Reassessing the econometric measurement of inequality and poverty: toward a cost-of-living approach.

The econometric measurement of inequality and poverty in advanced capitalist economies has been preoccupied with aggregate measures of relative deprivation, namely, the Gini Index and a relative poverty rate, both of which are based on economic distances from the population median. Using the case of Hong Kong, this article demonstrates the limitations of relative measures: the Gini Index masks social mobility and the relative poverty line understates actual poverty. This article argues instead for a cost-of-living approach to measure poverty, where the poverty line is defined as the cost of essential goods and services. A cost-of-living approach produces a poverty line of HK$28,815 and attendant poverty rate of 44.47% in 2020, nearly double the poverty line of HK$13,450 and poverty rate of 23.6% according to the conventional relative measure of the poverty line set to 50% of median household income-capturing a shortfall of 551,400 poor households that have been overlooked by relative measures.

Pricing the Priceless Surgery: Professional Expertise and the Marketing of High-Risk Surgery in South Korea.

Through ethnographic fieldwork in cosmetic surgery clinics in Seoul, South Korea in 2018, in this article I investigate how professional clinicians persuade consumers to purchase surgery during consultations. Enamored by the ascendancy of the Korean cultural industry, many non-Koreans are drawn to Korea for the storied, domestic brand of surgery believed to be inextricable from the aesthetic appeal of their idols. Clinical professionals capitalize on this Korean ascendancy by transforming the meanings of surgical success (as symbolic attainment of moral-existential satisfaction) and failure (as deficiency of its symbolic rewards) to trust in their moral authority and expertise.

Guanxi in an age of digitalization: toward assortation and value homophily in new tie-formation.

How do people form personal ties? A consensus holds in sociological and social network scholarship that in-person networks are dominated by status homophily and that guanxi networks rely extensively on balance. This article argues that social networking sites (SNSs) reconceptualize the character of homophily and tie-formation altogether in guanxi networks. Drawing on 50 semi-structured interviews with Hong Kong youth from 2017 to 2020, this article examines how the technical capabilities of SNSs and principles of guanxi culture come together to erode status boundaries, create access to larger networks, and cause spillovers of information and tie strength. As a result, the basis of tie-formation in guanxi networks on SNSs shifts from balance to assortation and status homophily to value homophily. In this transformed calculus of tie-formation, two typologies of values rise to the fore: substantive values that reflect opinions and interests, as well as structural values that reflect networkability.

Why Physician Guidance Matters: A Night of Neuralgia, Meningitis, and WebMD.

During a night of severe pain and weakness, I found several plausible-sounding diagnoses online: occipital neuralgia, nerve damage, and meningitis. The next day, I consulted a physician who did not offer professional guidance; instead the physician suggested tests entirely based on my self-diagnoses. What resulted was an unnecessary array of lengthy and costly testing that did not diagnose the problem. Although my symptoms disappeared on their own, I was left feeling mistrustful of my physician and ultimately stressed and anxious. Against the backdrop of my experience, I highlight the potential harms of Internet-based self-diagnoses and the importance of collaboration and trust in the patient-physician relationship.

Combining Multiple Treatment Comparisons with Personalized Patient Preferences: A Randomized Trial of an Interactive Platform for Statin Treatment Selection.

BACKGROUND: Patients and clinicians are often required to make tradeoffs between the relative benefits and harms of multiple treatment options. Combining network meta-analysis results with user preferences can be useful when choosing among several treatment alternatives. OBJECTIVE: Using cholesterol-lowering statin drugs as a case study, we aimed to determine whether an interactive web-based platform that combines network meta-analysis findings with patient preferences had an effect on the decision-making process in a general population sample. METHOD: This was a pilot parallel randomized controlled trial. We used Amazon's Mechanical Turk to recruit adults residing in the United States. A total of 349 participants were randomly allocated to view either the interactive tool (intervention) or a series of bar charts (control). The primary endpoint was decisional conflict, and secondary endpoints included decision self-efficacy, preparation for decision making, and the overall ranking of statins. RESULTS: A total of 258 participants completed the trial and were included in the analysis. On the primary outcome, participants randomized to the interactive tool had significantly lower levels of decisional conflict than those in the control group (difference, -8.53; 95% confidence interval [CI], -12.96 to -4.11 on a 100-point scale; P = 0.001). They also appeared to have higher levels of preparation for decision making (difference, 4.19; 95% CI, -0.24 to 8.63 on a 100-point scale; P = 0.031). No difference was found for decision self-efficacy, although groups were statistically significantly different in how they ranked different statins. CONCLUSION: The findings of our proof-of-concept evaluation suggest that an interactive web-based tool combining published clinical evidence with individual preferences can reduce decisional conflict and better prepare individuals for decision making.