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It’s actually NOT unprecedented. The US health insurance industry caught onto the surveillance model (aggregating & collecting everything about us) LONG BEFORE Facebook & Google were formed!
Some of us (physicians, esp those for whom privacy is essential for trust & the ability to help like me a psychiatrist & Freudian analyst) were on top of surveillance of our MOST intimate data (anything abt our minds & bodies) were
on top of this.
The Amercian Psychoanalytic Assoc (Freudians surd HHS for stripping the right of consent out of HIPAA in 2002. We got status to sue from my affidavits: the Judge cited 3 letters I received from 3 pharmacies in Austin TX asking them
not to use and sell our prescriptions. After months I got back 3 letters which all said ‘just go to a different pharmacy’—-but there were none that would agree to give us back our right of consent to disclose pii. Eventually we lost after an en banc appeal
because there was no “state action” = ie, meaning the govt did not cause the problem, it assumed different health entities WOULD offer patients consent & give us control over our PHI. But only a few independent practices did. All the major corporations wanted
to collect & aggregate our health data to discriminate against us, use it to promote various schemes to target & promote so-called ‘treatment’ AND especially to STEAL the entire public’s health records to create giant profits for corporations: EHRs, Big Data,
AI, IP, blockchain, etc and to privatize medical knowledge!
The tradition in Medicine in the days of ethics was that great breakthrus & knowledge were shared OPENLY for THE GOOD OF ALL, not for the ultraRich, and so that sick people everywhere did not have to die or spend all their money
to stay alive. Did you know the patent for insulin sold for $3? What a different, world it was when of Medicine and physicians pledged to protect our privacy for millennia (the Hippocratic Oath not to reveal information w/o consent, the ONLY way to trust
people/doctors you don’t know).
Then in 2008-2009 the govt invested $135B thru ARRA that required every hospital & physician to adopt EHRs. It incentivized adoption & punished those who didn’t use EHRs.
That is “state action” because a federal agency (HhS) stripped us of our right to control health data. But I’ve yet to find a plaintiff’s attorney who would take this on. It should be a slam dunk because HHS certified ONLY EHRs
that did NOT offer the public the choice of consent to use/disclose PHI.
Deborah C Peel MD, Founder & President of Patient Privacy Rights
From: Guy Huntington <
>
Sent: Monday, September 16, 2019 10:54 AM To: Subject: [projectvrm] Unprecedented change Hi All, I’ve been reading the threads with interest. I have a slightly different perspective. It can best be summarized by Shoshanna Zuboff’s quote from her book“The Age of Surveillance Capitalism: The Fight for a Human Future at the New Frontier of Power”
“One explanation for surveillance capitalism’s many triumphs floats above them all: it isunprecedented. The unprecedented is necessarily unrecognizable. When we encounter something unprecedented, we automatically interpret it through the lenses of familiar categories, thereby rendering invisible precisely that which is unprecedented.”
She uses her house being struck by lightning as an example. It began to catch fire. She rushed around closing doors to rooms to prevent smoke damage and also picked up photos As she exited the house, she watched the entire house burn down. “I was blind to conditions that were unprecedented in my experience.”
This is the age in which we now live, i.e. unprecedented. It’s global, yet we use nation states to deal with it. It’s driven by technology which is now changing so fast, we can’t cognitively keep up with it. Our climate is changing, yet we set nation state targets to deal with it, that look like it won’t meet the challenge. Finally, there’s the point which led me to write this post, i.e. automation.
Like Shoshanna, we use our old lenses, based on our history, to view forward. Yes, we’ve seen automation, i.e. steam engines, factory lines, et al. That’s how we view going forward, i.e. sure jobs will be lost but they’ll be replaced by other new jobs. This was the American dream. My point is I can’t see it happening.
In China, where labour is cheap, they have factories run by robots.
In the UK, there’s businesses built where they automate the back-end warehouses of central large shipping warehouses, using robots and air traffic control systems. The result? Only a few people now work there.
Where I live, In Vancouver, BC, there was an article in the paper this past weekend. It was claiming that about 9,000 jobs could be lost in port handling facilities due to automation.
In China, there was a study where they compared real doctors doing diagnosis versus robots. Robots outperformed the doctors. For what it’s worth, over the next decade or so, I feel that all sorts of different job types, from doctors, lawyers through to people who do all sorts of other types of work, will begin to see reduced hours and then job loss.
Our economies are built on Adam Smith’s Wealth of Nation principles. The question that keeps appearing in my head is what is going to happen to those of us who are automated out of jobs, income and a sense of purpose? What if most people don’t have work? This question will slowly emerge into the mainstream as the years progress and job loss gains momentum.
This is only the early days of what I think are unprecedented times. It doesn’t mean today that the sky is falling. It isn’t. However, the fast-moving waters of technological change are swirling in. It will produce an increasingly disruptive force in our economies, in our lives, in our jobs and on the planet.
Regards, Guy
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