"Whenever I go into a restaurant, I order both a chicken and an egg to see which comes first"

Thursday, August 2, 2012

Culture DOES Matter - Why Some Societies Have Done Better Than Others

What accounts for the economic differences between countries? Why are some countries rich and others poor?

A Chinese exchange student studied in the United Sates or a year in the mid-90s just as China was beginning to implement its most dramatic economic reforms.  At this time, before the economic revolution had taken hold, China was still a developing country as it had been for centuries.  As the West accelerated from the 19th to the 20th century and became an industrialized power, China lagged far behind.  “We have culture”, said the student. “Thousands of years, many powerful dynasties from Xia Dynasty 4000 years ago.  Evolved religion, Confucius, art, philosophy, culture.  Why are we so backward?”

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The young man only had to wait a few years to see how all this history and culture would provide the foundation for rapid economic development.  This development was principally due to the reforms started by Deng Xiaoping and enthusiastically endorsed and expanded by his successors; but there is no doubt that the cultural infrastructure of the country was the foundation on which these more practical changes was built.  A culture built around Confucian principles of respect for elders and tradition, wisdom, loyalty, discipline, and trustworthiness more easily coalesced around newly-enunciated programs of national reform.  A culture which had millennia of ‘authoritarian’ Mandarin rule would not find the centralized programs of the Politburo intolerable, especially since the economic changes implemented promoted economic development.

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The experience of Japan is no different.  The same rapid economic progress occurred when the Meiji leaders decided in 1868 to catch up with the modern world.

Lawrence Harrison, one of the first outspoken advocates for considering culture as an important factor in economic development recently wrote the lead essay for a conference on Culture and Economic Development sponsored by the Cato Institute. In it he said:
The "Confucian" countries (more accurately the countries strongly influenced by Chinese culture, which also embraces, in addition to Confucianism, Taoism, Buddhism, and ancestor worship) all share substantially in the universal culture of progress: education, achievement, work ethic, merit, and frugality are all highly valued in the East Asian societies. Their economic success contradicts Weber's analysis in The Religion of China in which he asserts that rapid capitalist development is unlikely in China in large measure because of the absence of anything like the Calvinist "tension" caused by uncertainty about being of the "elect."
Many observers attributed the stagnation of the East Asian economies (Japan excepted) at mid-twentieth century to Confucianism, particularly to the influential role played by the Mandarin literati (Mao a prototype) and the low prestige that attached to economic activity in the Confucian scheme of things. But all that was necessary to release the powerful education/achievement/merit/frugality undercurrent to perform its economic magic was encouragement from the political leadership, in the cases of South Korea and Taiwan stimulated by security concerns. The trigger for the magic in China was Deng Xiaoping's 1978 pronouncement, "To get rich is glorious," effectively marking the end of Mao's Marxist revolution.
Not only has China been dramatically successful over the last twenty years, but its diaspora population has thrived in every country in which it is a minority.  Chinese communities throughout East Asia (Malaysia, Vietnam, Thailand, etc.), the United States, and increasingly in Central Asia enjoy incomes, educational status, and economic influence far out of proportion to their numbers. Overseas Chinese are estimated to control 1.5 to 2 trillion USD in liquid assets and have considerable amounts of wealth to stimulate economic power in China (Wikipedia).

Harrison goes on to disaggregate ‘culture’ and suggests, based on his and others’ research that there are a number of characteristics which characterize successful cultures, whether as nations or communities living abroad:
Some economists have confronted culture and found it helpful in understanding economic development. Perhaps the broadest statement comes from the pen of [Harvard economist] David Landes: "Max Weber was right. If we learn anything from the history of economic development, it is that culture makes almost all the difference." Elaborating on Landes's theme, Japanese economist Yoshihara Kunio writes, "One reason Japan developed is that it had a culture suitable for it. The Japanese attached importance to (1) material pursuits; (2) hard work; (3) saving for the future; (4) investment in education; and (5) community values."
 Image result for images max weber

The Argentine scholar and journalist Mariano Grondona developed a ‘progress-prone, progress-resistant model’ of economic development – that is one which matched economic progress with prevalent cultural factors.  He had Argentina in mind for a country which was progress-resistant and the United States which was progress-prone; but expanded his research and conclusions more broadly.
[He devised] 25 factors broken down into four groups: Worldview, Values and Virtues, Economic Behavior, and Social Behavior. Of the most important in the Economic Behavior cluster are:
    • Work/Achievement, which contrasts the progress-prone “Live to work” with the resistant “Work to live.”
    • Frugality: “the mother of investment” vs. “a threat to equality.”
    • Risk propensity: moderate in the progress-prone culture; low, with occasional adventures, in the progress-resistant culture.
    • Competition: leads to excellence vs a threat to equality—and privilege.
    • Innovation: the progress-prone culture is open to and quick to adapt innovation, while the resistant culture is suspicious of and slow to adapt it.
    • Advancement: merit vs. family/patron connections.
Perhaps the more interesting research was carried out by Harrison and his colleagues at the Fletcher School at Tufts University (Culture Matters Research Project) to see how these general categories correlated or were associated with certain cultural factors, such as religion:
The data roundly validated Max Weber’s thesis in The Protestant Ethic and the Spirit of Capitalism: Protestant countries do better than Catholic countries in creating prosperity. To be sure, the averages for the Catholic countries are depressed by Latin America’s slow development, but even when one looks only at First World democratic-capitalist societies, Protestant countries do substantially better than Catholic countries with respect to prosperity, trust, and corruption.
More broadly, the analysis of religions suggests that Protestant, Jewish, and Confucian societies do better than Catholic, Islamic, and Orthodox Christian societies because they substantially share the progress-prone Economic Behavior values of the typology whereas the lagging religions tend toward the progress-resistant values.
Harrison cites the Nordic experience as an example of the importance of religion and culture to economic development:
All five Nordic countries—Finland, Sweden, Norway, Denmark, and Iceland—have a Lutheran background, even though few today are churchgoers. Lutheranism is the source of much of the Nordic value system that has produced high educational levels, extensive welfare programs, and high quality entrepreneurship symbolized by Finland's Nokia and Sweden's Volvo, Saab, and Ikea. The compatibility of economic efficiency and social spending in the Nordic context is apparent form the 2006 World Economic Forum ratings.
The Economist recently observed, "High taxes and generous welfare safety nets need not undermine competitiveness…Scandinavian economies are ranked high in the league…" (Sweden was number two in the world.)
The United States government (USAID) surprisingly deals with the issue of religion and culture directly, and cites the research of Islamic researchers who suggest why Muslim countries (and Muslim communities within non-Muslim countries, such as Azeris in Georgia) lag behind.  With 19 percent of the world’s population, Muslims earn only 6 percent of its income. Why?
Unchangeability. Islam stands for unchangeability, and it defines and promotes a social system lacking capacity for adaptation, according to a
frequently expressed view of Western scholars and secularist movements across the Islamic world. This explanation emphasizes that religion
(Islam) is an obstacle to free thinking and innovation. The implication is that one must choose either “Mecca or mechanization” because the two are not compatible.

Communalism. Islamic civilization remained largely communalist even as Western Europe turned increasingly individualist, and communalist
norms dampened incentives to develop capitalist economic institutions. Western thought espouses a strictly individualist economic morality,
which encourages people to pursue their own ends without having to consider their social consequences, but a communalist morality focuses
attention on collective needs. 
Public discourse. Islamic societies have reduced the role of public discourse, discouraging individuals from questioning. The relative openness
of public discourse in the West helped create an engine of growth that the Muslim world failed to develop. New ideas tend to emerge in environments
hospitable to free inquiry and experimentation. If it is risky to put forth new ideas, they will not be expressed.

Education. Some argue that Islam helped shape an educational system that limited curiosity and innovation. Traditional education, in turn,
played a critical role in conditioning individuals to accept the social status quo. The impetus for changing any part of the educational curriculum
came largely from abroad. (Bureau for Policy and Program Coordination, Paper 3, June 2004)
Timur Kuran* and Anantdeep Singh of Duke and University of Southern California, respectively, studied the question of Islam and economic development in India  where Muslims are a significant minority, but lag far behind Hindus in per capita income. (Economic Modernization in Late British India: Hindu-Muslim Differences 2004).  Kuran and Singh cite two principle factors behind this lag – the waqf inheritance system and Shari ’a Law.   The traditional inheritance system which channeled money through inefficient family structures, inhibited the flow of financial resources to modern institutions; and while Hindus were investing in banks and other financial institutions and using their profits for further growth, Muslims did not, and their growth was stagnant.

Kuran and Singh also cite Muslim adherence to Shari ’a law which kept them out of the mainstream of British civil, contract, and criminal justice. 
Kuran (2003) identifies the absence in Islamic law of the concept of a corporation and two institutional bottlenecks that once seriously hampered
economic growth in the Muslim world: the Islamic law of inheritance, which inhibits capital accumulation, and the waqf system, which locks vast
resources into unproductive organizations designed to deliver social services. (USAID, op.cit)
Thirdly Kuran and Singh cite Islamic education as an obstacle to development – i.e. a religion-based educational system cannot possibly expose students to the more general learning of the modern world.

The issue of gender and the status of women in Muslim society has been raised by all researchers and considered by them to be a continual impediment to real economic progress.

Harrison and his colleagues ask the question “Can societies with cultural traditions reform or reject them to be able to move quickly into the modern world?”, and replies with the example of Quebec, a Canadian province which for decades had been no different from a Third World country.  Yet, in a relatively short time, it moved out of its restrictive past.  How did it do this?
  • The use of an inclusive nationalism to promote unity, effort, and sacrifice.
  • A process of "declericalization" in which the church's influence was drastically reduced, above all in education, over a five-year period (1961-66). Like Ireland and Spain, Quebec is sometimes referred to today as "post-Catholic."
  • Massive resource allocation to education.
  • Promotion of gender equality, particularly in the workplace.
  • The creation of a modern, creative state that has spearheaded development ranging from Cirque de Soleil to advanced biotech industries. A "corporatist" approach bringing business, labor, the professions, etc. together with government for policy discussions has been generally successful.
  • State-led efforts to reduce inequality.

Image result for FLAG QUEBEC

In an article (8.2.12) in the New York Times,Jared Diamond, the author of Guns, Germs, and Steel, a book which focused more on geo-climatic factors in development than on the social ones raised in this blog post, cites those which he feels are as important or more important than socio-cultural ones:
Latitude, which has big effects on wealth and power today: tropical countries tend to be poorer than temperate-zone countries. Reasons include the debilitating effects of tropical diseases on life span and work, and the average lower productivity of agriculture and soils in the tropics than in the temperate zones.
Access to the sea. Countries without a seacoast or big navigable rivers tend to be poor, because transport costs overland or by air are much higher than transport costs by sea.
The history of agriculture. If an extraterrestrial had toured earth in the year 2000 B.C., the visitor would have noticed that centralized government, writing and metal tools were already widespread in Eurasia but hadn’t yet appeared in the New World, sub-Saharan Africa or Australia. That long head start would have let the visitor predict correctly that today, most of the world’s richest and most powerful countries would be Eurasian countries (and their overseas settlements in North America, Australia and New Zealand).

Obviously both geo-climatic and cultural factors play a role in economic development; and they are not the only ones.  North Korea, for example, is part of the East Asian cultural tradition which because of a powerful and perverse dictatorship has rejected it and gone underground.  One suspects that when the Communist regime in that country has had its day, that the same thousands of years of cultural history will re-emerge; but for now economic development is hindered by politics.

Saudi Arabia and the Gulf States are Muslim but wealthy, although that wealth is derived from the ground and not from the same entrepreneurial spirit and energy of Asia.  Religion was the locus of culture in the Middle Ages and the Renaissance, monasteries were the repositories of learning, religious art and music reigned; and it was not the counter-productive factor that it seems to be today. 

Islam in the centuries after Mohammed was the only bright light in the world, making advances in science and mathematics while Northern Europeans were still in caves; so the lesson is perhaps not what cultures were, but what they have become.

For years, the discussion of culture as a determining factor was verboten, largely because of relativist, Marxist-influenced academicians who insisted that all society was a question of economics, institutions, demographics, and control of the means of production.  These theories were co-opted by the Political Correctness advocates who said that to criticize a particular culture was to deny its inherent value.  Since all cultures are equal, there must be more secular answers to questions of economic and social progress than religion.

In conclusion, culture may not be the only factor contributing to or detracting to economic and social development, but it certainly is a very important one, and should not be dismissed for politically correct reasons.







Wednesday, August 1, 2012

The Case Against Breastfeeding

An article in today’s (8.1.12) Atlantic http://www.theatlantic.com/health/archive/2012/07/a-womans-right-to-choose-not-to-breastfeed/260530/ discusses Nanny Michael Bloomberg’s most recent campaign to protect us from ourselves:

New York City's new pro-breast milk policy stigmatizes infant formula and limits access to it, effectively revoking women's freedom to feed their babies as they choose.

Already leading one of the most aggressive "pro-breast milk" campaigns in the country, New York City has announced that it will now track usage of infant formula. In the latest salvo in the push to turn breastfeeding from a healthy option to a public mandate, hospitals will keep formula locked away, treating it more like contraband than basic infant sustenance.

For years I have followed the issue of breastfeeding and was on hand for its introduction into the Western Canon and its transformation from a reasonable nutritional intervention into a political cause led by La Leche League.  I participated in USAID-sponsored programs in the developing world which, like Mayor Bloomberg, demonized bottle-feeding, and in gross contradiction to the feminist appeal to free women from the slavery of a subservient marriage, forbade any mention of the bottle – a helpful tool which could enable them to work outside the home. An even grosser irony was the fact that the very same La Leche League women who evangelized for St. Breast had benefitted from the bottle.  Women who fed their children formula were able to take their first steps out of the home and into the world of work, individual status, and economic independence.  To no discernible disadvantage, I might add.  Everyone in the power corridors of New York or Washington sucked only formula.   Our greatest talents born in the 40s and 50s were bottle-fed. Whole generations were bottle babies.  So what’s the big deal now?

Perhaps the main reason for avoiding the bottle in the developing world is contamination and infection.  If a woman exclusively breastfeeds, she will not have to feed her baby formula made with river water in a dirty bottle with flies breeding on the caked, sugary mess around the nipple.  This is a good thing, and while ‘experts’ in the thrall of La Leche began to suggest the links between breastfeeding and earaches, intelligence, and self-esteem, most of us knew that simply avoiding river water would result in the reduction of disease.  Self-serving breastfeeding advocates used the positive data for their own ends, suggesting that it was breast milk itself rather than the avoidance of contaminated water that was responsible for the decrease; but most of us felt that the breastfeeding was a good thing, and if ever a positive correlation was established between breast milk itself and disease prevention, so much the better.  The women in South Asia and Africa where I was working could indeed use all the help they could get, for their children were daily assaulted by diarrheas, upper and lower respiratory infections, skin diseases, eye diseases, ear infections and much more. 

I was often appalled by the doctrinaire approach of breastfeeding advocates.  The focus was on exclusive breastfeeding, and the campaigns run in the US-funded projects allowed for no breach in the wall.  If you even hinted that an occasional bottle is acceptable, then the wall would come tumbling down, and the breast would be forever covered.  I worked on a breastfeeding project in the Dominican Republic, one that had been designed to promote exclusive breastfeeding.  “What about the women working in the Zona Libre”, I asked.  The Industrial Duty Free Zone was a geographical area where where local and foreign companies could be established and their products or services shipped to the international market with incentives that would boost their development such as customs special controls and tax incentives. Women working there could earn far more than they could anywhere else on the island, and the economic rewards would enable them to provide better education and health care for their families.  It was a way out of poverty.  In order for women to work in these factories, they would have to leave their babies with a caretaker who would feed them the bottle.

“Absolutely not!”, shouted the breastfeeding czar of the project.  “We are promoting exclusive breastfeeding only.”  I argued that a more reasonable campaign addressing the needs of these women would be built around mixed feeding and focused on the importance of sanitary bottles and water, would resonate more, more women would continue breastfeeding, and certainly with the additional income earned, they would be better off.  Needless to say, my appeals were rejected out of hand.

Breastfeeding had become a religion, so I was not surprised when I returned to the United States and witnessed the same La Leche League onslaught.  The problem was that most babies were not exposed to the same pathogens as Third World infants.  Their world, protected by vaccines, good nutrition and health care, immaculate counters and floors was far different from the fly-infested, feces-polluted, infection-ridden village of Bangladesh or India.  Why should an American woman delay her return to productive economic life and be beset with the miseries of breast-pumping when the advantages of breastfeeding were so relatively minor and the evidence for them tenuous at best?

A previous article in the Atlantic, entitled The Case Against Breastfeeding http://www.theatlantic.com/magazine/archive/2009/04/the-case-against-breast-feeding/7311/3/  raises these and other issues in detail.  Basically the author states that the evidence for breastfeeding benefits is inconclusive, and yet the breastfeeding lobby and interest groups have kept up their drumbeat to such a degree that millions of women continue to breastfeed.  Not only that, breastfeeding has become the only acceptable membership card to the new, upwardly-mobile, politically-aware and environmentally-concerned Motherhood.  Not to breastfeed is grounds for dismissal from the group and the playground.  The author complains:

Still, despite my stint as the postpartum playground crank, I could not bring myself to stop breast-feeding—too many years of Sears’s conditioning, too many playground spies. So I was left feeling trapped, like many women before me, in the middle-class mother’s prison of vague discontent: surly but too privileged for pity, breast-feeding with one hand while answering the cell phone with the other, and barking at my older kids to get their own organic, 100 percent juice—the modern, multitasking mother’s version of Friedan’s “problem that has no name.”

A chance glance at a 2001 issue of the Journal of the American Medical Association open to an article about breast-feeding gave her pause and reason to explore further:

“Conclusions: There are inconsistent associations among breastfeeding, its duration, and the risk of being overweight in young children.” Inconsistent? There I was, sitting half-naked in public for the tenth time that day, the hundredth time that month, the millionth time in my life—and the associations were inconsistent? The seed was planted.

After a couple of hours [of investigation], the basic pattern became obvious: the medical literature looks nothing like the popular literature. It shows that breast-feeding is probably, maybe, a little better; but it is far from the stampede of evidence that Sears describes. A couple of studies will show fewer allergies, and then the next one will turn up no difference. Same with mother-infant bonding, IQ, leukemia, cholesterol, diabetes. Even where consensus is mounting, the meta studies—reviews of existing studies—consistently complain about biases, missing evidence, and other major flaws in study design.

“The studies do not demonstrate a universal phenomenon, in which one method is superior to another in all instances,” concluded one of the first, and still one of the broadest, meta studies, in a 1984 issue of Pediatrics, “and they do not support making a mother feel that she is doing psychological harm to her child if she is unable or unwilling to breastfeed.” Twenty-five years later, the picture hasn’t changed all that much. So how is it that every mother I know has become a breast-feeding fascist?

Of all the controversies surrounding breastfeeding, perhaps the most overlooked is the guilt factor – a mother is not being a good mother or good parent if she deprives her baby of this magical benefit.  The loss of income, the interminable two-hour on-demand breastfeeding, and the Torquemada torture of the modern rack – the breast pump – is nothing compared to the Guilt of the Modern Mother.  Most women, if given the facts and allowed to assess their own, personal cost-benefit of breastfeeding, it is doubtful that they would continue or even begin; or perhaps would feed for the first few months before a return to work (which is what most women do now anyway)

The debate about breast-feeding takes place without any reference to its actual context in women’s lives. Breast-feeding exclusively is not like taking a prenatal vitamin. It is a serious time commitment that pretty much guarantees that you will not work in any meaningful way. Let’s say a baby feeds seven times a day and then a couple more times at night. That’s nine times for about a half hour each, which adds up to more than half of a working day, every day, for at least six months. This is why, when people say that breast-feeding is “free,” I want to hit them with a two-by-four. It’s only free if a woman’s time is worth nothing.

The problem is a rush to judgment conditioned by associative belief.  "Breast milk must be better”, advocates intone.  “It is natural”.  Their belief in the protective and developmental powers of breast milk are conditioned by a wider belief in things natural and organic, not by science.

Since 1961 labs have hunted for other marvels. Could the oligosaccharides in milk prevent diarrhea? Do the fatty acids boost brain development? The past few decades have turned up many promising leads, hypotheses, and theories, all suggestive and nifty but never confirmed in the lab. Instead, most of the claims about breast-feeding’s benefits lean on research conducted outside the lab: comparing one group of infants being breast-fed against another being breast-fed less, or not at all. Thousands of such studies have been published, linking breast-feeding with healthier, happier, smarter children. But they all share one glaring flaw.

They are methodologically flawed.

An ideal study would randomly divide a group of mothers, tell one half to breast-feed and the other not to, and then measure the outcomes. But researchers cannot ethically tell mothers what to feed their babies. Instead they have to settle for “observational” studies. These simply look for differences in two populations, one breast-fed and one not. The problem is, breast-fed infants are typically brought up in very different families from those raised on the bottle.

Researchers try to factor out all these “confounding variables” that might affect the babies’ health and development. But they still can’t know if they’ve missed some critical factor. “Studies about the benefits of breast-feeding are extremely difficult and complex because of who breast-feeds and who doesn’t,” says Michael Kramer, a highly respected researcher at McGill University. “There have been claims that it prevents everything—cancer, diabetes. A reasonable person would be cautious about every new amazing discovery.”

Even the core principle of immunological protection has caveats attached:

A human baby is born with antibodies already in place, having absorbed them from the placenta. Breast milk dumps another layer of antibodies, primarily secretory IgA, directly into the baby’s gastrointestinal tract. As the baby is nursing, these extra antibodies provide some added protection against infection, but they never get into the blood.

The claim to improvement in I.Q. is similarly doubtful:

Both the Kramer study and the sibling study did turn up one interesting finding: a bump in “cognitive ability” among breast-fed children. But intelligence is tricky to measure, because it’s subjective and affected by so many factors. Other recent studies, particularly those that have factored out the mother’s IQ, have found no difference at all between breast-fed and formula-fed babies. In Kramer’s study, the mean scores varied widely and mysteriously from clinic to clinic. What’s more, the connection he found “could be banal,” he told me—simply the result of “breast-feeding mothers’ interacting more with their babies, rather than of anything in the milk.”

And yet, despite the lack of evidence linking breastfeeding to any of the positive results claimed, the breastfeeding mafia continues its assault:

In 2004, the Department of Health and Human Services launched the National Breastfeeding Awareness Campaign.  One television ad shows two hugely pregnant women in a logrolling contest, with an audience egging them on. “You wouldn’t take risks before your baby is born,” reads the caption. “Why start after?” The screen then flashes: “Breastfeed exclusively for 6 months.” A second spot shows a pregnant woman—this time African American—riding a mechanical bull in a bar while trying to hold on to her huge belly. She falls off the bull and the crowd moans.

To convey the idea that failing to breast-feed is harmful to a baby’s health, the print ads show ordinary objects arranged to look like breasts: two dandelions (respiratory illness), two scoops of ice cream with cherries on top (obesity), two otoscopes (ear infections). Plans were made to do another ad showing rubber nipples on top of insulin syringes (suggesting that bottle-feeding causes diabetes), but then someone thought better of it.

The whole campaign was [superciliously] knowing and dripping with sexual innuendo and condescension.

The most damning conclusion of serious researchers is that, in the absence of any real proven correlations or finding the smoking gun intervening variable in the equation, it may not be the breast milk at all.  It is the licking:

In his study on breast-feeding and cognitive development, Michael Kramer mentions research on the long-term effects of mother rats’ licking and grooming their pups. Maybe, he writes, it’s “the physical and/or emotional act of breastfeeding” that might lead to benefits. This is the theory he prefers, he told me, because “it would suggest something the formula companies can’t reproduce.”

If the researchers just want us to lick and groom our pups, why don’t they say so? We can find our own way to do that. In fact, by insisting that milk is some kind of vaccine, they make it less likely that we’ll experience nursing primarily as a loving maternal act—“pleasant and relaxing,” in the words of Our Bodies, Ourselves and more likely that we’ll view it as, well, dispensing medicine.

As the husband of a breastfeeding mother, I benefitted.  Ahhhh, at last something I could not share; and despite my wife’s glares as I headed off to the comfortable attic bed to get a good night’s sleep, I slept like a baby.