the rewards of an emergent scam.

It's a lesson worth remembering. Don't participate in complex systems with perverse incentives; you can't beat Mother Nature.

The case for kicking the can down the road

Paul Krugman, who's got a relatively good record of understanding the American economy, feels the Obama plan is too modest ....
Krugman - Failure to Rise - NYTimes.com

... So far the Obama administration’s response to the economic crisis is all too reminiscent of Japan in the 1990s: a fiscal expansion large enough to avert the worst, but not enough to kick-start recovery; support for the banking system, but a reluctance to force banks to face up to their losses. It’s early days yet, but we’re falling behind the curve.

And I don’t know about you, but I’ve got a sick feeling in the pit of my stomach — a feeling that America just isn’t rising to the greatest economic challenge in 70 years. The best may not lack all conviction, but they seem alarmingly willing to settle for half-measures. And the worst are, as ever, full of passionate intensity, oblivious to the grotesque failure of their doctrine in practice.

There’s still time to turn this around. But Mr. Obama has to be stronger looking forward. Otherwise, the verdict on this crisis might be that no, we can’t.
Politics is the art of the possible. One reason to kick the can down the road is that there's no choice -- the GOP's Marketarian religion and the makeup of the US Senate means this is the best politics can do. If more members of the Party of Limbaugh leave the Senate then we can do more.

Another reason, however, is that we don't know what's going on.

I think both are good reasons to kick the can, but the second, of course, is more interesting. I'm old enough to know my strengths and weaknesses, and to have a pretty good understanding of what humans more talented than I are capable of. From that I'm reasonably confident that even someone with the extreme talents of, say, Richard Feynman, couldn't fully understand the causes and interactions driving the Great Recession.

Heck, people are still trying to fully understand the Great Depression, and that world was very simple compared to ours.

We're boldly going where no "man" has gone before.

I would not be shocked, if, six months from now, the Dow is over 10,000 and home prices are up 10%. On the other paw, I would not be surprised if, ten years from now, we are as shattered as post-WW II England.

I suspect I'm not alone in my thoughts. Maybe Geithner came across as uncertain because, really, nobody should be certain today.

So we've kicked the can. In six months we kick it again. Maybe 70 years from now we'll understand today's collapse -- even as we contemplate the post-human economic crisis of 2079.

Thursday, February 12, 2009

How I'd save the New York Times

Henry Blodget has been tracking the collapse of the New York Times for a few months. Among other things he recommends they adopt the pay policy of the WSJ (the WSJ evolved this policy over time) ...
Save The New York Times - Henry Blodget - (NYT)

We are proposing that the New York Times do what the Wall Street Journal does, which is run a hybrid subscription-free business:
  • Many news stories are available for free at WSJ.com every day. So much so that the site's direct, non-subscriber traffic is meaningful and impressive.
  • ALL of the WSJ's content is indexed by, and available through, Google and other search engines. Most people don't understand this, but it is critically important. The WSJ's paid content is NOT hidden behind a firewall. It is available for free, all over the web, on a story by story basis.
  • Many sites have deals with the WSJ where they can link to WSJ's content and have their readers read it for free. This encourages bloggers and other publications to include the WSJ in the conversation economy.
  • The only WSJ content that web searchers and readers CANNOT access are the full navigation pages of WSJ.com. Put differently, only subscribers can read The Wall Street Journal. Non-subscribers have to settle for reading the occasional Wall Street Journal story when they happen to encounter it.
I used to pay just to read Krugman, so I know I'd pay as long as the price wasn't insane.

I'm atypical though. They need something more.

The Encyclopedia Britannica online charges about $70 a year for full access. The NYT should buy/partner with the EB and the World Book. For $70 a year customers would get full access to the NYT, full access to the article archives, and full access to the Encyclopedia Britannica and the World Book Encyclopedia. NYT articles would routinely leverage the content of the encyclopedias.

Put this way, it looks like a bargain -- an easy sell for families with school aged children.

No, really, it was easy. Glad to have helped. Ok, if you insist, we'll accept 10 years of free subscriptions ...

The Economist – an update on the Great Recession

I liked this relatively readable yet detailed summary of the State of the Great Recession. Emphases mine.

America's crisis in a historical context | Worse than Japan? | The Economist

… Japan endured a decade of economic stagnation, whereas South Korea returned to growth within two years of its 1997 banking disaster.

Received wisdom holds that policy choices determined the pace of recovery. Sweden rebounded quickly because it acted fast: removing dud assets from banks’ balance-sheets, recapitalising weak banks and nationalising where necessary. Japan stalled for a decade because it took years to recognise the scale of its mess…

… the history of bank failures suggests that Japan’s slump was not only the result of policy errors. Its problems were deeper-rooted than those in countries that recovered more quickly. Today’s mess in America is as big as Japan’s—and in some ways harder to fix.

This crisis, like most others in rich countries, emerged from a property bubble and a credit boom. The scale of the bubble—a doubling of house prices in five years—was about as big in America’s ten largest cities as it was in Japan’s metropolises. But nationwide, house prices rose further in America and Britain than they did in Japan (see first chart). So did commercial-property prices. In absolute terms, the credit boom on top of the housing bubble was unparalleled. In America private-sector debt soared from $22 trillion in 2000 (or the equivalent of 222% of GDP) to $41 trillion (294% of GDP) in 2007

Judged by standard measures of banking distress, such as the amount of non-performing loans, America’s troubles are probably worse than those in any developed-country crash bar Japan’s. According to the IMF, non-performing loans in Sweden reached 13% of GDP at the peak of the crisis. In Japan they hit 35% of GDP. A recent estimate by Goldman Sachs suggests that American banks held some $5.7 trillion-worth of loans in “troubled” categories, such as subprime mortgages and commercial property. That is equivalent to almost 40% of GDP

… Administratively, today’s crisis is far more complex than it was in countries where the clean-ups are presently being praised. In Sweden’s highly concentrated banking system, one firm—Nordbanken—accounted for a quarter of all loans. The government dealt with a big part of the problem by taking over two banks. America’s finance industry is more diffuse. Even after a wave of government-induced consolidation, there are at least a dozen systemically important commercial banks.

More important, Sweden’s much-praised bad banks, into which the government shovelled troubled loans, dealt with straightforward credit backed by clear collateral. Even then the success was unusual. According to the IMF, asset-management companies were set up in 60% of banking crises, but were generally “ineffective”. That seems more likely today when the complexities of securitisation have left “toxic assets” that range from pools of car loans to fiendishly complex collateralised-debt obligations, which are much harder to unravel, value and manage.

What is worse, today’s bust is not just about banking. America faces twin financial crashes (as, to a lesser degree, do other Anglo-Saxon countries): one in the regulated banking sector and a simultaneous collapse of the “shadow banking system”, the universe of hedge funds and investment banks responsible for much of the recent securitisation boom as well as for the sharp rise in financial leverage.

As a result, standard measures of banking distress, such as the level of non-performing loans, understate the contractionary pressure. So far most of the credit collapse in America has come from the demise of securitisation. In 2007, for instance, $668 billion of non-traditional mortgages were securitised. Last year that figure dropped to $40 billion. Rapid deleveraging outside traditional banks also means that cleaning up banks’ balance-sheets may not break the spiral that is driving down asset prices and stalling financial markets. As the lower chart shows, financial-sector debt was the fastest-growing component of private-sector debt in recent years. Many of those excesses are being unwound at warp speed.

A final difference between today’s bust and most other big banking crises is the importance of household debt.

…  Household balance-sheets are more difficult to restructure than corporate ones, which involve far fewer people. Politically, the process raises questions of fairness. How far, for instance, should taxpayers bail out reckless homeowners who bought mortgages they could not afford? On the other hand, the economic dislocation from unwinding a household-debt binge may be less disruptive than restructuring swathes of firms. As Anil Kashyap of the University of Chicago points out, one reason Japan was so loth to acknowledge the depths of its banking problems was the knowledge that a banking clean-up would require a large-scale restructuring of Japanese firms which, in turn, would throw many people out of work. Restructuring household debts may be political dynamite, but it would not require a wholesale remaking of corporate America.

Nonetheless, the rebuilding of American households’ balance-sheets is likely to force a reliance on government demand that is bigger and longer-lasting than many now imagine. In the aftermath of Japan’s bubble, firms spent more than a decade paying down debt and rebuilding their balance-sheets. This sharp rise in corporate saving was countered by a drop in the savings rate of Japanese households and, most importantly, by a huge—and persistent—increase in budget deficits.

A similar dynamic will surely play out in America’s over-indebted households. With their assets worth less and credit tight, people will be forced to save much more than they used to. The household saving rate has risen to 3.6% of disposable income after being negative in 2007. For much of the post-war period it was around 8%, and in the short-term it could easily exceed that. But, whereas dis-saving by Japanese households countered the corporate balance-sheet adjustment, American firms are unlikely to invest more while consumers are in a funk. Propping up demand may therefore require more persistent, and sustained, budget deficits than in Japan.

Add all this together and the ease with which American policymakers dismiss Japan’s experience is probably misplaced. Japan’s outcome—a decade in which growth averaged 1% a year and gross government debt rose by 80 percentage points of GDP—was not one to be proud of. But given the magnitude of today’s mess, it may soon seem not that bad after all.

Health Wars II: The lies of "Betsy" McCaughey

I've already received emails inspired by McCaughey's latest ploys.

Health Wars II have begun.

James Fallows warns us to watch for the name McCaughey (emphases mine) - and for the reemergence of amoral journalism ...
Let's stop this before it goes any further - James Fallows

... The award for "Most destructive effect on public discourse by a single person" for the 2000s, so far, goes to Dick "no doubt" Cheney...

My nominee for the winner in the 1990s would be Elizabeth "Betsy" McCaughey. At various stages in her career she has been a banker, a Republican politician, and a staffer at conservative think tanks, but she entered the public stage in the mid-1990s in the guise of a dispassionate, independent researcher who considered it her duty to inform the American public about the dire threats it faced. Come to think of it, that is more or less the guise Cheney took in warning about the threat from Iraq.

In McCaughey's case, the equivalent of weapons of mass destruction was the original Clinton Health Reform plan. In 1994 she wrote a cover story in the New Republic "revealing" a number of hidden dangers in the Clinton plan that less careful analysts had somehow missed. Unfortunately for McCaughey, most of what she wrote was false. Unfortunately for the Clintons, most of what she claimed was echoed uncritically and became part of the conventional wisdom of why the bill couldn't pass.

After the jump, a passage from my 1995 Atlantic article "A Triumph of Misinformation" about McCaughey's article and its effects. More on this topic in my 1996 book Breaking the News -- and especially about why sloppy press coverage did as much to thwart health-care reform under the Clintons as it did to bring on the Iraq war under Cheney and Bush.

Why bring this up now? Because McCaughey has sprung up again to "reveal" another hidden danger in another Democratic administration's plans. Buried inside the new stimulus bill, she has discovered, are new big-brother tactics similar to those she warned against years ago. In a recent Bloomberg.com opinion column she wrote:
.. One new bureaucracy, the National Coordinator of Health Information Technology, will monitor treatments to make sure your doctor is doing what the federal government deems appropriate and cost effective....
NCIT is not new, last time I looked it had to do with IT standards. (You can imagine the way it's pronounced, for a while we had several CIT groups, including "ONCIT" and "OhCHIT". Ok, maybe not the latter.)

This time, no free pass for McGaughey. She earned her rep.

Why we should hope CEOs quit - Tom Peters and more

Tom Peters is an establishment management guru. He's not on the scale of the true greats like Machiavelli or Sun Tzu[1], but he's at least in the middle tier.

So his take on executive compensation is noteworthy ...

Op-Ed Columnist - Escaping the Bust Bowl - Kristof - NYTimes.com

... Tom Peters, a management expert, suggests capping the pay of C.E.O.’s receiving bailouts at that of a four-star general. As for the concern that the executives would quit, who cares? Mr. Peters writes that if all the top executives of the Fortune 500 companies were exiled to Elba, “performance of their companies would not on average deteriorate.”...

CEO compensation is the inverse of the zero-bound problem that confounds fiscal policy and produces perverse (high institutional risk) but logical (highest expected return) behaviors in financial managers and bank traders (Paul Wilmot, NYT). CEO compensation has reached the upper-bound limit of what used to be called "f-you money" -- the $30 million plus personal wealth that makes employment optional.

So CEOs don't need their jobs. They work extremely long hours because they adore their work - for reasons that are good and not so good. If you reduce their compensation, so they're now falling down the power curve, many of them will quit.

Then what happens?

I'm betting Peters is right, in part because I don't think CEOs are "selected" on the basis of excellence in leadership or judgment. I suspect that if a large majority of CEOs of publicly traded companies were to take early retirement that corporate performance would be unchanged or improved.

That may be what we have to do to eliminate the upper bound problem.

[1] Update: Ok, confession time. I added Sun Tzu because I was influenced by the opinion of others. My bad. I've since read it; Machiavelli stands alone. In modern times I still like 'Reengineering the Corporation' even though it got quite a bad rep later, and I like 'The Innovator's Dilemma' (but not later, much weaker, "Innovator's Solutions" book). and 'Getting to Yes'.

Wednesday, February 11, 2009

On books, history and the Kindle

"If humans could learn from history, there wouldn't be so much of it."

me

“Our vision is every book, ever printed, in any language, all available in less than 60 seconds.

Jeff Bezos, Amazon.com

History is to the past as Moby Dick is to "Fought whale. Lost.". Even if it's true as stated, it's necessarily a radical reduction. Anyone who's read a book of another era, or visited the NYT archives,  feels the wonder of untold stories. Jim Stogdill has written an excellent essay, inspired by the Bezos quote, on history and books ...

The Kindle and the End of the End of History - Jim Stogdill O'Reilly Radar

... I had been doing some research this morning and was reading a book published in 1915. It's long out of print, and may have only had one printing, but I know from contemporary news clippings found tucked in its pages that the author had been well known and somewhat controversial back in his day. Yet, Google had barely a hint that he ever existed. I fared even worse looking for other people referenced in the text. Frustrated, I grabbed a 3x5 card and scribbled:

"Google and the end of history... History is no longer a continuum. The pre-digital past doesn't exist, at least not unless I walk away from this computer, get all old school, and find an actual library."

My house is filled with books, it's ridiculous really. They are piled up everywhere. I buy a lot of old used books because I like to see how people lived and how they thought in other eras, and I guess I figure someday I'll find time to read them all. For me, it's often less about the facts they contain and more about peeking into alternative world views. Which is how I originally came upon the book I mentioned a moment ago.

The problem is that old books reference people and other stuff that a contemporary reader would have known immediately, but that are a mystery to me today - a mystery that needs solving if I want to understand what the author is trying to say, and to get that sense of how they saw the world...

It's not the pre-digital past that seems increasingly blurred and lost, it's the pre-Google past. Much of the early computer era, even the early Internet era, is think on the net.

Lovely essay. I wish both Amazon and Google, with similar missions to bring knowledge the world, great success.

Monday, February 09, 2009

Google's ActiveSync license - interesting

Google, I am your servant. Google has saved my iPhone from a heel grinding. As of today I have Push connection to five of our family calendars (Contacts are up next), and I didn't even need Microsoft to pervert the platform.

Pound sand, MobileMe.

Cough. Ok, so I did need a bit of Microsoft. Specifically, their ActiveSync monopoly (PalmPre). I figured this cost Google a fortune ...
Google licensed ActiveSync from Microsoft for this. I assumed they'd cloned it. I wonder what a ten million user license of ActiveSync costs? I don't imagine Microsoft gave Google much of a discount. It's an amazing testimony to the power of Microsoft's Exchange monopoly, and a marker for how serious Google is about making this work.
Ahh, but not so fast. Betanews has a different angle (emphases mine) ...

Google Sync made possible through patent license with Microsoft | Betanews

...[Google] licensed Exchange Server patents from Microsoft, in a deal that company is describing today as an "open" license.

This morning, Google launched its initial beta for a contacts synchronization service that enables individuals to share information for up to five mobile calendars and three e-mail addresses between devices, including iPhone, S60, BlackBerry, Sony Ericsson, and Windows Mobile phones. If that list sounded familiar, it's because their manufacturers are all on the patent licensing agreement list announced by Microsoft last December 18

Today, Google officially joined that list, though obviously because its beta has already been launched, its agreement with Microsoft must already have extended back at least several months.

Whether due to the evolving state of the market, the increasing demands by consumers for interoperability, the increasing threats from the European Commission, or a combination of these factors, Microsoft has steadily been increasing the availability of its technology, including to competitors. One of the most crucial of the protocols being opened up is Exchange ActiveSync, which Microsoft's own Exchange Server 2007 uses to maintain contact information, e-mail distribution, and point-of-presence between networked PCs and mobile devices.

It's easily the most effective synchronization protocol going, and has become the de facto standard. So Microsoft is under increased pressure to avoid being characterized as non-competitive or unfair with regard to one more standard upon which the world's businesses rely, which is also under its complete control.

Under Microsoft's current policy, the use of APIs to communicate with a system using one of its protocols, does not require a patent license. But serving up the protocol for yourself under your own brand name does require one, and that's what Google Sync does...
I wonder what's in the patent. I suspect it might include things like the definition of a "Contact" -- such as the data model.

It's also clear that Google isn't running a humungous version of Exchange Server -- they licensed the patents, they didn't buy Microsoft's software. Maybe this didn't cost them as much as I'd imagined.

I think we all owe the European Union a big "thank you" for forcing Microsoft to relinquish effective control of Exchange Server. This also suggests that BlackBerry is not as vulnerable to Microsoft's direct action as I'd imagined.

Now, on to sorting out my Contacts so I can, for the first time ever, have a unified contact set. More on that later ...

Update 3/4/09: In comments Leaskovski refers to the interesting example of "Z-Push", an open source project:
... Z-push is an implementation of the ActiveSync protocol which is used 'over-the-air' for multi platform ActiveSync devices, including Windows Mobile, iPhone, Sony Ericsson and Nokia mobile devices. With Z-push any groupware can be connected and synced with these devices...

... Open source Z-Push enables any PHP-based groupware package to become fully syncable with any ActiveSync-compliant device.

Being an opensource project under the GPL, it allows developers to add their own backend so that Z-Push can communicate with their groupware solution.

Currently, Z-Push is available with four backends: the IMAP and the maildir backend for e-mail synchronisation, the vCard backend for contact synchronisation and one for the Zarafa package which allows full synchronization of E-mail, Calendar, Contacts and Tasks. We expect that other backends arise in the near future as the opensource community gets the grips with the new possibilities....

Great project. I sure hope they succeed and I'll keep my eye open for z-Push news. Unfortunately Source Forge hasn't heard about feeds :-). Maybe one day.

It's interesting to watch the emergence of de facto standard data models driven by the need to support synchronization (a very demanding master). There are lessons aplenty for health care standards (HL-7 RIM, etc).