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If there is such a person as a universally respected and universally loved scholar, Professor Arrow was such a man. I have been trying to think of what I might write to pay tribute to him that somebody else could not say better.  I will give it a shot, though I am not qualified to do this task full justice.

Prof. Arrow was a great genius whose work will be spoken about for as long as economics remains a subject of interest. But I am sure that other economists, even someone who did not know him personally, could do an excellent job of recounting his genius. At the very least, Prof. Arrow’s impossibility theorem and his groundbreaking work on general equilibrium models will be part of the standard curriculum of economics, I believe forever. He had an incredibly wide-ranging curiosity, which led him to work that has revolutionized many empirical fields, including my field of health economics.

Let me focus instead on Prof. Arrow’s reputation for being a kind and humble man, about which I can give some specifics. The main thing I have to say about this is that his reputation was well deserved. There are many stories I could tell, but I’ll just tell one here.

In 1989, during the fall of my senior year in college, Prof. Arrow offered a class on economic inequality for undergraduate economics majors. To my surprise, the class was not oversubscribed, and so I signed up. Prof. Arrow was quietly brilliant the whole quarter. In his hands, the economics of inequality touched on an astonishing array of topics, and to this day, I cannot think about the subject except with the framework he presented there.

He was not an outstanding speaker – there was nothing flashy about his style, but there was nothing false either. His aim as a teacher was to focus his students on the material, not himself. Even when he presented his impossibility theorem, I do not remember him saying that it was his theorem.

The next part is embarrassing. The impossibility theorem says, very roughly, that in a society where there is broad disagreement about social policy, democratic processes can produce incoherent social outcomes. When Prof. Arrow taught it in the class, however, I misunderstood and thought the theorem said that democratic processes always lead to incoherent social outcomes. That evening, I found an easy – too easy! – counter-example to the incorrectly understood theorem. So I scheduled a time to go meet with Prof. Arrow to see where I had gone astray.

When we met, Prof. Arrow was very kind as he explained my error. He even apologized for being unclear in his explanation, even though I am sure most of the rest of the class had it right.

He spent the bulk of the time that day trying to find out what I wanted to do with my life. When I told him I wanted to be a doctor and not an economist, he seemed disappointed (this genuinely surprised me) and he encouraged me to think some more about it. That meeting led me for the first time to think really seriously about a career as an economist. That brief meeting with Prof. Arrow changed my life.

It is easy to be sad when someone of Prof. Arrow’s character and genius dies. I am grateful that I had the opportunity to get to know him. I will always count his touch on my life a blessing from God and I will miss him.

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Ken Arrow attends Stanford Health Policy's 2020 symposium in October, 2016. | Steve Fisch
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When drug prices go up, does demand decrease? Not necessarily said Maria Polyakova, a professor of health research and policy and Stanford Health Policy core faculty member. In her study, "Out of Pocket Cost and Utilization of Healthcare among Elderly and Pre-elderly Adults," Polyakova used data from Medicare Part D — the prescription drug branch of Medicare, covered by private insurance companies — to determine how older people respond to price changes. In her preliminary findings, Polyakova discovered that people with acute conditions were less likely than patients with chronic conditions to change their drug usage when prices increased.

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As the leading cause of death for young people in the United States, traffic accidents are a major risk to health. Around the world, they kill 1.3 million people per year and seriously injure more than 80 million. David Studdert, a professor of medicine and law and a Stanford Health Policy core faculty member, wanted to bring those numbers down. In his study, "Exploring the relationship between traffic citation history and crash risk among elderly drivers in Florida," Studdert looked for a way to find high-risk drivers based on demographics and driving records. He found that drivers who have a quick succession of traffic violations or have particular types of violations may be at a higher risk to cause serious accidents. Studdert hopes to use the study's results to make driving safer without encroaching on civil liberties.

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I remember two things about my patient, Maria, a tiny baby who was born a little early. One was her large, beautiful eyes. The other was that when I put my stethoscope on her chest, I heard an enormous heart murmur. Maria had been born with a serious heart condition that would change her life and the life of her mom.

Good patient care at a time like this involves much more than treating a child’s heart. At that first appointment, Maria (not her real name), her mother and I began a long journey punctuated by multiple hospitalizations, surgeries and procedures.

Maria was born at Lucile Packard Children’s Hospital Stanford and lived with her mom in East Palo Alto. As her general pediatrician at Ravenswood Family Health Center, I came to know them both well. I focused on helping the tiny infant gain weight, so that she would be strong enough to undergo her heart surgeries. We brought in the Women, Infants and Children program to support her nutrition. I explained to her mom what the surgeries would do. I reviewed what Maria’s medicines were for, and when her mother couldn’t pay for them I helped gain authorization from county staff, who were able to get them dispensed at the pharmacy. When I realized Maria’s mom didn’t have enough money for food (due to many absences at work), I made sure she applied for food stamps.

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My experience with Maria coincided with my research at Stanford involving access to care for kids in California. As a result of the research, I spent part of my time in Sacramento, working with legislators on changes to the California Children’s Services program. This program is critical to the care of low-income children with serious medical conditions. My research, which involved analyzing data on publicly insured pediatric care like Maria’s, showed that access to high-quality care for low-income kids was pretty good in California compared with other states, but that there was variation among its 58 counties.

While working on the program’s reform in Sacramento, I spent time in countless staff meetings, public hearings and hallway discussions. I often thought about Maria, whose life depended on CCS. The research data I brought to these negotiations were as important as sharing Maria’s story — how her mother lost her job because of time spent caring for her fragile daughter, how the family sank more deeply into poverty and how services needed to be more focused on families. As changes to the CCS system were being discussed, I imagined how they would benefit or hinder Maria’s care and her future.

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In an op-ed for The Diplomat, Stanford assistant professor Phillip Y. Lipscy says the Trump presidency offers Japanese Prime Minister Shinzo Abe an opportunity to realize his vision of a more prominent Japan, yet the depth of the bilateral relationship and ability to deliver hinge on how much the two leaders can compromise on economic and security interests.

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The Stanford University Center on Democracy, Development and the Rule of Law, the Stanford Global Projects Center and Common Good hosted the “Renewing American Infrastructure” Roundtable 

 

The roundtable brought together senior leaders and policymakers from the public and private sectors and academia to Stanford for a two-day workshop. Attendees discussed federal policy reforms to accelerate and enhance the development and redevelopment of critical economic and social infrastructure in the United States, with a focus on maximizing the public benefit of new federal spending and institutional reforms to streamline investment at the federal, state and local levels.  

 

The Renewing American Infrastructure Roundtable was held on February 9th and 10th, 2017 to discuss federal reforms and policy changes in the US to accelerate the improvement of our critical economic and social infrastructure. The roundtable was hosted jointly by the Stanford Center on Democracy, Development and the Rule of Law (CDDRL), the Stanford Global Projects Center (GPC) and Common Good, a non-partisan reform group.  

 

Participants included policymakers and leaders from the public and private sector as well as academia. Topics of discussion included policy and regulatory reforms to make infrastructure investment more efficient, and potential mechanisms to finance a new federal infrastructure initiative in the US.  

 

While acknowledging that additional federal spending on infrastructure will help, the roundtable participants formed a consensus that policy and institutional reforms are also sorely needed. Many US institutions and policies for approving and developing infrastructure projects are extremely outdated and have not kept pace with best practices globally. Any new federal infrastructure initiative will need to combine policy reforms with additional Federal, State, local and private spending to be successful.   

 

The participants developed four thematic areas for policy reform recommendations to accelerate the improvement of US economic and social infrastructure. Those initiatives include: 

 

  1. The role of private investment and management expertise should be dramatically expanded. Even where projects are funded predominantly by the public sector, public-private partnerships (P3s) can optimize project delivery with “design-build-operate-maintain” contracts that account for the life-cycle costs of keeping infrastructure working in good order.  

 

  1. Nonetheless, it is an illusion to think that private sector resources will be sufficient by themselves to fix the problem:  many necessary infrastructure projects will not generate the revenues needed to attract private investment.  The federal government will need to provide new resources, through new borrowing or taxation, to cover needs like the simple maintenance of existing structures. To consolidate federal infrastructure investment and procurement resources, the Roundtable proposes creating a new Federal Infrastructure Agency headed by a cabinet-level appointee with responsibility for national infrastructure spending and project support that are currently spread across numerous agencies. Consolidating responsibility is essential to set priorities, coordinate projects and afford the public transparency in the allocation of federal resources.  This agency and cabinet member could be set up for a designated time period – say ten years – to assess its effectiveness before extending its mandate beyond the sunset date. 

 

  1. Planning and permitting must be streamlined so that projects can move from the drawing board to shovels in the ground in no more than two years. These processes must be overhauled so that public input is solicited early in the planning, not after a project is cast in stone. Clear lines of authority must be created to decide issues about environmental review to avoid years of unnecessary delay, overseen by the Chair of the Council of Environmental Quality. Finally, the new Secretary of Infrastructure should have authority to resolve disagreements among different agencies, including pre-empting state and local authorities if necessary to avoid delay on projects of national importance.   

 

  1. State and local governments should retain primary responsibility for prioritizing infrastructure investment and funding within their jurisdictions.

 

Specific policy recommendations and institutional changes under each of these initiatives will be published in the weeks and months following the roundtable. The roundtable was chaired by Stanford Professors Francis Fukuyama and Raymond Levitt, and Philip Howard, founder of Common Good. 

 

Contacts 

 

Stanford Center on Democracy, Development and the Rule of Law 

Djurdja Padejski, Communications Manager 

T: 650.723.9959 

 

Stanford Global Projects Center 

Terra Strong, Program Manager 

T: 650.725.2380 

 

Common Good 

Emma McKinstry 

T: 203.912.7174 

 

About the Stanford Center for Democracy, Development and the Rule of Law 
The Center
on Democracy, Development and the Rule of Law (CDDRL) at Stanford University has collaborated widely with academics, policymakers and practitioners around the world to advance knowledge about the conditions for and interactions among democracy, broad-based economic development, human rights, and the rule of law.  CDDRL is home to a dynamic interdisciplinary research community of innovative and distinguished faculty members and scholars from around the world. Their work spans the globe and bridges the divide between academic research and policy analysis, forging partnerships not only with other research centers but also with international development agencies, governments and civil society organizations in numerous countries.  

More information can be found at http://cddrl.fsi.stanford.edu  

 

About the Stanford Global Projects Center 
The Stanford Global Projects Center (GPC) is an interdisciplinary research center at Stanford University that seeks to facilitate understanding of the financing and development of critical infrastructure globally. The center conducts research on the policies and practices of institutional investors getting capital into the real economy, and studies best practices of public agencies in investing in and developing new infrastructure. The center also facilitates engagement among academic, government and industry leaders in the sector.  

More information can be found at https://gpc.stanford.edu  

 

About Common Good 
Common Good is a nonpartisan reform coalition that offers Americans a new way to look at law and government. We propose practical, bold ideas to restore common sense to all three branches of government––legislative, executive and judicial––based on the principles of individual freedom,
responsibility and accountability. Common Good’s philosophy is based on a simple but powerful idea: People, not rules, make things happen. This idea is fundamental to how we write laws and regulations, structure government agencies and resolve legal disputes. It affects all our lives, every day. Our mission is to overhaul governmental and legal systems to allow people to make sensible choices. We believe Americans need to be liberated to do their best. 
More information can be found at http://www.commongood.org 

 

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#Republic
As the Internet grows more sophisticated, it is creating new threats to democracy. In #Republic: Divided Democracy in the Age of Social Media, Cass Sunstein examines the ways that the internet fuels political fragmentation and even extremism. He shows how the internet and social media create "cybercascades," assist "polarization entrepreneurs," and exploit confirmation bias. #Republic proposes ways to make the internet friendly to democratic deliberation, and to increase interactions with new ideas and people.

Larry Kramer of the Hewlett Foundation, Nathaniel Persily of Stanford Law School, and Shanto Iyengar of Stanford University will join a conversation with Cass Sunstein about the perils and promise of digital technology on democracy. 

 

 

SPEAKER BIO

 

Cass Sunstein is the Robert Walmsley University Professor at Harvard Law School. From 2009 to 2012, he was Administrator of the White House Office of Information and Regulatory Affairs. He is the founder and director of the Program on Behavioral Economics and Public Policy at Harvard Law School. Mr. Sunstein has testified before congressional committees on many subjects, and he has been involved in constitution-making and law reform activities in a number of nations. His many books include the New York Times bestsellers Nudge: Improving Decisions about Health, Wealth, and Happiness (with Richard H. Thaler) and The World According to Star Wars. He lives in Cambridge, Massachusetts.

 

Larry Kramer became President of the William and Flora Hewlett Foundation in Menlo Park, California, in September 2012. Before joining the foundation, Larry served from 2004 to 2012 as Richard E. Lang Professor of Law and Dean of Stanford Law School. His teaching and scholarly interests include American legal history, constitutional law, federalism, separation of powers, the federal courts, conflict of laws, and civil procedure. Larry is a fellow of the American Academy of Arts and Sciences and a member of the American Philosophical Society and the American Law Institute.

 

Nathaniel Persily is the James B. McClatchy Professor of Law at Stanford Law School. He focuses on the law of democracy, addressing issues such as voting rights, political parties, campaign finance and redistricting. A sought-after nonpartisan voice in voting rights, he has served as a court-appointed expert to draw legislative districting plans for Georgia, Maryland and New York and as special master for the redistricting of Connecticut’s congressional districts. Most recently, he also served as the Senior Research Director for the Presidential Commission on Election Administration, a bipartisan commission created by the President to deal with the long lines at the polling place and other administrative problems witnessed in the 2012 election.    

 

Shanto Iyengar is the Chandler Chair in Communication at Stanford University where he is also Director of the Political Communication Laboratory. Iyengar’s areas of expertise include the role of mass media in democratic societies, public opinion, and political psychology. He is the recipient of the Philip Converse Award of the American Political Science Association for the best book in the field of public opinion, the Murray Edelman Lifetime Achievement Award, and the Goldsmith Book Prize from Harvard University.  Iyengar is author or co-author of several books, including News That Matters (University of Chicago Press, 1987), Going Negative (Free Press, 1995), and Media Politics: A Citizen’s Guide (Norton, 2011).

Cass Sunstein Robert Walmsley University Professor, Harvard University
Larry Kramer President, Hewlett Foundation
Nathaniel Persily James B. McClatchy Professor of Law, Stanford Law School
Shanto Iyengar Chandler Chair in Communication, Stanford University
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In an op-ed for The Diplomat, Stanford assistant professor Phillip Y. Lipscy says the Trump presidency offers Japanese Prime Minister Shinzo Abe an opportunity to realize his vision of a more prominent Japan, yet the depth of the bilateral relationship and ability to deliver hinge on how much the two leaders can compromise on economic and security interests.

Read the piece here.

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U.S. President Donald Trump and Japanese Prime Minister Shinzo Abe walk together at the White House on Feb. 10, 2017. | Chip Somodevilla/Getty Images
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