Quotulatiousness

May 12, 2013

Influenza: the trade-off between virulence and contagion

Filed under: Health, Media, Science — Tags: , , , , , — Nicholas @ 10:34

Matt Ridley explains why the breathless claims that this or that flu outbreak could rival the Spanish Flu pandemic of 1918-19 should not be taken too seriously:

Here we go again. A new bird-flu virus in China, the H7N9 strain, is spreading alarm. It has infected about 130 people and killed more than 30. Every time this happens, some journalists compete to foment fear, ably assisted by cautious but worried scientists, and then tell the world to keep calm. We need a new way to talk about the risk of a flu pandemic, because the overwhelming probability is that this virus will kill people, yes, but not in vast numbers.

In recent years flu has always proved vastly less perilous than feared. In 1976 more people may have died from bad reactions to swine-flu vaccine than from swine flu. Since 2005, H5N1 bird flu has killed 374 people, not the two million to 7.4 million deemed possible by the World Health Organization. In 2009, H1N1 Mexican swine flu proved to be a normal flu episode despite apocalyptic forecasts.

No doubt some readers will remind me that, in the story of the boy who cried “Wolf!”, there eventually was a wolf. And that in 1918 maybe 50 million people died of influenza world-wide. So we should always worry a bit. But perhaps it’s not just luck that has made every flu pandemic since then mild; it may be evolutionary logic.

Of course, just about every story about influenza you’ll encounter goes the Chicken Little route:

There’s no mystery as to why we talk up the risk every time: All the incentives point that way. Who among the headline-seeking journalists, reader-seeking editors, fund-seeking scientists, contract-seeking vaccine makers or rear-end-covering politicians has even a modest incentive to say: “It may not be as bad as all that”?

March 26, 2013

Take diet change recommendations with a pinch of salt

Filed under: Food, Government, Health, Media, Science — Tags: , , — Nicholas @ 08:59

Yes, yes, I know salt is one of the most dangerous substances known to man. Well, this week, anyway. Next week they may decide to recommend doubling your daily intake instead of reducing it. It’s an example of the nanny state’s long history of providing inconsistent — and sometimes even dangerous — dietary advice:

The government told people to switch from saturated animal fats to unsaturated vegetable fats. But that advice may have killed a lot of people. As David Oliver notes, a recent study “in the British Medical Journal” shows that ”those who heeded the advice” from public-health officials “to switch from saturated fats to polyunsaturated vegetable oils dramatically reduced their odds of living to see 2013,” incurring up to a ”60% increase in risk of death by switching from animal fats to vegetable oils.” This possibly deadly medical advice has a long history:

    Fifty years ago the medical community did an about-face … and instead went all in on polyunsaturated fats. It reasoned that since (a) cholesterol is associated with cardiovascular disease and (b) polyunsaturated fats reduce serum cholesterol levels, it inescapably followed that (c) changing people’s diet from saturated fats to polyunsaturated fats would save a lot of lives. In 1984 Uncle Sam got involved – Time magazine reported on it in “Hold the Eggs and Butter” – and he made a big push for citizens to swap out animal fat in their diet for the vegetable variety and a great experiment on the American people was begun.

As Oliver, an expert on mass torts, points out, it is hard to ”think of any mass tort, or combination of mass torts, that has produced as much harm as the advice to change to a plant oil-based diet” may have done.

Some federal food-safety regulations have also harmed public health, such as the “poke and sniff” inspection method “that likely resulted in USDA inspectors transmitting filth from diseased meat to fresh meat on a daily basis.” The Obama administration has foolishly discouraged potato consumption, even though potatoes are highly nutritious, even as it has subsidized certain sugary and fatty foods, and promoted bad advice about salt.

March 14, 2013

The scare stories about increasing antibiotic resistance

Filed under: Bureaucracy, Business, Health, Science — Tags: , , , , — Nicholas @ 09:36

In sp!ked, Robin Walsh debunks some of the scare factor from recent reports about antibiotic resistant diseases and the looming pandemic:

The UK’s chief medical officer (CMO), Professor Dame Sally Davies, made a splash in the media this week with her warning that antibiotic resistance is the new climate change. There is a ‘catastrophic threat’ of ‘untreatable’ diseases, she said, which promise to return us to a ‘nineteenth century’ state of affairs. The CMO has form: she warned the House of Commons health select committee about the same problem in similarly stringent terms back in January — a case not so much of apocalypse now, as apocalypse again.

As with all such stories, reading the actual CMO’s report leavens some of the hysterical excesses of the press, which were stoked up by the CMO’s excitable media appearances. Setting out the epidemiology of infectious diseases in the UK, the report highlights that while some drug-resistant infections, such as the well-known Clostridium difficile (C diff) and MRSA, are becoming less widespread, there is an increasing occurence of harder to treat multi-drug resistant bacterial infections, which, although still only in the hundreds of cases per year, are on the rise. The report states that only five antibiotics to fight such infections are currently in phase II or III trials, so the cupboard seems worryingly bare of new, necessary drugs.

So if we’re running short on drugs, how can we make more? A sensible article in the British Medical Journal from 2010 clearly set out the challenges facing the development of new antibiotics. Firstly, there are many regulatory hurdles that make running clinical trials in this area difficult. More importantly, there is a major financial disincentive for drug companies to develop antibiotics. Currently, drugs which are profitable are those for chronic conditions that are prescribed lifelong: painkillers for arthritis, diabetes drugs, and the like. A drug that you take once to cure you is unprofitable; doubly so if it is likely to be husbanded to prevent resistance developing until the patent runs out. A change in government payments to incentivise new antibiotics, like that which already applies to so-called ‘orphan’ drugs for rare diseases, would be an easy and rational step towards producing more drugs that meet our needs.

February 26, 2013

UN mistake costs 8,000 Haitian lives, UN refuses to compensate or even apologize

Filed under: Americas, Asia — Tags: , , , , , — Nicholas @ 00:01

A mind-numbing case of bureaucratic error, death, and ass-covering in Haiti:

International affairs can be complicated, but sometimes a case comes along that’s so simple it’s almost absurd. In 2010, the United Nations made a horrendous mistake that, so far, has claimed more than 8,000 lives. Its officials tried to cover it up. When the evidence came out anyway, lawyers for victims’ families petitioned the U.N. to end the crisis, pay damages, and apologize. For a year and a half, the world’s leading humanitarian organization said nothing. Then, last week, it threw out the case, saying, “The claims are not receivable.”

The background should be well-known by now. But despite the fact that American taxpayers have footed the lion’s share of the bill for the U.N. peacekeepers responsible for this disaster — to the tune of roughly $1.5 billion since 2004 — the story remains largely unknown in the United States.

The place was Haiti. The mistake: a killer combination of cholera and gross negligence. The peacekeeping mission, known by its French initials, MINUSTAH, had been in country since 2004, when it was authorized to protect an interim government installed after a coup. Six years later — thanks to a healthy dose of mission creep — the peacekeepers were still there. While rotating troops into what was now post-quake Haiti, the U.N. neglected to adequately screen a contingent of soldiers coming from an active cholera outbreak in Nepal. Upon arrival, the soldiers were sent to a rural U.N. base, outside the quake zone and long known for leaking sewage into a major river system that millions of Haitians used to drink, bathe, wash, and farm. Within days of their arrival, people downstream began to die. The epidemic then exploded, sickening more than 647,000 people, and killing in its first year more than twice the number of people who died on 9/11.

February 18, 2013

Opening the food testing can of worms: “We don’t test for hedgehog either”

Filed under: Britain, Europe, Food, Health, India, Science — Tags: , , , — Nicholas @ 10:20

Tim Worstall on some of the issues with demands that all British beef for human consumption be tested for horsemeat:

Now let’s turn to that meat problem. We’re going to test something to make sure that it is indeed what it says. Most of the time, usually, we’d go looking for beef DNA and on finding it say, yup, that’s beef.

But now we’re talking about trace amounts of other species. Some of this horse contamination is someone deliberately substituting, yes. But a lot of it, those trace amounts, is someone not cleaning the pipes between species being processed. Or the knives even. Which leads us to something of a problem.

How many species do we test for? Some minced beef… or pink slime perhaps. Do we test for beef and horse? For beef, horse, mutton, pork, chicken, duck, goose? What about rat and mouse? For I’ll guarantee you that however much people try there will often be the odd molecule of either one of those in there. Sparrow? That’s more of a problem with grain processing but still.

For example, one lovely story about vegetarianism. Those (umm, OK, some) who have moved from the sub-continent to the UK. They carry on eating the (possibly Hindu caste based) vegetarian diet they are used to. And they start falling prey to all sorts of dietary deficiencies. Anaemia, there have even been reports of kwashikor (a protein deficiency). The grains and the pulses of the sub-continent have rather more insect and other residue in them than our more modern processing and storage systems provide.

People don’t test for hedgehog DNA in meat supplies, no. But how many species should they test for?

February 17, 2013

Whinnygate is just a useful distraction from the real scandal in the NHS

Filed under: Britain, Bureaucracy, Health, Politics — Tags: , , , , , — Nicholas @ 11:09

The British media is doing a great job of distracting the public with the horsemeat story, and the politicians and National Health Service bureaucrats are delighted that nobody is paying attention to the real scandal:

At any given moment, there exists at least one delicate subject that all mainstream political parties would much rather not discuss. For many years the abuse of MPs’ expenses fell into this category. After this was exposed by a Telegraph investigation, everyone joined a tacit agreement to keep quiet about the criminality inside the Murdoch newspaper empire.

Now the subject which nobody wants to talk about is the National Health Service. It is just over a week since the publication of the Francis report into Stafford hospital, where some 1,200 patients died in appalling circumstances. Had any other institution been involved in a scandal on this scale, the consequences would have been momentous: sackings, arrests and prosecutions. Had it involved a private hospital, that hospital would have been closed down already, and those in charge publicly shamed and facing jail.

Astonishing to relate, nothing has happened. Politicians have made perfunctory expressions of concern, while agreeing that there must be “no scapegoats”, and that Sir David Nicholson (the senior figure responsible) must remain in his job.

Then, almost at once, the political class turned its attention to a far more lively subject: horse meat. Few “scandals” in living memory have carried less significance. And yet few stories have dominated the press quite as comprehensively since rival teams of crack reporters from The Sun and The Star pursued Blackie the Donkey across Southern Spain in 1987, in the wake of some dubious allegations of mistreatment by his Spanish owners.

Misdirection is a vital tool in the arsenal of the magician — and it can be even more valuable in the political arena. If they can fool you into watching the hand that isn’t hiding the coin, they can get away with a great trick (magicians) … or a great evil (politicians).

February 15, 2013

A useful bit of perspective over Whinnygate

Filed under: Europe, Food, Health — Tags: , — Nicholas @ 11:35

It’s reasonable to be concerned that your hamburger may once have raced in the Grand National, but worries about chemical contamination from the horse meat are almost certainly overblown. In fact, your health might be more at risk from the burger itself:

There is reasonable public outrage at possible criminal conspiracies to adulterate meat products with horsemeat, and additional concerns raised about the presence of the anti-inflammatory known as bute.

While not in any way questioning this concern about adulteration with a chemical compound, it is helpful to get a sense of magnitude. When bute was given as a human medicine, it was reported to be associated with a serious adverse reaction in 1 in 30,000 (over a whole course of treatment), but at a dose giving concentrations at least 4,000 times that arising from eating a diet of horse meat – see the excellent information from the Science Media Centre

So making all sorts of heroic assumptions about there being a linear-no-threshold response, we might very roughly assign a pro-rata risk of a serious event as 1 in 100,000,000 per burger.

February 9, 2013

QotD: When God sticks his nose into public health and taxation issues

Filed under: Britain, Food, Health, Humour, Quotations, Religion — Tags: , , , — Nicholas @ 00:01

It is not an original thought to say that public health crusaders often resemble religious zealots, but seldom is the comparison more literal than in the case of Mike Rayner, director of the British Heart Foundation Health Promotion Research Group.

[. . .]

So far, so mundane. Another illiberal battler against the free market with a heightened sense of his own importance and his nose in the trough. The only point of interest is that Mr Raynor is a Church of England priest who is guided by voices.

    In all of this I see a sacred dimension. You may not believe that I have heard God aright but I think God is calling me to work towards the introduction of soft-drink taxes in this country and I am looking forward to the day when General Synod debates the ethical issues surrounding this type of tax rather than some of the other issues that august body seems obsessed by.

Golly. Where to begin? On a theological note, I do wonder whether Jesus would really be in favour of a deeply regressive stealth tax that would take from the poor to give to the rich. Perhaps the reason the General Synod does not debate tax policy is because they recall the old “render under to Caesar…” message and realise that it’s none of their business.

If we weren’t already sceptical about the documents coming from Mr Rayner’s team of would-be policy-makers, the fact that its director believes that God has told him to bring about a fat tax in this land should be enough to make us suspect that a tiny bit of research bias might have crept into his work. Considering that the Almighty has approved of the policy, what are the chances of his loyal servant producing evidence that would question its efficacy?

Christopher Snowdon, “Fat tax campaigner: ‘God told me to do it'”, Velvet Glove, Iron Fist, 2012-05-21

February 4, 2013

Everything is cyclical — Baby Boom to Baby Bust

Filed under: Economics, USA — Tags: , , , , , — Nicholas @ 09:56

In the Wall Street Journal, Jonathan Last looks at the demographic changes on tap for the United States as the fertility rate continues to drop below replacement:

The fertility rate is the number of children an average woman bears over the course of her life. The replacement rate is 2.1. If the average woman has more children than that, population grows. Fewer, and it contracts. Today, America’s total fertility rate is 1.93, according to the latest figures from the Centers for Disease Control and Prevention; it hasn’t been above the replacement rate in a sustained way since the early 1970s.

The nation’s falling fertility rate underlies many of our most difficult problems. Once a country’s fertility rate falls consistently below replacement, its age profile begins to shift. You get more old people than young people. And eventually, as the bloated cohort of old people dies off, population begins to contract. This dual problem — a population that is disproportionately old and shrinking overall — has enormous economic, political and cultural consequences.

For two generations we’ve been lectured about the dangers of overpopulation. But the conventional wisdom on this issue is wrong, twice. First, global population growth is slowing to a halt and will begin to shrink within 60 years. Second, as the work of economists Esther Boserups and Julian Simon demonstrated, growing populations lead to increased innovation and conservation. Think about it: Since 1970, commodity prices have continued to fall and America’s environment has become much cleaner and more sustainable — even though our population has increased by more than 50%. Human ingenuity, it turns out, is the most precious resource.

Low-fertility societies don’t innovate because their incentives for consumption tilt overwhelmingly toward health care. They don’t invest aggressively because, with the average age skewing higher, capital shifts to preserving and extending life and then begins drawing down. They cannot sustain social-security programs because they don’t have enough workers to pay for the retirees. They cannot project power because they lack the money to pay for defense and the military-age manpower to serve in their armed forces.

Update: Kelly McParland on the plight of some older workers: “If they’d never worked at all, and gotten by on social assistance, they might still have a financial lifeline.”

It would be cruel (and maybe unfair) to say they made their own beds, but it remains the fact that a great deal of the trouble they face results from the refusal to brook a more prudent approach to public finances for so many years. Programs that were unaffordable were pushed through time and again, paid for by more and more borrowing. When crises developed, the borrowing increased while spending was only rarely curtailed. The curse of deficit financing is its snowball effect: annual shortfalls pile up, pushing up the carrying costs, creating a self-perpetuating ever-expanding spending crisis. When a recession inevitably arrives, there are no reserves to deal with it, and even more borrowing ensues.

After so many decades of pretending it could go on forever, without there being a reckoning, the generation that created it is discovering how wrong they were. Not only is it destroying the retirement dreams of so many near-seniors, it’s preparing a poisoned legacy to hand to the next generation, and perhaps the one after that, unless they recognize the need for greater discipline and finally accept the pain that will necessary to put the process back on a sustainable track.

Canada is fortunate that it faced up to its debt crisis 15 years ago and is still benefiting from that fact, but the public memory is short and there will always be pressure to turn a blind eye to debt, and legislate for today. No wonder people get more conservative as they get older. They understand the price that has to be paid for putting costs off to tomorrow.

January 8, 2013

Obesity meta-study challenged the media narrative

Filed under: Government, Health, Media, Science — Tags: , , , — Nicholas @ 10:00

In sp!ked, Timandra Harkness explains why the publication of “Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories” in the Journal of the American Medical Association (JAMA) got such a strongly negative reaction from the media and various government spokespeople:

The reason this unassuming paper drew howls of outrage was the same as the reason the benefits of moderate alcohol intake are never noted without criticism: it spoils the headline health message that Fat is Bad.

Even worse, it blows the cover on the great myth — that an epidemic of Bad Fatness is sweeping the developed world. By including the dangerously obese, the innocuously tubby and the healthily plump in one category, ‘overweight including obese’, 60 per cent of the English population are labelled as potentially At Risk.

Being At Risk means these people need guidance and protection from their own vulnerable state, from the temptations of our obesogenic world and the frailties of their own sugar-addicted brains. At such a time of national peril, no measure is too extreme.

But less than a quarter of English adults are obese, according to new figures released just before Christmas, a fraction almost unchanged since 2007. And the ‘morbidly obese’ category — BMI over 40, the ones for whom it really might be worth shedding a few pounds, medically speaking — also remains steady since 2009 at 2.5 per cent of the UK population.

If only one in 40 of us is in significant weight-related danger, why do the other 97.5 per cent of us need to be protected by the state against sugary cereals and fizzy drinks? Could it be because only a few of us have fallen, but all of us are in peril? Weak, foolish and easily led astray, we need to be frightened back on to the right path. Thus Tam Fry, spokesman for the National Obesity Forum — who has called for children to be monitored from birth for signs of obesity — told the Independent: ‘If people read this and decide they are not going to die… they may find themselves lifelong dependents on medical treatment for problems affecting the heart, liver, kidney and pancreas — to name only a few.’

So there we have it. Those extra post-Christmas pounds aren’t going to kill you. If you’re approaching an age at which there’s any real prospect you will die, they probably have a tiny protective effect. But if you’re told the truth, suggest the obesity obsessives, you’ll gorge yourself into a disgusting ball of flab.

December 23, 2012

More copper to fight superbugs

Filed under: Health, Science — Tags: , , , , — Nicholas @ 11:01

Brass and other copper-alloyed metals may have a bright future in doorknobs, handles, and other frequently handled surfaces due to a recent discovery about the metal’s ability to fight bacteria:

Researchers have discovered that copper and alloys made from the metal, including brass, can prevent antibiotic resistance in bacteria from spreading.

Plastic and stainless steel surfaces, which are now widely used in hospitals and public settings, allow bacteria to survive and spread when people touch them.

Even if the bacteria die, DNA that gives them resistance to antibiotics can survive and be passed on to other bacteria on these surfaces. Copper and brass, however, can kill the bacteria and also destroy this DNA.

Professor Bill Keevil, head of the microbiology group at Southampton University, said using copper on surfaces in public places and on public transport could dramatically cut the threat posed by superbugs.

[. . .]

In research published in the journal Molecular Genetics of Bacteria, Professor Keevil and his colleagues found that compared to stainless steel bacteria on copper surfaces bacterial DNA rapidly degraded at room temperature.

Professor Keevil added: “We live in this new world of stainless steel and plastic, but perhaps we should go back to using brass more instead.”

Tim Worstall points out that much of the stainless steel came in through health and safety regulation:

But isn’t this just great? All that modernity, all that ripping out of the old and replacement with futuristic design actually kills people?

It’s almost as fun as the discovery that the wooden chopping boards, which they made illegal, contain natural antibiotics which the plastic chopping boards, which they made compulsory, do not.

The Man from Whitehall really does not know best. And given that, can we hang them all from the Christmas tree please? It would usher in such a jolly New Year.

November 22, 2012

Even in a disaster area, the bureaucrats stick to their role

Filed under: Bureaucracy, Food, Health, USA — Tags: , , , , — Nicholas @ 11:49

I had to double-check the URL here to make sure this wasn’t a parody news item from The Onion:

Bobby Eustace, an 11-year veteran with the city’s fire department tells FoxNews.com that on Sunday he and his fellow firefighters from Ladder 27 in the Bronx were issued a notice of violation for not maintaining restaurant standards in a tent set up in Breezy Point, Queens, to feed victims and first responders.

“It’s just a little ridiculous. The inspector came up and asked if we were wearing hairnets. I told him, ‘We have helmets. This is a disaster area,’” Eustace told FoxNews.com. “Then he asked if we had gloves and thermometers [for food]. I said, “Yeah, we have rectal and oral. Which one do you want?’ He wasn’t amused.”

Eustace says that the Health Department worker then checked off a list of violations at the relief tent, including not having an HVAC system and fire extinguisher.

“He told us that he might come back to see if we fixed the violations. But what can we do? We are just going to keep going until a professional catering company can help take over,” Eustace said, adding that firefighters across the city together have been contributing about $800 a day out of their own pockets to feeding victims in areas hit hard by Sandy.

September 29, 2012

Regulating the size of soft drinks won’t solve the obesity problem, but will infringe on individual rights

Filed under: Food, Health, Law, Liberty, USA — Tags: , , , , , — Nicholas @ 10:41

At Reason, Baylen Linnekin explains that even if all the claims about the nutritional evils of sweetened soft drinks are completely true, regulations will not actually make much difference:

As an opponent of increased regulations, I find these latter scientific points noteworthy. But I also believe that even if sugar-sweetened drinks turn out to be virtually everything their opponents claim, people still have a right to buy and drink these beverages — just as much, as I argued in a recent Bloggingheads debate, as they have a right to buy a Big Mac. After all, we don’t have a right to free speech or to travel from one state to another because speech or travel has been proven by the scientific community to promote good health.

But suppose, for the sake of argument, I was to take at face value the assertions of those who claim the NEJM studies justify some combination of sugary drink taxes and bans.

There is still this problem: The solutions these advocates propose won’t likely solve the problem of obesity. For example, studies have suggested taxes will have little or no impact on obesity. And not one person has (to the best of my knowledge) even attempted to argue that soda bans would have any specific impact, either — unless one counts “sending a message” or “creating a debate” as conditions precedent to weight loss.

There is also the issue of a genetic predisposition, which again is one finding of the studies. Many people are genetically predisposed to certain food allergies — including soy, dairy, gluten, nuts, and seafood — and food intolerances. I have never seen a researcher or AP journalist like Marchione argue seriously that the widespread impact of food allergies “adds weight to the push for taxes” on wheat, tofu, and shrimp. Yet if one were to buy the argument of those calling for taxes and bans to combat consumption of sugary drinks in light of the NEJM studies, one would have to accept the idea of taxing society writ large based largely on the outcomes of what these researchers argue is a genetic condition.

September 19, 2012

Jacob Sullum on the legacy of Thomas Szasz

Filed under: Health, Law, Liberty — Tags: , , , — Nicholas @ 08:48

Jacob Sullum‘s post on the influence the late Thomas Szasz had and continues to have:

The idea that psychiatry became scientifically rigorous soon after Szasz first likened it to alchemy and astrology is hard to take seriously. After all, it was not until 1973 that the American Psychiatric Association (APA) stopped calling homosexuality a mental disorder.

More often, psychiatry has expanded its domain. Today it encompasses myriad sins and foibles, including smoking, overeating, gambling, shoplifting, sexual promiscuity, pederasty, rambunctiousness, inattentiveness, social awkwardness, anxiety, sadness, and political extremism. If it can be described, it can be diagnosed, but only if the APA says so.

[. . .]

For more than half a century, Szasz stubbornly highlighted the hazards of joining such a fuzzy, subjective concept with the force of law through involuntary treatment, the insanity defense, and other psychiatrically informed policies.

Consider “sexually violent predators,” who are convicted and imprisoned based on the premise that they could have restrained themselves but failed to do so, then committed to mental hospitals after completing their sentences based on the premise that they suffer from irresistible urges and therefore pose an intolerable threat to public safety. From a Szaszian perspective, this incoherent theory is a cover for what is really going on: the retroactive enhancement of duly imposed sentences by politicians who decided certain criminals were getting off too lightly — a policy so plainly contrary to due process and the rule of law that it had to be dressed up in quasi-medical, pseudoscientific justifications.

Szasz specialized in puncturing such pretensions. He relentlessly attacked the “therapeutic state,” the unhealthy alliance of medicine and government that blesses all sorts of unjustified limits on liberty, ranging from the mandatory prescription system to laws against suicide.

August 13, 2012

Did China peak in 2008?

Walter Russell Mead wonders if the Chinese economy actually hit its peak in 2008 and will not be able to get back to that level of performance:

According to The Diplomat, the long term outlook is even more depressing. China will have to confront a series of structural challenges if it is to continue to achieve the kind of dynamic growth that lifted the country from economic backwater to emerging great power in just three decades.

The most obvious challenge is demographics. A RAND study observed that the proportion of the Chinese population of working age peaked in 2011 and began slowing this year. The share of the elderly population is rising. Healthcare and pension costs will soar as a result. So will labor costs. Investment and savings will diminish. In short, China may face the prospect, unknown in human history, of growing old before it gets rich.

The environment presents another dilemma. Like many rapidly industrializing economies, China sacrificed environmental protection at the altar of economic growth. But the effects of this approach have taken a toll: already, argues The Diplomat, ”Water and air pollution today cause 750,000 premature deaths and around 8 percent of GDP.” And as Via Meadia recently pointed out, the political costs of this approach are starting to mount as well. An outbreak of NIMBYism has forced many local officials to cancel major industrial projects as ordinary Chinese citizens demand an end to environmentally unsound development.

Of greater concern is that China has backed away from market reforms in the last decade and embraced a version of “state capitalism” that emphasizes the state far more than it does capitalism. But as state-run entities have become more powerful, their political backers — and financial beneficiaries — have an even greater stake in blocking attempts at reform.

H/T to Jon, my former virtual landlord, for the link.

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