IoT=Cyberdisaster, if we don’t chill innovation and secure it. It’s hip to be scared!

It’s hip to be scared and chill out innovation till we can secure it. That is the plain thought behind the new book Click Here to Kill Everybody, Bruce Schneier’s take on how IoT is going to wreck our lives. Basically, if it can be hacked, it will be, and the more we make dumb things smart, the easier this mischief will be able to hurt us–not our data, but our lives, health, and property.

As our Readers know, TTA has been calling out the threat to humanity since The Gimlet Eye lampooned Internet Thingys doing things against their will back in 2015 and more seriously here. (And yes, parking meters can be paid on a smartphone app in the resort burg of Cape May, NJ.) We have explored, for instance, how easy it is for Black Hats to exploit medical devices and to get into networks via fax machines and all-in-one printers.

Mr. Schneier is not a Luddite. For starters, he is a fellow at the Berkman Klein Center for Internet and Society at Harvard University and a lecturer in public policy at the Harvard Kennedy School. He is on the board of the Electronic Frontier Foundation and is chief technology officer of IBM Resilient, which helps companies prepare to deal with potential cyberthreats. But he can’t buy an unconnected new car (think of that eight-year-old Black Hat waiting to sabotage your steering) and you can’t get an unconnected DVR. It’s getting near-impossible to buy a dumb TV that doesn’t spy on you and to live a lifestyle that is fully disconnected unless you go ‘Life Below Zero.’

So what he is proposing is to ‘chill innovation’ as we do with medical devices and pharmaceuticals for safety’s sake. (Editor’s emphasis)

There’s no industry that’s improved safety or security without governments forcing it to do so. Again and again, companies skimp on security until they are forced to take it seriously. We need government to step up here with a combination of things targeted at firms developing internet-connected devices. They include flexible standards, rigid rules, and tough liability laws whose penalties are big enough to seriously hurt a company’s earnings.

Yes, they will chill innovation—but that’s what’s needed right now! The point is that innovation in the Internet+ world can kill you. We chill innovation in things like drug development, aircraft design, and nuclear power plants because the cost of getting it wrong is too great.

Thoughtful writing and point of view. This Editor would also make the argument about public sanitation, public water supplies, and somewhat in housing, although I would argue that the automotive industry pushed for ease of use (the self-starter) and safety long before the government was engaged, and we are sure Readers can cite more examples.

Just because we can do it technologically does not mean it is the safe, beneficial, and moral thing to do. The more you know about technology, the more you realize it’s good to be more fearful and less trusting of technology, an odd sentence for an health tech Editor to write. But she does like living in one peaceful piece. Think about that when you hear the next Rhapsody about All-Electric Self-Driving Cars, Trucks, and Scooter and How Wonderful They Will Be. MIT Technology Review

Best Buy update: ‘Assured Living’ assuredly up and running. And was this Editor’s in-store experience not typical?

Reader and Opinionator Laurie Orlov wrote this Editor to advise her that Assured Living was most definitely alive and well in Best Buy-land. The Assured Living page presents a variety of services, starting with a personal monitoring service (video) for an older adult that starts with a fairly standard pendant PERS (two way) and also creates an in-home network of motion sensors for doors, windows, and furniture installed by Geek Squad. These sensors send activity to a control panel which tracks activity and wellness patterns (sic!–as we know it’s algorithms and rules in the software). Within about a month, the system will send real-time automated alerts if something is out of the ordinary. The video then promises the usual ‘deeper insights’ into wellness and potential issues with the older person.

What doesn’t sound like QuietCare circa 2006, down to the need for installation, are the Wi-Fi camera in the doorbell and the automated remote door locks, the tie ins with the Mayo Clinic and UnitedHealthcare. 

We both speculated on the motion sensor set as being Lively Home (from GreatCall) –Laurie added possibly Alarm.com’s BeClose, which has supplied Best Buy in the past.

Assured Living is available only in limited markets (not listed) but you can get 10 percent off with AARP! But product packages go up to nearly $189.97 for a one time fee plus $29.99/month, not inclusive of that nifty doorbell camera and remote door locks.

One wonders if the reluctance of older adults to admit they need monitoring and consent to the installation is less than in 2006, when QuietCare’s and ADT’s sales people had difficulty overcoming the reluctance of a person living home on their own to be monitored by their (usually) child. Sometimes a sale would be made, the installer would come, and the installer would be shooed out after second thoughts. The genius of GreatCall was in making technology palatable to this market by assigning it a positive use, such as communicating with friends and direct personal safety, not someone minding her. Right now, the template is 2006 with a tech twist.

Drop in and visit Laurie Orlov on her Website We Like, Aging in Place Technology Watch. (She’s alarmed about chipping people too and frames it as more of a security and a moral issue than this Editor did, who prefers her chips to be chocolate and her cars to be driven by her alone.)

As to this Editor’s ghostly experience buying a TV in store, perhaps I should have invited a Best Buy rep over! Reader, former Marine flyboy, eldercare expert, and full time grandfather John Boden did and got a simple solution to an annoying problem. Read about it in comments on our prior article here.

Rounding up what’s news: LindaCare, TytoCare funding; Medicare telehealth parity, Norway’s big cyberhack, Virta reversing diabetes, DARPA’s 60th birthday

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2017/12/Lasso.jpg” thumb_width=”100″ /]Your Editor’s been away and then largely out of pocket over the past two weeks. Here’s our roundup/catchup beyond the bombshells:

In remote patient monitoring for chronic disease, Philips, PMV, and other investors invested €7 million ($8.6 million) in Belgium’s/Hartford CT’s LindaCare. The Series B funding will accelerate its US expansion of OnePulse for remote monitoring of chronic heart failure and cardiac arrhythmia patients with Cardiac Implanted Electronic Devices (CIED). It is in use in major European hospitals and in US trials, though there is no mention in the release or on their website on CE Marking or FDA clearance/clinical trials. Previously from its 2013 founding, it had €1.6 million in funding. Also Mobihealthnews.

TytoCare, a remote monitoring telehealth/video consult platform which integrates peripherals for a virtual physical exam, raised $25 million in a Series C round led by large Chinese insurer Ping An via their Global Voyager Fund plus Walgreens, Fosun Group, OrbiMed, LionBird, and Cambia Health Solutions. Release. Their total raise is $45.6 million since 2012 (Crunchbase). Their most current partnership is with Long Island-based Allied Physicians Group which is featuring at-home telehealth visits at its pediatric practice in Plainview.

More favorable Medicare reimbursement for telehealth is the subject of four US Congressional bills. The one furthest along is the ‘Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017’ (S.870), which aims to improve at-home care, increases Medicare Advantage flexibility, gives ACOs more options and expands telehealth capabilities for stroke and dialysis patients. It passed the Senate in September and now goes to the House Subcommittee on Health of the Committee on Energy and Commerce. The effect of all four is on Medicare payment parity with in-office visits, which does not currently exist and is not affected by the various state parity bills on insurance for those below 65. American Well touts a 10-fold growth in revenue, but the likelihood of any of these four bills being signed into law is small, particularly with a pending report from the Medicare Payment Advisory Commission. Becker’s Hospital Review

Norway released at end of January news on an “advanced and persistent” 8 January cyberattack on Health South East RHF. This has both a health breach and military twist.

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Behave, Robot! DARPA researchers teaching them some manners.

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2014/01/Overrun-by-Robots1-183×108.jpg” thumb_width=”150″ /]Weekend Reading While AI is hotly debated and the Drudge Report features daily the eeriest pictures of humanoid robots, the hard work on determining social norms and programming them into robots continues. DARPA-funded researchers at Brown and Tufts Universities are, in their words, working “to understand and formalize human normative systems and how they guide human behavior, so that we can set guidelines for how to design next-generation AI machines that are able to help and interact effectively with humans,” said Reza Ghanadan, DARPA program manager. ‘Normal’ people determine ‘norm violations’ quickly (they must not live in NYC), so to prevent robots from crashing into walls or behaving towards humans in an unethical manner (see Isaac Asimov’s Three Laws of Robotics), the higher levels of robots will eventually have the capacity to learn, represent, activate, and apply a large number of norms to situational behavior. Armed with Science

This directly relates to self-driving cars, which are supposed to solve all sorts of problems from road rage to traffic jams. It turns out that they cannot live up to the breathless hype of Elon Musk, Google, and their ilk, even taking the longer term. Sequencing on roadways? We don’t have the high-accuracy GPS like the Galileo system yet. Rerouting? Eminently hackable and spoofable as WAZE has been. Does it see obstacles, traffic signals, and people clearly? Can it make split-second decisions? Can it anticipate the behavior of other drivers? Can it cope with mechanical failure? No more so, and often less, at present than humans. And self-drivers will be a bonanza for trial lawyers, as added to the list will be car companies and dealers to insurers and owners. While it will give mobility to the older, vision impaired, and disabled, it could also be used to restrict freedom of movement. Why not simply incorporate many of these assistive features into cars, as some have been already? An intelligent analysis–and read the comments (click by comments at bottom to open). Problems and Pitfalls in Self-Driving Cars (American Thinker)

Robot-assisted ‘smart homes’ and AI: the boundary between supportive and intrusive?

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2016/06/Robot-Belgique-1.png” thumb_width=”200″ /]Something that has been bothersome to Deep Thinkers (and Not Such Deep Thinkers like this Editor) is the almost-forced loss of control inherent in discussion of AI-powered technology. There is a elitist Wagging of Fingers that generally accompanies the Inevitable Questions and Qualms.

  • If you don’t think 100 percent self-driving cars are an Unalloyed Wonder, like Elon Musk and Google tells you, you’re a Luddite
  • If you have concerns about nanny tech or smart homes which can spy on you, you’re paranoid
  • If you are concerned that robots will take the ‘social’ out of ‘social care’, likely replace human carers for people, or lose your neighbor their job, you are not with the program

I have likely led with the reason why: loss of control. Control does not motivate just Control Freaks. Think about the decisions you like versus the ones you don’t. Think about how helpless you felt as a child or teenager when big decisions were made without any of your input. It goes that deep.

In the smart home, robotic/AI world then, who has the control? Someone unknown, faceless, well meaning but with their own rationale? (Yes, those metrics–quality, cost, savings) Recall ‘Uninvited Guests’, the video which demonstrated that Dad Ain’t Gonna Take Nannying and is good at sabotage.

Let’s stop and consider: what are we doing? Where are we going? What fills the need for assistance and care, yet retains that person’s human autonomy and that old term…dignity? Maybe they might even like it? For your consideration:

How a robot could be grandma’s new carer (plastic dogs to the contrary in The Guardian)

AI Is Not out to Get Us (Scientific American)

Hat tip on both to reader Malcolm Fisk, Senior Research Fellow (CCSR) at De Montfort University via LinkedIn

Samsung’s $8bn Harman buy: what’s the digital health implications? (UPDATED)

UPDATED Monday’s big news (other than the Dow Jones post-US election climb, China getting shirty on trade and the severe 7.8 magnitude quakes near Christchurch NZ where we hope our Readers are OK) is the $8bn acquisition of Harman International by Samsung Electronics. Those of us who are most familiar with Connecticut-based Harman in the audio area (in cars and Harman/Kardon speakers on this Editor’s bookshelf) will be surprised at their powerhouse status in the automotive industry as a technology hardware and software supplier to GM, BMW and Volkswagen. Its technology is in 30 million vehicles and is tidily profitable. It is also unusual for Samsung as they have tended to grown internally and organically, versus by acquisition. Harman will be operated as a standalone company. (Articles also point out the change at Samsung’s top, with a new generation ascending to control this family-controlled company.)

It diversifies Samsung well past the uncertainties and the maturity of the smartphone business not only into a direct supplier relationship with car makers, but also in how the relationship between man and car transportation is changing. Beyond the obvious like self-driving (piloted driving) cars where Tesla, Ford, Uber, Apple and Alphabet are playing (and the more near-term area like partial assistance in driving), there is a chicken-egg dynamic on cabin enhancements–what can be done versus what should be done. (Designer Raymond Loewy’s MAYA–most advanced yet acceptable.)

  • What connected technologies are helpful and valuable to the driver and passengers?
  • Which ones increase safety, autonomy and security?
  • Which ones add to the driver ‘load’ of distractions and increase danger to the driver and others?
    • Pilots term this a too-busy cockpit. Remember that drivers aren’t pilots and don’t go through checklists and walkarounds before and after driving. We want to turn the key, tune the radio and go.
    • Which ones can be made to be not distracting?
  • What happens when the technologies malfunction or break?
  • What happens to cost and affordability? (All the whiz-bang tech can put a vehicle out of reach for the many. It would be counter-productive and elitist to return driving to the early 20th Century decades where cars were owned by the few and wealthy–Henry Ford and Alfred Sloan had a different thought), though some would like that outcome.)
  • How seamless and secure can IoT be in a vehicle, as it is not secure at present?

All these are in the sub-text of five mega-trends noted at last week’s CES Unveiled New York by the Consumer Technology Association, notably as part of the cheerleading around ‘Transportation Transformation’ and ‘Connections and Computations’. (More about this separately in a later article on CES Unveiled.)

Let’s drill down into the nearer-term health tech aspects, where Samsung has been a leader in their phones and tablets, and what the Harman acquisition might mean there.

The first is the mobilization of what is presently in the home and phone.  (more…)

The security risks, and the promise of, the Internet of Things

Jason Hope, who back in September wrote on how one of the greatest impediments to the much-touted Internet of Things (IoT) was not security, but the lack of a standardized protocol that would enable devices to communicate, has continued to write on both this topic and IoT security. While The Gimlet Eye had great fun lampooning the very notion of Thingys Talking and Doing Things Against Their Will [TTA 22 Sept 15], and this Editor has warned of security risks in over-connectivity of home devices (see below), relentlessly we are moving towards it. The benefit in both healthcare monitoring/TECS and safely living at home for older adults is obvious, but these devices must work together easily, safely and securely. To bend the English language a bit, the goal is ‘commonplaceness’–no one thinks much about the ubiquitous ATM, yet two decades ago ‘cash machines’ were not in many banks and (in the US) divided into regional networks.

As Mr Hope put it as the fifth and final prediction in his recent article:

The IoT Will Stop Being a “Thing”
How many times in the past week have you said, “I am getting on to the World Wide Web?” Chances are, not very many. How many times have you thought about the wonder of switching on a switch and having light instantly? Probably never. Soon, the Internet of Things, and connectivity in general, is going to be so common place, we also won’t think about it. It will just be part of life and the benefits and technology that wow us right now will cease to be memorable.

This Editor continues to be concerned about how hackers can get into devices, (more…)

IoT’s biggest problem? Communication of Things.

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]The Gimlet Eye joins us for a ‘blink’ from an undisclosed, low-tech dot on the map. The fave rave of 2015 is IoT, the annoying shorthand for Internet of Things. Well, can Aunt Madge go into a store and buy an Internet Thingy? But it seems fundamental that The Things Speak with each other, if only to compare football scores and conspire against their owner to drive him or her Stark Raving Mad by producing too many ice cubes in the fridge, turning lights on/off at the wrong times or sending out for a deli order of 20 pounds of Black Forest sliced ham. Our fear about The Things was in considering that they could be hacked in doing Things Against Their Will and Not In The Owner’s Manual. But never mind, it’s not this we should be concerned about, or whether Uncle Aloysius will go off-roading in his Google Galaxie after it’s hacked for fun by an eight-year-old Black Hat. It’s that practically all of these same or different brand TVs, parking meters, cars and health/activity monitoring devices to make life simple for Auntie and Oncle are built on different platforms without a communication protocol. The Eye is now relieved of the fear that IoT devices will be crawling out of the water onto her faraway from dull care beach anytime soon. But you may not be. The Biggest Problem with the Internet of Things? Hint: It’s Not Security (Tech.co) Hat tip to follower @ersiemens via Twitter

Ford disconnects research on heart attack-sensing car seat

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]The Gimlet Eye returns and hopes that Ford has a better idea, because this wasn’t it. The automaker announced over the weekend that it is abandoning research on car seats that would detect cardiac anomalies such as a heart attack and then (presumably safely) bring the car to a halt (and also presumably, call for medical assistance). A corporate statement to the FT stated that Ford was ‘transitioning’ to other projects, based on advances in consumer wearables. No indication of spend out of a $5.5 billion budget. Undoubtedly, the potential for sensor problems in seats and the danger of shutting down a car while driving were insurmountable. No tears though…. (more…)