Constant & Endless

Joe Ross on design, law, and technology


The pressing need for hospital pricing regulation ↗

The Centers for Medicare & Medicaid Services has published data on what hospitals charge for the most common procedures. There is much to look at, and other have done good reporting on it, notably Sarah Kliff and Dan Keating at the Washington Post and Barry Meier, Jo Craven McGinty and Julie Creswell at the New York Times.

The bottom line is that hospital pricing practices appear from this data to be arbitray. I wouldn’t be surprised if pricing flucutated from year to year based on what revenue each hospital brings in. That’s unconscionable, and a failure of the free market in arguably the most important industry. Hospitals would do well to get together and establish transparent and ethical best practices for pricing, because the alternative is onerous regluation to ensure they are not gouging insurance companies, government agencies, and individual patients without regard to actual costs.



Obama May Back F.B.I. Plan to Wiretap Web Users ↗

Charlie Savage of The New York Times:

the new proposal focuses on strengthening wiretap orders issued by judges. Currently, such orders instruct recipients to provide technical assistance to law enforcement agencies, leaving wiggle room for companies to say they tried but could not make the technology work. Under the new proposal, providers could be ordered to comply, and judges could impose fines if they did not.

Concerns that this would prompt similar measures from repressive governments abroad are not overblown. If we expect foreign companies to submit to these procedures, their governments will expect US companies to do the same. I’m surprised this article doesn’t mention anything about what the Obama administration’s diplomats and international law folks think about all of this.



Now you can 3D-print a gun. ↗

Andy Greenberg at Forbes:

Once the file is online, anyone will be able to download and print the gun in the privacy of their garage, legally or not, with no serial number, background check, or other regulatory hurdles. “You can print a lethal device,” Wilson told me last summer. “It’s kind of scary, but that’s what we’re aiming to show.”

Law student Cody Wilson has added some steel to make it detectable and lawful, and gotten the appropriate firearms manufacturing license. But that doesn’t mean the world at large will do the same when Wilson uploads the files needed to print the gun to the internet.

I often write about how technology has made the cost of copying trivial, while the laws on the books still hail from a time when the cost of copying was non-trivial. When it comes to audio and video copyright, that triviality can be economically disruptive at best, and can disturb entire industries at worst. But when it comes to weapons, that triviality to copy is downright dangerous.



Sad but true: your dog's life probably isn't worth anything ↗

Okay, I admit going overboard with the headline, but it’s accurate, at least in the majority of US jurisdictions. Animals are property, and the types of animals not frequently appraised, like your standard family dog, probably won’t be considered as having any monetary value at all. That makes suing for negligent euthanasia a long shot that may only add insult to injury.


Dr. Kermit Gosnell: Philadelphia's "Abortion" Monster ↗

The Atlantic’s Conor Friedersdorf quoting the grand jury report (PDF) on Philadelphia “abortion” monster Kermit Gosnell:

The Department of State, through its Board of Medicine, licenses and oversees individual physicians… Almost a decade ago, a former employee of Gosnell presented the Board of Medicine with a complaint that laid out the whole scope of his operation: the unclean, unsterile conditions; the unlicensed workers; the unsupervised sedation; the underage abortion patients; even the over-prescribing of pain pills with high resale value on the street. The department assigned an investigator, whose investigation consisted primarily of an offsite interview with Gosnell. The investigator never inspected the facility, questioned other employees, or reviewed any records. Department attorneys chose to accept this incomplete investigation, and dismissed the complaint as unconfirmed.

Truly horrifying.

While it’s a loaded topic that deserves more space than I have time these days to give it, suffice it to say that I am against any outright ban on abortion. Note that I placed the word abortion in quotes because the late-term procedures Gosnell did were not what legally can be considered abotions under any current law or jurisprudence: they were murders.


Taping of Farm Cruelty Is Becoming the Crime ↗

Richard A. Oppel Jr. reports at the New York Times:

But a dozen or so state legislatures have had a different reaction: They proposed or enacted bills that would make it illegal to covertly videotape livestock farms, or apply for a job at one without disclosing ties to animal rights groups. They have also drafted measures to require such videos to be given to the authorities almost immediately, which activists say would thwart any meaningful undercover investigation of large factory farms.

This is abhorrent.


Philadelphia councilman introduces bill aimed at improving health insurance prospects for life partners and transgendered people ↗

This is an encouraging development. The bill introduced by Councilmen James Kenney and W. Wilson Goode would establish a:

6 percent tax credit for businesses that did not previously provide health care to transgendered employees or life partners[. This] is a key aspect of this bill and would be the first credit of its kind in America.

The ordinance would also require gender-neutral restrooms in city building and protect the right to dress as appropriate to one’s self-identified gender.

While the article also quotes law professor Kermit Roosevelt’s sense that the law may not survive if challenged in state court, it’s heartening to see my home city championing legislation to improve the resources available to LGBT employees. Even more heartening is the focus on transgender rights, which are often lost in the much louder debates about homosexuality.


California law school grads suing schools; neither party has a good point ↗

Attorney Michael C. Sullivan, representing California schools in a spate of fraud suits brought by students over shady job-placement numbers:

“What I find most ironic is that those individuals advertised themselves to law schools as great critical thinkers,” Sullivan said of the law-grads-turned-litigants. “Now they say they never considered the possibility that employment might include part-time jobs.”

Mr. Sullivan’s statement is ludicrous. The students pay, so the schools market. His clients, if the allegations prove true, marketed themselves as producers of very employable law graduates. It is perfectly reasonable to assume that when a law school shares post-graduation employment rates, the law school is referring to legal employment.

My incredulity at Mr. Sullivan’s absurd position does not mean that I’m ignorant of the fact that many students didn’t try very hard to get a job, or didn’t like the jobs they got, or should have known the market for legal jobs is, to put it mildly, in dire straits, and has been for some time now.

In fact, I have little sympathy for people swindled by Mr. Sullivan’s clients’ number games. Just search “legal job market” or “should I go to law school?”.

I knew when I signed up for law school in 2009 that things were not going well for recent graduates, and that they were not expected to recover before I graduated. I went anyway because I want to be an attorney. Never do something that requires years of your life and tens of thousands of dollars without doing your research.

Due diligence is too strong a phrase for it: it’s common sense.


Select YouTube partners exempt from fair use policy ↗

YouTube’s well within their rights to refuse to leave a video up, or to re-post it after fair use has been reasonably well-defended. But it’s another reminder that when stuff is free for consumers, the interests of the producers providing the content will always take precedence.


Google fighting National Security Letter ↗

The letters, issued by federal authorities investigating national security concerns, prohibit recipients from disclosing that they have received them, let alone what they’re asking for. The Judge in Google’s case1 struck down the law’s gag order provision as violative of the First Amendment, but has stayed the effect of that decision while the government pursues an appeal.

I should note that I essentially paraphrased the Wikipedia article for that second sentence, as my knowledge of NSLs is limited. I look forward to reading more on them, and I’m glad to see a company with the clout and caliber of attorneys that Google has questioning the legality of the NSL framework.

At first glance, it may seem odd that a company that siphons so much data about its users would be so protective of it when the government is asking for it.

But it makes sense for Google to defend user information: it needs that information to make its advertising products more relevant, Many accept the trade of having their documents and emails scanned and anonymized by Google in exchange for exceptional and free services. If Google fails to protect that information from surveillance via legal tools of questionable constitutionality, the balance of that trade may tip too far for many users.

Thus, this is one of those rare cases where corporate goals and user concerns are aligned.


  1. The caption for the case in question is In Re Google Inc.’s Petition to Set Aside Legal Process, 13-80063, U.S. District Court, Northern District of California (San Francisco) 


Government: iMessage encryption prevents surveillance of Apple users ↗

I am not blind to the needs of law enforcement and other investigative authorities to be able to conduct surveillance when appropriate warrant processes have been complied with, but I can’t help but suddenly wish I was an iMessages user.