The Anti-Social Bent of Modern Medicine – The Health Care Blog

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BY MIKE MAGEE

In George Packer’s traditional 2013 New Yorker article titled “Change the World: Silicon Valley transfers its slogans – and its cash – to the realm of politics,” there’s a passage price a cautious reread now a decade latter.

Packer shares an encounter with a 20-something techie critiquing his younger colleagues who mentioned, “Many see their social duty fulfilled by their companies, not by social or political motion. It’s remarkably handy that they’ll obtain all their targets simply by doing their start-up. They really suppose that Fb goes to be the panacea for lots of the world’s issues. It isn’t cynicism—it’s conceitedness and ignorance.”

Packer’s assessment on the time was “When financiers say that they’re doing God’s work by offering low-cost credit score, and oilmen declare to be patriots who’re making the nation energy-independent, nobody takes them too significantly—it’s a provided that their motivation is revenue. However when expertise entrepreneurs describe their lofty targets there’s no smirk or wink.”

Or, as others may say, “They consider their very own bull shit.” The place many people are at the moment centered on problems with values, equity and justice, these within the shadows of Silicon Valley see the problem to be inefficiency and incompetence, and the answer amenable to technologic engineering.

Again in 2013, a Belarusian immigrant pupil at Stanford named Evgeny Morozov coined the time period “solutionism” for these with unshakeable confidence in hi-tech options.  A decade latter, Evgeny is now Visiting Scholar in Liberation Technology at Stanford, and a colleague of Larry Diamond (director of Stanford’s Heart on Democracy) who coined the time period, “liberation expertise.” 

Stanford describes their focus this fashion: “The Web, cellphones, and different types of ‘liberation expertise’ allow residents to precise opinions, mobilize protests, and broaden the horizons of freedom. Autocratic governments are additionally studying to grasp these applied sciences, nevertheless. In the end, the competition between democrats and autocrats will rely not simply on expertise, however on political group and technique.”

Evgeny naturally bridges this world of particular person entrepreneurship and public coverage.  His current focus is on AGI (synthetic basic intelligence) and its interface along with his unique idea of neo-liberal “solutionism.” He believes we’ve got all been bought a invoice of products that expertise is inevitable and useful, and that it’ll broaden our intelligence and repair our inhumanity.

Evgeny says that it’s already clear that the rise of entrepreneurial capitalism and harmful profiteering (not to mention huge earnings inequality and segregation of tech gazillionaires) is altering consultant democracy and changing it with libertarians on steroids.

It’s helpful to remind ourselves that we’ve been down this street earlier than. For instance, it was none apart from Margaret Thatcher who mentioned, “There isn’t a such factor as society.” How has that labored out within the post-Brexit interval for the UK? 

Have been she alive at this time, she would possible agree with AGI followers that non-public beats public, effectivity solves social troubles, and adjusting to vary is a good deal faster and simpler that addressing core weaknesses in human or societal conduct.

Well being tech’s current “growth and bust” cycle laid fact to the lie that “actually sensible folks” versus enterprise capitalist firms are driving the knowledge expertise revolution. Within the overwhelming majority of instances, in well being care and past, the “allure offensive of closely sponsored companies” is adopted by “ugly retrenchment, with overdependent customers and companies shouldering the prices…”

In 2021, Health Tech managed to interrupt all of the data. The digital well being market gained 43% extra traders than in 2020, with $30.7 billion – a 107% rise – in enterprise capital. By 2022, the 85 firms dedicated to the sphere had collective valuations that had tripled to $73 million. 

Have been these concepts category-defining? Have been they sustainable? Have been the traders a supply of experience or smart steerage? Have been any of those merchandise driving impactful change that will equitably change the life trajectory of the people served? Did they reduce the populations concern and nervousness? Did they broaden hopefulness and group engagement. Did they make America and People wholesome?

Not in response to Evgeny. He says, “The open agenda is, in some ways, the alternative of equality and justice. They suppose something that lets you bypass establishments is, by default, empowering or liberating. You may not be capable of pay for well being care or your insurance coverage, however when you have an app in your cellphone that alerts you to the truth that you have to train extra, otherwise you aren’t consuming healthily sufficient, they suppose they’re fixing the issue.”

Mike Magee MD is a Medical Historian and common contributor to THCB. He’s the creator of CODE BLUE: Inside the Medical-Industrial Complex.

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