Tag Archives: RACGP

Online death dealers

Yes, it sounds ominous, but it is no JK Rowling, it is no fabrication of the H Potter variety. This is healthcare. And it woke me up when I saw the advertisement on Google YouTube today. You see, the advertisement sounds dangerous right off the bat. And the weird part is that the warnings at ABC are two years old. They gave us (at https://www.abc.net.au/news/2020-02-05/instant-online-prescription-app-raises-medical-safety-concerns/11925700) ‘‘Instant’ prescription providers prompt warnings from GPs and pharmacists’. There we see “Doctor and pharmacist peak bodies are voicing concerns about online services offering “instant” prescriptions to people who fill out a digital questionnaire, arguing they heighten the risk to patients.” In addition we get “Instant Scripts is one of several online platforms offering immediate prescriptions for medications such as pain management, steroid creams and anti-depressants by having patients fill out a digital questionnaire.” So first we get the entire Oxycontin issue, and now they let an online setting handle pain management? How long until someone gives the people the setting if you need Drug A, you need to answer the following questions (and so on). So how dangerous is this setting?

I personally believe that it is very dangerous. The fact that a patient (optionally an addicted one) can circumvent both doctor and pharmacy is likely the most dangerous one of all and I reckon the makers covered themselves with “You must always be completely honest” or something of that effect. Yes, because a written warning always helps when the person is addicted. So when we get to “But the Royal Australian College of General Practitioners (RACGP) and the Pharmacy Guild of Australia are both concerned a growing number of companies are trying to shake up traditional healthcare in the name of convenience.” I wonder whether it will be convenience or profit that some companies will adhere to. 

As such I have issues and perhaps they are hot valid ones, but the ABC supported my train of thoughts hours ago on the 5th of February 2020. Whatever we call it, an algorithm, a script that leads to a prescription, the only one who can do it safely is the GP of the patient and I have seen several options from my GP so wonder how essential that ‘instant’ part is. And when the issues start, when the complications start, where will the app builders be? Where will the people be who signed of on this? Simple questions that the greed driven will avoid and counter with some claim that is likely to have little foundation in reality. Is an app like this valid? If we take away the ‘instant’ part yes. In rural settings this app could do a lot of good, take away the stress from several parties, least of all the patient, but the ‘instant’ part makes it dangerous. It to some effect reverberates in another statement I saw today. “We cannot get rid of guns, but what if a citizen needs to be over 25 to own one?” I feel that this idea has merit. We cannot control the immediate, so what happens when we set the age, just like voting and alcohol? And it is the same for this app. ‘Instant’ is not acceptable, but the app itself could do a lot of good, if only it goes via a GP for approval, and this GP has to sign off on it. Suddenly ‘instant’ no longer applies, is no longer valid. Consider the doctor signing off on a prescription that has lasting damage? This is one issue the doctor cannot avoid, one the pharmacist cannot avoid. And there is reason for this. How many pharmacists selling Oxycontin have gone to prison? I wrote about it as early as 2019 (before the ABC article) in ‘A larger failure’ (at https://lawlordtobe.com/2019/10/13/a-larger-failure/) A stage that was even dealt with in 1978, a reference to ‘When in doubt’ (at https://lawlordtobe.com/2019/08/31/when-in-doubt/) So well over a year before there is a clear setting that gives pause to anything offered ‘instantly’ and now you want to do away with GP’s and pharmacists (to some degree)?

With them in place there was still a gap to sell 76,000,000,000 opioid pills. How many will the ‘instant’ marker allow for? And the moment the people see the Google advertisement and figure out that certain combinations guarantee certain ‘solutions’ how will this not go from bad to worse?

On the other hand, if we can get rid of 35% of the population this way, go right ahead, it will benefit nature in other ways. So have a good thought of what you want and how you want it.

Leave a comment

Filed under Finance, Media, Politics, Science

Marketing Deceptive Concepts

We are all in the lane of what is coming; the problem is that what is coming is set on the E40, the longest European highway going from Calais all the way to Kazakhstan (Ridder). So as we depart from Ridder, trying to get to Calais on this AI highway, we need to consider that at present we only got past the first 100 kilometres of a trip that will be 8,000 kilometres long and we are not driving a Aston Martin, not even a Lada, we are traversing this in a 1908 Model T, giving a much clearer indication that this trip will take years (read: a decade at the very least) at best. To be quite honest, as technology goes, we are nowhere near AI, true AI. It will take the largest players (Google & IBM) decades to get to the real AI part, and only when computers become more technically savvy and a lot faster. As such I do not see the reason for people and companies like RACGP to give us: ‘AI is coming to healthcare – and it’s here to help‘, with the quote: “real promise – of artificial intelligence in healthcare“, yet we remain fair. Dr Martin Seneviratne stays faithful when he gives us: “we’re far away from that, to be honest” and he is correct. Yet the stage is there where we see: “In this article we are listing top 15 artificial intelligence apps for android and iOS users“, as well as “an Indian start-up claiming to have built an artificial intelligence-assisted app development platform, is not in fact using AI“. It is all BS (read: Hogwash), there is no such thing as AI, it is theoretical, conceptual at best, the real deal is at least a decade away. It reminds me of some Sales Dumbo I had to deal with on how cloud computing was it bees knees. When I mentioned that there is no thing like a cloud, it is merely someone else’s computer, I was the one who did not comprehend it (in the end I was right, and he (read: it) was not). Yes, I am aware of the ZDNet article (at https://www.zdnet.com/article/stop-saying-the-cloud-is-just-someone-elses-computer-because-its-not/). We get it, it is about scalability and the scale of the cloud is huge, but still, it is a server center that is owned by someone else, and the location of that server is equally important in the data laws we see today. Because the moment China launches its own commercial cloud system, the Americans will ‘suddenly’ come with issues like cloud locations and how the Chinese government can look into every cloud account. I was not belittling anything, merely making sure that we keep focus on terms used (and awareness is often larger than anyone considers). It is the monitoring, hacked data and more important lost data. The cloud comes with all kinds of marketing hypes, but informing on the scope and warning of the dangers that poor passwords bring is often not seen.

So when we get to the Verge where we see: “The company was sued earlier this year by its chief business officer, Robert Holdheim, who claims the company is exaggerating its AI abilities to get the funding it needed to actually work on the technology. According to Holdheim, Duggal “was telling investors that Engineer.ai was 80% done with developing a product that, in truth, he had barely even begun to develop“, we see the larger deception and we also see a lack of actions by governments to a much larger degree, apparently white collar deception is OK in their books.

So when we get back to the RACG (at https://www1.racgp.org.au/newsgp/professional/ai-is-coming-to-healthcare-and-it-s-here-to-help) where we see: “‘Documentation is a constant issue, and so is having a computer separating you and the patient,’ Dr Seneviratne said. ‘The dream of this AI revolution is that it helps with the parts of medicine doctors and patients don’t like, creates a safety net for ensuring quality across the board, and gives clinicians more time to be with their patients.’“, my mind goes back 47 months, 12 days and 14.1 hours (roughly) when I designed the concept of what could be the Google Tome (I concluded that the iTome could never become a reality in an technological iterative pushed corporation), a device that would take case of part of it and help the UK NHS to get a handle on their paper mess and red tape. The device would also be a great solution for places like Scandinavia where the rural population is all over the place. There was one tiny setback, it required 5G, it was the only way to get it to work to the degree it did and 5G was nowhere near ready to the stage that places like the NHS, GP’s and clinics could be upgraded. We are still 1-2 years away, but the Google Tome would be a game changer as it worked on a very different IP. Apple would take a decently large hit as I remembered some original parts from before the PowerMac and Apple actually had the inside track, with today’s iPad they could have ruled, but in the last two years they became a mere iterative needy toddler, taking them out of the game. both IBM and Huawei are not ready for this leap giving Google an actual first position with no chance of any number two catching up for close to half a decade. My solution was not AI based, it was based on the realistic foundation of NHS administrations and to see where the obstructions were. Instead of making some political never working one system (UK Parliament spend £11.2 billion learning that it did not work), my path was to upgrade all the elements and give a new definition to speed, not the one that is founded, for downloading, but a new on access protocol that emphasises on security and data safety. In fact, the results would in theory get to the right physician 30%-60% faster. Anyone who waited for results in an NHS location can tell you what a game changer that is.

And none of this touches the 5G IP I created three years later.

But that is not what it is about, it is about the marketing ploys we are confronted with and for the most, the media greedily uses that hyped term to get traction with people, clicks and awareness, the information is less and less a concern to the larger group of media (or so it seems). The one that I got confronted with yesterday is the one that set it off. A friend (Tom Breur) wrote an excellent piece regarding Data Democracy (at https://tombreur.wordpress.com/2019/08/13/what-does-data-democracy-stand-for/). Yet in data, as I personally see it, there is no real democracy, it can be dictatorial, it can be feudal, it can even be tyrannical, but it is never democratic, you do not get a vote in that hierarchy, that is the way with data and it is the researcher who can redefine you through giving you a weight of 1 (or lower) or disregard you as inconsequential as grouping you with other user missing points of non interest. The respondent never had a voice in the matter negating the entire democracy part.

This setting was most likely started by media with their claims of “Big data’s threat to democracy becoming global problem“, and there the delusion started. Big data is never about democracy and democracy is not about data, it is about applied wisdom, they do not correlate and are even less likely one and the same. It becomes even more entertaining when we (at https://morningstaronline.co.uk/article/labour-will-ban-big-money-buying-democracy) see: “Labour will ban big money from ‘buying up democracy’“, it is entertaining and hilarious as this has been happening well over a century, long before there was a silicon based economy (not talking about boobies here). When we get: “Last November Mr Johnson was flown to New York and was paid £94,507.85 for a two-hour speech at the multibillion-dollar hedge fund company Golden Tree Asset Management“, we can argue that he was merely doing a job he was allowed to do, and that is not impeding democracy, is it? And when we see: “We are funded by workers through their trade unions and small donations, averaging just £22 in the last general election“, how much support did you give the people who voted for UK Labour without a donation? And when we see the Washington Post give us: “Data shows that an overwhelming majority of Africans believe that democracy remains the best form of government“, I might not disagree with that, yet the issue is not agreeing and disagreeing, it is the deceptive model of awareness creation that big business allows for when they buy the identities on Facebook by millions and target them with political advertisement. Even as Senators like Ron Wyden are calling to ban that, he knows he is fighting a lost war. Also, as a member of the Senate Intelligence Committee, he is watching proven CIA tactics being deployed via Facebook and he knows how efficient those can be, it is a game only the rich can play. He even hides behind “I’d rather have them do it voluntarily than requiring a law“, because there is no way that they can pass that law in time and even then there will be a dozen loopholes to circumvent the law passed via the first amendment.

It is all due to the marketing we allowed from the very beginning. there was no stop to the media, the hold on awareness versus deceptive is sketchy at best and now that there is a whole slew of iterations coming forward we see more and more deceptive conduct, yet nothing is done, there are attempts, but they are feeble at best. That evidence is seen when we consider Engineer.ai and its founder & CEO, Sachin Dev Duggal. We see the news in the Wall Street Journal as well as the Verge, yet less than 3 days ago that person won the Serial Entrepreneur award, so it seems that the players are all OK with deceptive conduct. Yet I remain optimistic, I merely have to wait to see this blow up in the faces of those sales driven CEO’s and VP’s to see that their failure gave them months of reprieve and every documented event merely sets the stage for my IP in a much more powerful way.

We need to consider that when it comes to creating awareness, the media is still accountable to shareholders, stake holders and advertisers, as such there are a lot of issues in the IT field, personally in light of recent events the do’s and don’ts of Sachin Dev Duggal take the cake. Don’t take my word for it, merely look at the Wall Street Journal (at https://www.wsj.com/articles/ai-startup-boom-raises-questions-of-exaggerated-tech-savvy-11565775004) and consider how the award two days later was still handed to Sachin Dev Duggal. Even as the man ‘hides’ behind ‘human-assisted AI‘, and when we look at the quote: “it uses artificial-intelligence technology to largely automate the development of mobile apps, but several current and former employees say the company exaggerates its AI capabilities to attract customers and investors“, we need to ask a whole range of questions, none of those are found anywhere. I am not raining on the man’s parade, but clearly no one else is either. I wonder how many righteous participators at that entrepreneurial award feel left out in the cold, a fair question if I say so.

I merely look at the marketing part of it all, when I look into the direct impact, that some marketing hypes are giving us, I tend to wonder if the need was really awareness, or confusion that was behind the creation of the hype. It is sad but that is more and more often the need to wonder when any form of media gets involved.

It is a sad evolution in the age of information as it has been for some time now.

 

Leave a comment

Filed under Finance, IT, Media, Politics, Science