Saturday, September 6, 2008

Do-It-Yourself Medicine is enabled by a cellphone

Almost every strategy to contain...maybe even reduce... medical costs is essentially a scheme to ration medical care and especially high technology-based drugs or procedures such as cat-scans.

This seems backward to me. Isn't a better way to reduce the costs of using technology and to make it more widely available... rather than limit it to those who can afford to pay for it.

Perhaps the only way to realistically reduce medical costs is to make medicine less labor-intensive and to miniaturize tests and most of all to anticipate the onset of disease. Perhaps in the future, disease can be eliminated but until then, early detection and treatment remains the best way to manage the inevitability of disease as a part of the human condition.

Medicine must move in the direction of home monitoring and measurement, computer-aided self diagnosis, and do-it-yourself treatment. It would seem to be the only way we will be able to afford comprehensive care.

Hospitals and doctors' offices must be replaced by specialist treatment clinics and home-based diagnosis.

There is a deregulatory element to this as well. As technology progresses, people and lower-level medical professionals will be able to do more without a doctor's supervision; the laws that restrict certain types of decisions and permissions to someone with a license to practice medicine will have to be relaxed. Will doctor's fight home-doctoring like lawyers have fought home-lawyering?

Do it yourself tax software has reduced the need for the lowest level of tax accountant.

Will do-it-yourself doctoring eliminate the need for the general practitioner, leaving only specialists for the most complex and uncommon cases?

Wide use of comprehensive electronic medical records, updated regularly with data from individual sensors, analyzed by computers using constantly improved diagnostic algorithms can probably identify incipient disease earlier with greater accuracy than infrequent hurried examinations by primary care doctors.

Cell phones, as ubiquitous digital powered devices, may be an excellent vehicle for housing individual medical sensors that don't require embedding in the body.

Cell phones also offer an inexpensive and widely available means for interacting with a centralized computer-based medical monitoring center.

Read the Telemedicine article in the Economist.

Along with micro-finance goes cell phone-enabled micro payment

M-PESA is a Safaricom service allowing you to transfer money using a mobile phone. Kenya is the first country in the world to use this service, which is offered in partnership between Safaricom and Vodafone.

M-PESA is available to all members of the public, even if you do not have a bank account or a bankcard.

I would expect to see this service rapidly adopted by developing countries. As the cellphone is used more frequently by buyers and sellers to determine prices, such a service as M-PESA will be used to settle small transactions.

Read of a new US-based startup that provides micropayment via cell phone.

Thursday, September 4, 2008

The cell phone as a universal 'remote' controller

In an earlier post I had listed several functions that I would like to see applications for on my perfect cell phone that fall into the 'universal remote' category:

1. remote control of TV, stereo, iPod,

2. House hold security systems

3. Door lock opener

4. Car door opener

Here's a story about how manufacturers are developing applications for the iPhone to control home security systems

Guess what?...QIK and Kyte service meets my requirement for video streaming from my 'perfect' cell phone...Great!!

See for your self....and here... these new services...Even subscribe easily.

I find 'crowd-sourcing' or amateur journalism a very exciting idea enabled by this new service.

More cellphones include video cameras. Streaming live video of current events to web sites for the friends or the rest of the world to view seems to me the ultimate in personal communication and citizen vigilance.

Of course, I recognize the opportunity for abuse and the loss of privacy in this vigilance thing...vigilantism is easily foreseeable...but the injustices in the world... which might be reduced, if exposed to the world...maybe the risk is worth the reward and a gain may be worth the effort to devise successful means of protecting individual privacy.

Schlage Link is first implementation of web controlled lock

I'll admit that my idea first identified in a early posting to the blog was not original...but at that time I had not been able to identify a lock company offering the capability as a standard package.

Now Schlage is. Read about it's functions.

But the Schlage lock is expensive and requires a subscription...neither characteristic do I like.

I still prefer an implementation that I conceived for the condominiums at 2068 Fifth Avenue using a standard electronic keyless lock plus another gadget that controls the power to the lock that is accessible from the internet either from a PC and standard web page or via cellphone in a similar manner. Contact me for details.