Britain’s National Medical Records Project – “No money spent on training”…

Nicholas Timmins:

“If you live in Birmingham,” declared Tony Blair when he was UK prime minister, “and you have an accident while you are, for example, in Bradford, it should be possible for your records to be instantly available to the doctors treating you.”


Not any more. Or not, at least, if the Conservatives win the next general election. For the Tories have pledged to scrap the country-wide version of the National Health Service’s electronic patient record.


Back in 2002, the idea of a full patient record, available anywhere in an emergency, was the principal political selling point for what was billed as “the biggest civilian computer project in the world”: the drive to give all 50m or so patients in England (the rest of the UK has its own arrangements) an all-singing, all-dancing electronic record. Roll-out was meant to start in 2005 and be completed by 2010.



Under a Conservative government, development of the local record – exchangeable between primary care physicians and their local hospitals – would continue. Nationally, clinicians would still be able to seek access to it when needed from the doctors who would hold it locally. But the idea of a national database of patients’ records, instantly available in an emergency from anywhere in the country, would disappear.



This may or may not matter, depending on your point of view. For many clinicians, the idea of an instantly available national record was always something of a diversion. It is access to a comprehensive record locally that is crucial for day-to-day care.



Nonetheless, the Conservatives’ decision to scrap the central database is a symbolic moment for a £12bn ($20bn, €14bn) programme that has struggled to deliver from day one. It is currently running at least four years late – and there looks to be no chance in the foreseeable future of its delivering quite what was promised.



…..

On top of that, while there was a £6bn budget for the 10-year central contracts, no money was earmarked for training, in spite of the lesson, from the relatively few successful installations of electronic records in US hospitals, that at least as much has to be spent on changing the way staff work as is spent on the systems themselves.

Flickr vs. Free Speech

Mike Arrington:

One thing I’ve learned over the years is this – screwing over your users while yelling “the lawyers made me do it!” rarely ends well. Particularly when the lawyers are just being lazy, and free speech rights are at stake.


Flickr really stepped in it this time. And they’ve sparked a free speech and copyright fascism debate that is unlikely to cool down any time soon.


Sometime last week they took down a photoshopped image of President Obama that makes him look like the Heath Ledger (Joker) character from The Dark Knight. The image was created and uploaded to Flickr by 20 year old college student Firas Alkhateeb while “bored over winter school break.” It was also later altered yet again by someone else and used to create anti-obama posters that went up in Los Angeles.



Thomas Hawk has a good overview of some of the other details, but the short version is the image was removed by Flickr sometime last week due to “due to copyright-infringement concerns.”



People are angry over the takedown. There are lots of pictures mocking President Bush on a Time Magazine cover on Flickr that haven’t been removed. And of the Heath Ledger Joker character.

On Locational Privacy, and How to Avoid Losing it Forever

EFF:

Over the next decade, systems which create and store digital records of people’s movements through public space will be woven inextricably into the fabric of everyday life. We are already starting to see such systems now, and there will be many more in the near future.



Here are some examples you might already have used or read about:

  • Monthly transit swipe-cards

  • Electronic tolling devices (FastTrak, EZpass, congestion pricing)
  • Cellphones
  • Services telling you when your friends are nearby
  • Searches on your PDA for services and businesses near your current location
  • Free Wi-Fi with ads for businesses near the network access point you’re using
  • Electronic swipe cards for doors
  • Parking meters you can call to add money to, and which send you a text message when your time is running out

These systems are marvellously innovative, and they promise benefits ranging from increased convenience to transformative new kinds of social interaction.


Unfortunately, these systems pose a dramatic threat to locational privacy.

A runaway deficit may soon test Obama’s luck

Niall Ferguson:

President Barack Obama reminds me of Felix the Cat. One of the best-loved cartoon characters of the 1920s, Felix was not only black. He was also very, very lucky. And that pretty much sums up the 44th president of the US as he takes a well-earned summer break after just over six months in the world’s biggest and toughest job.


His stimulus bill has clearly made a significant contribution to stabilising the US economy since its passage in February. His cap-and-trade bill to reduce carbon dioxide emissions passed the House of Representatives in June. He has set in motion significant overhauls of financial regulation and healthcare. Considering the magnitude of the economic crisis he inherited, his popularity is holding up well. His current 56 per cent approval rating is significantly better than Bill Clinton’s (44 per cent) at the same stage in his first term and about the same as George W. Bush’s.



Consider the evidence that the economy has passed the nadir of the “great recession”. Second-quarter gross domestic product declined by only 1 per cent, compared with a drop of 6.4 per cent in the first quarter. House prices have stopped falling and in some cities are rising; sales of new single-family homes jumped 11 per cent from May to June. Credit spreads have narrowed significantly and the big banks are recovering, some even making enough money to pay back Tarp bail-out funds. The S&P 500 index is up nearly 48 per cent from its low in early March. Best of all, the economy lost fewer jobs in July than most pundits were expecting. Non-farm payrolls declined by just 247,000, half the number that were disappearing each month in the spring. The unemployment rate has actually declined slightly to 9.4 per cent.

Lunch with Rory Stewart

Emily Stokes:

I was thinking we should do questions first and chat later,” says Rory Stewart, 36 and director of the Carr Centre for Human Rights at Harvard’s Kennedy School. I ask if the distinction is absolutely necessary; we are, after all, settling down for lunch, not preparing for a seminar.



“There might”, he says, “be a holistic theory that there’s no real distinction between interview and personal chat, just like there’s a theory that there’s no distinction between development, state-building and counter-insurgency, but I like to see things in categories.” He pauses to gauge whether I’m still following: “It’s like my belief that counter-terrorism is completely different from development.”



It is perhaps not surprising Stewart has no time for small talk. He has walked 6,000 miles across Asia; written a bestselling travel book at 28, and last year was chosen as one of Esquire magazine’s 75 most influential people of the 21st century.



Upon accepting the position at Harvard, he bought a huge house in Cambridge, where he now lives alone, filling it with furniture from his family home in the Scottish Highlands – evidence, perhaps, that he had renounced the life of an adventurer and charity director in Asia to settle down.



The restaurant where we meet is certainly sedate. Harvest specialises in New England cuisine (stews and seafood). Jazz plays in the background, and the napkins are shaped into concertinas. Stewart greets me with a toothy smile, sits down and, after a brief tutorial on the difference between counter-terrorism and development, opens a menu. He has, he says, had clam chowder for breakfast, and, undaunted by the prospect of yet more soupy seafood, orders mussels, followed by bouillabaisse. “Oh yes, I’m very New England,” he says.



Stewart has a detached way of speaking, in perfect paragraphs, without hesitation. He once told a former colleague that he added “um”s and “er”s to his speech at school because he was scaring the other children. You can tell when he is excited by a topic because his speech seems less scripted, and he surprises me by becoming more animated when I ask him about whether he feels at home in Cambridge – even though he answers my question by talking about Afghanistan: “There, I wake up looking at a mud courtyard with peacocks prancing on the grass; I go down to the old city…”



Since arriving at Harvard in June last year, he has been consultant to several members of Barack Obama’s administration, including Hillary Clinton, and is a member of Richard Holbrooke’s special committee for Afghanistan and Pakistan policy. “I do a lot of work with policymakers, but how much effect am I having?” he asks, pronging a mussel out of its shell.



“It’s like they’re coming in and saying to you, ‘I’m going to drive my car off a cliff. Should I or should I not wear a seatbelt?’ And you say, ‘I don’t think you should drive your car off the cliff.’ And they say, ‘No, no, that bit’s already been decided – the question is whether to wear a seatbelt.’ And you say, ‘Well, you might as well wear a seatbelt.’ And then they say, ‘We’ve consulted with policy expert Rory Stewart and he says …’”

Airbus A380 in Oshkosh!

Dave Demerjian:

Of all the planes to touch down in Oshkosh this week, one towers above all others. That’s the Airbus A380.


We’ve written about the 380 before, and it’s tough to call a plane that’s already in service at three different airlines experimental, but today Airbus gave us – and the rest of the crowd here – something much cooler than your typical commercial jet landing. Flying in from Toulouse (via Milwaukee) under the command of test pilot Terry Lutz, the 380 did multiple flybys over the airfield, showing off for the thousands of assembled plane watchers before touching down at 3:15 local time.


As the plane rolled to a stop, it’s four engines still roaring, we couldn’t help but be awed all over again by its sheer size: 239 feet long, 79 feet high, with a wingspan of almost 80 269 feet and weighing in at 610,000 pounds. Seeing the plane in the company of so many other things with wings (some of them not so small themselves) puts those numbers in perspective. And while it might seem silly to call an aircraft the size of the A380 graceful, there’s no other way to describe the way it gently turned and banked as it circled the airfield before making its final approach. We’ve made it clear from the start that we love this plane, and today in Oshkosh we found a reason to love it a little bit more.

2009 Wisconsin Farm Technology Days VR Panorama Scenes



View five vr scenes from “Tent City”: Scene 1 / Scene 2 / Scene 3 / Scene 4 / Scene 5. After clicking, place your mouse in the image and pan in any direction.

View a still image library here.

More photos and vr scenes from the Craves Brothers farm, taken last fall.

Crave Brothers website and the Wisconsin Farm Technology Days website.