North Korean Satellite Most Likely Dead, Astronomers Say

The North Korean satellite launched into space last week is out of control and most likely dead, astronomers reported Monday. The apparent failure will not cause the spacecraft to fall quickly back to earth but represents a major setback in Pyongyang’s bid to portray the launching as a patriotic and technological success.

“It’s tumbling and we haven’t picked up any transmissions,” said Jonathan McDowell, a Harvard astronomer who tracks global rocket launchings and space activity. “Those two things are most consistent with the satellite being entirely inactive at this point.”

North Korea’s state-run news media said nothing about the satellite’s dysfunction, focusing instead on the somber one-year anniversary of the death of Kim Jong-il, the longtime leader. As part of the coverage, state television broadcast video footage of his daughter-in-law appeared to confirm that a new member of Pyongyang’s notoriously reclusive Kim dynasty is on its way.

The images showed Ri Sol-ju, the wife of the late Mr. Kim’s son and successor Kim Jong-un, dressed in a dark flowing dress and walking slowly beside her husband inside the Kumsusan Palace of the Sun, the Pyongyang mausoleum where Kim Jong-il and his father, Kim Il-sung, lie in state. Although she was wearing a high-waisted, loose-fit traditional "hanbok" dress, and there was no official mention of pregnancy, South Korean media detected what they considered a visibly swollen belly. The South Korean news agency Yonhap quoted a government source as saying that birth was "imminent."

State media has been describing the satellite launching as a triumphal achievement of the young leader, done in the face of worldwide criticism and United Nations sanctions on the North’s ballistic missile program.

The satellite, said to be about the size of a washing machine, reportedly carries an onboard camera to observe the earth. That mission requires the spacecraft’s orbit to be rock-steady.

Dr. McDowell said the tumbling implies that onboard systems meant to control and stabilize the craft had failed.

He added that radio astronomers had picked up no signals from the satellite and that optical astronomers had observed it brightening and dimming as it slowly tumbled end over end.

“It’s clear that the rocket part of this mission worked very well for the North Koreans,” Dr. McDowell said in an interview. “They ended up in the right orbit. But the preponderance of the evidence suggests that the satellite failed either during the ascent or shortly afterwards.”

The possibility that Ms. Ri might be pregnant emerged in August, when South Korean newspapers, which scrutinize every photo of the reclusive Kim family, found out that a small handbag she was carrying was a Christian Dior, a startling display of the luxury enjoyed by the super-elite, even as its people suffer widespread hunger. The papers also noticed what they called a "belly fat" or a "baby bump." When Ms. Ri suddenly dropped from public view in September, it triggered rumors in Seoul that she was expecting. When she re-appeared in late October after a 50-day hiatus, she was wearing a long yellow coat. Her appearance Monday was the first in 40 days.

In keeping with the Kim dynasty’s tradition of reclusiveness, it is not clear how old Kim Jong-un is.

The South Korean spy agency told lawmakers in July that it believed that Mr. Kim was born in 1984 and married Ms. Ri in 2009. The couple already had a child, it said.

Some analysts speculated that Mr. Kim, who studied in Europe as a teenager, was trying to build a new leadership style by showing up with his wife, whose dresses have reportedly begun setting a fashion trend among the young elite women in Pyongyang.

But recent defectors from the North also reported that Mr. Kim has also intensified control on his people as he tried to consolidate his grip on power. In recent months, many military generals have been fired or demoted.

William J. Broad reported from New York and Choe Sang-hun from Seoul, South Korea.

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Massachusetts fines Morgan Stanley over Facebook research

BOSTON (Reuters) – Morgan Stanley, the lead underwriter for Facebook Inc’s initial public offering, will pay a $ 5 million fine to Massachusetts to settle charges that its bankers improperly influenced its research analysts when the Internet company went public.

Massachusetts’ top securities regulator, William Galvin, charged that Morgan Stanley improperly helped Facebook disclose sensitive financial information selectively, perpetuating what he calls “an unlevel playing field” between Wall Street and Main Street.

Morgan Stanley has been under criticism since the social media company went public in May for having revealed revised earnings and revenue forecasts to select clients on conference calls before the media company’s $ 16 billion initial public offering. A Morgan Stanley spokeswoman did not immediately return a call seeking comment.

Galvin, who has been aggressive in policing how research is distributed on Wall Street ever since investment banks reached a global settlement in 2003, said the bank violated that settlement. He fined Citigroup $ 2 million over similar charges in late October.

Massachusetts says that a senior Morgan Stanley banker helped a Facebook executive release new information and then guided the executive on how to speak with Wall Street analysts about it. The banker, Galvin’s office said, rehearsed with Facebook’s Treasurer and wrote the bulk of the script Facebook’s Treasurer used when calling the research analysts.

The banker “was not allowed to call research analysts himself, so he did everything he could to ensure research analysts received new revenue numbers which they then provided to institutional investors,” Galvin said in a statement.

Retail investors were not given any similar information, Galvin said, saying this case illustrates how institutional investors often have an edge over retail investors.

(Reporting By Svea Herbst-Bayliss with additional reporting by Suzanne Barlyn in New York; Editing by Theodore d’Afflisio)

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Duke moves to No. 1 in AP poll after Indiana loss

Duke is back in a familiar place — No. 1.

The Blue Devils advanced one spot to replace Indiana at the top of The Associated Press' Top 25 on Monday, drawing closer to UCLA's record for most No. 1 rankings.

Indiana (9-1) held the top spot from the preseason poll through the first five weeks of the season. Butler beat the Hoosiers 88-86 in overtime Saturday. The Blue Devils (9-0), who were off last week, received 62 first-place votes from the 65-member national media panel.

It is the 123rd week Duke has been ranked No. 1, 11 weeks behind UCLA. All but 31 weeks of Duke's stay on top have come since the 1991-92 season. The Blue Devils' last time at No. 1 was an 11-week run in 2010-11.

Michigan (11-0), which received the other No. 1 votes, and Syracuse moved up one place each to second and third. They were followed in the top 10 by Arizona, Louisville, Indiana, Ohio State, Florida, Kansas and Illinois.

Butler (8-2), which beat then-No. 9 North Carolina last month in the EA Sports Maui Invitational, moved into the poll at No. 19. This is the Bulldogs' first appearance in the rankings since the first week of 2010-11.

Wichita State (9-1) dropped out from 23rd after losing 69-60 at Tennessee. The Shockers spent two weeks in the rankings.

North Carolina, with 107 weeks, is the only other school ranked No. 1 for at least 100 polls.

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Doctor and Patient: Tackling the Problem of Medical Student Debt

Thursday’s announcement from the University of California, Los Angeles, of a $100 million medical student scholarship fund should inspire all of us to question the fact that medical education in the United States is paid for largely by student debt.

The new merit-based scholarships, established by entertainment executive David Geffen, will cover all educational, living and even some travel expenses for a fifth of next year’s entering medical school class, some 33 students. Mr. Geffen and school officials hope that eventually the school will be able to pay for all medical students and free them from the obligation to take out student loans.

“The cost of a world-class medical education should not deter our future innovators, doctors and scientists from the path they hope to pursue,” Mr. Geffen said in a statement. “I hope in doing this that others will be inspired to do the same.”

The cost Mr. Geffen refers to has skyrocketed over the last 25 years. The median annual tuition, or yearly cost for attending classes, is now more than $32,000 at public medical schools, and more than $50,000 at private institutions. And medical students must also pay for textbooks, equipment, room, board and travel expenses, adding $20,000 to $30,000 to each year’s expenses and pushing the total four-year cost of attending medical school to more than $200,000 at public institutions and close to $300,000 at private schools.

Some medical students commit to military service or to practice in a medically underserved area to reduce costs. But the vast majority end up borrowing money from federal or private loan programs, or from family if they are fortunate enough. The median debt for medical students upon graduation is more than $160,000, with almost a third of students owing more than $200,000. And those figures do not include interest costs over payback periods of 25 to 30 years.

There are several reasons for the runaway costs. One is that the academic medical centers that house medical schools have become increasingly complex and expensive to run, and administrators have relied on tuition hikes to support research and clinical resources that may have only an indirect impact on medical student education.

An equally important contributor to the problem has been our society’s placid acceptance of educational debt as the norm, a prerequisite to becoming a doctor. Obtaining a medical education is like purchasing a house, a car or any other big-ticket item, the thinking goes; going into debt and then paying over time with interest is just the way the world works. And, say many observers, newly minted doctors will earn big salaries, allowing them easily to reimburse their loans.

While it is true that most doctors can pay off their debt over time, those insouciant observers fail to consider how loan burdens can weigh heavily on a young person’s idealism and career decisions.

For example, financial considerations have been shown to be a major deterrent for undergraduate students considering a career in medicine, particularly for students from diverse backgrounds. And even the most committed students who do make it to med school may eschew research or specialties like geriatrics, family medicine and pediatrics in favor of a more lucrative career in dermatology or ophthalmology.

These choices have enormous social repercussions. Despite the well-studied benefits of a diverse physician workforce, more than half of all medical students currently come from families with household incomes in the top quintile of the nation. Even more worrisome, student concerns about debt are exacerbating the nation’s physician shortage. By the end of this decade, we will be short nearly 50,000 primary care physicians and an additional 50,000 doctors of any kind.

Educators and groups like the Association of American Medical Colleges have been trying to address the problem of medical student debt for more than a decade. Some have suggested simply freezing costs or prorating debt according to the earning potential of a student’s chosen area of specialty.

But the most durable solutions thus far seem to be scholarships made possible by philanthropic donations like Mr. Geffen’s. The University of Central Florida’s new medical school, for example, was able to offer its charter class in 2009, consisting of 40 students, a four-year scholarship that covered tuition and living expenses thanks to several gifts. And the Cleveland Clinic Lerner College of Medicine, established with a $100 million gift from philanthropists Al and Norma Lerner, has been able to educate a small cadre of future physician-scientists while granting all of them scholarships to cover tuition costs.

Mr. Geffen’s fund represents the first sustained scholarship to cover all expenses, not just tuition, for a sizable portion of students at a single medical school. Combined with his unrestricted gift of $200 million that led to naming the medical school in his honor a decade ago, Mr. Geffen’s contributions represent the University of California system’s largest donation ever from a single individual.

But the real importance of Mr. Geffen’s donation for the rest of us lies in not its historic largesse, nor its hopeful vision. Rather, it is in the dramatic impact one individual can make when he makes medical education a priority, and the inevitable question such a gesture raises: Why has our society been so slow to do the same?

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Is Google Abusing Its Market Power? Former Legal Allies Disagree

Left: Saul Loeb/Agence France-Presse — Getty Images; Right: Peter DaSilva for The New York Times

Susan Creighton is now in Google's corner while Gary Reback represents several companies that  have complained to the government about Google.

In the digital economy, 14 years is an eternity. Fast-shifting technology means that companies, once feared and seemingly invincible, fade, while new powers rise to dominance, raising fresh sets of concerns.

Exhibit A: In the spring of 1998, the federal government and 20 states filed a landmark antitrust suit against Microsoft. A few months later, Google was founded.

Now Google is the subject of major antitrust investigations in the United States and Europe.  In the United States, regulators are expected to announce a decision within days to sue or settle, and under what terms. The European decision will come soon as well.

Much has changed over the years, but two lawyers who helped build the case against Microsoft are playing important roles once again. But this time, Gary L. Reback and Susan A. Creighton are on opposite sides.

The two lawyers, and the positions they have taken, point to some striking similarities yet also significant differences between the two high-stakes investigations — and why the pursuit of Google has proved challenging for antitrust officials.

In 1996, Mr. Reback and Ms. Creighton were partners, representing Netscape, the pioneering Web browser company. They wrote a 222-page “white paper,” laying out Microsoft’s campaign to use its dominance of personal computer software to stifle competition from Netscape, the Internet insurgent. After Netscape sent their report to the Justice Department, the head of the antitrust division ordered an investigation.

Mr. Reback is now an attorney at Carr & Ferrell in Silicon Valley, where he represents several companies that have complained to the government about Google. He does not represent Microsoft, though that company is a born-again champion of antitrust action, against its rival Google.

In Google, Mr. Reback sees a familiar pattern — a giant company trying to hinder competition and attack new markets. Google, he says, is unfairly using its dominant search engine to favor the company’s offerings in online shopping, travel and local listings and thus stifle competition from Web sites that rely on Google search for traffic.

“From my perspective, it’s an instant replay of the Microsoft case,” Mr. Reback said in a recent interview, though he would not comment for this article. “It’s the same playbook.”

Not to Ms. Creighton, a partner in the Washington office of Wilson Sonsini Goodrich & Rosati, who is in Google’s corner. She has testified before Congress on Google’s behalf and negotiated with the Federal Trade Commission, the agency conducting the antitrust investigation, and where she was a senior official during the Bush administration.

“Google’s conduct is pro-competitive,” Ms. Creighton declared in her Senate testimony last year. “Far from threatening competition, Google has consistently enhanced consumer welfare by increasing the services available to consumers.”

Ms. Creighton hits two main themes in Google’s defense. The first is the consumer benefit of all Google’s free services. The second is that the cost to consumers of switching to Internet alternatives like Microsoft’s Bing search engine, the Expedia travel site or Yelp local listings is “zero,” she said. Or, as Google repeatedly says, competition is “just a click away.”

In the late 1990s, Microsoft had its version of both arguments. Microsoft bundled a free Web browser into its Windows operating system — an added feature at no cost, surely a consumer benefit. In its trial testimony, Microsoft showed that millions of people had downloaded the competing Netscape browser onto Windows — a rival product just a double-click away.

But in the trial, the evidence taken as a whole portrayed a wide-ranging effort by Microsoft to crush Netscape. It is not an antitrust violation for a powerful company to gain a dominant share of one market and then expand into other markets. The legal issue is the tactics the dominant company employs to expand its empire.

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Liberal Democratic Party Returns to Power in Japan

Christopher Jue/European Pressphoto Agency

Japanese poll workers counted ballots at a polling station in Tokyo during parliamentary elections on Sunday.

TOKYO — Japan’s voters handed a landslide victory to the Liberal Democratic Party in parliamentary elections on Sunday, giving power back to the conservative party that had governed Japan for decades until a historic defeat three years ago.

In a chaotic election crowded with new parties making sweeping promises, from abolishing nuclear power after the disaster at Fukushima to creating an American-style federal system, the Liberal Democrats prevailed with their less radical vision of reviving the recession-bound economy and standing up to an increasingly assertive China. The win was a dramatic comeback for the party that built postwar Japan, but was ejected from power in 2009 after failing to end two decades of social and economic stagnation.

A victory all but ensures that the Liberal Democratic leader, Shinzo Abe, a former prime minister who is one Japan’s most outspoken nationalists, will be able to form a government with himself as prime minister.

However, many Japanese saw Sunday’s vote not as a weakening of Japan’s desire for change, or a swing to the anti-Chinese right, but as a rebuke of the incumbent Democrats, who had swept aside the Liberal Democrats with bold vows to overhaul Japan’s sclerotic postwar order, only to disappoint voters by failing to deliver. Mr. Abe acknowledged as much, saying that his party had simply ridden a wave of public disgust in the failures of his opponents.

“We recognize that this was not a restoration of confidence in the Liberal Democratic Party, but a rejection of three years of incompetent rule by the Democratic Party,” Mr. Abe told reporters on Sunday.

In the powerful lower house, the Liberal Democrats held a commanding lead, winning 266 of the 400 seats that had been decided. NHK, Japan’s national broadcaster, was forecasting that the Liberal Democrats could win more than 300 of the 480 seats up for grabs, which would almost mirror the results in 2009, when the Democrats won 308 seats. The Democrats won only 44 of the seats that had been decided, putting them in a dead heat for a distant second place with the news Japan Restoration Party, which was started by Osaka’s popular mayor. It was a crushing defeat for a party whose victory three years ago was heralded as the start of a vigorous two-party democracy.

Prime Minister Yoshihiko Noda resigned as head of the Democratic Party to take responsibility for the loss, despite holding onto to his own seat in Chiba, outside Tokyo.

“We failed to meet the people’s hopes after the change of government three years and four months ago,” Mr. Noda told reporters.

In a sign of how far the pendulum had swung against the incumbents, former Prime Minister Naoto Kan was fighting to keep his seat from an unknown Liberal Democratic challenger in a contest that remained too close to call. Other prominent members also lost their seats in what was increasingly looking like a rout.

“We tried the Democratic Party for three years, and it was a total disaster,” said Hideyuki Takizawa, a 52-year-old stockbroker at a polling station in the Tokyo suburb of Kawagoe. Mr. Takizawa said he had voted for the Democrats in the last election but had opted for the Liberal Democrats this time. “I have higher hopes now in the Liberal Democratic Party, especially in foreign affairs,” he said.

On declaring victory, Mr. Abe quickly promised to pass a massive spending bill, and said stimulating the faltering economy and ending deflation were his top priorities. He also promised help for the nation’s beleaguered export sector including more aggressive steps to drive down the yen and make Japanese products cheaper abroad.

There had been concerns that the hawkish Mr. Abe might try to fan Japanese anxieties over China’s growing strength, particularly that nation’s increasingly assertive claims to disputed islands in the East China Sea known as the Senkaku in Japan and the Diaoyu in Chinese. But Mr. Abe promised to move quickly to improve ties with China, Japan’s largest trading partner.

Makiko Inoue in Kawagoe, Japan, contributed reporting.

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Viral Justice: Domestic Abuse Victim Calls Out Attacker on Facebook

Amber Taylor had been living in a Missouri motel with her boyfriend, Austin “Wildboi” McCauley, until this week, when he reportedly beat her unconscious with a baseball bat.

Two days later, the 23-year-old took a picture of herself recovering from her injuries and posted it to McCauley’s public Facebook page, calling him out for his abuse and prompting his arrest.

Since its posting online, the photo has accumulated almost 10,000 “Likes” and close to 1,000 comments. Its caption includes the sentence, “I’m not the only girl he’s done this to but I’m not scared anymore I’m going to speak up.”  

McCauley has since been arrested and charged with second-degree domestic assault.

MORE: Savannah Dietrich Calls Out Her Attackers, Sees Them Punished

In her interview with news station WDAF, Taylor explained she wanted to expose her boyfriend’s true nature to the people who thought they knew him best. “I just wanted his friends to actually see the true him,” she said.

The young mother reports that she’s not only received support from McCauley’s own friends, but also from people across the country. “I’m actually glad that I have people that are writing me and telling me they care. Because being with him, I didn’t get to have any friends.”

This isn’t the first time social media has provided an outlet for a victim in need of support. Earlier this year, 17-year-old Savannah Dietrich violated a court order when she announced the names of her two underage attackers on her public Twitter account. Though the maneuver had her facing contempt charges, Dietrich and her parents reported it was necessary to bring attention to what they characterized as the unfair nature of her trial.

Though public pressure on the court still didn’t result in the attackers receiving jail time, they were sentenced to harsher punishments than were originally conceived before Dietrich went public with their names. And in the melee, the teenager inadvertently rallied a nation’s support, serving as an example of how self-advocacy can facilitate healing.

That may be the take-away for Hillary Adams as well. The disabled daughter of Texas judge, William Adams, Hillary was the subject of her father’s relentless beatings and secretly videotaped one of those incidents. Seven years later, she posted the video online. Though Adams was already grown up and no longer living with her father, she claimed the posting had more to do with holding him personally accountable, even if the law wouldn’t.

Trauma sufferers often report that keeping abuse a secret is a move that backfires, creating a greater sense of personal shame, no matter how blameless they may be. But social media is an accessible avenue they can use to tell their stories, offering survivors the chance to shed their shame and reclaim their dignity.

Do you think social justice can really be achieved with social media? Would you use it to get justice? Let us know what you think in the Comments.

Related Stories on TakePart:

• Anna Breslaw’s 600-Word Sprint: The V-Word Dialogues

• Despite His ‘Legitimate Rape’ Fail, Todd Akin is Still a Senate Contender

• In U.S., a New Definition for Rape

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A Bay Area native, Andri Antoniades previously worked as a fashion industry journalist and medical writer.  In addition to reporting the weekend news on TakePart, she volunteers as a webeditor for locally-based nonprofits and works as a freelance feature writer for TimeOutLA.com. Email Andri | @andritweets | TakePart.com

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Moments of silence around NFL for shooting victims

Two players who wear No. 26 joined hands with the coaches of the St. Louis Rams and Minnesota Vikings in tribute to the victims of the school massacre in Newtown, Conn., and New York Giants' players wore decals with the initials of Sandy Hook Elementary School.

There were moments of silence before all NFL games Sunday. The ceremony in St. Louis included Rams coach Jeff Fisher and Vikings coach Leslie Frazier, along with Rams running back Daryl Richardson and Vikings cornerback Antoine Winfield.

The players were selected because their number represents the total slain at the elementary school on Friday.

Dozens of children wearing uniform jerseys held hands with players in a circle extending from the 30-yard lines at the Edward Jones Dome, centered on the Rams logo at midfield. Richardson, Winfield and the coaches formed an inner circle.

In Atlanta, Giants' players wore decals with the acronym "SHES" on the backs of their helmets.

Flags were at half-staff at M&T Bank Stadium when the Baltimore Ravens hosted the Denver Broncos in one of the eight early games.

With the Maryland National Guard standing on the opposite end of the field from the flag bearers, the scoreboards went black as the public address announcer asked the crowd to observe "silent reflection" in the wake of Friday's "horrific tragedy."

Players from both team stood stoically on the sideline. The moment of silence was followed by the national anthem.

In New Orleans, the Superdome fell silent for nearly 30 seconds before the Saints hosted Tampa Bay. People around the stadium removed their hats, bowed their heads and remained still until the public address announcer introduced the national anthem singer, "American Idol" contestant Skylar Laine.

In Houston, video screens went black as the moment was observed before the Texas hosted the Indianapolis Colts.

In Chicago, Green Bay wide receiver Donald Driver retweeted the names of the victims.

Buffalo Bills CEO Russ Brandon tweeted that a moment of silence was to be held in Toronto later Sunday before the Bills played the Seattle Seahawks at the downtown Rogers Centre.

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Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL

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Dr. William F. House, Inventor of Cochlear Implant, Dies

Dr. William F. House, a medical researcher who braved skepticism to invent the cochlear implant, an electronic device considered to be the first to restore a human sense, died on Dec. 7 at his home in Aurora, Ore. He was 89.

The cause was metastatic melanoma, his daughter, Karen House, said.

Dr. House pushed against conventional thinking throughout his career. Over the objections of some, he introduced the surgical microscope to ear surgery. Tackling a form of vertigo that doctors had believed was psychosomatic, he developed a surgical procedure that enabled the first American in space to travel to the moon. Peering at the bones of the inner ear, he found enrapturing beauty.

Even after his ear-implant device had largely been supplanted by more sophisticated, and more expensive, devices, Dr. House remained convinced of his own version’s utility and advocated that it be used to help the world’s poor.

Today, more than 200,000 people in the world have inner-ear implants, a third of them in the United States. A majority of young deaf children receive them, and most people with the implants learn to understand speech with no visual help.

Hearing aids amplify sound to help the hearing-impaired. But many deaf people cannot hear at all because sound cannot be transmitted to their brains, however much it is amplified. This is because the delicate hair cells that line the cochlea, the liquid-filled spiral cavity of the inner ear, are damaged. When healthy, these hairs — more than 15,000 altogether — translate mechanical vibrations produced by sound into electrical signals and deliver them to the auditory nerve.

Dr. House’s cochlear implant electronically translated sound into mechanical vibrations. His initial device, implanted in 1961, was eventually rejected by the body. But after refining its materials, he created a long-lasting version and implanted it in 1969.

More than a decade would pass before the Food and Drug Administration approved the cochlear implant, but when it did, in 1984, Mark Novitch, the agency’s deputy commissioner, said, “For the first time a device can, to a degree, replace an organ of the human senses.”

One of Dr. House’s early implant patients, from an experimental trial, wrote to him in 1981 saying, “I no longer live in a world of soundless movement and voiceless faces.”

But for 27 years, Dr. House had faced stern opposition while he was developing the device. Doctors and scientists said it would not work, or not work very well, calling it a cruel hoax on people desperate to hear. Some said he was motivated by the prospect of financial gain. Some criticized him for experimenting on human subjects. Some advocates for the deaf said the device deprived its users of the dignity of their deafness without fully integrating them into the hearing world.

Even when the American Academy of Ophthalmology and Otolaryngology endorsed implants in 1977, it specifically denounced Dr. House’s version. It recommended more complicated versions, which were then under development and later became the standard.

But his work is broadly viewed as having sped the development of implants and enlarged understanding of the inner ear. Jack Urban, an aerospace engineer, helped develop the surgical microscope as well as mechanical and electronic aspects of the House implant.

Karl White, founding director of the National Center for Hearing Assessment and Management, said in an interview that it would have taken a decade longer to invent the cochlear implant without Dr. House’s contributions. He called him “a giant in the field.”

After embracing the use of the microscope in ear surgery, Dr. House developed procedures — radical for their time — for removing tumors from the back portion of the brain without causing facial paralysis; they cut the death rate from the surgery to less than 1 percent from 40 percent.

He also developed the first surgical treatment for Meniere’s disease, which involves debilitating vertigo and had been viewed as a psychosomatic condition. His procedure cured the astronaut Alan B. Shepard Jr. of the disease, clearing him to command the Apollo 14 mission to the moon in 1971. In 1961, Shepard had become the first American launched into space.

In presenting Dr. House with an award in 1995, the American Academy of Otolaryngology-Head and Neck Surgery Foundation said, “He has developed more new concepts in otology than almost any other single person in history.”

William Fouts House was born in Kansas City, Mo., on Dec. 1, 1923. When he was 3 his family moved to Whittier, Calif., where he grew up on a ranch. He did pre-dental studies at Whittier College and the University of Southern California, and earned a doctorate in dentistry at the University of California, Berkeley. After serving his required two years in the Navy — and filling the requisite 300 cavities a month — he went back to U.S.C. to pursue an interest in oral surgery. He earned his medical degree in 1953. After a residency at Los Angeles County Hospital, he joined the Los Angeles Foundation of Otology, a nonprofit research institution founded by his brother, Howard. Today it is called the House Research Institute.

Many at the time thought ear surgery was a declining field because of the effectiveness of antibiotics in dealing with ear maladies. But Dr. House saw antibiotics as enabling more sophisticated surgery by diminishing the threat of infection.

When his brother returned from West Germany with a surgical microscope, Dr. House saw its potential and adopted it for ear surgery; he is credited with introducing the device to the field. But again there was resistance. As Dr. House wrote in his memoir, “The Struggles of a Medical Innovator: Cochlear Implants and Other Ear Surgeries” (2011), some eye doctors initially criticized his use of a microscope in surgery as reckless and unnecessary for a surgeon with good eyesight.

Dr. House also used the microscope as a research tool. One night a week he would take one to a morgue for use in dissecting ears to gain insights that might lead to new surgical procedures. His initial reaction, he said, was how beautiful the bones seemed; he compared the experience to one’s first view of the Grand Canyon. His wife, the former June Stendhal, a nurse, often helped.

She died in 2008 after 64 years of marriage. In addition to his daughter, Dr. House is survived by a son, David; three grandchildren; and two great-grandchildren.

The implant Dr. House invented used a single channel to deliver information to the hearing system, as opposed to the multiple channels of competing models. The 3M Company, the original licensee of the House implant, sold its rights to another company, the Cochlear Corporation, in 1989. Cochlear later abandoned his design in favor of the multichannel version.

But Dr. House continued to fight for his single-electrode approach, saying it was far cheaper, and offered voluminous material as evidence of its efficacy. He had hoped to resume production of it and make it available to the poor around the world.

Neither the institute nor Dr. House made any money on the implant. He never sought a patent on any of his inventions, he said, because he did not want to restrict other researchers. A nephew, Dr. John House, the current president of the House institute, said his uncle had made the deal to license it to the 3M Company not for profit but simply to get it built by a reputable manufacturer.

Reflecting on his business decisions in his memoir, Dr. House acknowledged, “I might be a little richer today.”

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The Media Equation: Buffeted by the Web, but Now Riding It

When the consumer Web exploded in the mid-1990s, part of the promise was that it would transform careers and the concept of work. Remember the signs on telephone poles and banners all over the Internet? “Work at home and turn your computer into a cash register! Ask me how.” The next generation of Americans would be able to work on their own terms.

It didn’t turn out that way. If anything, digital technology has overwhelmed those who sought to master it. The Web may be a technological marvel, but to most people who use it for work, it functions like an old-fashioned hamster wheel, except at Internet speed.

Brian Lam was both a prince and a casualty of that realm. After interning at Wired, he became a blogger for Gizmodo, Gawker Media’s gadget blog. A trained Thai boxer, he focused his aggression on cranking out enough copy to increase the site’s traffic, to 180 million page views from 13 million in the six years he was there.

He broke news, sent shrapnel into many subject areas with provocative, opinionated copy and was part of the notorious pilfered iPhone 4 story that had law enforcement officials breaking down doors on Apple’s behalf. I saw Mr. Lam on occasional trips to San Francisco, and he crackled with jumpy digital energy.

And then, he burned out at age 34. He loved the ocean, but his frantic digital existence meant his surfboard was gathering cobwebs. “I came to hate the Web, hated chasing the next post or rewriting other people’s posts just for the traffic,” he told me. “People shouldn’t live like robots.”

So he quit Gizmodo, and though he had several lucrative offers, he decided to do exactly nothing. He sold his car, rented out his house and eventually moved to Hawaii to chase surf and ponder the next thing.

This is the point in the story where we generally find out that the techie is now a wood carver, or an oboe player.

But leopards don’t change their spots, and they certainly don’t turn into unicorns. An accomplished technologist and writer, Mr. Lam worked to come up with a business that he could command instead of the other way around.

The problem is that these days, ad-supported media business models all depend on scale, because rates go lower every day. Success in Web media generally requires constant posting to build a big audience. Mr. Lam knew where that led.

With friends — including Brian X. Chen, who now works at The New York Times — he came up with his own version of a gadget blog. But instead of chasing down every tidbit of tech news, he built The Wirecutter, a recommendation site that posts four to eight updates a month — not a day — and began publishing in partnership with The Awl, a federation of blogs founded by two other veterans of Gawker Media, Choire Sicha and Alex Balk.

While there are many technology sites that evaluate and compare products, usually burying their assessments in a tsunami of other posts, Mr. Lam and his staff of freelancers decided to rely on deep examinations of specific product categories.

Using expert opinions, aggregated reviews and personal research, they recommend a single product in each category. There are no complicated rankings or deep analytics on the entire category. If you want new earphones or a robot vacuum, The Wirecutter will recommend The One and leave it at that.

“I was tired of doing posts that were obsolete three hours after I wrote them,” Mr. Lam said. “I wanted evergreen content that didn’t have to be updated constantly in order to hunt traffic. I wanted to publish things that were useful.”

He bootstrapped the site, spurning outside investment. “If you take the money, you have to pony up in terms of scale, and I don’t want to do that,” he said.

The clean, simple interface, without the clutter of news, is a tiny business; it has fewer than 350,000 unique visitors a month at a time when ad buyers are not much interested in anything less than 20 million.

But The Wirecutter is not really in the ad business. The vast majority of its revenue comes from fees paid by affiliates, mostly Amazon, for referrals to their sites. As advertising rates continue to tumble, affiliate fees could end up underwriting more and more media businesses.

“Brian’s insight is that in a world of loudest and fastest, he has turned it down, doing it slow and doing it right,” Mr. Sicha said. “And by being consumer facing, he doesn’t have to have monster numbers. The people come ready to buy.”

In fact, somewhere between 6 and 11 percent of its visitors click on links, a rate that would make ad sellers drool.

Mr. Lam hardly invented the model. The Web is full of mom-and-pop shops that live on referral fees for everything from pet supplies to camping gear. Many companies also pay for referrals — eBay, Half.com, even retailers like Gap and Old Navy. A business that used to be mired in spam is now becoming far more legitimate.

For small businesses like Wirecutter, it’s risky to rely so much on a single company, but Amazon seems disinclined to mess with its very successful model.

“We have been working hard to give publishers of all sizes the tools to work with Amazon,” said Steve Shure, Amazon’s vice president for worldwide marketing.

But it’s not just the little guys. Hearst’s Good Housekeeping has commerce links to Amazon, and Gawker Media, Mr. Lam’s old employer, is building affiliate revenue and other nonadvertising revenue into a seven-figure business by next year. In a sense, it’s back to the future, the days of the Whole Earth Catalog and its compendium of splendid things. Kevin Kelly, its former editor and publisher and now “senior maverick” at Wired, has a site called Cool Tools that will be observing its 10th anniversary.

“Affiliate income is six times as much as advertising by now,” Mr. Kelly said in a phone call, describing the revenue at Cool Tools. “Part of what is attractive about our site and Brian’s is that it is a distillation, a trusted friend. You don’t find out everything, just what you need to know.”

Mr. Lam’s revenue is low, about $50,000 a month, but it’s enough to pay his freelancers, invest in the site and keep him in surfboards. And now he actually has time to ride them.

In that sense, Mr. Lam is living out that initial dream of the Web: working from home, working with friends, making something that saves others time and money.

“I don’t want to get too hippie about it, but surf is bad when it all comes in one big lump,” he said. “Our traffic is spaced out in manageable waves, a set that we will grow over time. And even if it doesn’t, that’s fine by me.”

E-mail: carr@nytimes.com;

Twitter: @carr2n

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