Eric Silver

Independent researcher — decision-making in healthcare, innovation and technology diffusion, and Medicaid.

Aporia is the Greek for having no way through — the impasse Socrates left his interlocutors in, where the real question begins. An institute devoted to being stuck is, admittedly, a ridiculous thing: one fellow, no building, and a research program that by design does not arrive. But intellectual-ennui.institute was longer and no less pretentious.

Research interests

Measures and simulations for questions that resist tidy markets and prices.

  • Lead & atypicality — text measures of being early and being unusual, drawn from trademark language.
  • O*NET-grounded models of work, tasks, and automation.
  • Simulation of non-traditional markets, with a focus on the quality of the decisions they produce.
  • Simulating the social impacts of technological change.
  • Non-monetary valuation.

Essays

Writing on decision-making, meaning, and collective rationality.

  • Noble Medicine (2026) The moral argument for marketing of medicines.
    Dr. Silver’s Brand Name Placebo
  • "Nothing" is Expensive (2026) Goods got cheap and the moral economy of childhood inverted; we now pay for emptiness, for not-wanting, and for symbols with the referent removed.

Papers

An Event-Dated Corpus of US Trademark Prosecution and a Two-Sided Measure of Vocabulary Position
Working paper, 2026, under review · SSRN · data on Zenodo · code on GitHub · online appendix · trademark explorer. Supersedes the earlier combined working paper, SSRN 6954598.
Patents count inventions, but most firms never patent; the goods-and-services language of trademark filings records what millions of firms tried to sell, dated to the day. This paper re-parses all 13.99 million US trademark case files into 242 million dated events, which turns the sworn five-year proof of continued use into a product-level survival outcome. On that corpus it builds two measures of each filing’s language: atypicality — how unusual the wording is for its industry — and lead — whether the wording ran ahead of or behind where the industry’s language was moving. The corpus, the measures and the code are public.
When Does It Pay to Be Early? Evidence from Every US Trademark Filing
In preparation, 2026 · the companion paper, on early entry · IPO viewer.
Strategy offers two opposite answers to whether it pays to bring a new kind of offering to market first: pioneers keep the markets they open, or most pioneers fail and followers take what they proved. Using the lead measure on every registration from 2002 to 2018, the paper finds that being early usually costs: leading descriptions are cancelled more often at the five-year proof, and leading firms are no more likely to raise money, list or be bought. The cost is concentrated where an industry’s filing volume is growing fast, in platform and network businesses, and among filers without counsel; in a few industries, such as beer, leading filings survive more often.
An Assumption-Transparent Simulation of Automation and the Labor Market
Working paper, 2026 · the modular leg of the “Where Do the People Go?” program · not yet circulated.
Forecasts of AI’s effect on work usually stop at exposure scores; they do not say where displaced workers end up or what happens to wages. This is a labor-market simulation built from O*NET primitives — workers with graded capabilities, tasks with level requirements, jobs as bundles of tasks — calibrated so the pre-shock equilibrium reproduces BLS employment and wages by construction. Every assumption is a named, swappable module, so the question becomes which assumptions drive the answer rather than whose forecast to trust.
Generating a Credible Synthetic Workforce: Skill Endowments from Observed Occupational Transitions
Working paper, 2026 · the population-generation leg of the same program · not yet circulated.
Any simulation of who can move to which job is only as good as its synthetic workers, and public data never observe an individual’s full skill vector. This generator builds one by requiring that every worker be qualified for the job they actually hold, then grows skills along career paths observed in longitudinal surveys, and checks the population against employment rates, age and education mixes, and churn. The hypothesis is that qualification-by-construction plus observed transitions recovers a workforce realistic enough to forecast on.
How Soon Is Not How Long: Separating Care Urgency from Housing Permanence in Disability Waiver Triage
Working paper, 2026 · under internal review.
Placing someone on a lifetime disability waiver is close to irreversible — a present-value commitment of several million dollars that almost never moves to cheaper care — yet the entry pipeline only asks how soon help is needed, never how long it will be needed. Twenty years of person-level records from one county show the two questions come apart: a measurable share of urgent need is temporary, and the reasons written on the intake form predict persistence better than the urgency score does. The proposal is to separate the triage of speed from the decision of permanence.
The Failure of Medicaid Effectiveness Measures
In preparation, 2026 · why the measures a Medicaid system reports on itself do not track whether anyone got better.
Medicaid behavioral-health systems judge themselves on process measures — follow-up within seven days, a visit after discharge — that are cheap to compute and have little demonstrated relation to recovery. Using linked person-level claims and outcome records, the paper asks how much of the variation in whether anyone actually got better these measures explain, and what a measure built on observed outcomes would look like instead.
Communicating a Prognosis: a Randomized Trial of Survival Rate Language
Silver, Broomell, Davis, White & Krishnamurti · Journal of General Internal Medicine, 2019 · free full text (PMC).
Patients routinely hear survival odds phrased in ways that change what they decide. A randomized trial tested whether framing a prognosis as survival or mortality, and as a percentage or a frequency, shifts how the same number is understood and acted on.

Books

The Marriage Contract, 2027: The Prenup You Sign When You Don’t Sign a Prenup (2026; Kindle now, paperback October 15) If you’re married, you already have a prenup; your state wrote it. Most of what the family code says is about how marriages end, because no court will referee one that’s still going, so the book also reads the law of being married: what marriage gives you, what it doesn’t, and the paperwork that fills the gap. Every clause appears twice, once as a lawyer would draft it and once in English. Kindle on Amazon · marriagecontract.org · the Luck of the Draw Index, every state scored on how much of the money it leaves to the judge · the contracts, free to copy (CC BY 4.0) · a worksheet for reading it together
Cover of The Marriage Contract, 2027: You already have a prenup. Your state wrote it.
Health: A User’s Guide: You Have a Part to Play in Your Own Care. Scripts Included. (2026; Kindle now) Health care is two things at once: the people who care for you, who mostly want what you want, and an industry that pays people you never meet to decide what you use and what you pay. They have a revenue maximizer. Who is your cost minimizer? The book collects what a patient is already entitled to and gives the sentences to say, at a visit, in the hospital, and with a bill or a denial, with every claim sourced. Kindle on Amazon (free with Kindle Unlimited) · healthusersguide.com · the letters and chatbot prompts from the book, free to copy
Cover of Health: A User’s Guide: Nobody told you. Your doctor expects you to choose. Your insurer expects you to appeal.

From Sky to Sea: A Book About Family, Mermaids, and the Many Ways We Love (2023) ★★★★★ on Amazon A picture book written for my eldest daughter: a girl becomes a mermaid on her way to seeing the many ways the people around her show how much she is loved.

Portfolio

  • Pikimal logo Pikimal — preference-based product recommendation engine that crowd-sourced what adjectives and superlatives mean for products.
  • WebKite logo WebKite — a publishing platform.
  • Radius logo Radius — automated advertising generation (a WebKite product).
  • Alt-Capital logo Alt-Capital — syndicated investment.

Earlier, now offline:

  • DrinkStreet.com — a drink-recipe site that did fairly well in its day.
  • iEducate.org — a lesson-plan sharing directory.
  • Peace Corps Armenia — a blog from service, and a shared Excel workbook that used Solver and a knapsack algorithm to optimize volunteers' packing lists.

Résumé

Curriculum vitae (PDF)

Contact

Write to me — anonymously, if you prefer.