National News

PODCAST: Travel bans

Marketplace - American Public Media - Fri, 2014-10-17 03:00

It's been a rocky week for investors--One of the worst and most volatile in a while. But markets are up this morning in the U.S. and Europe. More on that. And as two U.S. health care workers who have contracted Ebola continue to receive treatment, several dozen politicians have called for a ban on travel from West African nations stricken by Ebola. Politics aside, there are many Americans who say they'd support some kind of travel ban. But what constitutes a travel ban? And this weekend marks the 30th anniversary of the "National Organ Transplant Act." That created our current organ donation system, and banned the sale of organs. Today, there are more than 120,000 people waiting for a transplant, and that long list has led a bioethicist to call for changes to the law.

Why a travel ban is so tough to pull off

Marketplace - American Public Media - Fri, 2014-10-17 02:30

Calls for banning travel from West African nations stricken by Ebola grew louder this week. Loud enough that during intense questioning Thursday, the head of the Centers for Disease Control and Prevention had to remind Congress that the CDC doesn’t issue visas.

Politics aside, many Americans support the idea of a travel ban. But what exactly does a travel ban mean?

Aid organizations say it’s crucial that commercial airlines keep flying to West Africa. That’s how volunteer doctors and nurses get there.

“These people are not there for the duration of the epidemic,” says Gilbert Burnham with the Johns Hopkins Bloomberg School of Public Health. He says many stay a month or six weeks, “then they’re likely to rotate out and other people rotate in.”

So is a travel ban a ban on flights, or on people? Logistically, it may seem simple to just cancel incoming flights from Sierra Leone, Guinea or Liberia.

Right now, though, there are no direct flights to the U.S. from those countries, according to John Wagner, with U.S. Customs and Border Protection.

Transportation policy expert Kenneth Button of George Mason University says it can be harder to track people who fly indirectly, if they purchase different tickets for different legs.

“They could actually buy a separate ticket from Guinea or Sierra Leone to Paris and then have a separate ticket from Paris to the United States,” he says, adding they could lay over for a few days in the middle.

That’s part of the reason some lawmakers want to suspend visas for non-U.S. citizens from Liberia, Sierra Leone, and Guinea, until the Ebola outbreak is contained.  

Do you think there should be a travel ban on countries most affected by Ebola?

Yes

 

No

    pollcode.com free polls

Silicon Tally: The one where you watch all of Friends

Marketplace - American Public Media - Fri, 2014-10-17 02:00

It's time for Silicon Tally! How well have you kept up with the week in tech news?

This week, we're joined by David Albert, co-founder of Hacker School, a retreat for computer programmers in New York City.

var _polldaddy = [] || _polldaddy; _polldaddy.push( { type: "iframe", auto: "1", domain: "marketplaceapm.polldaddy.com/s/", id: "silicon-tally-all-of-friends", placeholder: "pd_1413558815" } ); (function(d,c,j){if(!document.getElementById(j)){var pd=d.createElement(c),s;pd.id=j;pd.src=('https:'==document.location.protocol)?'https://polldaddy.com/survey.js':'http://i0.poll.fm/survey.js';s=document.getElementsByTagName(c)[0];s.parentNode.insertBefore(pd,s);}}(document,'script','pd-embed'));

The push to better reimburse organ donors

Marketplace - American Public Media - Fri, 2014-10-17 02:00

Ever since the National Organ Transplant Act was established 30 years ago this month, ushering in our current organ donation system, it has been enshrined in the law and the medical community in the U.S. that we don’t pay for organ donations. 

But bioethicist Sigrid Fry-Revere is trying to challenge that notion, at least a little. 

Currently, there are 120,000 people waiting for a transplant, while only 8,200 people donated organs between January and July 2014, according to statistics from the Department of Health and Human Services.  Most of those waiting need a kidney transplant, which is one of few organs that can be donated both by the living and the dead. 

So, why aren’t there more kidneys? 

Fry-Revere wondered that while trying to donate a kidney to an ailing friend. She wasn’t able to do so, because she would need six weeks to recover and would need $8,000 to hire someone to tend her Virginia farm, she says. 

“My recipient was wealthy enough to pay $8,000 for a farm-hand, but it was against the law for him to do that,” because that would have seemed like she was getting paid upfront to donate her kidney, says Fry-Revere. 

In the end, her friend died waiting on the transplant list. 

Fry-Revere looked around the world to see if the problem was the same elsewhere. She discovered that it wasn’t in Iran, where there is an established practice of paying for organs, and kidneys are available to everyone who needs a transplant. The benefits and cash payments to donors there can total as much as three times the annual income of a typical Iranian, says Fry-Revere, who authored the book  "The Kidney Sellers: A Journey of Discovery in Iran.” 

Fry-Revere wants to bring a version of that concept to the U.S., by paying people upfront for any expenses they might incur from donating an organ. 

Currently, more than half of organ donations come form people who have died. But very few people die in the right set of conditions to allow for organ harvesting. So, in order to get more organs, you have to increase the number of living donors, says Fry-Revere. But that’s hard to do in the current U.S. system, she says, because of strict guidelines about how donors can be compensated for expenses related to their donation. Namely, donors cannot be paid for expenses before they donate, but can sometimes be compensated for some expenses, such as lost wages, after the fact. 

And that’s a disincentive, Fry-Revere says, because most people can’t afford to spend money first and then wait for reimbursement. 

“We have patients that have trouble coming to clinic because they can’t afford the gas,” says Dr. Stephen Pastan, medical director of kidney and pancreas transplant programs at the Emory Transplant Center in Atlanta, Georgia. "Unfortunately, financial barriers, particularly for socioeconomically disadvantaged people, often play a large role in them not being able to become kidney donors.”

Pastan says a lot of his patients are African-American with socioeconomically disadvantaged backgrounds, and they are disproportionately affected by the lack of donor kidneys. 

There is a National Living Donor Assistance Program, set up to offer some financial reimbursement to donors. But the current system isn’t meeting the need, Pastan says.  

"What I think we should do is do a better job of paying donors’ expenses, and paying them upfront,” Fry-Revere says. 

The details of Fry-Revere’s proposal are to amend current law so that organ donors can get cash upfront in the form of a pre-paid debit card loaded with as much as $14,000. The money would be use to pay for any expenses such as taking time away from work, childcare, and transportation costs. 

"We want to remove any barriers to people who have come forward to be a living donor,” says Troy Zimmerman, head of governmental affairs at the National Kidney Foundation, "But if it has any appearances of having an incentive to donate, that is something that the kidney foundation is very much opposed to.”

But Fry-Revere says there are no ethical dilemmas in her proposal or dangers that the poor might be exploited for their organs by rich patients. 

In trying to shelter the poor from the possibility of exploitation, Fry-Revere says we have actually created a perverse inequality, in which transplant patients with financial means are better off in the living donor program, “because the system does allow recipients to reimburse the donor’s travel, lodging and lost wages. But that assumes a rich recipient." 

Cable eclipsing broadcast for political advertising

Marketplace - American Public Media - Fri, 2014-10-17 02:00

If you live in a state with a close race in this year's midterm elections, you know that candidates are carpet bombing the air waves with TV ads. But candidates and campaigns are increasingly airing their ads over cable instead of their local broadcast station, for a bunch of reasons, some specific to this year.   

“There’s just not a lot of competitive House races," says Ken Goldstein, a professor of political science at the University of San Francisco. "We’re sort of in a dead-ball year, in terms of House races.”

And the House races that are close are in big cities, where it’s not efficient to advertise on local TV. Plus, there aren’t as many competitive races for governor, and those are mostly fought on local airwaves. 

But long-term trends also give cable an edge over local TV.

“Now we can do targeting that we couldn’t do before,” says David Karpf, an assistant professor in the School of Media and Public Affairs at George Washington University.  

Karpf says local broadcast TV is broad and scattershot. But cable set-top boxes tell campaigns exactly what voters are watching, so campaigns can tailor their ads.

“So that would allow them to deliver an advertisement to one neighbor, and a different advertisement to a different neighbor, ideally,” he says.

For example, voters in one district might like watching re-runs of old shows like Mork and Mindy. Of course that show is from back in the '80s, before cable started taking political advertising away from local broadcasters.   

Don't be mistaken, local TV still rakes in the most cash. But it’s only grown a little from the last midterms, in 2010.

“Local TV’s heyday is over in that these great gains we saw in local TV ad spending for politics, cycle over cycle—probably slowing and eventually will plateau,” says Elizabeth Wilner, senior vice president for political advertising at Kantar Media.

Spending for political ads on cable this election, meanwhile, is expected to nearly double. 

Silicon Valley Companies Add New Benefit For Women: Egg-Freezing

NPR News - Thu, 2014-10-16 23:21

The addition of the benefit by Facebook and Apple comes as tech companies face mounting pressure to hire more women, but some warn it may increase pressure those employees feel to put off having kids.

» E-Mail This

World Bank Head On Ebola: Put The Fire Out Where It's Raging

NPR News - Thu, 2014-10-16 23:20

World Bank President Jim Kim believes the world has moved too slow in battling Ebola. And closing off travel from West Africa, he says, is not the answer.

» E-Mail This

Poetry In Motion: Prima Ballerina Retires After 3-Decade Career

NPR News - Thu, 2014-10-16 23:18

Wendy Whelan, 47, will give her final performance with the New York City Ballet on Saturday. NPR spent time with the dancer as she prepared for her goodbye.

» E-Mail This

Free Speech In Hong Kong, Then And Now

NPR News - Thu, 2014-10-16 23:16

NPR's Frank Langfitt has traveled to Hong Kong since 1997, when the former British colony reverted to Chinese rule. Back then, residents spoke openly and gave their full names. Not anymore.

» E-Mail This

Ebola-Stricken Nurse Appears Well In Video

NPR News - Thu, 2014-10-16 21:01

Nina Pham, 26, was filmed before being flown by executive jet from Dallas to Frederick, Md., and then transferred to the National Institutes of Health hospital in Bethesda on Thursday.

» E-Mail This

Walk-Off 3-Run Homer Sends Giants Past Cardinals To The World Series

NPR News - Thu, 2014-10-16 19:23

The bash by leftfielder Travis Ishikawa gave San Francisco a 6-3 win, sent St. Louis home, and set up a title matchup with the streaking Kansas City Royals.

» E-Mail This

Biden's Son, Hunter, Discharged From Navy Over Failed Cocaine Test

NPR News - Thu, 2014-10-16 17:20

Responding to a report from the Wall Street Journal, Hunter Biden said he was "embarrassed" that his actions led to his discharge.

» E-Mail This

Obama Says It 'May Be Appropriate' To Appoint Ebola Czar

NPR News - Thu, 2014-10-16 16:16

President Obama said that while the highest level of the federal government was taking the Ebola threat seriously, Ebola remains "a very difficult disease to catch."

» E-Mail This

When Disaster Strikes, Facebook Lets Friends Know You're OK

NPR News - Thu, 2014-10-16 14:28

Facebook's newest tool, known as Safety Check, aims to allow people to quickly alert friends and family that they are safe after a natural disaster.

» E-Mail This

In dry California, using price to police water use

Marketplace - American Public Media - Thu, 2014-10-16 13:37

California’s historic drought is prompting a lot of soul-searching among water utilities looking for ways to make their customers more water-thrifty. Ideally, they’d like to do it without water cops, fines and the dreaded “R” word – rationing. State water regulators are instead encouraging people to consider something called "water budgeting."

Officials at the Irvine Ranch Water District, based in the Orange County suburb of Irvine, say they were the first in the nation to adopt water budgeting. After a severe drought in the late '80s and early '90s, the district was looking for a way to create a water “conservation ethic” among its customers that was fair and also didn't threaten the agency’s long-term financial health (the lower water sales = lower revenue problem). They came up with water budgeting.

Here’s the cheat sheet version: Every household gets a “reasonable” monthly water budget, based on specifics like family size and how big the property is.  In the Irvine district, that’s currently 50 gallons per person per day for indoor water use. Outdoors, it’s enough to maintain a grass lawn, even in a drought. If the customer stays within budget, he or she pays some of the lowest water rates in the county. Go over, they pay more. 

“If you’re wasting water, we’re going to send you a very strong price signal to let you know that you have wasteful use,” says Fiona Sanchez, the district's director of water resources. “It’s designed to get the customer’s attention and think, 'oh whoa, my water bill went from something like $28 to maybe $90.'” 

 In fact, Irvine’s "wasteful" water users can pay up to nine times as much as their very efficient neighbors. Sanchez says since they created water budgeting in 1991,  their customers use half as much water outdoors, and per capita water use is way under the state average. 

But water adviser Tom Ash, who helped create water budgeting, estimates only a dozen water agencies in the entire country charge for water this way. “I think it boils down to the fear of change,” he says. Felicia Marcus, chairman of California’s Water Resources Control Board, says it also takes a lot of time and resources to develop such a system.

Plus, politically, it can be tricky.  Some water boards view it as just a more subtle form of rationing, which they fear ratepayers will reject.  Right now water agencies are closely watching a lawsuit over water budgets in the city of San Juan Capistrano.  A taxpayers' group there contends it violates California Prop 218, a law aimed at tamping down excessive taxes and fees.

Women Can Freeze Their Eggs For The Future, But At A Cost

NPR News - Thu, 2014-10-16 13:19

Until recently, freezing human eggs was reserved for young women at risk of infertility due to cancer treatments. But some companies now pay for it for healthy women who want to delay motherhood.

» E-Mail This

Navajo Presidential Race Shaken By Language Gap

NPR News - Thu, 2014-10-16 12:57

Chris Deschene's run for president of the Navajo Nation has been challenged because he's not fluent in the Navajo language. The dispute highlights a split among Native Americans over language issues.

» E-Mail This

Quiz: Complaints about private student loans on the rise

Marketplace - American Public Media - Thu, 2014-10-16 12:42

The number of complaints about private student loans filed with the Consumer Financial Protection Bureau climbed 38 percent in the past year, according to a new CFPB report.

Most private student loan complaints sent to the Consumer Financial Protection Bureau relate to which of the following?

Venezuela, A Diplomatic Rival For U.S., Wins Seat On U.N. Security Council

NPR News - Thu, 2014-10-16 12:41

The last time Venezuela tried for a seat in 2006, the United States successfully lobbied against it. The U.S. expressed disappointment about Venezuela's inclusion.

» E-Mail This

Airbnb, New York State Spar Over Legality Of Rentals

NPR News - Thu, 2014-10-16 12:25

The state's attorney general says nearly three-quarters of Airbnb's listings in New York City are illegal. The company says local laws should be changed to accommodate the sharing economy.

» E-Mail This

ON THE AIR

KBBI is Powered by Active Listeners like You

As we celebrate 35 years of broadcasting, we look ahead to technology improvements and the changing landscape of public radio.

Support the voices, music, information, and ideas that add so much to your life.Thank you for supporting your local public radio station.

FOLLOW US

Drupal theme by pixeljets.com ver.1.4