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  • Get I get an Amazon Prime Health account?

    Spice (31) flagReport
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  • I'm not too keen on this. Amazon isn't doing this so they can sell my medical history for me and then take a little off the top to cover the cost of the service. They are harvesting this data and selling it to medical groups. All that we're going to see of this is more, better-targeted advertisements.

    Spice (26) flagReport
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  • I don't like the idea that my medical records could be potentially out there in some big database waiting for the highest bidder to come along. 

    Spice (10) flagReport
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  • FYI that link is paywalled.

    Here is an alternative: https://www.engadget.com/2018/11/27/amazon-software-mine-medical-records/

    Spice (16) flagReport
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  • Medical records are already likely out there for the highest bidder anyway.  At least with Amazon doing it, you have someone to hold accountable for any misuse that may occur.

    Spice (6) flagReport
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  • It would be nice to see that massive sophisticated data mining technology used to benefit humankind instead of just "how can we get more of everyone's money?"

    I'd just hope that the information really is used ONLY to advance medical science, not for profit.  How can we ensure that?

    Spice (11) flagReport
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  • adam7363 wrote:

    I don't like the idea that my medical records could be potentially out there in some big database waiting for the highest bidder to come along. 

    The MIB Group (Medical Information Bureau, not Men In black) already exists and has since the early 1900's. 

    Spice (5) flagReport
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  • michaelpatton5 wrote:

    adam7363 wrote:

    I don't like the idea that my medical records could be potentially out there in some big database waiting for the highest bidder to come along. 

    The MIB Group (Medical Information Bureau, not Men In black) already exists and has since the early 1900's. 

    That's what they want you to think


    Spice (22) flagReport
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  • I hate the idea.  Just what we all need is more ads in our daily lives.

    Spice (3) flagReport
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  • I'll take "Bad Ideas" for $1000, Alex.

    Spice (20) flagReport
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  • Hell they couldn't even deliver my hard drive...twice. First one got lost and, to be fair, the second one did arrive...IN A BUBBLE ENVELOPE!!! Let's go ahead and trust them with our physical well being. Anybody wanna buy some Amazon's Choice strep throat culture swabs?

    Spice (8) flagReport
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  • CooperJS1 wrote:

    Hell they couldn't even deliver my hard drive...twice. First one got lost and, to be fair, the second one did arrive...IN A BUBBLE ENVELOPE!!! Let's go ahead and trust them with our physical well being. Anybody wanna buy some Amazon's Choice strep throat culture swabs?

    I think you can already buy those.

    Spice (5) flagReport
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  • If you all believe advertising is the primary motivator behind this, you're thinking far too small and narrowly.

    • Reduction of costs by more accurately recommending treatment options, and less reliance on "let's throw this plate of spaghetti at the wall and see what sticks" method of treatment
    • Increased granularity in insurance coverage plan offerings and premiums (in aggregate, by employer, for example)
    • Recommendation of more appropriate specialist referrals if symptoms indicate one thing but historical data doesn't bear that out.  Example: my wife took herself off of PPD meds and subsequently suffered severe skin irritation due to uncontrollable itching.  Dermatologist put her on increasingly powerful anti-itch medication, but nothing helped.  The symptoms subsided when her hormones rebalanced.  This was not a skin issue, but the dermatologist neither knew that nor considered other options.

    It's natural to assume a pessimistic stance whenever any MegaCorp gets involved in literally anything (judging by how often that tired cliche of "M$" gets thrown around; that joke was old in the '90s, you guys).  Not everything, however, has profit as the sole driver.

    Spice (11) flagReport
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  • Medical data systems are horribly managed currently. (at least in Canada) I assume this is US only at this point, but anyone who can actually improve on the current systems would be welcome as long as proper security and privacy for the patient remains at the core of the system

    Spice (4) flagReport
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  • Mike400 wrote:

    CooperJS1 wrote:

    Hell they couldn't even deliver my hard drive...twice. First one got lost and, to be fair, the second one did arrive...IN A BUBBLE ENVELOPE!!! Let's go ahead and trust them with our physical well being. Anybody wanna buy some Amazon's Choice strep throat culture swabs?

    I think you can already buy those.

    I was being as sarcastic as I could possibly be but, lo and behold, they are certainly for sale on Amazon. Mind = blown!

    Spice (7) flagReport
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  • I'm going to be really upset when I go in for my annual physical and my doctor tells me to cancel my Amazon Dash Button for Omaha steaks because my blood pressure is too high!

    Spice (10) flagReport
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  • My key takeaways:

    • Amazon wants to be a gateway to health care information and analytics, and is intently focused on pleasing its customers.
    • Even though patient data is the focus of the project, they are not Amazon's customers in this case --  companies like Berkshire Hathaway and JPMorgan Chase are.
    • Unlike the patients, Amazon and it's customers likely have no skin in this game.

    Hey Alexa -- get me outta here!

    Spice (5) flagReport
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  • THIS has always been a dream of mine. Unfortunately I don't own a trillion dollar company so I wasn't able to have influence on it. This is so good. However, it's also bad.

    The bad thing I can see is creating medications that require the continued use of medications instead of actually eradicating a disease. I'd like to think that every company works toward cures, but if there's one thing I know about being a business, it's that we're ALL in it for profit.

    Spice (3) flagReport
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  • Stop the hamster wheel now, please.  I'd like to exit this ride and get my life back.

    Spice (14) flagReport
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  • Amazon is already teetering on the edge of being a monopoly, and this is just yet another shady business venture for them.  It seems like every week at least one of the big tech companies does something that brings them closer and closer to becoming a monolithic state-sized corporation like Buy-N-Large from Wal-E.  

    Amazon can't even treat its warehouse employees like human beings - why would I want them handling my health records?!

    Spice (15) flagReport
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  • WeirdFish wrote:

    If you all believe advertising is the primary motivator behind this, you're thinking far too small and narrowly.

    • Reduction of costs by more accurately recommending treatment options, and less reliance on "let's throw this plate of spaghetti at the wall and see what sticks" method of treatment
    • Increased granularity in insurance coverage plan offerings and premiums (in aggregate, by employer, for example)
    • Recommendation of more appropriate specialist referrals if symptoms indicate one thing but historical data doesn't bear that out.  Example: my wife took herself off of PPD meds and subsequently suffered severe skin irritation due to uncontrollable itching.  Dermatologist put her on increasingly powerful anti-itch medication, but nothing helped.  The symptoms subsided when her hormones rebalanced.  This was not a skin issue, but the dermatologist neither knew that nor considered other options.

    It's natural to assume a pessimistic stance whenever any MegaCorp gets involved in literally anything (judging by how often that tired cliche of "M$" gets thrown around; that joke was old in the '90s, you guys).  Not everything, however, has profit as the sole driver.

    I have no issues with the idea of medical record big data analysis, I just don't trust Amazon as far as I can throw them.

    Also, I don't want their dirty fingers in another Pie

    Spice (5) flagReport
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  • HIPAA is all I have to say.....

    Spice (9) flagReport
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  • What words come to mind for Amazon....No Thank you!

    Spice (1) flagReport
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  • Spice (11) flagReport
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  • This is not at all creepy. Perfectly normal to have your medical history stored and analyzed by a company that sells the dream of getting toilet paper delivered within 24 hours. 

    Spice (4) flagReport
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  • WeirdFish wrote:

    It's natural to assume a pessimistic stance whenever any MegaCorp gets involved in literally anything (judging by how often that tired cliche of "M$" gets thrown around; that joke was old in the '90s, you guys).  Not everything, however, has profit as the sole driver.

    Corporations sole purpose in existence is to make money. Companies do not have a conscience, they are not altruistic by nature. A Corporation exists to create profits, where are the profits in this? I don't know, but there will be profits.

    Spice (7) flagReport
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  • Spice (7) flagReport
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  • CooperJS1 wrote:

    Mike400 wrote:

    CooperJS1 wrote:

    Hell they couldn't even deliver my hard drive...twice. First one got lost and, to be fair, the second one did arrive...IN A BUBBLE ENVELOPE!!! Let's go ahead and trust them with our physical well being. Anybody wanna buy some Amazon's Choice strep throat culture swabs?

    I think you can already buy those.

    I was being as sarcastic as I could possibly be but, lo and behold, they are certainly for sale on Amazon. Mind = blown!

    I was hoping you were joking...I really was....but.....I found them......WHY?

    Spice (1) flagReport
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  • I would just be happy if this means they divert away from their terrible logistics division. 3 weeks later and I'm still being treated like a criminal for a package that was never delivered but they insist was.

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  • When it comes to personal data, especially clinical information on folks...and I imagine their 'mining' is going to be cloud based and the data stored will be cloud based...this is so ungood, I almost am shooting hatebeams at Amazon.

    Of course, there are pure internet based clinical systems already being used so perhaps I should turn down the power on those 'beams'.  However, Amazon has already been hacked and is a prime target so that makes me especially wary (have they really increased security, learned lessons, etc) BUT it also it may mean that they have the money to do it right.  (Why have they not previously?).

    IDK.  Maybe I should just shut off my hatebeams, sit back, and learn.  Yeah, I'll do that for now.

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  • Yeah this is a very bad idea...one more thing to be hacked

    Spice (1) flagReport
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  • Chris537082 wrote:

    > Amazon has already been hacked and is a prime target <

    I see what you did there!   :^)

    Spice (4) flagReport
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  • Ah Mr. Smith lets review your medical records.......I see you've ordered dog treats and some clothing last month.  Oh I need to let this ad clear before i can get any further.

    Spice (1) flagReport
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  • So this is going to be like... "Hey Alexa, find Patient John Doe's records." next thing you know we'll have... "Hey Alexa, perform MRI, CT Scan, and Open Heart Surgery."

    Amazon is great but they're spreading thin. They have enough money that they can just outright acquire companies and not have to worry about R&D at all. The downside to this is that now your company is so diverse intercommunication must be wack between all of the different business models that are being intertwined. Cisco is somewhat similar but they at least stick with the IT Sector and just use acquisition to branch rapidly. Amazon is pretty much everything under the sun and does it seemingly well, in my opinion, as they definitely aren't hurting for money or looking to downscale. I can see it being a tremendous benefit to the consumer but I can't imagine being in the shoes of the Directors and Managers of individual departments trying to string everything to Amazon and their SOP's and all of those formalities.

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  • If this does happen, you will see a bunch of recommendations to treat your health issues...

    Need to quit smoking? Here are our 50 recommendations.

    Have high blood pressure? Here are 100 recommendations.

    You're overweight? Here are 100 recommendations on fitness.

    etc. etc. etc.

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  • how long before your medical info is sold to insurance companies who base your rate on that info.  It's the same reason I will never submit to things like Ancestry or 23 and me DNA testing (you give them the right to use that data how they want, and you know they are going to sell it)

    Spice (5) flagReport
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  • If I lived in a country where your access to health care was at the whim of a private insurer, I would be fighting this tooth and nail. This can only result in good news for corporations as they cancel bad risks and bad news for their clients.

    Spice (3) flagReport
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  • I would like to take a pass on that opportunity but I do not think we will be given a choice.

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  • StandingForChildren wrote:

    If I lived in a country where your access to health care was at the whim of a private insurer, I would be fighting this tooth and nail. This can only result in good news for corporations as they cancel bad risks and bad news for their clients.

    So definitely no in the US!!!

    Spice (1) flagReport
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  • Another example of a company being able to make money from data that they don't have any responsibility in maintaining accurately! 

    Spice (3) flagReport
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  • Working in the healthcare sphere now for ... ouch... 13 years I've learned a couple things about EMR/PM data. First, they are ALL convoluted and the relational databases are all as funky as some doctors kid in 1998 can make them. Yes, even the big players. Yes, even the one your doctor uses. Second, if it takes a team of at least 3 to get one EMR to talk to another PM (or an EMR or another clinic) using a standardized interface method (HL7) and take over 40 billable hours you know it's not a well baked procedure. Amazon sees those two things as possible strengths of theirs with the kicker that they can get a bit more juice from the squeeze by analyzing both at a high level and at a low level the data they have and recommending/selling products and services based on it (or probably, adjusting pricing by region for products that may be more pertinent.

    So for as awesome and futuristic as I want healthcare to be, where your medical records are both portable AND secure I don't see Amazon making this happen without their capitalistic ting on it. I hate to say that government oversight is needed, but I think it might be the only way to get it done. CMS, for as bureaucratic and clunky as they are is our best bet.

    Spice (4) flagReport
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  • Aussie Govt is doing this online medical DB with an opt-out option...(the server crashed from all the last minute opt-outs)..what worries me (and they do this with credit ratings too) is they have a general formula to work out the average. If you fall outside this bell curve, you don't get individual consideration.

    Health example: "Our records indicate that it was 6 years since your last visit to a GP therefore you must be a high risk health-wise because on average people your age have the onset of Alzheimer's, Dementia, etc. Did you forget to visit?"

    Then I can see it degrading to a point where you have to visit to update your records every time there's some new health trend (I remember when avocados were "bad" for you because they were high in fat...never mind it's good fat!!, etc. etc.)

    Spice (3) flagReport
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  • Someone - "Alexa, What is my neighbor's current health status?"

    Echo product - "Accessing information, Here is all the information currently concealed my HIPPA........"

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  • RebootsSolveProblems wrote:

    WeirdFish wrote:

    It's natural to assume a pessimistic stance whenever any MegaCorp gets involved in literally anything (judging by how often that tired cliche of "M$" gets thrown around; that joke was old in the '90s, you guys).  Not everything, however, has profit as the sole driver.

    Corporations sole purpose in existence is to make money. Companies do not have a conscience, they are not altruistic by nature. A Corporation exists to create profits, where are the profits in this? I don't know, but there will be profits.

    Profit is one of the drivers.  I never said there would not be.  But profit comes in many forms, many ways, many time spans.  

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  • Bad! I don't want to only see commercials for fitness equipment!!!

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  • I suppose time will tell!!

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  • Bad... very bad.

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  • This, along with Google's foray into the medical records data mining, is bad, bad, bad.

    What controls are in place to prevent linking of this data to any personal accounts I may have with these companies?

    Any profits made by Amazon and Google from this tech should come from the savings made by the Insurance and Medical companies involved.

    There should always be an opt-out offered as well!

    Spice (1) flagReport
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  • Nothing bad has ever occurred form intermingling profits with people's healthcare so this can only be a good thing.

    Spice (2) flagReport
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  • AI Doctors "you have a broken leg? Here is your plaster cast"

    Real doctors "you have a broken leg....oh crap you have cancer of the bone".

    I have seen that once in my life already.

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