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2009_05_07_jesusita

The above shows the situation, somehat. It’s a MODIS overlay on a Google Earth terrain view looking north from over downtown Santa Barbara. Go to that shot and mouse over for more.

Meanwhile, it’s clear that at least some hot spots have spread into the back country, above the city. But if those fires are still big, and the winds come strong toward town, we’ll be in very high danger.

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With all due respect to the good jobs that most of the legacy media are doing, their coverage could be much, much better if they paid respect to those listening and watching online, which includes their smart phones. What they need are plain hard facts, rather than the vague, boiled-down or sensationalized stuff that was News As Usual for the duration. Here are a few clues that should help:

  1. Make your audio easy to get. If you stream audio, do it in .mp3 and link to the actual IP address or URL of your stream. Don’t force users to open a “player” in a window. Many of us are listening online with other programs or on phones with sofware tuners. I’m listening to KNX right now using WunderRadio on the iPhone. I listen to KCLU on there too. (They’re not yet on the Public Radio Tuner, alas) Also feel free to use lower bandwidths. 24Kbps or 32Kbps deliver good-enough audio and make it to listeners who aren’t on wi-fi or 3G cell signals. The online equivalent of a 50,000-watt “flamethrower” (yes, they called them that) is a low-bandwidth .mp3 stream.
  2. Remember how many people are listening on hand-helds. Over 1.6 million copies of the Public Radio Tuner alone have been downloaded so far. Cell phones are the new radios. (They’ll be the new TVs soon. Count on it.) And they are much easier for listeners to “tune” than websites that hide means for listening. Which brings me to…
  3. Uncomplicate your damn websites. Without exception, legacy media have websites that are far too complicated and jam-packed with visual noise, including promotions of junk that is highly uninteresting to visitors looking for hard facts about their homes and neighborhoods. Look at Craigslist. Its “design” fails to qualify for the noun. Yet it succeeds because it’s it’s in simple HTML that loads instantly. It also confines itself to facts, and is easy to figure out. In other words, it is 100% helpful. Not 90% promotional.
  4. If you read emails on the air, or take phone calls, put your email addresses and phone numbers in places where they can be found on your websites, and say them on the air. KTYD last night kept reading emails from people, but I couldn’t find an email address.
  5. Remember you’re not alone. Your tweet stream is not the only one, or even the main one. Neither is your audio or video stream. The people who matter most — the ones listening, reading and viewing with the most interest — aren’t just paying attention to you. They’re jumping around looking for best sources. They’ll be watching Twitter search expecially closely. They don’t need you to boil down the story, or just to show one thing and say how awful it is. Let them do the boiling, and do your best to get them the ingredients they need.
  6. If you’re running Incident Command or otherwise in charge of Official Communications, set up your own live stream for your press conferences. That’s because police and fire chiefs, plus communications directors, tend to drone on in Officialese and that causes radio stations to drop the feed, summarize and move on. In the most recent of these (the one Saturday morning, May 9), KCLU and KNX both bailed, summarized and went to their usual programming. Only KTYD stayed for the whole thing (and kudos to them). In fact, I’d suggest setting up your own blog and Twitter accounts.
  7. For TV stations with helicopters on the scene, several key points:
  • Carry a map or a GPS and use it. KSBY’s reporter and pilot (and/or cameraman) seemed to have no idea where they were. (Wouldn’t they have a GPS that could tell them?) The streets are not hard to identify. Tell us what the hell streets they are. “This is Lauro Canyon Reservoir. The fire we’re seeing is north of it on Holly.” Not just “Look at this house that’s burning out of control in the foothills.”
  • Don’t just report on the flames. Tell us more about what else is happening. Where are they dropping water and retardant? Where are the power lines down? What escape routes are being used?
  • If you’re running a live feed, remember that everything you’re saying is going out there. I don’t know if we were hearing the pilot or the cameraman, or both. But most of what they talked about was getting interesting shots, not reporting good information for viewers for whom these guys were the only source of information about what’s actually happening on the ground where they live, or where their friends and neighbors live. Several times the guy talked about one large house that appeared to be getting an unusually high level of protection, saying “That must be the mayor’s house.” Well, we know where the mayor lives, and it’s not a fancy house in the hills. The firefighters were defending that house for a good reason: because it was defensible. When they are forced to make choices, they’ll always go for the high percentage shot.

I really hope, if KSBY folks read this, that they don’t react by shutting off the live feed from their helicopter. Even though the talk was about going to the Elephant Bar and other irrelevancies, it was far more real and interesting than anything the reporter said. I’m guessing that the pilot was not an employee of the station. Even if that’s the case, it doesn’t matter. What matters is getting hard about real stuff out there. Not just a few sound and sight bites for news breaks.

On a big plus side, KSBY is set up already (at 7:13am) to carry the official news conference at 9am here. I remember listening to one of the key news conferences after the Tea Fire on KSBY while driving up to San Francisco from Santa Barbara, last November. KSBY is on Channel 6. The audio for Channel 6 is on 87.7 FM. After June 12, no TV stations will remain on lowband VHF, which include Channels 2 to 6. They will all be broadcasting digitally on other (mostly UHF) channels. Even if they’re still branded with their old channel numbers. All the more reason to recognize that we’re all just tributaries of vast digital rivers pouring the Live Web into the Static Web sea.

No tweets on #jesusitafire OR #santabarbara OR roque OR jesusita in the past three hours. That’s because it’s 5:45am in Santa Barbara right now. Not because nothing is happening. Check this scary image, from 3:25am.

I’m listening to KCLU. They did  good job last night. So did KTYD/99.9, the audio of which was substitued for the usual programing on sister stations KTMS/990 and KIST/1490.

Now it’s 6am, and KCLU only reports that three Ventura County firefighters were injured, some seriously. KTYD is taking a break from music programming to talk about what’s happening. Mostly it’s school closing.

KNX, at 6:05 has a reporter “live from the fire line.” Another at the fire command center. A story about a guy on Palomino Road (where some of our closest friends live) who did something with bush reduction that saved his house and those of neighbors. Doing correct pronunciations, too. “San Row-kee”. “La Coom-bra”. Well done.

Among the local TV stations yesterday, KSBY was the most helpful, because they had a helicopter parked a few hundred feet above the Foothill/San Roque intersection, looking for good video in the burning residential areas, that appeared to run west to east from upper San Roque/Santa Terasita to Tunnel Road. The shots I put up here were mostly from KSBY’s copter.

(Not quite oddly, KSBY is a San Luis Obispo station. SLO is a long drive over and around several mountain ranges. Over the air, KSBY’s signal is already weak where it’s walled off by the Santa Ynez mountains. But it doesn’t matter because almost nobody watches over the air TV in Santa Barbara anyway. There’s only one local English-speaking station (KEYT). If you want more TV, you get cable or satellite. KSBY is a cable station in SB.)

6:15am Pacific. KNX has a guy from Spyglass Ridge, who says all the houses on Holly Road burned, while Spyglass Ridge was spared. The fire jumped over his whole neighborhood. When a fire “jumps” it is usually by dropping burning “debris” at a distance from the fire itself. A the vertical winds in a fire can be high enough to lift burning shingles, bark, hunks of fences and whole flaming bushes, high into the sky, and drop them, still burning, up to half a mile or more away. The Oakland fire in 1991 leaped from Hiller Highlands across Temescal Lake, and two highways — 13 and 24 — to set the Piedmont district on fire. Well over 3000 homes burned in that one. It was easily the most amazing thing I have ever seen. At the height of the fire, a home was blowing up, literally exploding, every four seconds. We had friends who lost houses in that one, and not even the chimneys were standing. The heat at the center of the fire was several times that required for cremation. Cars were reduced to puddles of metal and glass. Once a fire like that gets going, “fighting” it is an optimistic verb.

This is the risk in Santa Barbara. The Cheltenham area, shown on the near side of the smoke in this shot here, is very much like Hiller Highlands and the Upper Broadway sections of Oakland, which burned in that ’91 fire. It’s a neighborhood of closely spaced homes on narrow winding roads, packed with beautiful yet highly flammable forests and landscaping. In other words, the kind of place that can go almost at once, and fast. Santa Barbara’s Riviera district is also like that. So is Barker Hill. And so were some of the regions burned by the Tea Fire.

As of right now, 6:25am, the winds are still calm. But the fire is 0% contained, and burning away on the face of the Santa Ynez mountain range that rises like a wall behind the city to nearly 4000 feet (at La Cumbre Peak). The woods here are dense with what they call “fuel”, and can be an abundant source of burning debris if the winds shift back south toward the civilization and the sea. High winds are expected later today.

So how can we keep up with news?

First, there’s Twitter. At 6:29am, the latest tweet on this search is from 3 hours ago and says

zbasset: #jesusitafire Has anyone been outside to do a visual this morning? How does it look? about 3 hours ago from web

This is actually helpful. So are any other tweets with actual reports, or links to useful information. Most of them are. Kudos to the tweeters.

It’s remarkable to see how far we’ve come since @nateritter started @sandiegofire in 2007. That showed what Twitter can do. In Santa Barbara it did much more in the Gap Fire and the Tea Fire. But now it’s mainstream. Every radio and TV station that wants to play in the clue flow has a Twitter account. The problem is, most of them are clueless in other ways, mostly because they still don’t realize that they are no longer the only lighthouses on the coast. There is an emerging ecosystem of news now, and it’s one in which everybody pariticipates. The result looks and sounds more like a trading floor than a newspaper or a radio or TV dial.

Speaking of which here’s a good list of local radio stations in Santa Barbara.

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Nothing on Inciweb yet on the Jesusita wildland fire above Santa Barbara’s San Roque district, on the slope of the Santa Ynez mountains, very close to town. Meanwhile Twitter is all over it. Or, citizen reporters are all over Twitter. Either way, it’s the Live Web at work.

By the latest report, about 160 acres have burned. In this dry back country, however, fires can spread far and fast. So, we’re concerned.

Here’s a map of the area, with evacuation areas and other details.

Some photos from the LA Times.

The Independent, always strong in fire coverage, has a section devoted to the Jesusita fire.

Here’s Edhat’s running news.

Tweets to follow:@KTMS, @City2, @LATimesFires, @LATimesfires, @SBRedCross, @KTYDFM, @KSBY @edhat, @socalincidents, @NBCLosAngeles, @borisalves, @PlanetSantaBarb, @sbinde

A wall-o-TV-feeds.

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Dave asks, When Google has to cut its own revenue stream by enhancing search, will they do it?

Good question. Here is another: Has Google’s success at advertising slowed its innovations around search? And, How far will Google go with search engine improvements if there’s clearly no advertising money in it?

I’m not suggesting answers here. I’m just asking.

There are many things I would love to search for that Google doesn’t cover. But then, nobody does. For example, a date-range search just of blogs. Google Blogsearch does feature date-based search, with the most recent on top. But what if I want to search just in November and December of 2004? Near as I can tell, it can’t be done. (Correct me if I’m wrong. I’m glad to be.) [Later…] I am corrected by the first two comments.

I once had high hopes that Technorati would support that kind of search, but both Technorati and Google Blogsearch are playing the What’s Popular game. (For what it’s worth, I used to be on Technorati’s advisory board, but now David Sifry is gone and I’m not sure the company even has one any more.)

Anyway, it’s hard for me not to appreciate the many different ways Google lets me search for stuff. Their geographic services, for example, are amazing. So is stuff like this. But I can’t help but notice that the basic search offering has changed relatively little over the years. Is it because of the advertising? You tell me. I really don’t know.

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Thanks to Keith McArthur for clueing me in on Cluetrainplus10, in which folks comment on each of Cluetrain’s 95 theses, on roughly the 10th anniversary of the day Cluetrain went up on the Web. (It was around this time in 1999.)

The only thesis I clearly remember writing was the first, “Markets are conversations.” That one was unpacked in a book chapter, and Chris Locke has taken that assignment for this exercise. Most of the other theses are also taken, so I chose one of the later ones, copied and pasted here:

71. Your tired notions of “the market” make our eyes glaze over. We don’t recognize ourselves in your projections—perhaps because we know we’re already elsewhere. Doc Searls @dsearls

Ten years later, that disconect is still there. Back when we wrote Cluetrain, we dwelled on the distance between what David Weinberger called “Fort Business” and the human beings both inside and outside the company. Today there is much more conversation happening across those lines (in both literal and metaphorical senses of the word), and everybody seems to be getting “social” out the wazoo. But the same old Fort/Human split is there. Worse, it’s growing, as businesses get more silo’d than ever — even (and especially) on the Net.

For evidence, look no farther than two of the most annoying developments in the history of business: 1) loyalty cards; and 2) the outsourcing of customer service to customers themselves.

Never mind the inefficiencies and outright stupidities involved in loyalty programs (for example, giving you a coupon discounting the next purchase of the thing you just bought — now for too much). Just look at the conceits involved. Every one of these programs acts as if “belonging” to a vendor is a desirable state — that customers are actually okay with being “acquired”, “locked-in” and “owned” like slaves.

Meanwhile, “customer service” has been automated to a degree that is beyond moronic. If you ever reach a Tier One agent, you’ll engage in a conversation with a script in human form:

“Hello, my name is Scott. How are you today?”

“I’m fine. How are you?”

“Thank you for asking. I’m fine. How can I help you today?”

“My X is F’d.”

“I’m sorry you’re having that problem.”

Right. They always ask how you are, always thank you for asking how they are, and are always sorry you have a problem.

They even do that chant in chat sessions. Last week I had a four chat sessions in a row with four agents of Charter Communications, the cable company that provides internet service at my brother-in-law’s house. This took place on a laptop in the crawl space under his house. All the chats were 99% unhelpful and in some ways were comically absurd. The real message that ran through the whole exchange was, You figure it out.

Last week in the New York Times, Steve Lohr wrote Customer Service? Ask a Volunteer. It tells the story of how customers, working as voluntary symbiotes in large vendor ecosystems, take up much of the support burden. If any of the good work of the volunteers finds its way into product improvement, it will provide good examples of what Eric von Hippel calls Democratizing Innovation. But most companies remain Fort Clueless on the matter. Sez one commenter on a Slashdot thread,

There’s a Linksys cable modem I know of that has a recent firmware, and by recent I mean last year or so. Linksys wont release the firmware as they expect only the cable companies to do so. The cable companies only release it to people who bought their cable modems from them directly. So there are thousands of people putting up with bugs because they bought their modem retail and have no legitimate access to the updated firmware.

What if I pulled this firmware from a cable company owned modem and wrote these people a simple installer? Would the company sing my praises then?

The real issue here is that people frequent web boards for support because the paid phone support they get is beyond worthless. Level 1 people just read scripts and level 2 or 3 people cant release firmwares because of moronic policies. No wonder people are helping themselves. These companies should be ashamed of providing service on such a low level, not happy that someone has taken up the slack for them.

Both these annoyances — loyalty cards and customer support outsourced to customers — are exacerbated by the Net. Loyalty cards are modeled to some degree on one of the worst flaws of the Web: that you have to sign in to something before you make a purchase. This is a bug, not a feature. And the Web makes it almost too easy for companies to direct customers away from the front door. They can say  “Just go to our Website. Everything you need is there.” Could be, but where? Even in 2009, finding good information on most company websites is a discouraging prospect. And the last thing you’ll find is a phone number that gets you to a human being, even if you’re prepared to pay for the help.

So the “elsewhere” we talked about in Cluetrain’s 71st thesis is out-of-luck-ville. Because we’re still stuck in a threshold state: between a world where sellers make all the rules, and a world where customers are self-equipped to overcome or obsolete those rules — by providing new ones that work the same for many vendors, and provide benefits for both sides.

This whole issue is front-burner for me right now. One reason is that I’m finally getting down (after three years) to unpacking The Intention Economy into a whole book, subtitled “What happens when customers get real power” (or something close to that). The other is that this past week has been one in which my wife and I spent perhaps half of our waking lives on the phone or the Web, navigating labyrinthine call center mazes, yelling at useless websites, and talking with tech support personnel who were 99% useless.

A Tier 2 Verizon person actually gave my wife detailed instructions on how to circumvent certain call center problems in the future, including an unpublished number that is sure to change — and stressing the importance of knowing how to work the company’s insane “system”. And that’s just one system. Every vendor of anything that requires service has its own system. Or many of them.

These problems cannot be solved by the companies themselves. Companies make silos. It’s as simple as that. Left to their own devices, that’s what they do. Over and over and over again.

The Internet Protocol solved the multiple network problem. We’re all on one Net now. Email protocols solved the multiple email system problem. We don’t have to ask which company silo somebody belongs to before we send email to them. But we still have multiple IM systems. The IETF approved Jabber’s XMPP protocol years ago, but Jabber has been only partially adopted. If you want to IM with somebody, you need to know if they’re on Skype or AIM or Yahoo or MSN. Far as I know, only Google uses XMPP as its IM protocol.

Meanwhile text more every day than they IM. This is because texting’s SMS protocol is universally used, both by all phone systems and by Twitter.

The fact that Apple, Microsoft, Skype and Yahoo all retain proprietary IM systems says that they still prefer to silo network uses and users, even after all these decades. They are, in the immortal words of Walt Whitman, “demented with the mania of owning things.”

Sobriety can only come from the customer side. As first parties in their own relationships and transactions, they are in the best position to sort out the growing silo-ization problems of second and third parties (vendors and their assistants).

Once customers become equipped with ways of managing their interactions with multiple vendors, we’ll see business growing around buyers rather than sellers. These are what we’re starting to call fourth party services: ones that Joe Andrieu calls user driven services. Here are his series of posts so far on the topic:

  1. The Great Reconfiguration
  2. Introducing User Driven Services
  3. User Driven Services: Impulse from the User
  4. User Driven Services: 2. Control

(He has eight more on the way. Stay tuned.)

Once these are in place, marketers will face a reciprocal force rather than a subordinated one. Three reasons: 1) because customer choices will far exceed the silo’d few provided by vendors acting like slave-owners; 2) customers will have help from a new and growing business category and 3) because customers are where the money comes from. Customers also know far more about how they want to spend their money than marketers do.

What follows will be a collapse of the guesswork economy that has comprised most of marketing and advertising for the duration. This is an economy that we were trying to blow up with Cluetrain ten years ago. It’s what I hope the next Cluetrain edition will help do, once it comes out this summer.

Meanwhile, work continues.

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New England is full of ruins. Woods everywhere are veined with stone walls, relics of an agrarian age that ended when the industrial one began. Shipping canals, which were thick with horse-drawn cargo when the Thoreau brothers rowed past them up the Concord & Merrimack Rivers, were abandoned once railroads did the same job better. Mills along canals and rivers have long since been torn down or turned into museums, stores or condos. Bypassed by cars and trucks on highways, old railroad beds have lost their easements or turned into bike trails.

So now what happens to radio and TV — two more old industries with landmarks on landscapes? I visited the subject to some degree over in Linux Journal yesterday, with What if they gave a DTV transition and nobody came? Here I want to go farther, and look at an industry we know is going to die — and to start doing it well before the end arrives.

AM radio, which operates on such low frequencies that signals are radiated by entire broadcast towers, are built as single or multi-tower “arrays” sitting on buried conductors: “ground systems” that can take up more space in soil than their towers occupy in the air above. Most of these facilities were built between the 20s and 80s. Since then scarce land and environmental restrictions have slowed their spread. I would add that available frequencies are also scarce, but that hasn’t stopped the FCC from easing rules, over and over, turning the band at night (when signals bounce off the sky to reach hundreds of miles from their transmitters) into wall-to-wall hash.

FM radio has only been around in a serious way since the 1950s. Operating on a VHF band, where the antennas themselves don’t need to be large (as they do on AM), FM does best when radiated from altitude, meaning the tops of mountains, buildings and high towers. Some of the latter grow to the legal limit of 2000 feet.

With its VHF and UHF signals, television also requires transmission from altitude. When you see a very high tower standing on landscape, or a bristle of short towers atop mountains and skyscrapers, you’re looking at sources of TV, FM or both. A huge percentage of the world’s tallest masts (a category that includes buildings and towers) stand in the U.S., and many are the full 2000-foot height. Most were built for TV stations. (Wikipedia has a comprehensive list of these. Also of tower collapses — a remarkably long list.)

The first set of these to go the way of ship canals is low-band VHF TV. That is, channels 2-6. After June 12, no antenna broadcasting on those channels in the U.S. will continue to operate. Most high-band VHF TV channels — ones operating on channels 7-13 — will also be abandoned, though a few will continue to transmit digital signals. All stations that formerly occupied channels 2-6 will move to a UHF channel (14 to 50).

Old analog TV transmitters are mostly worthless and can’t be re-purposed. (Here’s an excellent piece on that subject, from The Current.)

What I’m wondering about are the towers. The Current’s story suggests that they’re too expensive to take down (not worth enough in scrap), and that most will be re-purposed in any case.

I don’t think so.

It might be easy enough to re-purpose a few former Channel 2 or Channel 4 towers. But what happens when AM and FM transmission is obsoleted by webcasting? This hasn’t happened yet. There are many architectural and UI challenges, plus the added legal burden of copyright restrictions, which are much tougher on music broadcast on the Web than on the air (at least in the U.S.) But the end will come. The brightest writing on the wall right now is the Public Radio Tuner, a project of CPB and several public radio organizations. Last I heard (disclosure: I’m involved in the project), downloads of the free tuner for iPhone were past 1.6 million. This and other tuners, on the iPhone and other portable devices, will account for more and more listening, especially as more cell phone data plans take the ceilings off data consumption — as AT&T has already done for the iPhone.

Some have suggested that TV and FM towers can be re-purposed for cellular use, and to some degree that’s true. But cellular coverage requires many sites at low elevations, rather than a few at high elevations. As one Cisco guy told me, “they might be able to lease out the bottom 200 feet” of a tower.

Still, ends always come, and The End is in sight for over-the-air radio as well as TV. Then what?

Bonus linkage: Scott Fybush‘s amazing series of visits to broadcast towers, over many years; and a few of my own photos of transmitting sites, many shot from altitude. Also the blog and tweets of George Clark, both of which led to this digression.

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Says Stowe Boyd (in a post that has been re-tweeted a bit),

We need to move past the Cluetrain Manifesto, and acknowledge that what people are doing on the web is much, much more than conversing. It’s not just a chat room: it’s an entire culture under development, and the conversation is just the tip of the iceberg.

All due respect to Stowe and the RTers, the Cluetrain Manifesto didn’t say the Web was about conversing. What it said was,

A powerful global conversation has begun. Through the Internet, people are discovering and inventing new ways to share relevant knowledge with blinding speed. As a direct result, markets are getting smarter—and getting smarter faster than most companies.

These markets are conversations.

If you read down through that original Web page, or the book chapter titled Markets Are Conversations, you’ll find that Cluetrain is not only a brief against marketing in general, but that it’s a book about markets.

Somewhere back there, Jakob Nielsen told me that Cluetrain’s authors had “defected” from marketing, and sided with markets against marketing. Now that the world is thick with “conversation marketing” and worse, I’d say that’s more true than ever.

So, to set the record straight, “Markets are conversations” is a statement about markets. It’s about getting real. Not about getting talkative.

Of course, countless marketers have jumped on what they think is the clue train, and with lots of BS about “conversational” marketing. In the old days, we called this “sales”.

For what it’s worth (a lot, I hope), a 10th anniversary edition of Cluetrain is due out this summer. It’s the original with some more chapters added, including a couple by other folks who found Cluetrain useful. I hope it helps correct other misunderstandings as well.

Stowe’s post is about “unmarketing”, about which he says,

I think companies need to take several steps back, and rethink their own motivations, before attempting to grapple with the new motivations of an open web citizenry.

First to be reconsidered — a la Cluetrain — is that markets are not what they used to be, where relatively passive consumers were messaged ‘to’. It has become an overused maxim that markets are conversations, which trivializes what is going on in the web, actually, and props up the notion of markets.

That stuff is right on. Bravo. But Stowe follows that with the first item I quoted. That’s where he — and everybody who thinks Cluetrain is just about “conversing” — goes off the rails.

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It all started here.

It all started here. With Platform A: the first of thirty-some oil platforms built in the 1960s off the coast of Southern California. To anybody looking seaward from Santa Barbara, the platforms are nearly as much a fixture of the horizon as the Channel Islands beyond. The three closest, Platforms A, B and C, are just several miles out.

On January 28, 1969, Platform A had a blow-out. As much as 100,000 barrels of oil rose to the surface and spread. Had the oil been carried away from shore, the event might have been small news. But instead it gunked up the coast, ruining Santa Barbara’s harbor for a time, and treating the world to the first of many iconic visuals: tar-covered sea birds.

Long story short, Earth Day followed.

Some pictures from the time.

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I’m listening right now to On Point*, where the topic is Pushing E-Health Records. The only case against electronic health records (EHR, aka electronic medical recordsk, or EMR) is risk of compromised privacy. Exposure goes up. The friction involved in grabbing electronic medical records is lower than that involved in grabbing paper ones, especially with the Internet connecting damn near everything.

Here’s the problem with privacy in the Internet Age (which we are now in, with no hope of ever getting out, unless we live the connectionless life): the Net is a big copy machine. It’s amazing how a fact so simple escapes attention until a first-rate metaphorist such as Kevin Kelly comes along to expound on what ought to be obvious:

The internet is a copy machine. At its most foundational level, it copies every action, every character, every thought we make while we ride upon it. In order to send a message from one corner of the internet to another, the protocols of communication demand that the whole message be copied along the way several times. IT companies make a lot of money selling equipment that facilitates this ceaseless copying. Every bit of data ever produced on any computer is copied somewhere. The digital economy is thus run on a river of copies. Unlike the mass-produced reproductions of the machine age, these copies are not just cheap, they are free.

Our digital communication network has been engineered so that copies flow with as little friction as possible. Indeed, copies flow so freely we could think of the internet as a super-distribution system, where once a copy is introduced it will continue to flow through the network forever, much like electricity in a superconductive wire. We see evidence of this in real life. Once anything that can be copied is brought into contact with internet, it will be copied, and those copies never leave. Even a dog knows you can’t erase something once it’s flowed on the internet.

We’re not going to fix that. The copying nature of the Net is a feature, not a bug. We can fight some of it with crypto between trusting parties. But until we find ways to make that easy, the exposure is there. And, as long as it is, we’re going to have people who say risk of exposure overrides other concerns, such as the fact that dozens of thousands of people in the U.S. alone die every year of bad health care record keeping and communications — in other words, of bad data.

Still, if we want good medical care, we need EHR. That much is plain. The question is, How?

The answer will not be an information silo, or a set of silos. We have too many of those already. That’s the problem we have now — both on paper and in electronic formats (as I discovered last year in one of my own medical adventures).

The patient needs to be the point of integration for his or her own data, and the point of origination about what gets done with it. Even if the patient’s primary care physician serves as a trusted originator of medical decisions, the patient needs to anchor the vector of his or her own care, for the simple reason that the patient is the one constant as he or she moves through various medical specialties and systems.

The patient needs to be the platform. Not Google, or Microsoft, or your HMO, or the VA, or some kieretsu involving Big Pharma, Big Software Companies and Big Equipment Makers.

This requires classic VRM: tools of independence and engagement. That is, tools that enable the patient to be independent of any health care provider, yet better able to engage any provider.

In other words, while the answer needs to be systematic, it does not need to be A Big System (which I fear both BigCos and BigGovs whish to provide).

The answer needs to come from geeks who know how to eliminate big problems with simple solutions. For example,

  • Consider how the Internet Protocol solved the problem of multiple networks that didn’t get along.
  • Consider how email protocols such as SMTP, POP3 and IMAP solved the problem of multiple email systems that didn’t get along.
  • Consider how the XMPP protocol solves the problem of multiple instant messaging systems that don’t get along.

We need new ways of organizing our own health care data, and communicating that data selectively to trusted health care providers through open and standard protocols (that may or may not already exist… I don’t know).

I wanted to get those thoughts down because there’s a bunch of stuff going on around health care right now (including two conferences in Boston), detailed to some degree in Health Care Relationship Management, over at the ProjectVRM blog.

* On WBUR, a Boston station I pick up here in Santa Barbara over my Public Radio Tuner.

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