Categories
Health

Tech-Health-Explore: Breaking Down the Companies Tracking Our Bodies

12.8.20

Announcing: Medtronic

Next Tuesday, 12.15.20, we will further our explorations of the companies looking to push the limits of the human body with an investigation of Medtronic. A company whose first tenet is to “alleviate pain, restore health, and extend life.” How could we not choose as one of our focused analyses the world’s largest medical device company.

In the meantime, Medtronic itself introduces a potential answer to get us started…

Why Medtronic?

https://youtu.be/h_vA_I1N-FI
Special Thanks to Medtronic Corp.

On a side note, we couldn’t resist, but doesn’t the video and narrator even look and sound respectively like it belongs at the start of the first season of Altered Carbon (#Commissions Earned)??? Lovin’ it!

Categories
Gear Health Wealth

Tech-Health-Explore: Breaking Down the Companies Tracking Our Bodies

Exploring Butterfly Network

As a rule, we follow the technological advancements of corporate giants in tech health to help inform those of us individuals choosing to define for ourselves who we are and what we want to be. That means knowing the world and those tracking us, good and bad. Incredible advancements are made every day by health companies seeking to do good in the world, no doubt. However, we need to follow and examine them to enhance our own capabilities and positioning. We are not victims, we are active agents in our lives.

Street Medicine Pending…

You know we are getting closer and closer to the cyberpunk versions of street medicine and body mods when ultrasounds are now under $3k, first-gen models on eBay under $1000, and work with the cell phone in our pockets.

No, we’re not talking about the Street Medicine Institute that works with the homeless (great org, check ’em out here), but we are talking Ripperdocs and the like! In the Cyberpunk Universe, these are literally doctors available on the streets of the world’s megacities some operating “legally,” and others making “illicit deals, such as installing military-grade cybernetics for the right price.” A great spot to explore more is below…

A Special Shout-out and Thanks to TheNeonArcade

The road is long yes, but we are taking the first steps. And the tools necessary for those steps are becoming available by the day. The Butterfly Network is one such company providing those tools.

Butterfly Network

A Special Shout-out and Thanks to Butterfly Network

Gettin’ pithy though, our attention this week is on Butterfly Network due in no small part to all the recognition they received these past few weeks in a recent merger with SPAC Longview Acquisition Corp (LGVW). More specifically, because Butterfly network is offering a true leap in street capable med-tech with a handheld, single-probe whole-body ultrasound system, Butterfly iQ, to make ultrasound technology, that links with your cell phone and has the tech to track a needle, called NeedleViz, as it enters our bodies.

A Special Shout-out and Thanks to Butterfly Network

The Impact

The story here is one of Med-Tech gone disruptor. With a tremendous $8 Billion market opportunity and the track to offer simplicity and affordability with ease of use and increased accessibility, the company is one worth watching.

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

The company is just on the verge of going public and infusing its coffers with a pile of cash!

LGVL & BFLY company info from Yahoo! Finance (through MarketWatch) blended with BCB Cyber Fuel for a whole new experience!

As with any technological disruptor, getting it in the hands of as many as possible is always key. With so much of the world currently holding no access to medical imaging and with such great need for it, increased access combining ease of use and a significantly lower cost to competitors, this company is one that is worth watching as it grows toward a bigger role in the lives of the masses around the world.

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

Lots of money is coming as LGVW becomes BFLY and gains capital from private investment in the form of PIPE. One thing is for sure we are sure going to pay a close eye on the completion of the deal as we near the end of the first quarter in 2021.

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

The Outcome

With such an impact, the promise for a meaningful outcome is greatly enhanced. The ultimate opportunity here is to expand the ability of patients to get access to the care they need and improve the ability of the medical profession to be able to meet that need. If the tech fell to a few street vendors we wouldn’t be totally surprised.

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

The best part of the Butterfly Network outcome is not just that they are making such an impact, but they are improving on it all the time. With such a splash already made, they are already improving the physical device and the ability to use it with software upgrades including education mods.

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

The best outcome here is all the ways in which ultrasound is already helpful and safe, expanded to the ultimate use case!

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

Our Opportunity

Not only is this device and this company set to help fuel up the aesthetic of med-tech in our daily lives, I mean just look at how cool the aesthetic is on this thing, tell me we are daydreaming cyberpunk! Beyond this, though there are incredible fortunes to be made on this and this is where the punk in us see the opportunity to expand out and wants the masses to get in on the ability to increase our portion of the wealth pie. As it comes into our lives as a health device, it should also come into our lives as a wealth device!

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

In terms of investment, there is no doubt that the market is there. This company/product combo looks to be a best-in-class option with not only a great cash reserve to get through the upcoming growth period but also one with great tech, sky-high prospects with big margins but the balance sheet to set us up the right way.

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

The potential for revenue growth is clearly a top-line benefit, due in no small part to those increasing margins built on low production costs.

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

Ultimately, the best opportunity is the chance to get in on great tech that is built on an open ecosystem with power from artificial intelligence and an eye towards securing data from the outset. This, of course, bears the requirement of a watchful eye, but the future definitely looks bright!

Butterfly Network company info from November 20, 2020, Investor Presentation blended with BCB Cyber Fuel for a whole new experience!

As always, make sure we are thinking for ourselves out there, doing our own homework, and cyberize our lives with the best in disruptive tech. Wanting more tips on wealth: learn more in our Wealth Section and dive deeper with Establishing the Baseline! And for those fueled by health-tech make sure to explore our BCB Cyber Health Section in more detail!

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Health

OUR CYBER-HEALTH: Virtual Medicine, A Cyberized View

Chapter 4: BCB Cyber Take (11.24.20)

Telemedicine on Blockchain

With every system, there are both benefits and pitfalls as we’ve seen, one of the most remarkable opportunities that come with telehealth and telemedicine however is the adoption of blockchain technologies. As we love to cyberize topics with a graphical exploration for ease and speed, we offer the following infographic to jump into the topic.

Telemedicine & telehealth offer a tremendous opportunity to revolutionize the medical industry as a whole as we have seen in the last few weeks. Bridging both benefit and pitfall, when communications-based healthcare is blended with blockchain, however, the combination can offer the technology necessary to add Transparency, Security & Integrity, Trust, Privacy, & Democratization, each element sorely lacking in medicine today! These five elements underpin all the benefits and pitfalls we have explored and only within the blockchain can they be ultimately be engaged.

Transparency

We begin with transparency for one of the largest issues in medicine today is transparency. Pricing, practice, and protocol all stand behind a veil that the patient falls victim to. From quality/type of care to the exchange of information, patients are exposed to a demanded trust and offered little exposure and therefore understanding of the medical practices they experience. Most notably, the why’s and to whom’s regarding the exchange of data within medical practice would ultimately be shared with the patient opening the whole structure. With blockchain, a cleaner and more clear picture of the exchanges could be made possible and the understanding and therefore capacity of the patient to make better decisions as individuals would be enhanced.

Security & Integrity

Hand in hand with Transparency, Security & Integrity (aka cybersecurity) could enhance the medical profession as practiced through a combination of telehealth and telemedicine with blockchain. As electronic medical records systems became based on the digital ledger and the middle persons responsible for handling these systems are removed, more accurate, and protected by the steadfastness of the blockchain.

Trust

As Transparency, Integrity, & Security were all improved the opportunity for trust in the system could be maximized. Since the digital ledger is capable of keeping a more exact record than typical human systems, the regulations needed to maintain trust in the system could be relaxed and the companies/institutions practicing telehealth and telemedicine would have an easier time navigating governmental involvement and could focus on patient care. Furthermore, fraud by individuals and insurance fraud would also be kept to a minimum thereby decreasing cost and potentially making medicine more accessible.

Privacy

As personal information could be placed under the protection of a private key after being encoded and stored on the blockchain, access would become very limited. Only proper individuals would then have access. Even in situations where hackers attempt to gain access to the lax IT environments found in many hospitals, despite many attempts to correct the situation, increased security and therefore privacy could be achieved.

Democratization

As costs are reduced, and access and privacy guarantees to the patient are increased, so is the usability by the masses. As telemedicine and telehealth stretch geographical boundaries, so too would the inclusion of blockchain onto these advances in medicine stretch the capacity of the field to be engaged by far more people in a far more efficient and safe manner.

The infographic and cyberized summary above were inspired by the following three sites used in researching the question: what opportunities lie in taking telemedicine to the next level with disruptive technology like blockchain?

Healthcare Weekly Ultimate Guide to Telemedicine

Healthcare IT News

Healthcare Information and Management Systems Society, Inc. (HIMSS)

While we are not sponsored by any of the above, we do find them fascinating and offer them here as fuel for our own independent explorations. For more Cyber-Fuel on Health, please check out our dedicated section on the subject.

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Health

OUR CYBER-HEALTH: Virtual Medicine, A Cyberized View

Chapter 3: Proposed Drawbacks? (11.17.20)

Top 3 on 5

With every system, there are both benefits and pitfalls, and with everyone touting the benefits of telehealth, we thought we’d also explore the potential drawbacks. So just what are they? As we love to cyberize topics with a graphical exploration for ease and speed, we offer our next round in Virtual Medicine with an infographic exploring the proposed drawbacks of the field. Below we jump right in and explore the top three drawbacks as summarized by BCB Cyber on the five levels of healthcare.

The infographic above was inspired by the following three sites used in researching the question: what are the disadvantages of virtual medicine/telehealth?

Harvard Health Publishing

eVisit.com

Concorde Health Careers

While we are not sponsored by any of the above, we do find them fascinating and offer them here as fuel for our own independent explorations. For more Cyber-Fuel on Health, please check out our dedicated section on the subject.

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Health

OUR CYBER-HEALTH: Virtual Medicine, A Cyberized View

Chapter 2: Proposed Benefits? (11.10.20)

Top 3 on 5

So just what are the benefits of virtual medicine? As we love to cyberize topics with a graphical exploration for ease and speed, we offer our next round in Virtual Medicine with an infographic exploring the proposed benefits of the field. Below we jump right in and explore the top three benefits as summarized by BCB Cyber on the five levels of healthcare.

The infographic above was inspired by the following three sites used in researching the question: what are the benefits of virtual medicine?

Mayo Clinic

Northwest Regional Telehealth Resource Center

Chiron, A Medici Company

While we are not sponsored by any of the above, we do find them fascinating and offer them here as fuel for our own independent explorations. For more Cyber-Fuel on Health, please check out our dedicated section on the subject.

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Health

OUR CYBER-HEALTH: Virtual Medicine, A Cyberized View

Chapter 1: What is Virtual Medicine? (11.03.20)

What is meant by virtual medicine?

Let’s start this out at the top, virtual medicine, or virtual healthcare, means reimagining how medical care is conceived. It means using the world of digital communications to change the way physicians offer, and how patients engage in healthcare. It means moving beyond the perception of the static clinic and immersing ourselves in the cyber.

Building multisensory environments, allows new opportunities to improve patient care from the mundane to the truly miraculous. In one, instance virtual reality may be used to distract a child from scary medical exams or chemotherapy, and in others, “surprising health benefits” have been witnessed in “burn injuries, to stroke, to PTSD, to schizophrenia, to existential anxiety at the end of life.”

In a conference developed by Cedars-Sinai Medical Center, a deeper exploration of immersive and virtual therapeutics has created a center for understanding within the medical community. Within this professional gathering, “participants include clinicians using VR for patient care, patients exploring the benefits of VR as a complementary therapy, hospitals and clinics evaluating the health economics of starting a medical VR program, industry partners developing VR hardware and software solutions, journalists investigating the latest advances in medical VR, and investors seeking to learn the evidence and ROI for healthcare VR solutions.” In 2019, the event brought 430 registrants from 5 continents and 12 countries.

Virtual medicine is not just the virtual doctor visit we’ve heard about but so much more. In fact, its changing how we interact with medicine.

How do telehealth and virtual emergency rooms play into it?

Telehealth, as we hear the buzzword being used so often today, is the broader industry that includes telemedicine, using the phone or online means of diagnostics, checkups, etc. Telehealth then includes visits yes, but also includes the likes of “chronic condition management” too.

Allowing for healthcare at distance, each of these elements allow care to be extended beyond the office through digital communication. Popping up in hospitals around the country, this now extends to emergency treatment as well. As one sit puts it, “(y)ou will speak with an emergency medicine physician, physician assistant or nurse practitioner with face-to-face technology using a secure computer or smartphone platform. Within the limitations of this visit, we can best guide you with home management or decide whether you do need to go to the Emergency Department or come to the hospital to be evaluated in person.” This not only includes a virtual visit but a full data entry system and a virtual waiting room too.

What does this mean for the future of medicine and more importantly our relationship with the industry?

Simply, put it means that our health is now digital. It means that as we seek out care it most likely will initiate with a digital connection and there for not only will we be able to gain the help we need at a distance, but our physical, bodily data will now be part of the stream. Digital streams of patient records and bodily vitals will now openly traverse the internet. Our data is at greater risk. But with greater risk, we gain a greater reward.

Distance health is incredibly important as are virtual environments. With the spread of infectious disease, as we see in the COVID era, the concern of the health and safety of healthcare workers too can be greatly increased if virtual engagement is the point of origin in healthcare as opposed to in-person visits.

While “the visit,” still has a role, it will now be virtualized. While it still requires time for adoption, the future is clear. Is the next step an AI provider?

And finally, what kinds of new tools are available to us as a result of this movement?

While we’ve covered several already, the tools available in these virtualized medical environments are many. In addition to escapist scenarios, very real dollars and sense tools are enabled as well. In the COVID era, real impacts have been seen using: online patient web portals, video chat, remote blood collection devices and kits, and new apps, and the extended use of private email.

Online portals may be nothing new to many of us, but the reach is now growing to small facilities in new localities around the world. These devices are direct enablers for patients seeking more engaged information including: “check(ing) lab results, update insurance information, and request prescription refills.”

With video calls, emails, and apps, many options are available and for the vid-variety include but are not limited to thera-LINK, VSee, Amazon Chime, Zoom, FaceTime, and Skype. However, warnings are growing on to the need to engage HITECH (Health Information Technology for Economic and Clinic Health Act) and HIPAA (Health Insurance Portability and Accountability Act).

Finally, by-mail sampling kits allow for the next extension for touchless sample collection. This obviously reduced exposure to the medical practitioner but puts a far greater onus upon the patient. In any case, several companies are moving in to make the systems possible. Mitra and LiveSmart are just a few of those expanding the opportunity.

With each of these tools, the relationship and the means are changing, it remains to be seen if the cost will as well.

While we are not sponsored by any of the above, we do find them fascinating and offer them here as fuel for our own independent explorations. For more Cyber-Fuel on Health, please check out our dedicated section on the subject.

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Health

OUR CYBER-HEALTH: Virtual Medicine, A Cyberized View

What is telehealth/virtualized medicine? What are the potential benefits? What are the unforeseen costs? For better or worse, COVID has brought us a world in which the desperate need to explore alternate forms of practicing medicine is more apparent now than ever before. The old system is broken. 21st-century medicine has finally arrived. Join us as we explore the opportunities currently emerging in virtual medicine.

Introducing a 4-Part Series: A Cyberized View on Virtual Medicine

I’m sure we’ve all heard of it, many have even likely already tried it. Virtual medicine has become a keen part of the conversation regarding our health. The discussion to be had includes everything from new, emergent companies changing how medicine is practiced, to patients wondering how much information they have to give up now and worrying whether or not it will be protected. The world, as always, is growing more technologically integrated and the human condition is changing as a result.

In this four-part, expository analysis on virtual medicine in our ever-more digitized lives, we will be Cyberizing this content as follows:

Chapter 1: What is Virtual Medicine? (11.03.20)

What is meant by virtual medicine? How do telehealth and virtual emergency rooms play into it? What does this mean for the future of medicine and more importantly our relationship with the industry? And finally, what kinds of new tools are available to us as a result of this movement?

Chapter 2: Proposed Benefits? (11.10.20)

In which ways is the profession advocating that this new format will benefit our lives? How does this benefit the industry players? Doctors? Hospitals? Health insurance?

Chapter 3: Potential Pitfalls? (11.17.20)

What are the potential drawbacks of this new tech-fueled engagement? Are there potential issues for hospitals and doctors? What are the potential impacts on patient care? What are the potential issues regarding patient data?

Chapter 4: The BCB Cyber Take (11.24.20)

In our last chapter, we not only summarize our current exploration, but we will also put forth our argument on an individual’s approach to virtual medicine. Describing, as always, ways that we can better inform ourselves to get the most out of these new technologies while protecting ourselves as individuals along the way.

Make sure to come back in November to join us for this exciting new series. For more Cyber-Fuel on Health, please check out our dedicated section on the subject.

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Health

OUR CYBER HEALTH: How do we protect ourselves in a gamified environment?

Chapter 3 (10.20.20): Three Basic Elements

It is the question that drives us… As the user, how do we protect our privacy in a gamified environment?

Even though we can find elements of gamification everywhere in our lives, from the media we consume to our shopping centers, there is little information out there regarding the opportunity for individuals to protect themselves in these specific instances. General circumstances, but in an enhanced, gamified environment, no.

It is therefore incumbent upon us as wise consumers of information, to take the appropriate steps.

The experience of gamification in society has been prevalent for the last ten years at least. That is to say that when we go out in society it is there. When we go to work it is there. When we go online, we can find dozens of articles preaching its benefit across any number of industries. We find it in social networks, we find it in healthy living apps, we even find it now with our financial institutions.

However, searching “how to protect your privacy in a gamified environment” yields little in the way of a fruitful result. As BCB Cyber prizes the development and capability of the individual, the user in these game environments, we turn to the three key components in designing a way for users to protect themselves: education, awareness, and action (or inaction as the case may be).

Education

I will be honest, while there is a lot of talk about privacy today, and much made of it in political circles, there are very few good guides for the individual. Sure, you can find Norton’s guide (and many others like it) that offer tips like beware of sharing too much personal information, use a VPN, or the ever-popular “be careful” where we click. But what happens when we are confronted with a “trusted” scenario, like the offerings our employer gives to us? Or do we even know when we are sharing personal information?

One of the few studies done on the subject, Gamification vs. Privacy: Identifying and Analysing the Major Concerns produced by researchers at the University of the Aegean in March 2019 establishes the fact that while yes, developers of this systems should develop solutions to aid in protecting and driving the opportunity for privacy and data protection for users, that it is also incumbent for the user to be actively engaged as well.

While the “how-to” section is a little light, the article does do a good job of highlighting a good point. At what points of contact are users most exposed?

By comparing the privacy requirements of Anonymity, Pseudonymity, Unlinkability, Undetectability, and Unobservability against game elements like avatars, challenges/competition (so touted by proponents of gamification), location, notifications, profiles, quizzes, roles, team functions, etc. In doing so, the researchers describe how in each instance the protection of privacy as identified by the five themes above is violated in all five instances or in several at once by their very nature. For example, one of the most perhaps unexpected instances occurs with our avatar.

By creating an avatar that is representative of our physical appearance, we unwittingly offer up our most defining features that can then be used in face recognition models. Even the avatar provides the possibility, that we can be identified by feature identification thereby eliminating the possibility of anonymity, pseudonymity, unlinkability, undetectability, and unobservability. For if each of our features provides a tell as to who we are, and if they didn’t how would we recognize each other on the street, these gamified environments provide far more telling data stories about our lives than we may realize.

Awareness

As gamified systems become more and more present in our lives both physical and digital it is incumbent upon the individual to be more aware than ever. Unfortunately, this also corresponds with a lack of privacy awareness, particularly in social networks.

For gamified environments, like social media, the biggest problem is that users prize convenience first, and tend to lack reservations about providing personally identifiable information (PII) on their profile. Unfortunately, users will place and extended trust in these environments, because it is their friends in social media, and their employer/insurer in gamified health environments, whom they believe already have this kind of information there is little hesitancy in providing it again. What ends up happening is this information is then extended far beyond the network, in both intended and unintended ways. For reference, Cambridge Analytica.

The ability for the user to be aware is not natural in these situations and as such presents a difficult roadblock. However, it will become a required skill to be learned if privacy is to be valued and maintained in the future.  It is, unfortunately, incumbent upon the user to ensure this happens.

Action, Or Inaction, As the Case May Be

The awareness section above provides a great summary of an article created back in 2012 on the subject. Written by S. Srinivasan, a professor and chairman of Technology Studies at Texas A&M International University, and linked above (“particularly in social networks”), the article does offer some best practices regarding user opportunity to protect their privacy.

We offer a BCB Cyberized summary below:

  1. Belay the feeling of obligation; the article references friends and invitations, but we suggest further action to include not feeling obligated to submit information across gamified environments too. If the purpose is engagement, learning, and potential “other” benefit to the user, then the submission of PII should be a moot point. The benefit attained from an anonymous character would be the same.
  2. Question all weblinks and information sources. Always good cyber-hygiene, this suggestion should also be critically engaged within trusted environments. If we seek anonymity as users, and would therefore exist in cyberspace as something else, should the basic assumption then be that everyone else is as well and this includes their intentions?
  3. Question the information itself. While the dated article references attachments, the point is taken. Digital files themselves are suspect. As we engage in gamified environments, we as users should most notably always question the gamed element as well.

It should always be up to the user to determine how much is shared. Not the system within which they are operating. We are not against sharing so long as that it is user-defined. For it is their information!

While the gamified nature of the environments we find ourselves in daily are ever-growing, ever-changing, and evermore being articulated as “normal,” only we the user will choose whether or not to accept the invitation to play. Responsibility and accountability are, as ever, still on us. Caveat Emptor!

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Health

OUR CYBER HEALTH: Why does Gamification Matter to the Tech-Enhanced User Today?

Chapter 2 (10.13.20)

Why Gamification matters to us today as it just begins entry into our lives? First in reality tv a few decades back, then health and supermarkets, next banking?

Is Our Employer Playing Us?

As early as 2014, there is evidence to suggest exactly that. In order to drive sales, The Independent, a British Online Newspaper, reported that “Supermarket chain Sainsbury’s was recently caught red-faced with a poster encouraging its staff to get customers to spend more on their shopping.”

In showing the poster, the Independent also brought to light that the advert was put up in a shop window by accident, originally having been planned for the staff room. The attempt by the grocer created a media onslaught of critical commentary. Resulting in a big online thumbs down! Social media provided a place for social dialogue that put pressure on the market. Good critical cyber-fuel indeed.

The articles remainder included a general discussion on gamification that has stemmed from Foursquare and their sign-in incentive-laden structure that many businesses including Starbucks now use as a model. The most interesting part of the article was and is that reaction. Where the cyberspace critical user engagement on society kicked in?

The Concerning Part Is…

The Independent then engaged Communications Specialist, now of the International Institute of Strategic Studies, Dr. Shirley Dent. A critical commentator on gamification, the Independent quoted her as saying, “the problem with it is that it is less about having a ‘head-on argument’ and is more about ‘seeking to change behavior with a few gamer’s tricks.’”

The point taken here is about the rational discussion that needs to be had with the user in these instances. The problem is that the opportunity for that discussion is being ignored. Instead, companies are simply instituting tactics. It was only in a cyber-reaction that user sentiment could be felt.

Gamification & Pervasiveness

Gamification has invaded several aspects of our daily lives. From the very first episodes of Survivor, Big Brother, and the like, gamification has not only changed many individual lives but has taken over our subconsciousness, streaming into our homes and onto our devices as we seek our escapism. Running beyond the reality television show and the occasional supermarket push, gamification is now, however, becoming more entrenched than ever in our lives. It is now in our healthcare and moving into our banking.

Gamification through incentivized use of health trackers for insurance benefits is quite commonplace these days. The questions now are not about how gamification will be instituted; they are past that. The question is now that of why gamification is not effective in single-focus strategies across the board? In a med-technews.com article posted just earlier this year, Rey Villar, partner at HealthChampion, questioned exactly this point. In short, he surmized that making health gamification more targeted and personalized is not only significant but critical if success is to ultimately be achieved.

The further insinuation that is also highlighted in the article is that we need to dig deeper, beyond financial recompense to find better incentivization and reward models that go beyond cash. For Villar, the model needs to be about digger deeper into lives and find rewards that stimulate people beyond money.

This means big data and further integration into our lives and creating a subtext for the technology we as users interact with. It is more than the surface value of that game app that we download that is at stake. For it is no longer just about making money off the product or incentivizing with money, we are making business more personal than ever. Strategies now seek a more individualized behavior modification in the user.

An interesting point, given the fact that our money is now being gamified as well. On October 1st, 2020, Dyernews.com reported that Yotta Savings Bank has begun with a promising start in having recently raised $3.3 million building a gamed-up savings account.

To balance their gaming element with the need to raise profits, YouTuber Andrei Jikh does a great job of pointing out that their payouts on savings can be manipulated with a game-based marketing gimmick in a way that diminishes their public accountability. Basically, they can adjust the effective rate paid out in interest from the savings account without ever having to publicly acknowledge having done so through the adjustment of one game element. Once again, we see an instance where the conversation is intentionally averted. Andrei further provides a fantastic, broad breakdown of Yotta Savings Bank too that should not be missed.

An interesting idea in its own right and certainly one that will attract a lot of interest, but the question remains over whether or not those customers that use Yotta Savings Bank‘s services will critically engage and demand more disclosure. Or will it be up to cyberspace again to provide the context and opportunity for a very necessary conversation.

Our Cyber Reflection

The bottom line is that the integration of gamification of society through tech is already here. The methodologies are simply being refined for maximum benefit for certain parties. Is anyone questioning this?

For us to be good, critically informed users we should always be questioning the “benefits” that are proposed to us by other actors in a digital society. It is incumbent upon us, the user, to spark the debate that Dr. Shirley Dent spoke of in the article from the Independent.

There is no better time than the present to be mindful of the apps and sites we use regarding ulterior motives, this even extends into our workplace. As work has gone remote, and more and more complications begin to arise from it, the integration of more technologically-driven gamification will no doubt result, as companies, employers, insurers, banking agents, all seek to maximize their own benefit. It is on the user to provide the dialogue both at the point of origin and in cyberspace.

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Health

OUR CYBER HEALTH: Gamification in Fiction and Pop Culture

Chapter 1 (10.06.20)

How has gamification been explored in the fiction and popular culture of Cyberpunk? Who are the protagonists in fiction and how do they react to a gamified world? How is technology employed in health gamification in these made-up worlds? And finally, what lessons can we draw to better inform ourselves of these worlds?

Living a Gamified Life

Gamification in our Cyber Health is particularly important today, for we are in the initial phases of its incorporation into our lives. In the COVID-era of health care, we see an increasing number of devices and analytics being pulled into our daily lives with the much-touted promise of benefit, and not-so-well proclaimed cost to our privacy; the latter accordingly lost in the name of safety.

As we see technology being used for heavy data collection, be it contact tracing to identify potentially infected individuals for a Coronavirus confirmation or trying to keep our blood pressure lower, data and tech are quickly moving into our health care in unique and advanced, system developing ways. This includes a new approach for employers and healthcare providers to add incentives in the workplace to achieve greater health benefits, lower costs, and reduce our individual privacy. One of the nation’s largest multinational health care services providers is even asking whether or not the medical profession should create entirely new career positions within the field to coincide with the digital app space and gamification of health.

Lessons from Popular Culture

With all these advances, human society can seem ill-equipped to handle the issue. However, as is often the case, our literature and popular culture often tackle such issues in advance, albeit in most cases to the extreme. Despite this, they provide an interesting point of introduction and critical reflection to see what the extremes of these systems taken too far might entail. To these ends, it is worthwhile to examine pop culture and explore what is available regarding gamification and technology when pushed to an extreme.

There are two examples of gamification that are rightly suited to this discussion from the world of cyberpunk that jump right out: one, the aptly named, Gamer, and the other, The Running Man (#CommissionsEarned). Both films are reminiscent of each other for good reason, they both reflect a gamified world built on the elements that champions of gamification employ to push its adoption; the concerning part is that this is the same in the real world today. Both films highlight how adding technologically enabled game elements to daily life can take advantage of “competition, achievement, collaboration, and charity” to produce some health benefits.

Gamer

In the 2009 film Gamer, the concept of gamification was taken to the extreme when people are enabled, using technologically advanced game systems built on “nano-cells,” to take over other people’s minds. Ultimately, placing convicts into a battle-based game world.

These battlefield environments built on a physical world controlled by electronic means deliver us, the viewer, to a convict who is taken over by a skilled gamer. The combo must then live through thirty game sessions to earn their freedom.

Despite being valuably derided for misunderstanding the gaming community, the film did do one thing very well: it demonstrated on a grand scale how adding game elements to real-life scenarios with real people can have extreme effects on the human condition and produce a malevolent situation for society more generally. The debut of the film even spurred a real-world reaction at the time of its release toward increased critical user involvement in the media regarding games of the day like Quake, the Sims, and Second Life.

Getting into the details, the film features Gerard Butler who plays and is played as, convict John ‘Kable’ Tillman. Wanting to return to his wife and daughter despite serving a death sentence, Kable is put to a game system that seeks to offer charity (winning his freedom) if competition and collaboration lead to the ultimate achievement. In this world, slayers attempt to wipe out each convict before the convicts can win several battles and earn their freedom. As creator of the game world and chief antagonist, Ken Castle puts it, “Every one of our slayers is a death row inmate…stay alive for thirty sessions you get set free! That’s not a bad deal.”

As Kable struggles through different battle scenarios, the main plot unravels around his relationship to his user, Simon, as they attempt to “work” together to gain Kable’s freedom. Ultimately, in an overly simplistic plot device, Kable must convince Simon to set him free so that he might win his freedom; ultimately needing to make his way to the location of the game’s creator and take his freedom back by force.

The system presented here is the most important part of what we are focused on. It is the allegory that counts. Summarized and reflected on neatly by the games creator Ken Castle when he exclaims “I think it, you do it. You’re mine boy;” control is the point. As within all systems, the ones with control have the upper hand. The question for us users, then, is before we enter the game world itself, are we willing to yield control? And if so, in what fashion? And, to what extent?

Despite the hyper-stereotypical representations of gamers and oversimplified plot structures, the film clearly demonstrates a specific vision: the addition of gaming elements to our daily lives, when taken to hysterical ends, can also use charity, competition, collaboration, and achievement to yield highly malevolent and violent ends.

The Running Man

Another example in High-Tech, Low-Life film that brings this critical nature of a gamified world to our doorstep is Arnold Schwarzenegger’s 1987 release The Running Man. In this edition of an eerily similar plotline, an America lost to dystopianism sees a wrongly convicted Arnold, try to earn his freedom by being forced into a game world of runners against stalkers: again, convicts try to earn their freedom in a battle of wits and physicality.

Ben Richards, Arnold’s character, goes from opening scene hero to convict to fan-favorite one-liner champion in the games where different stalkers slowly kill of each one of his technophile friends. In the end, much like in the film Gamer, it is only when Ben is left to his own devices of wit, force, and individuality that he is able to overcome the system and find his freedom.

Implication of Technology

Both characters too struggle against technology seemingly employed to make the world better. Each are outfitted with different types of physical trackers and many characters in both worlds are benefitted/affected by body modifications and health altering elements, not to mention deep fakes and a host of other technology. In fact, The Running Man may very well be the first iteration of an honest deep fake example in popular culture.

Where We Go from Here…

Each of these stories illustrates gamification in the extreme, but nonetheless still develop their central themes along the same lines that we see companies and wellness practitioners offering society today: add game elements to our natural inclination for competition, achievement, collaboration, and charity and all will benefit. Is this really the case though? Even before COVID many of the world’s journalism outlets were examining this exact question from the BBC to The Atlantic.

Did each of these film forbears not offer charity (reprieve from criminal wrongs) in return for a collaborative effort (Arnold and his crew against the stalkers; or the convict/gamer tandem in Gamer) through competition (fighting for their lives) and achievement (survival)? Each tale tells of a world that is now. A world that is coming to fruition right before our eyes, maybe not with the muscle-bound superheroes but with the tech enhancements, game systems, and attempted control that is professed in each film.

Critical Health Thinkers

There is no doubt that life often imitates art, and the potential for gamified environments is simply that they can go terribly wrong. This implies that for those of us with a critical eye on society, we must be ever informed and engaged users. Otherwise, the possibilities could be quite detrimental. So the next time our employer offers us the great benefit we can gain for adding their health games to our lives, maybe we should think twice and at least ask a bunch of questions and examine the system for ourselves.