Op/Ed: Data Mining, Artificial Intelligence, and Angels of Death

AddThis Social Bookmark Button

Google is universally known as a search and advertising company. Now Google is tapping into the $3.5 trillion healthcare market. To compete with the Apple Watch, Google acquired FitBit, the wearable exercise, heart rate, and sleep tracking device. Data is king.

Voluntarily worn fitness tracking devices are one thing, but Google has entered the realm of the brave new world.A government inquiry has brought to light Google’s “Nightingale Project” that collected private medical data from Ascension Health’s 2,600 sites of care across 20 states and D.C., unbeknownst to the patients.


Beltway Insider: Navy Base Terror, Impeachment, Shootings, Pearl Harbor, 2020: Student Loan Crisis


Dozens of Google employees had access to the data which included lab results, physician diagnoses, hospitalization records, and health histories, complete with patient names and dates of birth. Google claims that the project complies with the Health Insurance Portability And Accountability Act (HIPAA) because it is a qualified business associate of Ascension Health.

And unlike the ads for socks that appear on your computer a nanosecond after you purchased some tennis shoes, Google promises that the data won’t be combined with consumer data. Fat chance.

Amazon, which already knows our every thought, was not satisfied with merely creating software that can read medical records. Now they’ve created Transcribe Medical, a system that transcribes confidential patient-doctor conversations and uploads them directly into the electronic health record. Doctors would relinquish all control over “private” patient records. Google also has been working on its own automatic speech recognition “digital scribe” to upload multiple speaker conversations.


Op/Ed: Fraud and Anonymity: The Perils of Medical Care Bureaucracy


Not only is there a problem with inaccuracies that could lead to a patient receiving the wrong treatment, but we all know the ubiquitous problem of hacking—even in the Department of Defense and the federal Office of Personnel Management.

Disturbingly, certain circles oohed and aahed over the revelation that Google, using electronic health records (EHR), created an artificial intelligence program that could predict death better than doctors. Fortunately for humanity, many others found the thought of leaving doctors out of the equation horrifying.

The cheerleaders crowed that it would decrease work for the doctors; they wouldn’t have to waste their time going through those pesky medical records to arrive at a conclusion. Using an artificial neural network to predict the death of a human being is a far cry from having a computer interpret an inanimate x-ray who is not a daughter, mother, sister, wife, or grandmother.

If you put it all together, it adds up to a death panel of one. Google’s software would decide that there is not a high likelihood of walking out of the hospital, no treatment would be given. We are becoming witness to the devolution of humanity.


Op/Ed: Halloween’s Over: Take off the Masks


Moreover, the government is incentivizing workforce development in palliative care through the Palliative Care and Hospice Education and Training Act. Perhaps this is why the hospice team seems to greet the patient at the hospital door. Of note, once a person has signed on to the Medicare hospice program, Medicare will not pay for any curative treatment or medications. Medicare will not pay for an emergency room visit unless the hospice team arranged it or someone decides it is not related to the hospice diagnosis.

The number of hospice agencies participating in the Medicare program nearly doubled between 2000 and 2016, for a total of some 4,382 providers. In 2000, about 30 percent of hospice agencies were for-profit, compared to about 67 percent in 2016. In that same period, Medicare payments grew from $3 billion to $16.8 billion.

Hospice care is lucrative. The minimum Medicare payment is $196 per day regardless of the quantity or quality of services provided on that day. A July 2019 report from the Office of Inspector General for the Department of Health and Human Services found that more than 80 percent of end-of-life facilities in the United States had at least one deficiency, and nearly 20 percent were poor performers with serious problems that jeopardized patient health and safety. It seems the compassionate medical service to care for suffering patients has turned into a heartless cash cow.


World News: Between Cost and Price Where Does Care Enter The Hospital Equation


Is this what we want for our loved ones and eventually, ourselves? Medicare for All promises every type of medical care under the sun, including long-term care. Long-term care is expensive and if done properly, labor intensive.

What better way to save money than to promote a computer program that convinces doctors that the patient is going to die no matter what they do. So the hospital tells the family that treatment or home care will drain their finances. For what? I’ll tell you for what. My parents died at home only after they were tired of doctors and ready to go. They strolled into heaven. They were not shoved in with a giant government backhoe.

 

 

Bio: Dr. Singleton is a board-certified anesthesiologist. She is the immediate past President of the Association of American Physicians and Surgeons (AAPS). She graduated from Stanford and earned her MD at UCSF Medical School.  Dr. Singleton completed 2 years of Surgery residency at UCSF, then her Anesthesia residency at Harvard’s Beth Israel Hospital. While still working in the operating room, she attended UC Berkeley Law School, focusing on constitutional law and administrative law.  She interned at the National Health Law Project and practiced insurance and health law. She teaches classes in the recognition of elder abuse and constitutional law for non-lawyers. She lives in Oakland, Ca.

Haute Tease

  • Op/Ed: Fake History and the Constitutional Value of a Black Person

    AddThis Social Bookmark Button

    In the spirit of fake news, Black History Month provides a forum for news pundits to lament that the Founding Fathers thought the relative worth of black persons was three fifths of a person.

     
  • Celebrity Interview: Alex Roe Talks Forever My Girl

    AddThis Social Bookmark Button

    British actor Alex Roe, currently starring as Liam Page in Forever My Girl, the heartwarming story of love lost and rekindled, recently discussed the role and the work in creating the sound that propels his character into international stardom.

     
  • Male Grooming Gift Guide: Manscaped Readies for Season Gift Giving

    AddThis Social Bookmark Button

    Manscaped, the male grooming company that provides at home styling tools and toiletry's for below the waist care, is blowing up the market with its innovative and unique products geared toward hygiene, comfort, maintenance and appearance.

     
  • HL London: Kensington Whole Foods Review – A Delicious Intersection of Organic, Natural, Healthy and Fresh

    AddThis Social Bookmark Button

    I was feeling slightly uneasy when I moved back to London from California, where a healthy diet and looking beautiful are absolute musts. My life was taking another turn and I was leaving a love that had captured me from wheels down.

     
  • Celebrity Interview: Stellan Skarsgard and Director Hans Petter Moland on the Making of In Order of Disappearance

    AddThis Social Bookmark Button

    In Order of Disappearance, from Magnet Releasing and Paradox, presents a devastated father as he comes to grips with his son's murder and inadvertently begins an inter-cartel slaughter in a revenge filled contemporary dark, Eastern European, drug smuggling comedic-drama.

     
  • Beltway Insider: Obama/Syrian Cease Fire; North Korea; Iran; SCOTUS; Election 2016; Nancy Reagan

    AddThis Social Bookmark Button

    President Obama reiterated his ambitious goals, in a conversation with NASA Astronaut Scott Kelly who spent a year in space, to send Astronauts to Mars by the 2030's, and solidify the United States position as a leader in space exploration.  

     
  • Carrie Fisher, Star Wars Princess Leia, Dies

    AddThis Social Bookmark Button

    Carrie Fisher, the celebrity daughter and actress of Debbie Reynolds and Eddie Fisher, has died following an in-flight massive heart attack that caused the actress to stop breathing. She never regained consciences. Fisher was 60.

     
  • Miami's Most Exclusive NYE Bashes, Concerts, Dinner Parties

    AddThis Social Bookmark Button

    With so many tourists in town, and locals looking to book LAST MINUTE Reservations (Say What?) here are some of the hottest bashes, concerts and dinner parties available to end 2017 with a bang, Miami style!

     
  • The Mule Review - A Solid Bet, Clint Eastwood Carries the Cartel Drama

    AddThis Social Bookmark Button

    The Mule, from Warner Bros., presents the story of Earl Stone, a World War II Vet, who at 90, after deep financial distress cost him home and family, begins driving cartel shipments from El Paso to Chicago.

     
  • Ebola Political Coverage, from Haute-Lifestyle.com, Receives Double Nomination for Journalistic Excellence

    AddThis Social Bookmark Button

    For Immediate Release (Los Angeles, CA) – The Beltway Insider, the weekly review of the nation’s top stories from the Washington beat, from Haute-Lifestyle.com, has been honored with two consecutive nominations for the prestigious Sidney Hillman Award for Journalistic Excellence.

     
  • Cookoo Watches, Smart Wear for Your Wrist, Launches through Kickstarter

    AddThis Social Bookmark Button

    ConnecteDevice is excited to announce that the cookoo™ watch is launching on Kickstarter. The cookoo watch is wearable technology that extends your smartphone to your wrist. It’s a traditional timepiece with a high-tech twist to help you manage your connected life.

     
  • A United Kingdom Review - Beautiful, Four Stars, A Must See Film

    AddThis Social Bookmark Button

    A United Kingdom, from Pathe and Fox Searchlight Pictures, brings to the screen the true story of Prince Seretse Khama of Botswana and his wife, Ruth Williams, who together took a chance and changed a nation.

     
  • Dallas Arts: The Sixth Floor Museum at Dealey Plaza Names New Chief Philanthropy Officer

    AddThis Social Bookmark Button

    The Sixth Floor Museum at Dealey Plaza is pleased to announce that Kimberly Camuel Bryan is joining the Museum's senior leadership team as Chief Philanthropy Officer. where she will oversee all aspects of institutional fundraising initiatives.  

  • di Rosa Center for Contemporary Art Unveils Artist Projects and Programming for Part 1 of Be Not Still: Living in Uncertain Times

    AddThis Social Bookmark Button

    di Rosa Center for Contemporary Art is proud to present its first institution-wide exhibition comprised of new commissions and guest-curated projects utilizing work from the permanent collection unfolding in two parts from November 4, 2017, through 2018.

     
  • The Birth of a Nation Review – Powerful, Mesmerizing, Absorbing, A Triumph

    AddThis Social Bookmark Button

    The Birth of a Nation, from Fox Searchlight Pictures, presents a powerful depiction of the true story of a literate slave, gifted by God, and the dominating satanic influences that are the catalyst behind an uprising that results in a stand for freedom.