Sunday, October 19, 2008

Healthcare 2.0


Whether republican, democrat, or independent, we can all acknowledge that the US healthcare system is in dire needs of a makeover! The first step may be to centralize and digitize the entire process, from individual's medical records, to tracking unpaid medical invoices and insurance coverage. What better way to accomplish this than to think about utilizing some of the Web 2.0 tools that are already available to us?

I know- your first reaction is probably, "Wait, aren't medical records private?". Yes, security is certainly a concern. Somehow, we've managed to come around to that fact that most of our personal financial information is online. I would argue that health and finances are the two matters most people tend to guard most closely. It is sad that our health system still relies on good old paper (which really isn't secure either). Imagine if we still had to go to the bank each time we wanted to check our account balances? The healthcare system is suffocating with inefficiencies and preventable errors. In fact, once records are digitized, a mechanism to track health matters could be similar to the system that credit bureaus use, albeit with greater restrictions on what parties have access. Just like we can monitor our credit records, we could challenge and correct our medical records if we found an inaccuracy.

If the right security measures are in place, we'll actually be safer than we are with printed records. Think about it- next time you land yourself in the ER, the doctors would know within seconds what your blood type is, or if you are allergic to peanuts or hazelnuts. Your specialist(s) could see what your primary care doctor has prescribed to you to make sure there aren't any risky drug interactions. You could have access to the complete medical history of your parents. This will all undoubtedly lead to improved health and efficiency. The best part is that the technology is already here to make this a reality (and is actually already outdated and being improved upon every day!); we just need to learn an efficient and open-sourced way to utilize it.




Digitalizing and sharing medical information also empowers the patient. They can track their own health concerns more easily (i.e. is my blood pressure higher or lower than it was last month?); they can ask questions in an interactive setting when they get a diagnosis (should I get a second opinion?); they can get in touch with their medical providers quickly with a concern; they can share side effects that a pharmaceutical company is tracking. Most importantly, it allows the patient to take ownership over their own health in a way that was impossible with records that were decentralized.





Regardless of who wins the election, this WILL happen; it's just a question of how quickly, how transparent medical records will become, and how receptive the public is.

Sunday, October 5, 2008

i-Phone leash may make the holiday list, but what next?

http://amandagramse.blogspot.com/

Great post Amanda! Having recently pondered the thought if investing in one of those fancy things myself, losing it was defintely one of the things that crossed my mind. However, it was more of a concern of simply being out a few hundred dollars. I didn't even condsider the far reaching ramifications you bring up. These are some real concerns if you were to accidentally lose or break an i-phone, but much scarier if it was intentionally targetted for theft! If someone had an agenda to gather personal information about you (or anyone that is close to you), having that device would make the task pretty easy.

Good news is: we're not the only ones that are paranoid... After reading your post, I Google'd the subject and found a few interesting hits, including the following "wish list" article on MSNBC, where a leash is already on the list as #14 for future improvement.
http://www.msnbc.msn.com/id/19816720/ Digging a bit further, I came across this blog post where the author has rigged up a home-made lanyard, using an old snowboard leash. http://www.xanga.com/kevina/660136578/item.html. Pretty creative way to improvise. But if people are already asking for this and coming up with their own solutions, I would expect Apple and other fancy phone makers will respond quickly with a factory solution.

The question I have though: Is a leash enough? Considering the amount of information potentially stored in an i-phone, will society eventually demand greater security measures for cell phones and PDAs? We live in a time where everything on the web is password protected and we have even moved to retinal scanners at some airports and high security buildings. Should our pocket sized phone/contact list/photo-album/gps/calendar (aka i-phone) not carry the same levels of security? It will definitely be a sad and annoying day when we have to enter a personalized PIN every time we make or receive a call, but I think that's what we've gotten ourselves into...