Showing posts with label Coronavirus. Show all posts
Showing posts with label Coronavirus. Show all posts

Monday, July 27, 2020

Trade-Offs Versus Optimization: Is Everything An Optimization Problem?

In my work on ethics, I'm what I think of as a "trade-off" person rather than an "optimize" person. In the informal sense, this means that I see conflicting and competing considerations and values all around, and I think the ethical task is often to figure out how to prioritize among various considerations, instead of thinking that the ethical task is to figure out what is good and then bring about as much of that as possible.

If your first thought is "Wait, how are those really different?" then you are right in lock step with what a lot of other people are thinking.


To me, on the face of it they seem very different. For example: when the pandemic led to conditions where not everyone could be treated because there weren't enough resources, ventilators, and so on, one system of decision-making would be to "maximize overall health by directing care toward those most likely to benefit the most from it." For example, give the resources you have to the people most likely to survive, in ways that maximize the additional healthy years they will live. This is an optimizing strategy as it identifies a good -- healthy years of life to come -- and frames choices as maximizing that good.

A problem with this optimizing strategy is that it leads to discriminatory effects. "Health years" of life is usually understood as meaning years of life without a disability, so other things being equal, a person with a disability would be less likely to be treated than a non-disabled person. Because of social injustice and oppression, Black people in the US often have worse health than white people; if they were therefore less likely to have good outcomes, they would be less prioritized for treatment. Poor people are much more likely to have underlying health conditions and thus would be less likely to be treated. 

The "trade-off" perspective, on the other hand, frames the problem as one in which there are a variety of considerations that have to be weighed and balanced. Producing good effects in the sense of future years of life might be one consideration, but fairness and justice would also be a consideration. You might decide to use subjective measures of quality of life in which having a disability does not make a life less good; you might explicitly bring-anti-racism into the picture. You have to come up with a way of proceeding that weighs multiple considerations against one another. It might be complicated, and you might have to use your judgment.

When I have talked about these issues in classes or at conferences, defending a trade-off approach, occasionally someone will say to me: "If you frame it properly, everything is an optimization problem." I take it they mean something like this: while maximizing healthy years is one way of optimizing, it is not the only way; whatever value you think is good you can run a maximizing strategy on it. For instance, if you think future years of life, fairness, justice and equality are all important, you can create some concept like "overall goodness" that incorporates all of these. Then you can just maximize that. So there isn't really any difference; trading-off is not a separate and different kind of thing; it's more just what you're trying to maximize.

In harmony with this idea, there is a technical result that any set of ethical judgements can be "consequentialized" -- that is, expressed as the result of an optimizing procedure.

So if you were thinking, "Wait, how are those really different?" the answer is that in some deep conceptual sense, maybe they are not really different.

OK. But then I think: what about the other senses -- the ones that are not the deep conceptual senses? Even if you *can* frame your approach in optimizing terms-- should you?

I think the answer to this question is often "No." The details are tricky and probably boring for most people, but here is a short version:

1) Both methods require moral judgment, in the sense of figuring out what is important and how important it is, but "optimizing" has a veneer of objectivity to it, like we're just number-crunching. News flash: we're never just number-crunching. Talking about "trade-offs" reminds us constantly that we're using our human judgment and our values to figure out what to do.

2) "Trade-off" reminds you immediately that no matter what you do, you may have lost something, so that even if you get the right balance something bad happened. The language of "optimizing," however, has unsettling connotation of "everything is all for the best." If you have to prioritize one person over another, and you make a good decision, but the other person dies, do you really want to say "well, that was optimal"? In fact, noticing that it wasn't optimal may prompt you to think or plan differently in the future -- e. g., trying to prevent people from getting sick in the first place.  

3) "Optimization" lends itself to methodologies where the inputs are easily measurable. Yes, you can optimize for things like justice and fairness and anti-oppression, in the sense that you can come to a judgment about what to do that honors those values in the way you think best in the circumstances. But, especially given 1), once you're in the optimization frame of mind, it's natural to start thinking that you're going to be more objective, precise, and accurate if you have numbers to put in -- something like, I don't know, estimates of "healthy future years lived." When those don't reflect the values you wanted to use, you'll end up coming to the wrong answer.

The pandemic and our responses to it are full of massively complex challenging questions: How should we balance protecting our health with the losses that come from lockdowns? How should we express our valuing of children's schooling with protecting everyone from harm? How far should we go in trying to eliminate COVID as opposed to just flattening the curve?

These questions have no easy answers and that's one reason we're all in dismay and disagreement about them. Talk of optimizing, even if conceptually sound, makes it seem like some of us are right and some of us are stupid, and makes us want to invest in computer science. Talk of trade-offs reminds us: honoring multiple values in complex circumstances is difficult and fraught, and it's values all the way down. 

Monday, June 15, 2020

Science, Judgment, And Authority In The Time Of Pandemic

The Coronavirus moment is reminding us all of the problems with the way we normally do things. Some of these problems have to do with the place of science in our practices, the way we talk to one another, and why we do what we do. These are just a few items that I have found extra personally irritating.

Masks of confusion
I know a lot of people are irritated by the way that we were told not to wear masks, because they were pointless and we'd all fuck it up and wear them wrong and cause mayhem, only to learn later that wearing masks actually works. And sure, I can spare a thought for that annoyance.

But for me, this been massively eclipsed by my feelings about the bizarre communication style about masks right now. Almost everything I read says something like "Here's what to do about masks" or "Here's where masks are mandatory" or "Here is the updated health policy on masks -- without explaining the reason people are being asked to wear masks.

Every public communication about masks should include a basic explanation that the use of basic non-fancy masks works because it prevents asymptomatic infected people from spreading the disease around. People do not know whether they are asymptomatic. So if they're going to be near people, they should wear a mask. Sure, it might help you avoid infection yourself, but that is not the main point.

There still seems to be massive basic confusion about this. I keep seeing people in comment sections saying how it's their choice how much they want to protect themselves, or that they're personally not worried about getting sick, or that only infected people should have to wear masks. Are health communicators being deliberately obscure about the collective responsibility angle, because they think people will assume it's self-interest and thus follow the rules? Are they leaving out the explanation because they think people will just follow the rule? Bad news for you, guys.

"Listen to the science"
This one is trickier, because of course, yes, I think we should base our decisions on the best scientific information that we have. But science alone tells you almost nothing about what to do in a pandemic, because everything you do is going to have complex ripple effects and you have to trade those off against one another. BCE (before Coronavirus era), I used to constantly bore people talking about how many people die every year from car crashes -- in 2016 alone, around 1.35 worldwide and over 37,000 in the US. But no one ever seriously suggests giving up driving.

Please note that I am not saying that the virus is comparable to driving! Clearly, it is much more dangerous. The point is just that structurally, we're always making collective and personal judgments about how much risk is OK for the things we want to do. One thing that's challenging in the Coronavirus case is that different people have different risk tolerance, and yet in the nature of a pandemic, we have to act together. That is a very difficult situation, but it's also one that isn't helped by saying "listen to the science."

Amateur epidemiologists around every corner

These fall into two categories: the data watchers and the microbiology obsessives. The data watchers are checking out the Johns Hopkins site to follow the numbers and see whether their preferred policy response is working and whether countries with leaders they hate are suffering. I'm guilty of this myself, relying on this cool visualization site to compare stats, form hypotheses, and rationalize my existing prejudices. As this Guardian article reminds us, though, there are lies, damned lies, and statistics: massive variation in how cases are counted, and when they are counted, and what counts as "dying from Coronavirus" means it will be years before we have any clear picture of what is happening.

Then there are the people who keep up to date on things like what size of particle travels by aerosol transmission. Whatever floats your boat, I guess -- but, as with most science, a few papers you download from a preprint server is probably not enough for a non-expert to make an informed opinion.

While these are my personal irritations, I will say one thing they have in common is that science, while crucial, is never the whole story: the world still needs judgment, communication, shared deliberation, and all those murky things you find over in the Arts and Humanities departments. So please, please don't destroy us and leave everything to the STEM people.

Sunday, April 26, 2020

Coronavirus, Capitalism, and the Ones Who Walk Away from Omelas

Content warning: this post gets a little dark by moments, so if you're not in the right frame of mind, maybe read it later, or don't read it at all.

The pandemic crisis is prompting a lot of reflection about the dysfunctions of a capitalist system, which I guess is a good thing, though I'm pessimistic about much in the way of positive change. The richer classes are finally like -- "wait -- my food and well-being depends on these people! Are they OK? What if something happens to them?!"

Often when I think about the dysfunction of capitalism, I think about the short story "The Ones Who Walk Away From Omelas," by Ursula Le Guin. The story describes a beautiful well-functioning town in which almost everyone is well and happy, but in which all the good things depend on the utter misery of one small child -- a child who is forever locked in small basement room in squalid conditions and constant suffering.

People talk about the various justifications and injustices of capitalism in many ways, but one common one has to do with overall prosperity: more wealth is created by capitalism than in alternative systems, it is argued, and this wealth improves people's lives. Here the details get a little fuzzy, about whether that wealth has to improve everyone's lives or what exactly.

From a practical point of view, I think it's fair to say that if actual contemporary western capitalism creates wealth, it is doing so in a system that relies on horrible and exploitative conditions for many. It's never been a secret that agricultural workers, people who work elsewhere in the food supply chain, cleaners, gig economy workers, and others work long, long hours in sometimes brutal conditions for little pay -- often working multiple jobs. One of the wake-up calls of the pandemic has been that carers in nursing homes are working multiple jobs at various homes, just to make ends meet, thus increasing the likely spread of disease. And we've written on this blog of the way that modern electronics production relies on getting minerals in exploitative and violent conditions.

How the denizens of modern capitalism frame their faith in overall prosperity with the existence of this suffering and violation of rights has always interested me. The situation is obviously complex, but I think one possibility has to do with the ways that various values create small shifting zones of coherence and acceptability. Inside these little zones things seem to work OK, which makes us forget that things are really not OK at a deeper level.

For example, with respect to the social contract in modern capitalism, I expect that many people who believe in the importance of prosperity/overall GDP/economic growth also endorse some informal version of the following: those who work hard at a full-time job should be able to support themselves or maybe even a family; those at the bottom of the socio-economic ladder should be able to improve their situation with care and hard work; wages should reflect a fair wage for the work involved. Put more abstractly: people care not only about prosperity but also about fairness, equality, and expressions of mutual respect.

One thing that happens in everyday capitalism, I think, is that in certain small zones and in the experience of certain people, the system seems to make these values come together. If your parent came to the US from a life of poverty in Europe in the early 20th century and worked hard to send you to good schools, and you prospered from the contingencies of the 1950s to rise up to the middle-class, then from one perspective it looks like it all comes together: the society's prosperity goes along with the opportunities that the individual takes advantage of; rewards follow.

As is often discussed, this little zone of coherence is just that -- a little zone. For many people, it doesn't work this way at all. They work harder and harder and wages drop; ill health brings catastrophe despite best efforts; racism and discrimination radically diminish options and possibilities.

In this sense, the middle class and those who are even more well-off are somewhat like the denizens of Omelas: we're in a good situation made possible by someone else's horrible situation. Some defenders of capitalism are even kind of explicit about it, arguing against universal basic income on grounds that poor people will then be less motivated to do the crappy jobs that society needs someone to do.

When I talk about capitalism being morally dysfunctional in this way, sometimes my interlocutors are shocked, and they point out to me the horrors of alternative systems. But I think the one doesn't exclude the other. Even if capitalism is the best system out there, it can still be radically unethical. Sometimes in life you have no good options. And even if it is the case that other systems are worse -- then it's even more important for us to talk about the wrongnesses of our system so we can at least try to mitigate them or something.

In the Le Guin story, the residents all learn about the existence of the child in misery during their adolescence, and some go to see the child in person. Most weep and rage but realize they can't do anything about it and go back to normal life. Others, though, do not go back to normal life. What they do is walk away. Le Guin says, "The place they go towards is a place even less imaginable to most of us than the city of happiness. I cannot describe it at all. It is possible that it does not exist. But they seem to know where they are going, the ones who walk away from Omelas."

Like Le Guin, I can't imagine what it would mean to walk away from modern capitalism. In most basic literal terms, an alternative physical space would either be engaging in more capitalism, by buying up land, or infringing on the rights of other people whose land it is. In my darker moments, I fear that to walk away from Omelas would require ending my existence altogether.

But I try to remind myself: we're not in a fictional story land where the fates have decreed that our well-being and our failings are locked together forever, with our happiness inherently resting on others' suffering. We're in the real world, where things are complicated and confusing and can often be changed.

As the pandemic forces people to confront the situation of essential and vulnerable workers, let's remember that there are a lot of people for whom capitalism leads not to opportunity but to misery. Let's keep in mind that caring about overall economic growth and prosperity means facing up to this fact rather than getting to ignore it.

I fear that keeping these things in mind is going to get harder and not easier in the near future, as economies contract, business close, and times get tough. But we have to do it -- because unlike the people in the story, we don't have the option of walking away.