Habermas and the Garants : Narrowing the gap between policy and practice in French organisation – citizen engagement

Curated on Posted on by Stefaan Verhulst
New paper by Judy Burnside-Lawry, Carolyne Lee and Sandrine Rui: “This article draws on a case study of organisation–citizen engagement during railway infrastructure planning in southwest France, to examine the nature of participatory democracy, both conceptually —as elucidated by Habermas and others— and empirically, as recently practised within the framework of a model established in one democratically governed country.
We analyse roles played by the state organisation responsible for building railway infrastructure; the National Commission for Public Debate; and the Garants, who oversee and facilitate the participatory process as laid down by the French law of Public Debate. We conclude by arguing that despite its normative aspects and its lack of provision for analysis of power relations, Habermas’s theory of communicative action can be used to evaluate the quality of organisation –citizen engagement, potentially providing a basis for informing actual models of democratic participation.”

Selected Readings on Behavioral Economics: Nudges

Curated on Posted on by Andrew Young

The Living Library’s Selected Readings series seeks to build a knowledge base on innovative approaches for improving the effectiveness and legitimacy of governance. This curated and annotated collection of recommended works on the topic of behavioral economics was originally published in 2014.

The 2008 publication of Richard Thaler and Cass Sunstein’s Nudge ushered in a new era of behavioral economics, and since then, policy makers in the United States and elsewhere have been applying behavioral economics to the field of public policy. Like Smart Disclosure, behavioral economics can be used in the public sector to improve the decisionmaking ability of citizens without relying on regulatory interventions. In the six years since Nudge was published, the United Kingdom has created the Behavioural Insights Team (also known as the Nudge Unit), a cross-ministerial organization that uses behavioral economics to inform public policy, and the White House has recently followed suit by convening a team of behavioral economists to create a behavioral insights-driven team in the United States. Policymakers have been using behavioral insights to design more effective interventions in the fields of long term unemployment; roadway safety; enrollment in retirement plans; and increasing enrollment in organ donation registries, to name some noteworthy examples. The literature of this nascent field provides a look at the growing optimism in the potential of applying behavioral insights in the public sector to improve people’s lives.

Selected Reading List (in alphabetical order)

  • John Beshears, James Choi, David Laibson and Brigitte C. Madrian – The Importance of Default Options for Retirement Savings Outcomes: Evidence from the United States – a paper examining the role default options play in encouraging intelligent retirement savings decisionmaking.
  • Cabinet Office and Behavioural Insights Team, United Kingdom – Applying Behavioural Insights to Health – a paper outlining some examples of behavioral economics being applied to the healthcare landscape using cost-efficient interventions.
  • Matthew Darling, Saugato Datta and Sendhil Mullainathan – The Nature of the BEast: What Behavioral Economics Is Not – a paper discussing why control and behavioral economics are not as closely aligned as some think, reiterating the fact that the field is politically agnostic.
  • Antoinette Schoar and Saugato Datta – The Power of Heuristics – a paper exploring the concept of “heuristics,” or rules of thumb, which can provide helpful guidelines for pushing people toward making “reasonably good” decisions without a full understanding of the complexity of a situation.
  • Richard H. Thaler and Cass R. Sunstein – Nudge: Improving Decisions About Health, Wealth, and Happiness – an influential book describing the many ways in which the principles of behavioral economics can be and have been used to influence choices and behavior through the development of new “choice architectures.” 
  • U.K. Parliament Science and Technology Committee – Behaviour Change – an exploration of the government’s attempts to influence the behaviour of its citizens through nudges, with a focus on comparing the effectiveness of nudges to that of regulatory interventions.

Annotated Selected Reading List (in alphabetical order)

Beshears, John, James Choi, David Laibson and Brigitte C. Madrian. “The Importance of Default Options for Retirement Savings Outcomes: Evidence from the United States.” In Jeffrey R. Brown, Jeffrey B. Liebman and David A. Wise, editors, Social Security Policy in a Changing Environment, Cambridge: National Bureau of Economic Research, 2009. http://bit.ly/LFmC5s.

  • This paper examines the role default options play in pushing people toward making intelligent decisions regarding long-term savings and retirement planning.
  • Importantly, the authors provide evidence that a strategically oriented default setting from the outset is likely not enough to fully nudge people toward the best possible decisions in retirement savings. They find that the default settings in every major dimension of the savings process (from deciding whether to participate in a 401(k) to how to withdraw money at retirement) have real and distinct effects on behavior.

Cabinet Office and Behavioural Insights Team, United Kingdom. “Applying Behavioural Insights to Health.” December 2010. http://bit.ly/1eFP16J.

  • In this report, the United Kingdom’s Behavioural Insights Team does not attempt to “suggest that behaviour change techniques are the silver bullet that can solve every problem.” Rather, they explore a variety of examples where local authorities, charities, government and the private-sector are using behavioural interventions to encourage healthier behaviors.  
  • The report features case studies regarding behavioral insights ability to affect the following public health issues:
    • Smoking
    • Organ donation
    • Teenage pregnancy
    • Alcohol
    • Diet and weight
    • Diabetes
    • Food hygiene
    • Physical activity
    • Social care
  • The report concludes with a call for more experimentation and knowledge gathering to determine when, where and how behavioural interventions can be most effective in helping the public become healthier.

Darling, Matthew, Saugato Datta and Sendhil Mullainathan. “The Nature of the BEast: What Behavioral Economics Is Not.” The Center for Global Development. October 2013. https://bit.ly/2QytRmf.

  • In this paper, Darling, Datta and Mullainathan outline the three most pervasive myths that abound within the literature about behavioral economics:
    • First, they dispel the relationship between control and behavioral economics.  Although tools used within behavioral economics can convince people to make certain choices, the goal is to nudge people to make the choices they want to make. For example, studies find that when retirement savings plans change the default to opt-in rather than opt-out, more workers set up 401K plans. This is an example of a nudge that guides people to make a choice that they already intend to make.
    • Second, they reiterate that the field is politically agnostic. Both liberals and conservatives have adopted behavioral economics and its approach is neither liberal nor conservative. President Obama embraces behavioral economics but the United Kingdom’s conservative party does, too.
    • And thirdly, the article highlights that irrationality actually has little to do with behavioral economics. Context is an important consideration when one considers what behavior is rational and what behavior is not. Rather than use the term “irrational” to describe human beings, the authors assert that humans are “infinitely complex” and behavior that is often considered irrational is entirely situational.

Schoar, Antoinette and Saugato Datta. “The Power of Heuristics.” Ideas42. January 2014. https://bit.ly/2UDC5YK.

  • This paper explores the notion that being presented with a bevy of options can be desirable in many situations, but when making an intelligent decision requires a high-level understanding of the nuances of vastly different financial aid packages, for example, options can overwhelm. Heuristics (rules of thumb) provide helpful guidelines that “enable people to make ‘reasonably good’ decisions without needing to understand all the complex nuances of the situation.”
  • The underlying goal heuristics in the policy space involves giving people the type of “rules of thumb” that enable make good decisionmaking regarding complex topics such as finance, healthcare and education. The authors point to the benefit of asking individuals to remember smaller pieces of knowledge by referencing a series of studies conducted by psychologists Beatty and Kahneman that showed people were better able to remember long strings of numbers when they were broken into smaller segments.
  • Schoar and Datta recommend these four rules when implementing heuristics:
    • Use heuristics where possible, particularly in complex situation;
    • Leverage new technology (such as text messages and Internet-based tools) to implement heuristics.
    • Determine where heuristics can be used in adult training programs and replace in-depth training programs with heuristics where possible; and
    • Consider how to apply heuristics in situations where the exception is the rule. The authors point to the example of savings and credit card debt. In most instances, saving a portion of one’s income is a good rule of thumb. However, when one has high credit card debt, paying off debt could be preferable to building one’s savings.

Thaler, Richard H. and Cass R. Sunstein. Nudge: Improving Decisions About Health, Wealth, and Happiness. Yale University Press, 2008. https://bit.ly/2kNXroe.

  • This book, likely the single piece of scholarship most responsible for bringing the concept of nudges into the public consciousness, explores how a strategic “choice architecture” can help people make the best decisions.
  • Thaler and Sunstein, while advocating for the wider and more targeted use of nudges to help improve people’s lives without resorting to overly paternal regulation, look to five common nudges for lessons and inspiration:
    • The design of menus gets you to eat (and spend) more;
    • “Flies” in urinals improve, well, aim;
    • Credit card minimum payments affect repayment schedules;
    • Automatic savings programs increase savings rate; and
    • “Defaults” can improve rates of organ donation.
  • In the simplest terms, the authors propose the wider deployment of choice architectures that follow “the golden rule of libertarian paternalism: offer nudges that are most likely to help and least likely to inflict harm.”

U.K. Parliament Science and Technology Committee. “Behaviour Change.” July 2011. http://bit.ly/1cbYv5j.

  • This report from the U.K.’s Science and Technology Committee explores the government’s attempts to influence the behavior of its citizens through nudges, with a focus on comparing the effectiveness of nudges to that of regulatory interventions.
  • The author’s central conclusion is that, “non-regulatory measures used in isolation, including ‘nudges,’ are less likely to be effective. Effective policies often use a range of interventions.”
  • The report’s other major findings and recommendations are:
    • Government must invest in gathering more evidence about what measures work to influence population behaviour change;
    • They should appoint an independent Chief Social Scientist to provide them with robust and independent scientific advice;
    • The Government should take steps to implement a traffic light system of nutritional labelling on all food packaging; and
    • Current voluntary agreements with businesses in relation to public health have major failings. They are not a proportionate response to the scale of the problem of obesity and do not reflect the evidence about what will work to reduce obesity. If effective agreements cannot be reached, or if they show minimal benefit, the Government should pursue regulation.”

Unbundling the nation state

Curated on Posted on by Stefaan Verhulst

The Economist on Government-to-government trade: “NIGERIAN pineapple for breakfast, Peruvian quinoa for lunch and Japanese sushi for dinner. Two centuries ago, when David Ricardo advocated specialisation and free trade, the notion that international exchange in goods and services could make such a cosmopolitan diet commonplace would have seemed fanciful.
Today another scenario may appear equally unlikely: a Norwegian government agency managing Algeria’s sovereign-wealth fund; German police overseeing security in the streets of Mumbai; and Dubai playing the role of the courthouse of the Middle East. Yet such outlandish possibilities are more than likely if a new development fulfils its promise. Ever more governments are trading with each other, from advising lawmakers to managing entire services. They are following businesses, which have long outsourced much of what they do. Is this the dawn of the government-to-government era?
Such “G2G” trade is not new, though the name may be. After the Ottoman empire defaulted on its debt in 1875 foreign lenders set up an “Ottoman Public Debt Administration”, its governing council packed with European government officials. At its peak it had 9,000 employees, more than the empire’s finance ministry. And the legacy of enforced G2G trade—colonialism, as it was known—is still visible even today. Britain’s Privy Council is the highest court of appeal for many Commonwealth countries. France provides a monetary-policy service to several west African nations by managing their currency, the CFA franc.
One reason G2G trade is growing is that it is a natural extension of the trend for governments to pinch policies from each other. “Policymaking now routinely occurs in comparative terms,” says Jamie Peck of the University of British Columbia, who refers to G2G advice as “fast policy”. Since the late 1990s Mexico’s pioneering policy to make cash benefits for poor families conditional on things like getting children vaccinated and sending them to school has been copied by almost 50 other countries….Budget cuts can provide another impetus for G2G trade. The Dutch army recently sold its Leopard II tanks and now sends tank crews to train with German forces. That way it will be able to reform its tank squadrons quickly if they are needed. Britain, with a ten-year gap between scrapping old aircraft-carriers and buying new ones, has sent pilots to train with the American marines on the F-35B, which will fly from both American and British carriers.
…
No one knows the size of the G2G market. Governments rarely publicise deals, not least because they fear looking weak. And there are formidable barriers to trade. The biggest is the “Westphalian” view of sovereignty, says Stephen Krasner of Stanford University: that states should run their own affairs without foreign interference. In 2004 Papua New Guinea’s parliament passed a RAMSI-like delegation agreement, but local elites opposed it and courts eventually declared it unconstitutional. Honduras attempted to create independent “charter cities”, a concept developed by Paul Romer of New York University (NYU), whose citizens would have had the right of appeal to the supreme court of Mauritius. But in 2012 this scheme, too, was deemed unconstitutional.
Critics fret about accountability and democratic legitimacy. The 2005 Paris Declaration on Aid Effectiveness, endorsed by governments and aid agencies, made much of the need for developing countries to design their own development strategies. And providers open themselves to reputational risk. British police, for instance, have trained Bahraini ones. A heavy-handed crackdown by local forces during the Arab spring reflected badly on their foreign teachers…
When San Francisco decided to install wireless control systems for its streetlights, it posted a “call for solutions” on Citymart, an online marketplace for municipal projects. In 2012 it found a Swiss firm, Paradox Engineering, which had built such systems for local cities. But though members often share ideas, says Sascha Haselmayer, Citymart’s founder, most still decide to implement their chosen policies themselves.
Weak government services are the main reason poor countries fail to catch up with rich ones, says Mr Romer. One response is for people in poorly run places to move to well governed ones. Better would be to bring efficient government services to them. In a recent paper with Brandon Fuller, also of NYU, Mr Romer argues that either response would bring more benefits than further lowering the barriers to trade in privately provided goods and services. Firms have long outsourced activities, even core ones, to others that do them better. It is time governments followed suit.”

From Crowds to Collaborators: Initiating Effort and Catalyzing Interactions Among Online Creative Workers

Curated on Posted on by Stefaan Verhulst

Harvard Business School Paper by Kevin J. Boudreau, Patrick Gaule, Karim R. Lakhani, Christoph Riedl, and Anita Williams Woolley: “Online “organizations” are becoming a major engine for knowledge development in a variety of domains such as Wikipedia and open source software development. Many online platforms involve collaboration and coordination among members to reach common goals. In this sense, they are collaborative communities. This paper asks: What factors most inspire online teams to begin to collaborate and to do so creatively and effectively? The authors analyze a data set of 260 individuals randomly assigned to 52 teams tasked with developing working solutions to a complex innovation problem over 10 days, with varying cash incentives. Findings showed that although cash incentives stimulated a significant boost of effort per se, cash incentives did not transform the nature of the work process or affect the level of collaboration. In addition, at a basic yet striking level, the likelihood that an individual chooses to participate depended on whether teammates were themselves active. Moreover, communications among teammates led to more communications, and communications among teammates also stimulated greater continuous levels of effort. Overall, the study sheds light on how perspectives on incentives, predominant in economics, and perspectives on social processes and interactions, predominant in research on organizational behavior and teams, can be better understood. Key concepts include:

  • An individual’s likelihood of being active in online collaboration increases by about 41 percent with each additional active teammate.
  • Management could provide communications channels to make the efforts of other members more visible. This is important in the design of systems for online work as it helps members to confirm that others are actively contributing.

Full Working Paper Text”
 

Nudging News Producers and Consumers Toward More Thoughtful, Less Polarized Discourse

Curated on Posted on by Stefaan Verhulst
New paper by Darrel West and Beth Stone from Brookings: “At a time of extraordinary domestic and international policy challenges, Americans need high-quality news.  Readers and viewers must decipher the policy options that the country faces and the manner in which various decisions affect them personally.  It often is not readily apparent how to assess complicated policy choices and what the best steps are for moving forward.

Having poor quality news coverage is especially problematic when the political process is sharply polarized.  As has been documented by political scientists Tom Mann and Norman Ornstein, the United States has a Congress today where the most conservative Democrat is to the left of the most moderate Republican. [1]  There are many reasons for this spike in polarization, but there is little doubt that the news media amplify and exacerbate social and political divisions.
Too often, journalists follow a “Noah’s Ark” approach to coverage in which a strong liberal is paired with a vocal conservative in an ideological food fight.  The result is polarization of discourse and “false equivalence” in reporting. This lack of nuanced analysis confuses viewers and makes it difficult for them to sort out the contrasting facts and opinions.  People get the sense that there are only two policy options and that there are few gradations or complexities in the positions that are reported.
In this paper, West and Stone review challenges facing the news media in an age of political polarization.  This includes hyper-competitiveness in news coverage, a dramatic decline in local journalism and resulting nationalization of the news, and the personalization of coverage.  After discussing these problems and how they harm current reporting, they present several ideas for nudging news producers and consumers towards more thoughtful and less polarizing responses.”

Mind the Map: The Impact of Culture and Economic Affluence on Crowd-Mapping Behaviours

Curated on Posted on by Stefaan Verhulst
New paper by Dr. Licia Capra: “Crowd-mapping is a form of collaborative work that empowers citizens to collect and share geographic knowledge. Open-StreetMap (OSM) is a successful example of such paradigm, where the goal of building and maintaining an accurate global map of the changing world is being accomplished by means of local contributions made by over 1.2M citizens. While OSM has been subject to many country-specific studies, the relationship between national culture and economic affluence and users’ participation has been so far unexplored. In this work, we systematically study the link between them: we characterise OSM users in terms of who they are, how they contribute, during what period of time, and across what geographic areas. We find strong correlations between these characteristics and national culture factors (e.g., power distance, individualism, pace of life, self expression), and well as Gross Domestic Product per capita. Based on these findings, we discuss design issues that developers of crowd-mapping services should consider to account for cross-cultural differences”

Managing Innovation in a Crowd

Curated on Posted on by Stefaan Verhulst

New paper by Acemoglu, Daron and Mostagir, Mohamed and Ozdaglar, Asuman E.: “Crowdsourcing is an emerging technology where innovation and production are sourced out to the public through an open call. At the center of crowdsourcing is a resource allocation problem: there is an abundance of workers but a scarcity of high skills, and an easy task assigned to a high-skill worker is a waste of resources. This problem is complicated by the fact that the exact difficulties of innovation tasks may not be known in advance, so tasks that require high-skill labor cannot be identified and allocated ahead of time. We show that the solution to this problem takes the form of a skill hierarchy, where tasks are first attempted by low-skill labor, and high skill workers only engage with a task if less skilled workers are unable to finish it. This hierarchy can be constructed and implemented in a decentralized manner even though neither the difficulties of the tasks nor the skills of the candidate workers are known. We provide a dynamic pricing mechanism that achieves this implementation by inducing workers to self-select into different layers. The mechanism is simple: each time a task is attempted and not finished, its price (reward upon completion) goes up.”

Building Transparency Momentum

Curated on Posted on by Stefaan Verhulst

Aspen Baker in the Stanford Social Innovation Review: “Even engaged citizens in Oakland, Calif., didn’t know the city had a Public Ethics Commission, let alone what its purpose was, when I joined its ranks three years ago. And people who did know about it didn’t have many nice things to say: Local blogs sneered at its lack of power and few politicians feared its oversight. Created in 1996 as a watchdog organization responsible for opening up city government, the commission had become just another element of Oakland’s cumbersome, opaque bureaucracy.
It’s easy to see why. Technology and media have dramatically changed our expectations for what defines transparency and accountability. For example, in the past, walking into City Hall, making an official request for a public record, and receiving it in the mail within two weeks meant good, open government. Now, if an Internet search doesn’t instantly turn up an answer to your question about local government, the assumption often is: Government’s hiding something.
This is rarely the case. Consider that Oakland has more than 40,000 boxes full of paper documents housed in locations throughout the city, not to mention hundreds of thousands of email messages generated each year. Records management is a serious—and legal—issue, and it’s fallen way behind the times. In an age when local municipalities are financially stretched more than ever before (38 US cities have declared bankruptcy since 2010), the ability of cities to invest in the technology, systems, and staff—and to facilitate the culture change that cities often need—is a real, major challenge.
Yet, for the innovators, activists, and leaders within and outside city government, this difficult moment is also one of significant opportunity for change; and many are seizing it.
Last month, the Transparency Project of the Public Ethics Commission—a subcommittee that I initiated and have led as chair for the last year—released a report detailing just how far Oakland has come and how far we have to go to create a culture of innovation, accountability, and transparency throughout all levels of the city.

Collaboration Is Critical

What comes through the report loud and clear is the important role that collaboration between city staff, the community, nonprofits, and others played in shifting expectations and establishing new standards—including the momentum generated by the volunteer-led “City Camps,” a gathering of citizens, city government, and businesses to work on open government issues, and the recent launch of RecordTrac, an online public records request tracking system built by Code for America Fellows that departments throughout the city have successfully adopted. RecordTrac makes information available to everyone, not just the person who requested it.

Ideas and Experiments Matter

Innovators didn’t let financial circumstances get in the way of thinking about what even a cash-strapped, problem-plagued city like Oakland could do to meet the new expectations of its citizens to find information quickly and easily online. The commission’s executive director Whitney Barazoto, along with her collaborators, didn’t think “small and practical”; they chose “big and futuristic” instead. Most importantly, they sought to experiment with new ways of spreading ideas and engaging the public in discussions—far beyond the standard (and often ineffective) “three minutes at the mic” practice at public meetings….
The “Toward Collective Transparency” report details the history of the innovative efforts to increase transparency within the City of Oakland and offers a number of recommendations for what’s next. The most defining feature of this report is its acknowledgment of the significant cultural changes that are taking place within the city, and around the country, in the way we think about the role of government, citizens, and the type of engagement and collaboration that can—and should—exist between the two.
It’s easy to get caught up in what’s gone wrong, but our subcommittee made a choice early on not to get buried in the past. We capitalized on our commission’s strengths rather than our weaknesses, leaving “deficit thinking” behind so that we could think creatively about what the commission and city were uniquely positioned to do.

Why does all this matter?

Last year, John Bridgeland and Peter Orszag, former officials in the administrations of President Obama and President George W. Bush, wrote an article in The Atlantic titled, “Can Government Play Moneyball?” They pointed out the need to measure the impact of government spending using the evidence-based statistical approach that the Oakland A’s own manager, Billy Beane, made famous. They argued that the same kind of scarcity Billy faced building a competitive baseball team is not unlike the scarcity that the federal government is facing, and they hope it will help government break some of its own traditions. Governments at all levels—city, county, state and federal—are all facing revenue challenges, but we can’t let that stop progress and change.
It takes a lot more than data and technology to improve the way government operates and engages with its citizens; it demands vision and leadership. We need innovators who can break traditions and make the future come alive through collaboration, ideas, and experiments.”

How Open Data Are Turned into Services?

Curated on Posted on by Stefaan Verhulst

New Paper by Muriel Foulonneau, Sébastien Martin, Slim Turki: “The Open Data movement has mainly been a data provision movement. The release of Open Data is usually motivated by (i) government transparency (citizen access to government data), (ii) the development of services by third parties for the benefit for citizens and companies (typically smart city approach), or (iii) the development of new services that stimulate the economy. The success of the Open Data movement and its return on investment should therefore be assessed among other criteria by the number and impact of the services created based on those data. In this paper, we study the development of services based on open data and means to make the data opening process more effective.”

The Rise of the Reluctant Innovator

Curated on Posted on by Stefaan Verhulst

New book by Ken Banks: “Despite the tens of billions spent each year in international aid, some of the most promising and exciting social innovations and businesses have come about by chance. Many of the people behind them didn’t consciously set out to solve anything, but they did. Welcome to the world of the ‘reluctant innovator’…

This book provides a welcome challenge to conventional wisdom in social entrepreneurship. It highlights the personal stories of ten social innovators from around the world. Ten social innovators – ordinary people – who randomly stumbled across problems, injustices and wrongs and, armed with little more than determination and belief, decided not to turn their backs but to dedicate their lives to solving them. Here are their stories….

Watching yet another Spanish movie in his friend’s apartment to avoid writing up his doctoral dissertation, Brij Kothari makes a throwaway comment about subtitles, which plants the seed of an idea and spawns a literacy initiative that has had, in Bill Clinton’s words, “a staggering impact on people’s lives”.
Worried about the political turmoil in Kenya, and concerned at the lack of information that is forthcoming from his adoptive country, Erik Hersman mobilises his own five-strong army to conceive, create and launch a web-based facility that revolutionises how breaking news is disseminated worldwide.
Parachuted into the middle of sub-Saharan Africa with a brief to collect public health data, and confronted with a laborious, environmentally wasteful paper-based system, paediatrician Joel Selanikio finds the perfect outlet for the skills he acquired as a Wall Street computer consultant.
Intending to ground himself in the realities of global health during his internship in rural Malawi, Josh Nesbit discovers that it is hard to sit on the sidelines and soon finds himself proposing a solution to overcome the difficulty of connecting patients, community health workers and hospitals.
After watching local doctors and midwives struggle to treat critically ill pregnant women in near-total darkness on a Nigerian maternity ward, where an untimely power cut can mean the difference between life and death, obstetrician Laura Stachel delivers a solar-based solution that enhances survival prospects.
Observing how well the autistic son of a close friend responds to the therapeutic effects of a Chinese massage technique that she has advocated using, Louisa Silva is convinced that the treatment has the potential to benefit thousands of others, but she needs to prove it.
Haunted by the memory of being separated from her older sister during a childhood spent in foster care, and horrified that other siblings are continuing to suffer the same fate, Lynn Price resolves to devise a way to bring such people back together.
An unexpected conversation over dinner leads Priti Radhakrishnan to build an innovative new organisation with a mission to fight for the rights of people denied access to life saving medicines.
Until a visit to the dermatologist turns her world upside down, Sharon Terry has never heard of pseudanthoma elasticum (PXE), but when she discovers that research into the disease afflicting her children is hidebound by scientific protocol, she sets about changing the system with characteristic zeal.
Encounters and conversations with leftover people occupying leftover spaces and using leftover materials, at home and abroad, led architecture professor Wes Janz to view them as urban pioneers, not victims, and teach him a valuable lesson: think small and listen to those at the sharp end.
See http://www.reluctantinnovation.com/”