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Hospital Bias

Asking people about differences between private and public hospitals, you are most likely getting answers that the private hospitals deliver superior patient outcomes. Whereas private hospitals seem to have a positive stigma attached to them, public hospitals commonly have a negative stigma. Scientific evaluations are helpful to set the record straight again. The study published in “The Lancet Regional Health” in 2024 shows that in the simple descriptive statistics on several patient outcome indicators, this is what the data showed between 2026 and 2019. However, a more precise statistical analysis reveals that there is also a selective admission to the private and public hospitals in England. Using so-called instrumental variables approaches that account for the selection process between admission to the 2 types of hospitals (private versus public) most of the differences between the hospital types disappear. The underlying mechanism is a sorting of different patients into the private or public hospitals. Put in easy words, for a routine intervention people tend to chose the private hospital, but the more rare and difficult operations were more likely admitted to public hospitals. The number of co-morbidities (heart disease) is also of importance as they might negatively affect patient outcomes. Jumping to conclusions and reinforcing stigma about public or private provision of services hinders progress and an equitable provision of services.
The analysis of a potential selection bias can reveal the “creaming” effect of private provision of (health) services. Just caring for the “easy” or routine cases and avoiding the more difficult and costly cases has economic advantages, but for society as a whole the costs overall remain the same. A good public service in health is a definite asset.

(Image: Exposition Isa Genzken 2023 in Neue Nationalgalerie Berlin)

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Family Kafka

100 years after Franz Kafka’s death nearly all facets of his life and writings have been analyzed. The archives of the editor Wagenbach and the publishing house have now opened an exhibition at the “Stabi Ost” in Berlin adding a family picture book description of Kafka’s life (Curator Hans-Gerd Koch). This is of interest because Kafka himself had written an extensive letter to his father (Brief an den Vater) in which he tries to understand his intricate relationship with his father and other family members.
Nowadays, some people would try to analyze Kafka’s life through the parapsychological technique of family constellations. The far-reaching and pan-European family networks of the Kafka (father) and Löwy (mother) families were more than just an excellent source of inspiration. 2 younger brothers died in their first year. 3 younger sisters followed more traditional evolutionary patterns within families. The television series on Kafka’s life add to the understanding of his sources of inspiration and “parallel worlds” he created and lived in. The exceptional “fictionalization” of his own life and existence in the spirit of André Breton’s surrealism remains a milestone in the history of literature.
Kafka himself thought he was not really “instagrammable”at the time, but his image has reached and still reaches millions of people (Link to Picture archive). He himself would probably have defended the thesis that the most powerful images are within us. … and they are hard to escape from.
(Image from Exposition in Staatsbibliothek Berlin 2024-4, QR-code links to reading in originals!)

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Hannover Fair

The annual science fair at Hannover is a kind of a show of things to touch and of those things that come to the public market in the near future. Most of the annual hype is about potentials of production. Rationalization, using few resources or innovative solutions of digitization are high on the agenda. Create your digital twin, save energy, make production more safe or cyber secured.
Robotics is another reason to visit the fair. Some 7 years ago I had my Sputnik experience there. The robotics company KUKA had demonstrated live the that assembling a car from pre-manufactured components takes just 10 minutes for the robots. Shortly afterwards the whole company was bought by Chinese investors. Roughly 5 years later we are swamped by cars from China. It was not that difficult to predict this at that time. Okay, we need to focus on more value added production and take our workforces (not only) in Europe along on the way. Reclaiming well-paid, unionized jobs in manufacturing, as Joe Biden does, will not be an easy task. Robots and their programming is expensive, but skilled workers, too. Hence, the solution is likely to be robot-assisted manufacturing as a kind of hybrid solution for cost-effective production systems.
Following the proceedings of the 2024 fair we are astonished to realize that visiting the fair is still a rather “physical exercise” walking through the halls. After the Covid-19 shock we expected a lot more “online content”. Instead we keep referring to webpages and newletters rather than virtual visits and tours. The preparation of the visit in advance remains a laborious adventure. However, the in-person networking activities in the industry are largely advanced by ease of exchanging virtual business cards and the “FEMWORX” activities.
This year’s Sputnik moment at Hannover is probably most likely related to the pervasive applications of AI across all areas of the industry and along the whole supply chain. Repairing and recycling have become mainstream activities (www.festo.com). Robotics for learning purposes can also be found to get you started with automating boring household tasks (www.igus.eu).
Visiting Hannover in person still involves lengthy road travel or expensive public transport (DB with ICE). Autonomous driving and ride sharing solutions might be a worthwhile topic for next year’s fair. Last year I thought we would meet in the “metaverse fair” rather than in Hannover 2024. Be prepared for another Sputnik moment next year, maybe.
(Image: Consumer’s Rest by Stiletto, Frank Schreiner, 1983)

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AI Defence

For those following the development in robotics we have been astonished by the progress of, for example, rescue robots. After an earthquake such robots could enter a building that is about to collapse and search the rooms for survivors. A recent article in “Foreign Affairs” by Michèle A. Flournoy has started its thinking about the use of AI in the military with a similar 20 year old example. A small drone flying through a building and inspecting the dangers of entering for persons or soldiers. Since then technology has advanced and the use of AI for automatic detection of dangers and “neutralising” it, is no longer science fiction. The wars of today are a testing ground for AI enhanced military strategies. It is about time that social scientists get involved as well.
Warfare left to robots and AI is unlikely to respect human values unless we implement such thoughts right from the be beginning into the new technology. An advanced comprehension of what algorithms do and what data they are trained on are crucial elements to watch out for. According to Flourney, AI will assist in planning as well as logistics of the military. Additionally, AI will allow a “better understanding of what its potential adversaries might be thinking”. Checking through hours of surveillance videos is also likely to be taken over by AI as the time consuming nature of the task binds a lot of staff, that may be put to work on other tasks. Training of people and the armed forces become a crucial part of any AI strategy. The chances to develop a “responsible AI” are high in the free world that cherishes human rights and democratic values. Raising curiosity about AI and an awareness of the dangers are two sides of the same coin or bullet. Both need to grow together.
(Image created by Dall-E Copilot Prompt: “5 Robots disguised as soldiers with dash cams on helmet encircle a small house where another robot is hiding” on 2024-4-23)

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Digital Estonia

The progress of Estonia in going digital is quite advanced. The electronic identity card which allows data to be linked to health data and accounts or banking gives an impression of how far-reaching digitalization may go. Great steps have been taken to guide the population on the way to move towards the digital (only) world. Learning and coaching of a huge amount need to take place so that people do not abandon or get lost on the path towards “everything digital”. For the so-called digital natives, who have grown up with the sound of their smartphone at the bedside all the time, this move feels “natural”. Some experienced or silver workers got on track, if they were accompanied in suitable forms. The 65+ population might find it harder to adapt to the permanent use of digital devices for not only getting around in your city, but also to do your tax declaration, pay your dues and vote in elections.
Digitalization is not a goal in itself. It has advantages to reach communities in remote places or islands, but it might alienate older persons that have no other person around to assist them in the digital only world. An easy way to get some social science data to inform the debate is to refer to Eurostat and the surveys with information about the “overall life satisfaction” of people (EU-SILC). Checking for some major countries of the EU and neighbours of Estonia with less digitalization the differences are rather small. In terms of overall life satisfaction (16+ years old) Estonia has been catching up to the EU-average mainly between 2013 and 2021. Since then, stagnation at the EU-average is what the data tell. A quick testing of the hypothesis that the older persons (65+) might not see the past evolution as rosy is reflected in the EU-data as well. Good pensions seem to drive the “happiness” of older persons in the EU more than good digitalization. Eventually the two features of a society will have to go hand in hand to improve life satisfaction to higher levels. (Image: Data Eurostat EU-SILC Life satisfaction 65+, selected countries 2013-2023, retrieved on 2024-4-23, comparison with table all ages here, Data source)

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Opera Politics

We know that sports and international politics have ample links. This holds true for Opera performances, either due to the way they are presented or due to the content of the libretto. The opera Jeanne d’Arc (Giovanna  de Arco, Jungfrau von Orléans) by Guiseppe Verdi was composed in 1844 and had its Premiere at La Scala in Milano 1845. The libretto is based on the drama written by the playwriter Friedrich Schiller. Later in the 19th century musical pieces followed that dealt with the court judging Jeanne d’Arc. The opera by Verdi creates a strong female voice and character which outperforms men around her. Obviously, she was and remains for many a quasi-mythological heroine. In short, this constitutes great plots for drama and operas. This is centuries old despite the rare occasions of more recent performances of Jeanne d’Arc in form of Verdi’s opera or other forms.
The Opera as arena of politics is currently tested in the Opera at Tallinn Estonia. Due to the aggression and occupation of Ukranian territory by Russia the plot of Jeanne d’Arc regained another European location of potential application. Ukraine pushed back the Russian invasion and struggles to win back its territory from the invaders. The performance of the Opera recreates an impressive Jeanne d’Arc in the person of Elena Brazhnyk who was trained at the National Tchaikovsky Music Academy of Ukraine. The evening inspired hope in many respects. Talents from Ukraine or trained in Ukraine reach out into to the world. Similarly, we have much reason to be inspired by courageous acts. Operas do politics. “Bravi”, as they say in Italian.
(Image: Opera Tallinn-Estonia2024-4-18)

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Electricity

We all use electricity, not only daily but continuously. But do we really know or remember how it works? Surprisingly, we care very little about the energy provision or the physics behind it. Therefore, from time to time it is useful to dive into the details of generating electricity and thereby energy and how it arrives at our doorsteps or desks. In science museums you can literally walk through the history of power generation. A fine example is the Energy Discovery Centre in Tallinn, Estonia. Even for those you did all at school turning the handles of generators is a playful reminder of the basic principles of electric power generation. The efficient use of it, is a topic that needs to be covered as well. Searching the web for demonstration videos is fine as well, but the physical activity of moving induction coils and releasing sparks is difficult to rival. Opening up your mind for the physics of our lives yields a better grip on the challenges of electricity grids and local production of electricity. Are you already a prosumer? Combining electricity production and consumption in one household is surely a forward-looking strategy. Raising awareness for these topics concerns all generations. Take time for a power play, it is truly enlightening. For teaching professionals or want to be there are exciting programs out there, too. Just one suggestion for 2024 in Colorado, US.

Energy Discovery Centre Tallinn
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Puppets Museum

The puppet theatre is still a tiny part of the theatre world. The century old tradition has roots in all cultures across the globe. The Puppet Theatre Museum in Tallinn has a fine selection of puppets to perform theatre pieces from India, China, Indonesia and Europe. Storytelling is part of humanity and learning through narratives distinguishes us from other species. Religious traditions have appropriated these techniques just as modern performing arts. From the carnival tradition of using masks not only children adore playing with characters. The famous founder of the Estonian Puppet Theatre has his small monument outside the historic building in the old town, but a big puppet theatre with 400 seats. The adventures of Jules Verne have been played there just as most well known operas or children’s tales. Puppets comment on puppets (Mickey Mouse) just as they take on political debates. The forthcoming piece on the Ministry of Solutions sounds promising indeed. We envy the puppets that have a Ministry of Solutions rather than lots of ministries and ministers but no solutions.

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Schachliteratur

Es gibt sie noch, die Personen, die Schachbücher lesen und kaufen. In vielen Sprachen existiert die Niche der heimlichen Strategen. „Teaching old dogs new tricks“ oder ist es eher „teaching young dogs old tricks“. Das ist eine empirische Frage. Nicht nur Zeitungen für sogenannte BildungsbürgerInnen haben noch kleine Spalten zumeist mit Schachproblemen. Manchmal findet sich Schachspielen sogar als Schulfach. Lesestoff zum Schachspiel findet sich reichlich. Schach in der Literatur ist jedoch verschieden von der Schachliteratur, die sich mit Strategien und Tempi befasst.

Das Lesen von Schachliteratur mit Meisterpartien hervorragender Spielenden ist vergleichbar dem Lesen einer Partitur einer Symphonie oder Oper. Das Kino spielt sich dabei überwiegend im Kopf ab. Gelegentliche unvermittelte Gesten oder Ah-laute sollten den Spielenden ihrer Verzückung wegen entschuldigt werden. Vielleicht sollten die Schulen diese Kulturtechniken mehr vermitteln. Macron‘s Vorschlag Theaterspielen mehr in den Schulen zu vermitteln erscheint in diesem Vergleich als ein Entgegenkommen an die „Generation der sich ständig selbst inszenierenden“. Mehr Spielen ist aber schon mal ein wegweisender Vorschlag.

Schachbücher 2024
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Transparent Publishing

New technology pushes transparency of publishing, journalism and science to new levels. Through the hyperlink structure of texts it is easy to link back to the sources of a text. What used to be long lists of references at the end of a text or in footnotes has become directly accessible through weblinks. Only paywalls may or may not restrict the fast and easy access to original sources. In writing online, this is a major additional feature of publishing in the last few years. Some online journals allow this for quite some time now, but there are lots of printed versions that stick to the read and be stuck approach of publishing.
In teaching I have been an advocate of “read the original sources” as the basic source of inspiration for authors. The transparency of the thought process and the evidence provided in whatever form should be traceable. In publishing this transparency allows to exclude the copying of thoughts or unreflected referencing.
However, the task to check for the validity of weblinks and the updating is an additional task. 500+ blog entries with an average number of 2 weblinks per blog entry makes this a job of its own. Testing of 1000 weblinks is something you need a software or plugin which alerts you to “broken links”. The maintenance of a webpage, therefore, increases substantially as the content increases. Reorganisations of webpages make the follow-up of links sometimes quite hard. Projects like the general archives of the web and webpages are very important to ensure the transparency of publishing in the short, medium and long run. The archives of today look more like machine rooms than the splendid archives or libraries of the past and present.