In search, Google has a 90%+ share worldwide. But I’m not sure that makes it a monopoly, as long as it has real competition. With Bing is does.
For example, recently I wanted to find a post Andrew Orlowski wrote for The Register in the early 00s. I remembered that it was about The Cluetrain Manifesto (which he called “Candide without the irony”—a great one-liner I can’t forget), and also mentioned John C. Dvorak, another Cluetrain non-fan. So I did this search on Google:
Credit where also due: I can find it as well in The Register‘s own search function. Hats off to all publications that keep their archives intact and searchable.
The difference between Google and Bing in this case is consistent with something I’ve noticed lately, which is that Google seems to be forgetting a lot of old stuff. Maybe it’s because the company is deprecating http in deference to https. Maybe there’s some other reason. I don’t know.
I also prefer Bing’s image search as well. It’s much less complicated than Google’s, and much easier to step through with the > arrow when paging through results. (Google piles up the already-viewed images in row after row above the current image, leaving the current image “below the fold,” and requiring extra work to locate again.)
And I love Bing’s Birds Eye views in Bing Maps. For an example of the latter, look here. That’s the top of the “candelabra” tower in Needham, Mass. It’s the site from which nearly all of Boston’s TV stations radiate. (Over-the-air broadcasting is very old hat, but I still care about it.) The closest Google can comes to that is here, where the 3D view only shows the base of the tower.
I can give lots of other examples, but I think I’ve made my point: Google isn’t a monopoly as long as there is a worthy competitor. And in several important ways, Bing is that.
Here’s the latest satellite fire detection data, restricted to just the last twelve hours of the Thomas Fire, mapped on Google Earth Pro:That’s labeled 1830 Mountain Standard Time (MST), or 5:30pm Pacific, about half an hour ago as I write this.
Our home is in the orange Voluntary Evacuation area. So we made a round trip from LA to prepare the house as best we could, gather some stuff and go. Here’s a photo album of the trip, and one of the last sights we saw on our way out of town:
This, I believe, was a fire break created on the up-slope side of Toro Canyon. Whether purely preventive or not, it was very impressive.
Here you can see how there is no fresh fire activity near Lake Casitas and Carpinteria, which is cool (at least relatively). You can also see how Ojai and Carpinteria were saved, how Santa Barbara is threatened, and how there are at least five separate fires around the perimeter. Three of those are in the back country, and I suspect the idea is to let those burn until they hit natural fire breaks or the wind shifts and the fires get blown back on their own burned areas and fizzle out there.
The main area of concern is at the west end of the fire, above Santa Barbara, in what they call the front country: the slope on the ocean’s side of the Santa Ynez Mountains, which run as a long and steep spine, rising close to 4000 feet high in the area we care about here. (It’s higher farther west.)
This afternoon I caught a community meeting on KEYT, Santa Barbara’s TV station, which has been very aggressive and responsible in reporting on the fire. I can’t find a recording of that meeting now on the station’s website, but I am watching the station’s live 6pm news broadcast now, devoted to a news conference at the Ventura County Fairgrounds. (Even though I’m currently at a house near Los Angeles, I can watch our TV set top box remotely through a system called Dish Anywhere. Hats off to Dish Network for providing that ability. In addition to being cool, it’s exceptionally handy for evacuated residents whose homes still have electricity and a good Internet connection. I thank Southern California Edison and Cox for those.)
On KEYT, Mark Brown of @Cal_Fire just spoke about Plans A, B and C, one or more of which will be chosen based on how the weather moves. Plan C is the scariest (and he called it that), because it involves setting fire lines close to homes, intentionally scorching several thousand acres to create an already-burned break, to stop the fire. “The vegetation will be removed before the fire has a chance to take it out, the way it wants to take it out,” he says.
Okay, that briefing just ended. I’ll leave it there.
So everybody reading this knows, we are fine, and don’t need to be at the house while this is going on. We also have great faith that 8000 fire fighting personnel and all their support systems will do the job and save our South Coast communities. What they’ve done so far has been nothing short of amazing, given the enormous geographical extent of this fire, the exceptionally rugged nature of the terrain, the record dryness of the vegetation, and other disadvantages. A huge hat tip to them.
That was yesterday. Hard to tell from just looking at it, but that’s a 180° shot, panning from east to west across California’s South Coast, most of which is masked by smoke from the Thomas Fire.
We weren’t in the smoke then, but we are now, so there’s not much to shoot. Just something more to wear: a dust mask. Yesterday I picked up two of the few left at the nearest hardware store, and now I’m wearing one around the house. Since wildfire smoke is bad news for lungs, that seems like a good idea.
I’m also noticing dead air coming from radio stations whose transmitters have likely burned up. And websites that seem dead to the fire as well. Here’s a list of signals that I’m pretty sure is off the air right now. All their transmitters are within the Thomas Fire perimeter:
KJAI/89.5 Ojai, which is (Pasadena-based) KPCC/89.3’s signal for Ventura County
Some are on Red Mountain (on the west of Highway 33, which connects Ventura with Ojai); some are in the Ventura Hills; and some are on Sulphur Mountain, which is the high ridge on the south side of Ojai. One is on Santa Paula Mountain, with a backup on Red Mountain. (That’s KOCP. I don’t hear it, and normally do.)
In some cases I’m hearing a live signal but dead air. In others I’m hearing nothing at all. In still other cases I’m hearing something faint. And some signals are too small, directional or isolated for me to check from 30 miles (give or take) away. So, fact checking is welcome. There’s a chance some of these are on the air with lower power at temporary locations.
The links in the list above go to technical information for each station, including exact transmitter locations and facilities, rather than to the stations themselves. Here’s a short cut to those, from the great Radio-Locator.com.
Nearly all the Ventura area FM stations — KHAY, KRUZ, KFYV, KMLA, KCAQ , KMRO, KSSC and KOCP — have nothing about the fire on their websites. Kinda sad, that. I’ve only found only two local stations doing what they should be doing at times like this. One is KCLU/88.3, the public station in Thousand Oaks. KCLU also serves the South Coast with an AM and an FM signal in Santa Barbara. The other is KVTA/1590. The latter is almost inaudible here right now. I suppose that’s because of a power outage. Its transmitter, like those of the other two AM stations in town, is down in a flat area unlikely to burn.
KBBY, on Rincon Mountain (a bit west of Red Mountain, but in an evacuation area with reported spot fires), is still on the air. Its website also has no mention of the fire. Same with KHAY/100.7, on Red Mountain, which was off the air but is now back on. Likewise KMLA/103.7, licensed to El Rio but serving the Ventura area.
KXLM/102.9 which transmits from the flats, is on the air.
Then I wrote this in 2015 (when I also took the screen shot, above, of a local pirate’s ID on my kitchen radio). I got a couple people interested, including one college student, but we couldn’t coordinate our schedules and the moments were lost.
To sample the situation, drive your car up Broadway north of 181st Street in Manhattan (above which the city gets very hilly, and there is maximal signal shadowing by big apartment buildings), or into the middle of the Bronx (same kind of setting), on any weekend evening. Then hit SCAN on your radio. Betcha a third of the stations you’ll hear are pirates, and the announcers will be speaking Spanish or Caribbean English. Some stations will have ads. Even if you only hear three or four signals (I’m on the wrong coast for checking on this), you’re tapping into something real happening which—far as I know—continues to attract approximately zero interest among popular media. (Could be it’s a thing on Twitter, but I don’t know.)
But there is a story here, about a marketplace of the literal sort. As I say in both those posts (at the top two links above), I wish I knew Spanish. For a reporter who does, there’s some great meat to chew on here. And it’s not just about the FCC playing a game of whack-a-mole. It’s about what licensed broadcasting alone can’t or won’t do.
Low power FM transmitters are cheap, by the way. The good ones are in low four figures. (One example.) The okay ones are in the two- and three-figure range. (Examples on Amazon and eBay.)
By the way, anything more than a small fraction of one watt is almost certainly in violation of Part 15 of the FCC rules, and therefore illegal. But hey, there’s a market for these things, so they sell.
By the way, is anyone visiting the topic of what will happen if Cumulus and/or iHeart can’t pay their debts? If either or both go down, a huge percentage of over-the-air radio in the U.S. goes with them.
The easy thing to blame is bad corporate decisions of one kind or another. The harder one is considering what the digital world is doing to undermine and replace the analog one.
If you’re wondering about why pirate radio is so big in New York yet relatively nowhere in Los Angeles (the next-largest broadcast market), here’s the main reason: New York FM stations are weak. The biggest sharing a master antenna atop the Empire State Building are only 6000 watts, at about 1300 feet up above the center of a metro with lots signal shadows and reflections caused by high-rise buildings, some taller than the Empire State Building.
In nearby New Jersey and the outer boroughs, you can put out a 10 or a 50 watt signal from a whip antenna on top of a house or a high-rise, on a channel right next to a licensed one, and cover a zip code or two with little trouble.
It’s hard to do that in most of Los Angeles, where stations radiate from mile-high Mt. Wilson at powers up to 110000 watts, and strong signals pack the dial from one end to the other. There are similar situations in Seattle, Portland, San Diego, Denver and San Francisco (though there are a few more terrain shadows for pirates to operate in). In flat places without thick clusters of high-rises in their outlying areas—Miami, New Orleans, Memphis, Houston, Dallas, Chicago, Minneapolis, Detroit—there are few places for pirates to hide among the buildings. In those places it’s relatively easy for the FCC to locate and smack down a pirate, especially if the pirates operate in a wide open way (as was the Miami example).
Still, I think pirate radio won’t go away, for the simple reason that it’s too easy to operate a station, and too few existing stations serving small community interests.
In case it’s not obvious, this is one nice piece of hard evidence that Boston is the country’s #1 sports town.
My source is Radio-Online‘s Nielsen Radio Ratings, current as of today. The big markets all last reported on September 29, and they are posted monthly. Some of the mid-markets reported on dates in October. All of the bigs and the mids report monthly. The small markets, such as Green Bay, report quarterly. While Green Bay was last updated on August 2, the last quarter listed is Spring of this year. I also include side-markets, such as those flanking New York, San Francisco and Los Angeles.
I list all the U.S. radio markets with a major league baseball, football, basketball or hockey team there or nearby. I just found ratings for Canadian stations, but those will take more work, because the formats aren’t listed. Maybe I’ll save those for Winter, when hockey is at high ebb. (I just checked Toronto, where the two AM sport stations total a 3.7, which would put Toronto in the middle of the pack here.)
If readers want me to, I’ll put up the spreadsheet I used. In fact it would be way cool if somebody else took this over.
The main thing I’m doing here is bragging on Boston.
Other things worth sharing:
With the Patriots, Red Sox, Celtics and Bruins, whaddaya expect?
Signal size matters. Boston’s and Philadelphia’s top sports stations are full-size FMs. Chicago’s, New York’s and San Francisco’s top sports stations are the biggest AMs in the market, covering huge territories; and New York’s is also on a full-size FM. Los Angeles’ sports stations aren’t the biggest AM stations in town, and there are no sports FM stations. Washington’s only sports station is an FM on the edge of the market a directional signal, mostly aimed away from the District (as they call it there). Minneapolis’ top sports station is a big FM, and the #2 is a landmark AM station. Charlotte’s biggest sports station is an AM that’s weak at night. Green Bay, Milwaukee, Raleigh-Durham, Las Vegas, San Antonio and Indianapolis also suffer from relatively small sports stations.
Streams show up in many of the ratings. Some streams are also on FM translators (which in some cases cover their metros well).
The fireworks photo above is in this set I shot on this past 4th of July, over the Charles River.
Synopsis—Advertising supported publishing in the offline world by sponsoring it. In the online world, advertising has been body-snatched by adtech, which tracks eyeballs via files injected into apps and browsers, then shoots those eyeballs with “relevant” ads wherever the eyeballs show up. Adtech has little or no interest in sponsoring a pub for the pub’s own worth. Worse, it incentivizes fake news (which is easier to produce than the real kind) and flooding the world with “content” rather than old-fashioned (and infinitely more worthwhile) editorial. When publishers agreed to funding by adtech, they sold their souls and their readers down a river full of fraud and malware, as well as indefensible manners. Fortunately, readers can bring both publishers and advertisers back into a soulful reunion. Helpfully, the GDPR makes it illegal not to, and that will be a huge issue as the deadline for compliance (next May 25th) approaches.
Do you think advertisers will pay enough for SafeAds to offset the losses publishers will have from selling fewer targeted ads due to privacy regs?
It’s a good question. (That’s what people say when they don’t have an answer, or can’t think of an easy one right away. But…) I thought about it, and replied with this:
Yes, and then some.
They’ll do it because there is more brand value to SafeAds.
The bigger question is for publishers: what business do they want to be in?
Do they want to operate barrels of “content” full of tracked fish baited there so adtech can shoot them with “interest-based” ads?
Or do they want to operate actual publications with good editorial that advertisers sponsor so their ads can be seen by readers who know those ads support the publication and are appropriate without being personal?
That’s the choice.
It helps that the second business — actual publishing — has been around for a couple hundred years, and even worked fine on the Web before publishers fell for the adtech sell.
Publishers sold a big piece of their soul when they consented to having their readers’ privacy violated, and with rampant impunity, by adtech. They also chose to ignore the fact that adtech is in the business of chasing eyeballs, not of sponsoring the good work publishers do, or of building brand reputation. (Which can’t be done by shooting people constantly with “interest-based” ads that mostly creep people out if they hit a bulls-eye.)
The GDPR, if it works like it should, will force publishers to fire adtech and normalize their relationship with readers. When that happens, publishers, advertisers, readers and agents for all three can start working out better business models than the creepy one we’ve had with adtech.
Ross quoted the first sentence of the second-to-last paragraph, which is probably the best one of the bunch he could have used. Most of the quotes he gathered from other folks in the biz were also very good. I study this topic a lot, and I still learned some new things. Hats off for that.
While I’m saluting what I just learned from Ross, however, I also want to visit some assumptions that surface in his piece. They aren’t his, but rather pretty much everybody’s, and that’s a problem. Here are four of them.
1) Consent can only go one way, meaning each of us should always be the ones consenting to terms proffered by sites and services. Here’s how Ross puts it:
The General Data Protection Regulation, which prevents brands from using a person’s data unless they have explicit permission to do so, could send more ad dollars to premium publishers that are more likely to obtain user consent than lower-quality publishers.
In fact consent can go the other way, meaning the publisher or advertiser can consent to our terms.
It is only because we made a Faustian bargain with client-server in 1995 that we remain stuck inside a model that assumes we “users” should always be second (and second-class) parties, with no choice but to agree as “clients” to terms proffered by server operators.
It helps that the Internet was designed so any one of us can be peers. This is an especially good design feature in the age that (at least I hope) begins with the GDPR.
One reason why I’m encouraged about the GDPR is that it says each of us can be “data controllers” as well as “data subjects.” (White & Case have a good unpacking of that, here.)
Tracking is the reason ad blocking, which has been around since 2003, didn’t hockey-stick toward the sky until 2012. That was when publishers and advertisers, led by the IAB, gave the middle finger to Do Not Track, which was merely a polite request not to be tracked that people could express in their browsers.
3) The best advertising is the most measurable, and is looking for a response from an individual.
That’s not true for advertising, but it is for direct response marketing (the wheat and chaff I talk about in the last cited piece). Unfortunately, as I say in that piece, “Madison Avenue fell asleep, direct response marketing ate its brain, and it woke up as an alien replica of itself.”
The outlines of that alien replica can be seen in what Ross cites here:
Eric Berry, CEO of native ad platform TripleLift, said the GDPR could lead to a reduction in programmatic ad spend because ad buyers will struggle to measure whether their ads lead to purchases. There’s uncertainty about how the law will be enforced, but if users have to give consent to individual publishers, demand-side platforms and attribution vendors, the attribution companies won’t likely have enough data to make accurate measurements, which will lead ad buyers to shift their dollars to other marketing tactics. This would hurt publishers that rely on programmatic ad revenue, he said.
There is a reason perhaps a $trillion has been spent on adtech and not one worldwide brand everyone can name has been created by it, much less sustained or helped in any way.
As Don Martisays, only real advertising can carry the full economic and creative signals required to create and sustain a brand. And, as Bob Hoffman hammers home constantly (and very artfully) in The Ad Contrarian, the ad industry’s equation of “digital” with tracking is based entirely on bullshit. (His term, and the right one.)
Direct response marketing, which began as junk mail, and which looks to measure results for every message, wasn’t designed for that, and can’t do it.
Calling direct response marketing advertising was one of the biggest mistakes the ad industry ever made and masks the real problem the GDPR invites, which is that we risk throwing out the SafeAds baby with the FakeAds (adtech) bathwater.
If all the GDPR leads publishers to do is (as Ross says in his piece) “use intrusive messages — like pop-ups or interstitials — to get user consent,” and the EU fails to fine publishers and their adtech funders for violating the spirit as well as the letter of the GDPR, the GDPR will be as big a fail as the useless cookie consent notices people see on European sites.
4) There’s nothing really wrong with adtech.
Pretty much everything is wrong about adtech, but perhaps the wrongest of the wrong is the problem Siva Vaidhyanathan (@sivasaid)visits in a NY Times piece titled Facebook Wins, Democracy Loses. Here’s a pull quote:
A core principle in political advertising is transparency — political ads are supposed to be easily visible to everyone, and everyone is supposed to understand that they are political ads, and where they come from. And it’s expensive to run even one version of an ad in traditional outlets, let alone a dozen different versions. Moreover, in the case of federal campaigns in the United States, the 2002 McCain-Feingold campaign-finance act requires candidates to state they approve of an ad and thus take responsibility for its content.
The bold-face is mine (or actually my wife’s, who found and highlighted it for me).
The economic signaling value of an ad comes from what it costs. Only a brand with a lot of heft can afford to sponsor a publication or a mainstream broadcaster. But it’s super-cheap to run ads that narrowcast to just a few people. Or to put up a fake news site. (Both are big reasons why journalism is now drowning in a sea of content. Adtech is what paid publishing to trade journalism for “content generation.” This is a cancer on advertising, publishing and journalism, and makes adtech the Agent Smith of digital.)
What’s more, adtech has created environments where micro-targeted ads and adtech-funded fake news can work very effectively to destroy brands.
Consider this possibility: Trump and his sympathizers succeeded in destroying Hillary Clinton’s brand, and there wasn’t a damn thing any of her own big-budget and big-media branding efforts (#SafeAds all) could do about it. (And try, if you are a Trump sympathizer, to ignore whatever you think about how much Hillary brought it on herself or deserved it. In badness of the smear-worthy sort, she has plenty of company, especially Trump. In using modern adtech and fake news methods, the Trump campaign and those helping it were very smart and effective.)
As Siva says in his Times piece,
Ads on [Facebook] meant for, say, 20- to 30-year-old home-owning Latino men in Northern Virginia would not be viewed by anyone else, and would run only briefly before vanishing. The potential for abuse is vast. An ad could falsely accuse a candidate of the worst malfeasance a day before Election Day, and the victim would have no way of even knowing it happened. Ads could stoke ethnic hatred and no one could prepare or respond before serious harm occurs.
Can the GDPR address that problem?
Yes, by supporting individuals (not mere “users” or “consumers”) operating as first parties, getting the good publishers to agree not to run ads like the ones Siva describes, and to open the floodgates to brand ads that actually sponsor those publications, rather than regarding them as bait for shooting tracked eyeballs.
My given name is David. Family members still call me that. Everybody else calls me Doc. Since people often ask me where that nickname came from, and since apparently I haven’t answered it anywhere I can now find online, here’s the story.
Thousands of years ago, in the mid-1970s, I worked at a little radio station owned by Duke University called WDBS. (A nice history of the station survives, in instant-loading 1st generation html, here. I also give big hat tip to Bob Chapman for talking Duke into buying the station in 1971, when he was still a student there.)
As signals went, WDBS was a shrub in grove of redwoods: strong in Duke’s corner of Durham, a bit weak in Chapel Hill, and barely audible in Raleigh—the three corners of North Carolina’s Research Triangle. (One of those redwoods, WRAL, was audible, their slogan bragged, “from Hatteras to Hickory,” which is about 320 miles as the crow flies.)
As a commercial station, WDBS had to sell advertising. This proved so difficult that we made up ads for stuff that didn’t exist. That, in addition to selling ads, was my job. The announcer’s name I used for many of the ads, plus other humorous features, was Doctor Dave. It wasn’t a name I chose. Bob Conroy did that. I also had a humorous column under the same name for the station’s monthly arts guide, with the image above at the top of the page. That one was created by Ray Simone.
Ray and David Hodskins, another WDBS listener, later approached me with the idea of starting an ad agency, which we did: Hodskins Simone & Searls. Since we already had a David, everybody at the agency called me Doctor Dave, which quickly abbreviated to Doc. Since my social network in business far exceeded all my other ones, the name stuck. And there you have it.
Before we start, let me explain that ATSC 1.0 is the HDTV standard, and defines what you get from HDTV stations over the air and cable. It dates from the last millennium. Resolution currently maxes out at 1080i, which fails to take advantage even the lowest-end HDTVs sold today, which are 1080p (better than 1080i).
Your new 4K TV or computer screen has 4x the resolution and “upscales” the ATSC picture it gets over the air or from cable. But actual 4k video looks better. Sources for that include satellite TV providers (DirectTV and Dish) and streaming services (Netflix, Amazon, YouTube, etc.).
In other words, the TV broadcast industry is to 4K video what AM radio is to FM. (Or what both are to streaming.)
“Next Gen TV matters because it will let broadcasters offer much better services in a variety of ways,” Pai wrote. “Picture quality will improve with 4K transmissions. Accurate sound localization and customizable sound mixes will produce an immersive audio experience. Broadcasters will be able to provide advanced emergency alerts with more information, more tailored to a viewer’s particular location. Enhanced personalization and interactivity will enable better audience measurement, which in turn will make for higher-quality advertising—ads relevant to you and that you actually might want to see. Perhaps most significantly, consumers will easily be able to watch over-the-air programming on mobile devices.”
Three questions here.
Re: personalization, will broadcasters and advertisers agree to our terms rather than vice versa? Term #1: #NoStalking. So far, I doubt it. (Not that the streamers are ready either, but they’re more likely to listen.)
How does this square with the Incentive Auction, which—if it succeeds—will get rid of most over the air TV?
What will this do for (or against) cable, which is having a helluva time wedging too many channels into its available capacities already, and do it by compressing the crap out of everything, filling the screen with artifacts (those sections of skin or ball fields that look plaid or pixelated).
Personally, I think both over the air and cable TV are dead horses walking, and ATSC 3.0 won’t save them. We’ll still have cable, but will use it mostly to watch and interact with streams, most of which will come from producers and distributors that were Net-native in the first place.
But I could be wrong about any or all of this. Either way (or however), tell me how.
We didn’t have that in the old print and broadcast worlds, and still don’t, where they persist. (For example, on news stands, or when you hit SCAN on a car radio.)
But we have it in digital media.
Here’s another difference: a lot of the stuff that gets shared is outright fake. There’s a lot of concern about that right now:
Why? Well, there’s a business in it. More eyeballs, more advertising, more money, for more eyeballs for more advertising. And so on.
Those ads are aimed by tracking beacons planted in your phones and browsers, feeding data about your interests, likes and dislikes to robot brains that work as hard as they can to know you and keep feeding you more stuff that stokes your prejudices. Fake or not, what you’ll see is stuff you are likely to share with others who do the same. This business that pays for this is called “adtech,” also known as “interest based” or “interactive” advertising. But those are euphemisms. Its science is all about stalking. They can plausibly deny it’s personal. But it is.
The “social” idea is “markets as conversations” (a personal nightmare for me, gotta say). The business idea is to drag as many eyeballs as possible across ads that are aimed by the same kinds of creepy systems. The latter funds the former.
Rather than unpack that, I’ll leave that up to the rest of ya’ll, with a few links:
And, because this system is mostly disconnected from the controlling effects of direct accountability to patients (which we might have had if the system had been B2C), costs and inefficiencies within the system have grown out of control. To say the least of it.
We tend to make this mistake whenever we conflate customers and consumers. We do this most commonly in businesses that offer B2C services paid for in a B2B way—as we have in the insurance business called healthcare. The split between the two is real, but treated as if it is not. Thus we have companies going on about how much they care about their consumers, users or patients, who they say have a “choice,” when in fact they have little or none.
Thus it is a mistake to assume that patients have any direct economic influence over what they get from health care providers whose primary customers are insurance companies. It really doesn’t matter is the care is provisioned through an “integrated clinical practice” (Mayo Clinic) “integrated managed care consortium” (e.g. Kaiser Permanente), “healthcare delivery system” (e.g. Cone Health), “managed healthcare group” (UnitedHealth, Anthem, Aetna), a “federation” of the same (Blue Cross Blue Shield) or a plain old “health insurance company” (Humana), the business is almost entirely upstream of the point where care is provided: inside the insurance business that gets paid to fund the whole mess.
The main exceptions in this system are Medicare and Medicaid, which are basically government-run insurance businesses.
Companies with internal splits between their customers and consumers tend to be blind to what its consumers actually want or need — or can bring to the market’s table on their own — because money comes from somewhere else. It’s conflationary shell game, making it easy to think and say the consumer is actually a customer, or like a customer, when they’re not, because all the economic action is taking place elsewhere.
I’ve seen this for decades in commercial broadcasting, and with publishers whose primary customers are advertisers rather than those who “consume” what is now called “content” (as if it were nothing more than container cargo), even if those consumers in some cases (such as with newspapers and magazines) are paying subscribers. The primary customers are still advertisers and their agents.
I’m seeing it today in the cabal of perpetrators and beneficiaries of the four dimensional shell game that online advertising has become. This is why its members, all B2B businesses, miss the clear signal “users,” “consumers” and “the audience” are sending with ad blocking and tracking protection.
The only way we can begin to fix the U.S. healthcare system is by making patients as powerful and engaging as they would be if they were full-fledged customers of the care they receive, rather than mere consumers of services. And this can only begin with better ways for each of us to take control of our own health care data (which is valuable to those services), and how it is used by services mostly paid for by others.
The best approach I have seen so far to this challenge is HIE of One, a project of two MDs, Adrian Gropper and Michael Chen. HIE stands for Health Information Exchange, which Adrian and Michael describe as “a patient-centered health record based on the FHIR and HEART interoperability standards.”
If you’re a developer, and you care about the health of your self, your friends and family, and the human species, I highly recommend stepping up and stepping in. I can’t think of any #VRM project with more leverage on the good of the world—as well as one country’s most essential yet fucked-up service economy.