It’s been a while and I’ve been accumulating links. You’ll have to forgive me if I ramble on a bit.
Archive for the ‘Politics’ Category
I thought I’d put these three links into a separate post. Long ago, when electronic medical records were being cited as the way we could save money in our healthcare system, I was skeptical. I pointed out that these innovations might save lives and might make things easier on patients. But they were unlikely to save money. I based that on my dad’s experience with EMR, in which he found them to be very expensive, amazingly disorganized and somewhat bewildered by HIPPA requirements.
Well, I was right. Here you can read about how EMR’s have encourage the use of boilerplate descriptions which leave critical information out of patient’s record. Here you can read about how it makes doctoring difficult. I’ve experience this personally, finding that doctors spend all their time screwing around with the EMR system rather than interacting with me (although this has improved in the last couple of years as doctors learn from their mistakes and save EMR maintenance until after the appointment). And here you can read about how the system are not saving money and don’t interact with each other.
Some of these problems will eventually be solved. I expect that a uniform standard will eventually be created (probably by law). Improvements in computer transcription will probably restore dictation over boilerplate for making notes. And, as I noted, doctors are quickly improving their ability to use EMR without sabotaging their interaction with the patient. In the long run, I think this will improve healthcare.
But easy-to-use systems that have a uniform standard, protect patient privacy and can correctly spell esophagogastroduodenoscopy (as I just did on the first try) are not cheap and are never going to be. This is not the solution to our healthcare woes. There is no silver bullet that is.
I just noticed I have about five Linkoramas lingering in my queue. So I’ll take out whole bunch here.
A few weeks ago Mother Jones, having not learned the lesson of their absurd article claiming mass shootings are on the rise, published a list of 10 Myths about guns and gun control from Dave Gilson. And I’m going to debunk their debunking again because the article represents what I believe is one of the worst sins in the field of Mathematical Malpractice: cherry-picking. As I went through this, it became obvious that MJ was not interested in the facts, really. What was motivating them was the argument. And so they picked any study — no matter how small, how biased or how old — to support their point. They frequently ignore obvious objections and biases. And they sometimes ignore larger more detailed studies in favor of the smaller ones if it will support their contention.
We see this a lot in the punditocracy, unfortunately. As Bill James said, most people use studies the way a drunk uses a lamppost — for support, not illumination. In any sufficiently advanced but difficult field of study, you will find multiple studies examining an issue. Let’s say it’s a supposed connection between watching Glee and having a heart attack. If there is, in reality, no connection between the two, you might find eight studies that show no connection, one that shows an anti-correlation and one that shows a correlation. This is fine. This is science. There are always outlier studies even if all the researchers are completely ethical and honest. The outliers fall away when your interest is the question and you look at all the evidence. But the outliers dominate the discussion from those who have an agenda.
This happens a lot in the gun debate. On both sides, really. But Mother Jones’ article is a particularly putrid example of this because that’s basically all it does: collect the cherry-picked nonsensical studies that support their anti-gun agenda. It’s quite remarkable actually; almost a clinic in how not to do research.
But here’s the one thing that really tips you off. There is one myth that Mother Jones does not debunk. It’s a myth that’s really independent of what you think of gun ownership … unless you’ve already staked part of your reputation and agenda on the myth that gun violence is increasing. In fact, all forms of violent crime have been falling for twenty years. This is, in my mind, the single most important fact in debates over crime and violence and the single most important myth to debunk.
MJ does not address this myth. They don’t even talk about it. That is a huge tell.
Any year you can walk away from is a good one right? I ended 2012 with my family and career intact, so I don’t think I can complain too much. Abby had a great year with her first real birthday party and a good start to kindergarten. I landed a couple of grants and got a couple of big projects off my plate, including the image gallery for the mission.
On the other hand, I had my gallbladder out and had a sudden awful onset of bad migraines, something I still have not quite gotten control of. My mother-in-law died. My stepmother got cancer. We spent a fortune on fertility treatments and got, for all our pains, one miscarriage and a bad MS relapse. So … yeah, not our best year.
In sports, my Braves bowed out in ignominious fashion and the hated New York Giants stomped over the Falcons, Packers and Patriots. On the other hand, the Falcons had another good regular season, the Braves have a lot of young talent and Chipper Jones went out in grand fashion.
Politics? Oh, God. This was one of the most frustrating disillusioning years I can remember. I looked at both parties and eventually slammed my head into the desk and voted for Gary Johnson. We had a huge amount of sound and fury. More digital ink was spilled than ever before. I blogged my guts out over at Right Thinking. And the result? Obama is still President, Congress is still split, Congress is still stupid, the deficit is still huge and the economy is still sluggish.
But, for some strange reason, I have a good feeling about 2013. 2011 was a the year of false hope — personally, professionally and politically. 2012 was a tough grinding exhausting year. But I feel like things have put in motion that will make 2013 suck a lot less. I can’t put my finger on anything specific. That probably means I’m wrong.
Oh, well. Without further ado, my bold predictions for 2013:
So, yeah. Even looking at that, I’m not predicting a great year. But 2012 was so lousy, 2013 is almost bound to be better.
We must always remember that the arc of history is long and, over the last decade, has pointed toward progress. On a global level, things are improving. Steadily, haltingly, frustratingly. But improving. And maybe 2013 will be the year things start improving around here — slowly, haltingly, frustratingly. In the end, the future is what we create. And I intend to bend my shoulder a little bit more this year and push a little harder.
This analysis, which claims that the US has more school spree killings than 36 nations combined, is getting a lot of play. It shouldn’t. It is extremely bad mathematical malpractice.
The basic reason it is mathematical malpractice is the same reason the Mother Jones study was: it is difficult to analyze extremely rare events. When you narrow your investigation to events that happen maybe once a decade and are compiled haphazardly, you are simply going to be dominated by small number statistics and selection bias. You can therefore use those numbers to say, basically, anything you want.
Let’s break down just how bad the numbers are being twisted here.
1) The sample ends in 2009. That excludes the recent spate of knife attacks in Chinese schools that have left 21 dead. If you did this analysis a week ago, you would have had to drop China from the right column.
2) The sample excludes acts of terror or war. But if Islamists shoot up a school because they don’t want girls to read, are those kids any less dead? If a drone strike misses its targets and kills a classroom, are those kids less dead? Why must we exclude the Beslan attack that left 186 kids dead?
3) The sample excludes single homicides, which amount to 302 deaths in the United States over the time involved and God knows how many in other countries. So you are literally excluding 90% of the problem and focusing just on a tiny subset of killings.
4) Comparing us to 36 other countries is ridiculous when some of those countries are places like Bosnia-Herzegovina (population 4 million). We have more population, period, then 30 of the countries on that list combined. Also included in that list of countries are England, Scotland and Northern Ireland, which are, technically speaking, not countries.
5) The problem of small number statistics can be best illustrated by playing with the data a bit. If I include the knife attacks and move China into the left column, suddenly China has more violent deaths than 30 other countries. If I move Germany onto the left side, suddenly they have more spree killings than a bunch of other countries. If I define the sample in the 1990′s, suddenly Australia dominates the statistics. You simple can not draw conclusions from samples that are that sensitive to single events.
6) Combining points 4 and 5, if you look at spree killing rates rather than the deliberate mathematical malpractice of comparing absolute numbers, the situation is very different. In 2009, the Winnenden shooting killed 15. Scaled up to the population of the United States, that would be the equivalent of 60 people dead, more than the worst year the United States has ever had. In 1996, 35 people were kill in Port Arthur, Australia. Scaled up to the US population, that would almost equal 500 dead. It is an event that is seared into the memories of Australians. My point is not that these countries are worse than we are. My point is that these are rare and horrible events and you can manipulate the numbers to prove anything you want.
7) The biggest thing missing here is a sense of time. Is the rate of school killings going up or down? The answer, of course, is down. Check out chart one at Ezra Klein’s blog that shows that the rate of assault death has fallen by over half since 1970. Check out the NCES page I link above which shows a significant decline in on-campus homicides, from 40/year in the 90′s to 30/year in the 00′s. That decline is a hundred more kids running in the sunshine. The NCES data, based on a complete sample of over 600 incidents, is useful. This …. isn’t.
I’m not trying to downplay the horror that unfolded on Friday. However, I don’t think any debate can proceed unless we have a good grasp of the problem we are trying to solve. Far too many children are murdered in school in this country — that was as true on Thursday as it is today. But to be useful, the debate needs to be on honest terms. Committing mathematical malpractrice by deceptively comparing the United States to 36 other countries as though there something to be learned from that is not an honest debate and is likely to produce a panicky and ill-considered response.
I can’t recall an election cycle when so much attention was paid to polls. We do, of course, have more polling than ever. And the election is likely to be very close, so everyone is riveted on the polls. But it’s not just the attention to the polls: it’s the loud debate over them. I can’t recall seeing so many articles analyzing the polls, adjusting the polls, arguing the polls and selectively quoting polls. This has been especially strong from the Republican side, which has claimed that 1) the polls are skewed; 2) Nate Silver is a gay Obama supporter and can’t be trusted; 3) the polls are skewed; 4) Rasmussen is the only reliable pollster; 5) boy, are those polls skewed.
I don’t think this is a unique function of Republican hysteria or reality denial, incidentally. It is a result of a few models and analyses favoring Obama right now. If they favored Romney, I’m sure we’d be hearing conspiracy theories from the Left.
(The reporting on polls is enough to drive you mad. The bias and misunderstanding of how polls and statistics work would be stunning if I didn’t think it was deliberate. To illustrate how this goes, imagine that Romney and Obama are tied for the purple state of New Ubekibekistanstan. On one day, five polls come out that read like so:
Poll Palace: Tied
We R Polls: Tied
Polls R Us: Romney +1
Republican Poll Man: Romney +2
Liberal Poll Dudes: Obama +3
That’s a tie. But guess which ones the liberal blogs will talk about? Guess which ones the conservative ones will? This is how alternative realities are created.
Then there’s the issues of “margin of error”. If a poll comes out showing Romney is leading New GOPland by three points with a three point margin of error, the liberal blogs will say it is essentially tied. But it’s not. 3+-3 means that it’s about 70% likely that Romney leads and it’s as statistically likely that Romney leads by 6 as it is tied.
Then you compound the two. Imagine New GOPland has three polls released:
Polls R Us: Romney +2 +- 3
We R Polls: Romney +5 +- 2
Poll Palace: Romney +8 +- 3
Assuming there are no biases, Romney actually has a solid lead: five points, give or take two. But the news media will say it’s tied.)
I should note that a big reason for the attention to polls is the null difference between the two candidates. If they really had major policy differences, we’d be talking about those. Romney supporters would be talking about how awesome his economic plan is and Obama supporters would be talking about how awesome the economy is. But because they are essentially the same man, we’re talking about polls.
And if we’re talking polls, we’re really talking about Nate Silver. Silver is one of several people who understand statistics and tries to incorporate all of the available data into an electoral projection. As of right now, Silver’s model projects Obama as a likely winner, although it is very close. Close enough that one week could shift it either way.
But his critics being full of crap doesn’t make Silver right. Silver came to fame with a dead-on projection of 2008. But 2008 was not a close election. It was, all things considered, a landslide for Obama. Only three states — North Carolina, Missouri and Indiana — were within 1% and Silver missed on Indiana (to be fair, Silver gives probabilities not certainties and getting two out of three coin flips right is just fine). 2012 is going to much closer. And I dare say this will be the real test of Silver’s abilities. Is he going to be proven dead on again? Or will his model be spectacularly wrong?
This year is reminding me an awful lot of Election 2000. It’s not just because of the closeness and the likelihood of an electoral college-popular vote split; it’s because that was the first time an attempt to model the electoral outcome was done. And, as the Wayback machine reminds us, it failed spectacularly. Real Clear Politics predicted Bush would win by 10 points in the popular vote and with an electoral landslide of 446-92. That … didn’t happen.
I remember the events very clearly. My advisor tipped me to the RCP site as evidence that the media were ignoring Bush’s pending win. But I also remember being highly skeptical. because it seemed to me they were going overboard to try to make Bush win, constantly putting states in “definite Bush” but very few in “definite Gore”.
(Of course, that may have been my natural pessimism: I was a Bush supporter and RCP’s projection seemed too good to be true. If I were supporting Obama this year, I’m sure I would have convinced myself that Silver is wrong in his analysis.)
Here’s a breakdown of how RCP went wrong:
States Bush Would Win: Alaska, Utah, Idaho, Montana, Nebraska, Kansas, Oklahoma, Texas, South Dakota, North Dakota, Wyoming, Colorado, Indiana, Arizona, Virginia, South Carolina, Alabama, Mississippi, Georgia, Louisiana, Kentucky, Ohio, North Carolina. They also had Nevada as a probably win. Bush did win all of these and most of them were not close. Ohio, now a swing state, went to Bush by 170,000 votes. That was not really the problem. The problem was:
States Gore Would Win: DC, New York, Hawaii, Massachusetts, Rhode Island with Connecticut as a probable win. These were the only states they had as definite Gore. California, Maryland, Washington — these were not seen as definite Gore states. And it was this bias that I was subconsciously picking up: not that they overestimated Bush’ performance, but they under-estimated Gore’s, refusing to accept that people would vote for him. They seriously had Gore polling at 42% nationally. Given the popularity of Clinton and the state of the economy, that was absurd.
Leans Bush: They correctly called Missouri, New Hampshire, Florida, Arkansas, Tennessee and West Virginia. They also had New Mexico and Oregon, which went to Gore but were cose. But Washington? Michigan? Pennsylvania? Maine? Gore won them all by 5 or 6 points.
Leans Gore: Maryland and Vermont. Again, we see a reluctance to put things in Gore’s column. Gore won both by double digits. The idea that Maryland “leaned” was laughable.
Slight Bush: Delaware, Iowa, Minnesota, Illinois, California All were easy wins for Gore. Only Minnesota was within shouting distance.
Slight Gore: New Jersey Another huge win for Gore.
We can see that it wasn’t just that RCP was wrong; they were wrong everywhere, systematically and massively underestimating Gore’s support.
So what happened? And does this mean we should point and laugh at projections for this year?
Well, first of all, RCP way over-estimated Ralph Nader’s influence. This may sound strange to Democrats still bitter about 2000, but RCP estimated Nader at 5.7%, over twice as well as he actually performed. And almost all of his supposed voters went to Gore. This not only skewed the popular vote, it massively skewed the vote in blue states like California.
Second, Bush eventually underperformed the polls by three points. Ted Frank makes the case that this was because of the November Surprise of Bush’s drunk driving arrest. While that’s possible — I thought so at the time — I’m less convinced now. When you get into the last days of the election, most people have decided. I really doubt this shifted the national polls by three points in three days, which is a *very* large and *very* rapid shift so late in the game.
In the end, I think it was all of the above: they overestimated Nader’s support, the polls shifted late and RCP had a bit of a bias. But I also think RCP was simply ahead of its time. In 2000, we simply did not have the relentless national and state level polls we have now. And we did not have the kind of information that can tease out the subtle biases and nuances that Nate Silver can.
Ah, Nate Silver. We keep circling back to him. So what do I think? Is Silver going to be sitting pretty on November 7 or will he have egg on his face?
I don’t know.
I think he’s doing the best job he can, given the difficulty of the data. But when the election is this close, you’re straining the ability of even the most careful analyst to predict the future. I think it’s possible that he will miss. But it’s not because he’s biased or stupid. It’s simply because close elections are difficult to forecast. Even the smallest error — a 1% national offset in the popular vote — could have big implications for the final result. I simply find it hard to believe that any model can predict an election likely to be within the noise.
I will note that if Silver does miss badly, this does not make his critics right. We should never confused the process with the result. If Silver misses but some guy throwing darts an electoral college map gets it right, this does not mean dart-throwing is superior. It means that one guy got lucky and the other missed something.
My prediction? I don’t know. This feels like an electoral-popular split since Romney’s red-state support is stronger than Obama’s blue-state support. That may be my own bias playing up: I would love to watch the pundits argue 180 degrees from where they were in 2000 and I would love to see the President, whoever he is, weakened to the point where Congress takes the lead on solving our budget woes.
But right now, no result would surprise me. There’s nine days left. There’s a massive hurricane bearing down (natural disasters can hurt incumbents and I expect the GOP to say Obama’s response is incompetent no matter what). Job numbers have yet to come out. Some football teams have yet to play.
To be honest: I just want it to be over, one way or the other. I’m tired of it. I’m tired of one side or the other quoting whichever poll most favors them. I’m tired of the bullshit gotchyas. I’m tired of being bashed from one side as an Obama bootlicker and the other as a secret Romney supporter. I’m tired of everything having a political implication.
Hopefully, in a little over a week, we can start getting back to policy and ideas and things that really matter.
A few weeks ago, Mother Jones did a timeline of mass shootings in response to the spate of summer shootings. The defined their criteria, listed 61 incidents and pointed out, correctly, that most of them were committed with legal firearms.
The highlight is a map of mass shootings over the last thirty years. The map has some resemblance to Radley Balko’s famous map of botched law enforcement raids. But the use of a map and dots is where the resemblance ends. Balko was very clear that his list of incidents was not, in any way, definitive. And he did not try to parse his incomplete data to draw sketchy conclusions.
Mother Jones felt under no such compulsion.
This week, they’ve published an “analysis” of their data and drawn the conclusion that our society has more guns than ever and, perhaps related, more mass shootings. Below, I’ll detail why I think their “analysis” — and yes, I will keep using quotation marks for this — is useless, uninformative and flat-out wrong.