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AI and blockchain for innovation in personalised care, but yet no treatment for hypocrisy  


Marina Alamanou
Posts: 29
(@marina-alamanou)
Eminent Member
Joined: 1 year ago

Hi, Adam Tabriz when I read your article and without looking at your LinkedIn page I immediately thought: "Ohh Adam is living in US, so for him healthcare can be an "ugly and sad" topic since he knows first hand that people without insurance will simple die if something serious happens to them. Of course, these days also with an insurance you can die, because very often you can be misdiagnosed. 

Well, the closest we have in Europe to your US healthcare system can be found in Ireland, where a bad version of free economy is leaving young people waiting for a year for a diagnose and sometimes misdiagnosed. I personally have been told by my GP in Dublin, to stay away from hospitals and from doing further medical analysis because more likely they are not going to find what cause my allergies. So, since I am a biologist and with the help of my GP, I followed my "home made personal care plan" by starting a drastic diet and after a year and with a lot of research I realised what was causing my allergies there. But I also realised, that average people at my age with no background in medicine or with no self control when it comes to food, drink etc - that requires changing your lifestyle - wouldn't be able to do what I did at the time to calm down my immune system. 

Conclusion

So, I reached this conclusion a couple of years ago: "the healthcare system we have now, is the healthcare that our lifestyle deserves". We can't pretend to live a frenetic life over consuming and over stressing our organisms and then pretend that an affordable care system will save us. The "right" specialised and personalised treatment comes at a cost right now, and I know that is not fair but this is how it is.

So in order to change that, we must change our habits and life style first. So, yes the healthcare system is very often full of hypocrisy, but the same % of hypocrisy can be found in all of our society. Meaning, the hypocrisy you mentioned in your article is just a reflection of our society's hypocrisy.  

AI and blockchain

Now, personalised medicine indeed goes beyond genes, environment and lifestyle because it also includes other "variables" affecting humans not yet fully understood by scientists and RD departments. So yes, AI and blockchain used properly in order to address the real problems of our healthcare care system and give us personalised medicine will definitely helps us, but it won't happen overnight. Moreover, AI and blockchain will not change the hypocrisy inside the healthcare system or our society, and since AI is trained by us we risk that the hypocrisy you mentioned in your article, being also "transmitted" in our AI tools. 

PS: I haven't see yet how free economy and healthcare can go hand by hand, I guess is work in progress, but from my personal experience in 3 EU countries in a transition phase I know that insurance or not, the advise is always the same: stay away from hospitals and over worked medical doctors. And it was the medical community to give me this advise 🙂 Any way I look forward to my AI healthcare personalised assistant but remains the fact that I won't trust them 100% and will always look for those medical doctors that really know their job

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Adam Tabriz, MD
Posts: 23
(@adam-tabriz)
Eminent Member
Joined: 1 year ago

Marina, 

Thank you for the excellent feedback. I could not agree more. However with respect to artificial intelligence medical care and free market I would encourage you to read few of my past publications, as it will help clarify what American system of healthcare is going through.

I have lived and practiced medicine in Europe too and familiar with the U.K. National system.

The biggest mistake we are making is by trying to implement social programs on a capitalist base. Otherwise, personalized medicine is the same everywhere and has nothing to do with the payer system.

 

Trusting technology is not the same as trusting its architects: Has Alexa earned that reliance?! by Adam Tabriz, MD

 

Healthcare Problems: Understanding The Elephant in the Dark Room by Adam Tabriz, MD

Universal Healthcare: Inevitable Problems and a Can of Worms by Adam Tabriz, MD

 

 

 

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Marina Alamanou
(@marina-alamanou)
Joined: 1 year ago

Eminent Member
Posts: 29

@adam-tabriz

"Adam about Data security and HIPAA, and healthcare problems"

Basically we are saying the same things but using different words 🙂

Healthcare and their lobbyists will always try to find new ways to “access” our data for finding new ways to maximise revenue. And I totally agree that blockchain can protect our data. But while pharmas and insurance companies are going after our data - only and exclusively to maximise their profits - societies and crowds will always find new ways for protecting their data.

I will give you an example: while I use Facebook to follow different new outlets, I stopped using messenger because I realised that my private messages are being scanned, and I don’t trust the so called “guardians” of where our data are being stored. Technology companies right now are doing what I was doing as a researcher: I was scanning data of proteins and genes and I was making different scenarios while running experiments based on these scenarios. So I know - that even with all the regulations of the world - that my data are not protected and can be manipulated. 

Going back to Alexa now in your first article, I would never use Amazon’s Alexa because Amazon is among the most capitalist companies we have. And while I understand that capitalism is just the result of the human greed that runs in our genes, I start to recognise that I have a choice now. And this choice is in the gap that exists between intention and action, and that is the gap that neuro-marketers want to close while that is the gap that eastern philosophers have cultivated (wu wei).

So, 

  1. I will keep Facebook for now, but I will ignore Messenger and Alexa until another alternative is going to be found 
  2. I will ignore 70-80% of all the products that big pharmas are producing. In fact, I will keep only aspirin from western medicine and when aspirin isn’t enough I will do cupping, acupuncture and use hot stones knowing that plant medicine is also more efficient than aspirin. 
  3. But, I don’t think I can’t ignore my smartphone 🙂     

Healthcare, pharmas and big corporations have used their model of capitalism also to convince the scientific world that cells and organisms are governed by the same classical capitalistic hierarchical organizational structure with a boss in the top, controlling everything (and accumulating wealth). In fact, the main reason that drug development is failing these days is because everyone was convinced until now that by "knocking down” the “boss protein or gene” of a disease, they were going to cure the patient. Slowly they have come to realise (I hope) that the classical pyramidal hierarchical organizational structure found also in nature has to do only with the distribution of the roles of the different parts (humans or cells) of a system BUT not with the importance of the different parts. Meaning, the classical hierarchical organizational structure of proteins that controls a disease can’t be broken down by targeting the boss protein or gene on the top of the pyramid (mass healthcare model) simply because the structure (system that controls a desase) is sustained by the rest of the other parts. Since pharmas haven’t found a solution to address this problem so far, they will continue by giving us drugs with severe side effects for mass consumption and eventually collapse as business models because more and more people will deny taking these drugs. Even though these corporations "will attack" our data in order to survive, eventually they will find in front of them a big mass of informed people that by not consuming anymore everything that is being sold to them, will force the corporations to find a compromise and eventually the right personalised care. But, it might take time because luck of awareness has nothing to do with ignorance but with greed, the same greed that can be found in the corporations. In this concept, social programs have also to change, from being just "I will take care of the mass".     

Ironically, healthcare people they should have been the first to incorporate decentralised solutions in their systems, but probably they haven't realised yet the sophistication of decentralised systems in what their studying: life. 

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Adam Tabriz, MD
(@adam-tabriz)
Joined: 1 year ago

Eminent Member
Posts: 23

@marina-alamanou

I agree with you 

I have written on every single one of the topics you just brilliantly outlined. However, with regards to capitalism, I must say— I understand the rhetorics behind public distrust of extreme ideologies of communism and capitalism. As I have lived in under both scenarios and I can also see where socialism is coming from. Having said that- corporatism is a different ball game. It has nothing to do with capitalism. After US Supreme Court ruled that corporations are rightfully equal to human, sh..t hit the fan. Corporations like amazon and face book are shields where few can hide behind them. Just like unions in communism. And you are right healthcare must move fast because corporations are going to implement cookie-cutter medicine very soon. 

Something to think about 👉 Medicine, F.D.A, and Controversies Feeding the Big-Data-Driven Stem Cell Science- A case of Ethical and Legal Predicament

https://link.medium.com/gqBv8Kv5sZ

 

 #hcwb #healthcarewithoutborders #Healthcarebeyobdborders #HCBB #healthcarewithoutborder 

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Marina Alamanou
(@marina-alamanou)
Joined: 1 year ago

Eminent Member
Posts: 29

@adam-tabriz

Stem cells and regulations by Adam 

Nice article!

Stem cells: something like "to be or not to be" or "to do or not to do the treatment"? 

I have seen more contamination in places highly regulated than in humble laboratories dealing with stem cells...and while I have worked several yrs isolating stem cells from bone marrow from newborn mice and giving them back to adult mice, I don't thing we really know what these stem cells can do. I consider stem therapy work in progress. And with this clinics for stem therapy, you might risk more from a secondary infection rather than a complication from the treatment itself.   

I joined the corporate regulated world late in my career, I was an academic before. So, for me too many regulations are just like the too many theories of the academics. Meaning, when an experiment has failed and you have to save your job in academia - because you have spent millions of dollars or have to ask for a grant - the best thing you can do is to come up with a new theory, not necessarily useful but still a theory. On the other hand, when you work in industry and you have to save your job when experiments fail, you invent issues with different lot numbers and you use as a protective shield: the regulations! I am not saying regulations are completely useless, is just that by not being real time and real life updated they can be useless. 

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Adam Tabriz, MD
(@adam-tabriz)
Joined: 1 year ago

Eminent Member
Posts: 23

@marina-alamanou

Indeed! 

High level regulation is a must. But micromanagement is always counterproductive. 

 

Thank you for the great feedbacks!

 

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