Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Sunday, July 28, 2024

It Really Does Defy Belief That Australia Could Run Out Of, Or Be Short Of, IV Saline!

I was just left totally aghast at this incredible headline!

Health

Explainer

Australia is facing a shortage of ‘crucial’ IV fluids. What does it mean and who will be affected?

Intravenous fluids have a ‘myriad of uses’ in the health system, but supply is expected to be constrained throughout 2024

Natasha May

Sat 27 Jul 2024 16.47 AESTLast modified on Sun 28 Jul 2024 09.32 AEST

The peak doctors’ body is warning the health system could come to a
grinding halt
next week if an unprecedented shortage of intravenous (IV) fluid isn’t resolved.

The medicines regulator, the Therapeutic Goods Administration (TGA), issued a shortage alert on Friday for intravenous (IV) fluid products expected to be constrained throughout 2024, due to global manufacturing issues and an unexpected increase in demand.

The assistant minister for health, Ged Kearney, who is a former nurse, says IV fluids are “crucial” with “a myriad of uses” in the health system. So what are they, how are they used in hospitals and what’s being done about the shortage?


What are IV fluids?

IV fluids contain a saline solution – salt in water at a concentration which is similar to that of the plasma in our bodies. They are made under highly specialised manufacturing conditions using purified, sterile water with sterile electrolyte components. They also have highly specialised packaging and are designed to be compatible with intravenous giving sets to allow the fluids to be injected into a person’s veins.


What are they used for?

They are used to administer medications directly into the bloodstream, including chemotherapy and anaesthesia.

But the fluids can be crucial medicine in themselves to support kidney function in patients who are dehydrated and keeping the blood pressure up of patients with sepsis as well as blood loss.

As a result, the IV fluids are crucial for patients undergoing surgery with open wounds and haemorrhaging in emergency settings.

An artery is filled with one-third red blood cells and two-thirds plasma, which IV fluids replace with similar concentrations of sodium and chloride.

Prof David Story, the president of the Australian and New Zealand College of Anaesthetists and head of the University of Melbourne’s department of critical care, says “while it’s physiologically OK for the red cell blood count to drop, it is essential to replace the blood volume”.

Organ injury, including to the heart, kidneys and brains, can occur if people become hypovolemic, where the loss of blood volume makes the heart unable to pump enough blood to the body, Story says.


How will patients be affected?

The president of the Royal Australasian College of Physicians, Prof Jennifer Martin, says there are workarounds when it comes to the use of IV fluids to administer other medications. “There are other ways to deliver medication besides diluting them in a bag of saline – such as oral fluids, or giving medicines as a slow push intravenous injection.” However, Martin says the IV fluid bags can be safer, and enable hospital staff to get on with other jobs.

There are not the same workarounds for surgery, Martin says, where the patient is not conscious and cannot drink, but is losing much more fluids from their open surgical site “because you’ve got, say the abdomen open, then you lose a lot of fluid that way”. However, the IV fluids are needed to deliver anaesthetics, and to keep patient blood pressure up during surgery as well as after an operation, she says.

As a result, the Australian Medical Association has warned some surgery may need to be cancelled. Non-cancer elective surgeries would probably be the first to be delayed in the event there was not enough IV fluid, Story says.


Is it just human health that’s affected?

Like humans, animals undergoing proceedures also require IV fluids. The president of the Australian Veterinary Association, Dr Sally Colgan, told the ABC the shortage was “very concerning” for vets, who have been facing supply issues in clinics.


What’s being done to address the shortage?

Kearney says the medicines regulator, the Therapeutic Goods Administration (TGA), is working hard to make sure there are alternatives.

In an effort to address the shortage the TGA has allowed multiple overseas-registered alternative saline fluids to be imported, and is considering more applications for supply.

State and territory health departments directly manage supply in public hospitals, and the TGA says it is advising them when new suppliers are approved.

The TGA says it is also liaising with the three Australian suppliers to address any regulatory barriers.

Here is the link:

https://www.theguardian.com/australia-news/article/2024/jul/27/australia-is-facing-a-shortage-of-crucial-intravenous-iv-fluids-what-does-it-mean-and-who-will-be-affected

I read this with a sense of total incredulity! If I was reading about Zambia or Namibia I could have just about believed what I read, but Australia?

I wonder who are the grossly overpaid drones who have let this situation and how many of them still have a job? Zero I would hope!

Seriously though there is not enough thought given to things like sovereign capability. We are an isolated island continent which could face all sorts of supply chain disruptions, and we should be properly prepared.

The WHO has even created a list of essential medicines to give us a head start on knowing what we need to stockpile for say a 1-3 month period. Here is the link updated every 2 years.

https://www.who.int/publications/i/item/WHO-MHP-HPS-EML-2023.02

Keeping people safe and healthy is a core Government responsibility for heaven’s sake!

Frankly I reckon is betrays spectacular Government incompetence that this issue has emerged. I look forward to the list of those who have been fired! (0 I bet!) There is no such thing as accountability these days I fear....

What do you think?

David.

AusHealthIT Poll Number 757 – Results – 28 July 2024.

Here are the results of the poll.

In The Light Of "The Outage" Do We Need To Rethink Just How We Prepare For Such Events Or Should We Be Pleased Just How Well It Was Handled?

Yes - It Was Not Ideally Handled!                   21 (64%)

No                                                                        12 (36%)

I Have No Idea                                                      0 (0%)

Total No. Of Votes: 33

A pretty clear cut vote suggesting a touch more preparedness might not go astray! It was amazing that the failure could last for so long!

Any insights on the poll are welcome, as a comment, as usual!

A very good voting turnout. 

0 of 33 who answered the poll admitted to not being sure about the answer to the question!

Again, many, many thanks to all those who voted! 

David.

Friday, July 26, 2024

Surely It Is The Height Of Mis-Management That The Country Is Apparently Short Of IV Saline?

 Heads should roll I reckon for total incompetence! What idiots are running this show?

David.

I Really Wonder If The Author Is Not Being Too Cautious?

This appeared a few days ago”

Here’s a brain teaser: Will AI ever reach consciousness?

Paul Davies

Physicist, writer

July 20, 2024 — 5.00am

Consciousness is the most basic aspect of human experience, and yet it remains deeply mysterious. Centuries of deliberation by philosophers, theologians and scientists have made little headway in explaining its origin.

Now there is a new twist to this age-old conundrum. The rapid advance in artificial intelligence, or AI, has reignited the question of whether a machine can truly think and feel and possess a sense of self, or whether there is some special form of magic going on inside biological brains that isn’t captured by the world’s most powerful computer systems.

There is no doubt that products such as ChatGPT are dazzling in their capabilities, such as writing essays and even producing computer code. Superficially, they seem to “know what they are doing”. But that is an illusion: these systems are trained to trawl vast amounts of data and organise it in humanly useful ways. That doesn’t make them conscious, though.

Speculation about AI consciousness is based on the popular misconception that the human brain is a type of digital supercomputer. To be sure, both brains and computers process information with extraordinary efficiency, but they do so in very different ways. The pertinent question is not whether digital computers as we know them can be conscious, but whether we can build systems of some sort in the lab that mimic the way our brains work.

One idea is to use neurons as circuit components to perform basic information-processing tasks. Presumably, conscious experiences are generated by complex electrochemical patterns swirling inside our heads. Perhaps proto-consciousness can be conjured up in the lab by recreating such patterns?

Philosophers, following Thomas Nagel, often express the essence of consciousness as “what it is like” to be, say, a human or a bat or a bee. Well, is it “like” anything at all to be a jumble of wires, neurons and gel sloshing about in a dish? And how would such a conscious entity let us know the answer anyway?

Artificial mini-brains in a dish offer a bottom-up way to probe consciousness. But there is also a top-down approach, which is to augment human brains with hi-tech electronic gizmos. Elon Musk’s Neurolink company claims to have implanted microscopic needles into a human subject to enable a person to operate external smart devices by the power of thought alone. It could be the first step on the way to merging brains and supercomputers.

Eventually, electronic augmentation of brains may noticeably affect “what it is like” to be human. Unlike humble dish-brains, these “transhumans” could report on their enhanced subjective experiences.

Any attempt to unravel, mimic or enhance consciousness is an ethical minefield. If an artificial system is conscious, does it have rights and responsibilities, emotions, a sense of free will? Would humans have the right to switch off or kill such a sentient being if we felt threatened?

Running through these troubling questions is an assumption that consciousness isn’t an all-or-nothing phenomenon but comes in degrees. We feel far more remorse killing a dog than a cockroach because we suppose that a cockroach isn’t all that conscious anyway and probably has no sense of self or emotions.

But how can we be sure? And in the highly charged debates about abortion, euthanasia and locked-in syndrome, the actual level of consciousness is usually the critical criterion.

Without a theory of consciousness, however, it’s impossible to quantify it. Scientists haven’t a clue what exactly is the defining feature of neural activity that supports conscious experience.

Why do the electrical patterns in my head generate sentience and agency, whereas the electrical patterns in Ausgrid NSW don’t? (At least, I don’t think they do.) And we all accept that when we fall asleep, our consciousness is diminished, and may fade away completely.

A few years ago, the neuroscientist and sleep researcher Giulio Tononi at the University of Wisconsin proposed a mathematical theory of consciousness based on the way information flow is organised, roughly, the arrangement of feedback loops, which in theory enables a specific quantity of consciousness to be assigned to various physical states and systems.

Is a thermostat conscious? A dish-brain? ChatGPT? A lobster in a boiling pot? A month-old embryo? A “brain-dead” road accident victim? These vexatious examples might be easier to confront, and to legislate about, if we really understood the physical basis of consciousness.

The foregoing advances, while promising, tell us little about the subjective experiences that attend conscious events, such as the redness of red, the sound of a bell, or the roughness of sandpaper, sensations that philosophers call qualia.

How can we tell if an agent really has an inner life experiencing such qualia, or is just an automaton, a zombie, programmed to respond appropriately to sensory input, for example, by stopping at a red traffic light without actually “seeing red”?

And if one cannot tell from the outside what is going on inside, why does this inner subjective realm exist in the first place? What advantage does it confer in that great genetic lottery called Darwinian evolution? Even if we create a truly conscious AI, that final problem may lay forever beyond our ken.

Paul Davies is Regents’ Professor of Physics at Arizona State University and author of over 30 books, including The Demon in the Machine. He will be speaking at the Sydney Opera House as part of the Your Brain on AI event on August 17. Tickets: sydneyoperahouse.com

Here is the link:

https://www.smh.com.au/technology/here-s-a-brain-teaser-will-ai-ever-reach-consciousness-20240718-p5jutz.html

I have to say I think that we will see effective machine conscious in the next 20-30 years and that there will be pretty parallel development of machine intelligence over a like period. No proof but it is hard to imagine it will take much longer than that.

What is really above my pay grade are the implications of such progress and how society at large will respond to such a reality.

What do you think – will generally smart machine emerge in the next decade or two and what will it mean for us humans?

David.

Thursday, July 25, 2024

This Is Probably An Important Application Of AI In The Health Sector.

 This appeared last week:

Using AI, this app may tell if you have an STI

By Mary Ward

July 21, 2024 — 5.00am

An app developed by Australian researchers is showing promise in diagnosing sexually transmitted infections (STIs) using artificial intelligence, amid a surge of people testing positive to the diseases.

There has been a post-pandemic upswing in cases of chlamydia, gonorrhea and syphilis, a trend attributed to increased testing but also a decline in condom use.

Australia is also in the midst of an outbreak of mpox, formerly known as monkeypox, with 28 cases reported in the fortnight ending June 23. The outbreak is being driven by local transmission rather than people bringing the disease from overseas, say federal health authorities. Most cases were recorded in Victoria, followed by Queensland.

Researchers at Monash University and Alfred Health’s Melbourne Sexual Health Centre hope their new app will give patients an embarrassment-free way to learn whether their bumps or rashes are a possible STI.

The app compares photos of a patient’s lesions to a database of hundreds of thousands of anonymised photos of rashes and lesions in people diagnosed with HIV, syphilis, gonorrhea and chlamydia, taken with patients’ consent from more than a decade of consultations data.

A trial of the app across more than 1300 consultations at the clinic, led by PhD candidate Nyi Nyi Soe and published in the Journal of Infection, found it correctly identified cases of mpox with 80 to 90 per cent accuracy when used by clinicians with patients at the centre.

“It is a quite reasonable result,” said Professor Lei Zhang, from the Melbourne Sexual Health Centre and head of the team creating the app. “Clinically, we would like the accuracy to reach 95 per cent, but we haven’t arrived there yet because we haven’t got enough images.”

The research team next plans to run the same trial on seven other STIs. Ideally, the app would be able to be used for both STIs and other skin lesions in the future.

But Zhang said he did not think the app would, or should, replace the role of doctors and pathology in diagnosing an STI. Any suspected STI identified by the app would still need to be confirmed through lab testing.

The major benefit, he said, would be saving people from coming into a sexual health clinic if they clearly did not have an STI.

“More than half of the people who come into our clinic are fine; they have a lesion but it is not an STI,” Zhang said.

“We don’t want to replace lab diagnosis. We want to demonstrate that the concept actually works, and the tool is benefiting both patients and doctors.”

A similar app, HeHealth, is on the market in Singapore. However, this app’s model has only been trained on pictures of men’s genitals.

“Our app can be used by men and women, and on different parts of the body,” Zhang said.

Data from the federal government’s National Communicable Diseases Surveillance Report shows there have been 10,000 more chlamydia notifications and 11,000 more gonorrhea infections in the past year than the five-year average.

Dr Sara Whitburn, chair of sexual health medicine at the Royal Australian College of GPs, said the increase was not necessarily a bad thing.

“People are coming in and getting tested, and that is a good thing,” she said.

“But we also know that, post-pandemic, people are engaging in sexual activity with a broader range of partners.”

Whitburn said condom use was also declining for multiple groups, particularly men who have sex with men and now have access to pre-exposure prophylaxis (PrEP) medication to prevent HIV transmission.

“That is also, in part, a good news story, but the message that you still need safer sex with condoms to protect against gonorrhea or syphilis may not be as strong as a result,” she said.

Young women are also choosing contraceptive methods such as IUD and the pill instead of condoms, and disrupted sex education in the pandemic may mean they do not understand the importance of barrier protection to prevent STIs.

“Then we also have people who are older and are repartnering after a long-term relationship, and the sexual health that worked for them in a relationship may not be what they need now,” Whitburn added.

Whitburn said, while she agreed the app would not be able to be used to diagnose STIs, introducing an anonymous, easy step to identifying whether a rash is a potential STI could be useful.

“If it lets someone know there is a strong possibility that their rash is an STI, they can go and take that step to get testing, especially if the app contains information showing people that there are treatments,” she said.

“Sometimes people feel that, if they get tested, it will impact their sexual health long-term. But actually, testing and treating is the pathway to good sexual health.”

Make the most of your health, relationships, fitness and nutrition with our Live Well newsletter. Get it in your inbox every Monday.

Here is the link:

https://www.smh.com.au/national/using-ai-this-app-may-tell-if-you-have-an-sti-20240716-p5ju4s.html

As the article explains it seems awareness and risk-avoidance of STI exposure has rather fallen away in the past few years for a number of reasons so a little AI help can only make sense.

I hope the wowsers don’t get all hot and bothered and try to block such a sensible initiative!

David.

Wednesday, July 24, 2024

Being All Things To All Men Is Hard – Even For Google. I Wonder What The Next Quantum Leap Will Be?

This appeared last week:

Google

‘Google says I’m a dead physicist’: is the world’s biggest search engine broken?

For decades now, anyone who’s wanted to know everything about anything has asked Google. But is the platform losing its edge – and can we still trust it to tell us the truth?

Tom Faber

Sat 20 Jul 2024 21.00 AEST Last modified on Sun 21 Jul 2024 02.40 AEST

I didn’t know I was dead until I saw it on Google. When I searched my name, there it was: a picture of my smiling face next to the text “Tom Faber was a physicist and publisher, and he was a university lecturer at Cambridge for 35 years”. Apparently I died on 27 July 2004, aged 77. This was news to me.

The problem was the picture. When you search the name of a notable person, Google may create what it calls a “knowledge panel”, a little box with basic information taken from Wikipedia. Somewhere along the way, the algorithm had confused pictures of my face with the biography of another man who shared my name. According to his obituary, he was “a distinguished physicist with a literary hinterland”. Google provides a feedback form to resolve this type of bug. I filled it in several times, but it made no difference.

I’m not the only one who has been struggling with Google recently. Many users are saying its principal product, its search engine, isn’t working as well as it should. They claim the ingenious vehicle that has enabled us to navigate the internet’s infinite scroll of information is beginning to rust and decay. That’s not to mention the company’s endless court battles with rival companies and world governments, or the rise of ChatGPT, which many tout as a search engine killer; even Bill Gates said last year that once a company perfects the AI assistant or “personal agent”, “you will never go to a search site again”.

Yet it’s hard to imagine anything taking Google’s place. Last year it turned 25, and Alphabet, its parent company, currently ranks as the fourth most valuable in the world, worth more than $2tn (£1.5tn). Google has a whopping 90% share of the global search market. More than a tool, it’s practically infrastructure; the connective tissue that is fundamental to how we find information online. This gives the company enormous power over politics, social attitudes and the fortunes of countless businesses – anyone and anything, in fact, that relies on the eyeballs of the internet to operate. Some say Google is too big to fail.

It doesn’t take a distinguished physicist with a literary hinterland to see that right now Google search looks both deeply vulnerable and totally unstoppable. How can we be sure the company really has our interests at heart? And can we still trust it to tell us the truth?


The story of Google reads like the stereotypical tech company origin myth. A couple of computer geeks, Sergey Brin and Larry Page, started a business in a garage in the late 90s and built it into one of the world’s richest companies.

At the time the web was growing fast and a few early search engines were trying to organise the chaos. Page and Brin’s bright idea was to sort webpages not just by their relevance to a search query, but also by the quality of their information. This system, PageRank, prioritised webpages based on how many other pages linked to them. The underlying concept, borrowed from academia, was that if many people linked to a specific source, then it must have high-quality information.

It worked. Coupled with Google’s clean, simple interface of a text box and a handful of blue links, the site felt like magic. “Everybody could see then that Google’s results were far better than the others’. That was the basis of everything,” says Dirk Lewandowski, interim professor of data science at the University of Duisburg-Essen, who has studied search engines for 20 years.

Google quickly garnered a great deal of trust and goodwill. Its mission to “organise the world’s information” was inspiring. If you wanted to know something, you’d ask Google. Most of the time, it would deliver the answer you sought. Gradually, the other search engines died off. Search became synonymous with Google, and “Google” became a verb, and began to expand beyond text to images and video, even mapping the physical world with Google Maps and Street View.

Success generated more success, and Google captured vast amounts of data on its users that it employed to improve search algorithms. The company realised that this data could be valuable. With its search engine, it was capturing users’ thoughts, desires, their innermost questions. Google used this information to reinvent the advertising industry.

Cory Doctorow, an author, activist and mordant critic of big tech, explains the company’s ad system like this: “Say I have an 18- to 34-year-old manchild in central London who’s got an Xbox and has been searching for information about gonorrhoea. Who will pay to advertise to this person? Advertisers or bots bid for placement – and the winners serve an ad to you.”

Many of Google’s products besides search, from YouTube to Maps, collect data on users, which enables personalisation of your ads – this model is the foundational example of what technology commentator Shoshana Zuboff has called “surveillance capitalism”. Ads became big business for Google. Last year its parent company, Alphabet, earned 77% of its revenue from them – that’s $237.85bn.

Along the way, the company accrued not just economic power, but also social and political power. Rosie Graham, a lecturer in contemporary literature and the digital at the University of Birmingham, says we don’t just ask Google for information, but also for “ways to live our lives”. When we look for answers to social, religious or political questions, Google judges who are the trusted voices, and who we should not hear from. “Google has the power to change the way we think about things,” Graham says.

“It acts like it’s just another company, but it’s not. It influences countries’ elections. It has a huge stake in what’s profitable, what jobs can exist … in many ways it’s more powerful than governments. Gone are the times when it can be this small company that’s all cutesy and shoestring.”

Somewhere along its path to success, Google lost the public goodwill it earned in its early days. Once, its playful motto, “Don’t be evil”, featured prominently in its code of conduct. In 2018, it was quietly downgraded.

Companies become too big to fail, then too big to jail, then too big to care. Google is too big to care

Has Google search got worse? And if so, what does that look like? Imagine you used to go to your local library and, when you asked for a book, it was produced immediately. Now, when you ask for that same book, the librarian tries to sell you a magazine subscription, waves about some different books they say other people like, then finally produces a big stack of tomes with your desired book wedged awkwardly in the middle. You might have an opinion about this change in service.

This is the portrait detractors paint of the current state of Google search. Doctorow, for one, calls the most recent results “garbage”. Former Google employees have posted scathing articles arguing that the company is floundering. Yet every day, billions of people use the search engine, and it’s a safe bet that many of them think it works just fine. How is it that some people believe this essential internet infrastructure is circling the drain while others haven’t noticed any change?

It can be hard to say anything definitive about search result quality, because each person’s experience is so different. If two people Google the same sentence, they will get different results based on all manner of variables. Meanwhile, Google constantly tweaks the algorithm.

Still, critics do have specific reasons for saying the service is going downhill. Google search is good only as long as it can serve up high-quality information, and many claim it no longer does so reliably. They often blame this on Google’s inability to combat spammers and the much-maligned search engine optimisation (SEO) industry. SEO companies aim to make websites appear more highly in Google search rankings to help their businesses. But this can lead to degradation in site quality, as if content is tailored only to please Google’s algorithms. Take recipe pages. When searching for cooking instructions, you’d probably want to see them displayed concisely at the top of the page, yet most food blogs bury recipes beneath a long anecdote. Food writers do this because they believe Google ranks this format highly. But readers resent it.

On the spammier fringes is what’s known as “black hat” SEO, bad actors who use techniques with fabulously evil names such as “domain squatting”, “reputation abuse”, “obituary spam”, “keyword swarming” or “parasite hosting” to bring their content to the top of Google’s search results and turn a quick buck. Spam pages usually have little meaningful content and are aggressively monetised, hosting intrusive ads to profit from each visitor’s click. A recent study claims that Google does indeed have a big spam problem, but adds that other search engines face the same issues.

Google and the spammers are locked in a never-ending battle. The spammers come up with a new technique, Google tweaks the algorithm to stop it working, then the spammers come up with something else. Google’s vice-president of search, Pandu Nayak, describes the dynamic as a “spy v spy situation”. Today the internet is facing the looming threat of a new wave of AI-generated spam, which threatens to overwhelm search engines.


Even when the links returned by a Google search are of high quality, the other criticism is that it’s hard to find them among the clutter. Where the company once sought to send users onwards to relevant links as quickly as possible, in recent years it has started answering more questions within the Google search interface itself – so if you’re trying to find out something about sports scores, the weather or film showtimes, solve a mathematical equation, or perhaps find out the key publications of a certain distinguished physicist, Google will provide that information in a little box for you, without you needing to click any links.

Sometimes all these little boxes get in the way of the answer you’re trying to find. I just typed in “best smartphone 2024” and was shown, at the top, a carousel of shopping opportunities, followed by four links, then a panel of questions that “people also ask” with vaguely related queries (“Which phones last the longest years?”), then some YouTube videos, five more links, then more related queries and a further shopping carousel. The links I was actually seeking were buried by clutter. It’s a far cry from the sleek, minimal interface of early Google.

Sometimes, Google will populate boxes with information gleaned from the internet that turns out to be incorrect. Besides calling me a dead physicist, these info boxes have claimed that Barack Obama was the king of America, and asserted that Kannada, the official language of the Indian state of Karnataka, was the ugliest language in the country – Google had to issue an official apology for that one. It didn’t take me long to find an inaccurate response. On the third random question I typed in, “How long is Waterloo Bridge?”, a box came up with the confident answer “2,456ft” (748 metres). It was only when I clicked through to Wikipedia that I saw this figure was in fact the length of the first Waterloo Bridge, which was demolished in the 1930s. The current bridge is just 1,230ft (370 metres) long.

Google says users find the additional panels useful. Critics argue that it is trying to extract as much revenue as possible from users by keeping them within the Google ecosystem to the detriment of the user experience. Early on, Google’s founders realised that commercial incentives might compromise the integrity of search results. In a 1998 student paper, Brin and Page wrote that ad-funded search engines would be “inherently biased towards the advertisers and away from the needs of consumers”. Yet Google started displaying ads anyway because, as one academic told me, this is the only good way to monetise search.

I spoke with representatives of the competing search and answer engines Kagi, DuckDuckGo and Perplexity, all of whom frame this issue as a misalignment in Google’s company incentives. They say Google makes design and business choices to earn revenue for advertisers and shareholders at the cost of search user experience. When I put this critique to Google’s Nayak, he dismisses it as “an easy narrative” and continues, “Since the beginning of Google, there has been a clear separation between organic search [eg regular results] and ads … we make sure that the ad side of the house does not affect search.”

When I ask whether Google search results are getting worse, he repeatedly makes the same point: the fact that Google has a 90% market share in search shows its product works well. “If the search experience was not good, I have every confidence people would not use it.”

Is there a reason people might use Google search even if it weren’t a great experience? The US Department of Justice (DoJ) recently gave its closing statements in a historic legal case against Google, which the Financial Times called “the most significant antitrust trial in 25 years”. The DoJ’s argument is that Google uses its wealth to operate anti-competitively as an illegal monopoly, principally by paying other tech companies to be the default search engine on their devices. Naturally, Google argues that people use its search engine because it’s the best. But if that’s the case, why did it need to pay Apple $20bn in 2022 alone to be the default search engine across its phones and computers? The case is likely to conclude before the end of the year.

Google’s biggest competitor, Microsoft’s Bing, has only about 3% of the global search market. A number of other startups scrape fractions of 1%, many with their own spin on the search engine formula: Perplexity offers written-through answers to questions, Kagi operates a paid subscription model with no ads, DuckDuckGo focuses on protecting data privacy. All three say it’s impossible to truly compete with Google right now.

Aravind Srinivas, chief executive of Perplexity, says, “Competing with Google is a no-fly zone. They’re just too big, they dominate, have all the best technology and a lot of money. They can just scorch you to death by offering whatever you’re offering for free.”

Does it really matter whether there is competition to Google’s search engine? Doctorow believes it does. He coined the memorable term “enshittification” to explain the state of big tech companies in the modern age: “Here is how platforms die: first, they are good to their users; then they abuse their users to make things better for their business customers; finally, they abuse those business customers to claw back all the value for themselves. Then, they die.” He calls Google “the poster-child for enshittification”.

Doctorow says algorithmic systems are particularly vulnerable to this, because their workings are opaque to users and easy to quietly tweak. Who knows why you see what you see at the top of your Google search results, Instagram feed or TikTok For You page? Is it because it’s judged to be the best content for you, or because it’s what the platform thinks will make it the most money?

“That’s why it’s so tempting for companies to enshittify them,” Doctorow says. “They’re just yoloing it and saying, ‘Well, fuck it, we’re just going to make all the things at the top of your feed garbage, because we’re too big to care.’” Referencing a comment made by Lina Khan, chair of the US Federal Trade Commission, he adds, “Companies become too big to fail, then too big to jail, then too big to care. Google is too big to care.”

The last stage of the enshittification doctrine is that a platform dies. Is this going to happen to Google? Rosie Graham thinks it’s inevitable, at some point. She points out how X, formerly Twitter, faded in relevance practically overnight after Elon Musk took over. “No company lasts for ever,” she says. “There are all sorts of organisations that had huge global influence and power that we don’t have any more – think about the East India Company. It’s not a matter of if Google will be influential for ever, it’s a question of when Google will be replaced.”

Not everyone agrees the search engine is getting worse. Of the dozen academics and industry professionals I interviewed for this piece, half said they didn’t think search quality was declining. Several pointed out people have been eagerly predicting Google’s death for years – there’s even a Wikipedia page called “Predictions of the end of Google” with examples dating back to 2007. Lewandowski says, “There have always been complaints about low-quality results and the interface getting more cluttered. But in the end, it’s basically the same.”

Perhaps what is really bothering people is that the internet as a whole feels, in 2024, like a worse place to be. Those who grew up on the web of the late 90s and early 00s might remember openness, community and free thinking. Today, we’re probably more likely to associate the internet with anxiety, loneliness and stress. Maybe we miss the time when the internet felt more human. This may explain why many people searching for information look to Reddit rather than Google. That huge, chaotic forum feels like one of the last truly human places on the internet, where you can get somebody else’s honest opinion in all its weirdness, untainted by murky brand associations or affiliate links.

Yet even if it’s true that the internet has declined, that doesn’t let Google totally off the hook. Its search engine doesn’t just organise information on the web, it actively shapes it. If the web is a worse place today, if it’s over-commercialised and full of low-quality content, if journalism platforms struggle to make money from good writing and are reduced to clickbait and affiliate links, that’s partly Google’s fault.

“Google has never really understood the responsibility it’s got to ensure publishers can continue to publish content without needing to over-commercialise in horrifying ways,” says Simon Schnieders, chief executive of the SEO company Blue Array. “They really need to point the finger at themselves and why they created this beast in the first place.”


As if the search question wasn’t tricky enough, today many people are predicting that the arrival of new AI technologies is going to change everything. Since the launch of ChatGPT, technologists have wondered whether AI assistants will one day take the place of search engines. ChatGPT is a product of OpenAI, which is in partnership with Microsoft, operator of Bing. Last year Microsoft announced it would integrate AI answers into its search engine results, with its chief executive, Satya Nadella, calling it “a new day in search”.

At its latest conference, Google seemed to be rushing to respond to this threat when it announced a suite of new AI tools. The company has been using AI behind the scenes to improve its search and algorithms for years, but with the launch of the new “AI Overviews” feature, which it has already started rolling out and plans to make available to more than 1 billion users by the end of the year, it will put the technology front and centre. With this feature, Google search will respond to certain queries with a text box above the usual links, providing a written-through summary of information from various websites. The slogan the company keeps repeating around this is “Let Google do the Googling for you”.

Asked ‘How many rocks should I eat?’ Google gave this AI Overview: ‘One per day because rocks contain minerals and vitamins’

Responses have been mixed. Google says in internal tests people found the feature useful. They claim it’s good for queries that require a number of specific variables – say you’re trying to find a place your family can eat in Paris that does vegan food, is open at 7am and is within walking distance of a Métro station. Such questions, which might previously have required 10 minutes of clicking around on numerous searches, can be done in seconds by AI (ChatGPT is also pretty good on this stuff).

But, of course, the internet immediately seized on the feature and found that, in response to certain queries, it produced hilarious, inaccurate and sometimes dangerous answers. In response to the question “How many rocks should I eat?”, Google presented this AI Overview: “According to UC Berkeley geologists, eating at least one small rock per day is recommended because rocks contain minerals and vitamins that are important for digestive health.” Meanwhile, someone who asked about “cheese not sticking to pizza” was recommended to “add about 1/8 cup of non-toxic glue to the sauce to give it more tackiness”. Naturally, it didn’t take long for somebody to make and eat the glue pizza.

The erroneous information came from obviously dubious sources. Eating rocks was suggested by an article on satirical site the Onion, while the glue pizza idea was a post by “Fucksmith” on Reddit 11 years ago. Google was roundly mocked online and responded with a blog post essentially saying that these were growing pains and that the product would improve.

The new direction heralded by ChatGPT and AI Overviews is to a world in which we no longer search for answers ourselves, but rather receive a single, supposedly balanced answer that has been pre-chewed by an algorithm. “Summarisation, or the dumbing down of search, is a bad thing for society in general,” Schnieders argues. “It’s important to get a range of diverse perspectives from search, from your own trusted or new sources, practise critical thinking and form your own opinions. AI Overviews claims to do this but it’s too much of a black box to be trusted.”

Yet the biggest concern around AI Overviews came not from users who had cheese sliding off their pizzas, but from writers and publishers online. They’re worried that if Google summarises the information from their websites and delivers it to users, then those users will have no reasons to visit the sites, depriving them of the traffic necessary to fund more content creation.

This question has sent the media into a tailspin. Nilay Patel, editor-in-chief of American technology news website the Verge, said AI Overviews would “change the web as we know it”, while the influential tech reporter Casey Newton said Google had “essentially put the web into a state of managed decline”. Reports have predicted that publishers could see their search traffic fall anywhere between 25% and 60% as a result of AI. If even a fraction of this is true, it could have enormous consequences for the already squeezed media landscape. Various small publishers have accused Google of killing their businesses.

When I ask Hema Budaraju, Google’s senior director of product management for search, whether Google has a responsibility to ensure a healthy web ecosystem, she answers with “a very direct, strong yes”. She emphasises Google’s “commitment to the web” and “ensuring we have a thriving ecosystem”. “As we introduce our generative capabilities, connecting people to the web is central to our approach,” she says.

I’m inclined to believe this is Google’s intention. It’s not in its long-term interest for the internet’s information economy to collapse. If media platforms can no longer afford to produce high-quality content, then Google’s AI Overviews will have nothing left to summarise. Eventually, people would stop using Google search.


During a visit to one of Google’s London offices, I told a member of the communications team that I had been inspired to look into the state of Google search by the broken knowledge panel saying I was a dead physicist. When I later spoke to Nayak, I decided to ask him how I could detach my face from the other Tom Faber. Before I’d finished my sentence, the communications person pinged into the chat, saying the issue had been fixed. I adjusted my question: maybe it’s been fixed for me because of having a direct line to Google, but how would someone resolve this if they didn’t have strings to pull?

Nayak apologised, saying the panels were created automatically using algorithms and sometimes they messed up: “These are the kinds of things we’re constantly improving.” He went on to insist that, on issues like this, Google’s “honest results policy puts everyone on the same playing field”, so it had nothing to do with me having contacts at Google. Immediately after, the call was ended abruptly for going over time.

When I followed up, I was told someone from the team had submitted a feedback form using the public channels, just like anyone else might, and this resulted in it getting fixed. This was perplexing. It seemed more than a coincidence that, after years of trying to fix the problem myself by submitting feedback forms, it would finally change weeks after mentioning it to a Google employee, and that this change would be unrelated to that conversation. But at least the issue was fixed.

For now, search engines aren’t going anywhere. “I think search is inevitable,” Doctorow says, but adds that we’ll always want human voices to cut through the noise and deliver curated sources of information. “We’re still going to have experts, reviewers and tastemakers, adventurous spelunkers in information space, and just the terminally curious – that one friend you have who can’t stop holding forth about something, whether it’s a new gamer mouse or a band or a new, extremely hoppy IPA. We’re going to have all of those things, but they’re all going to need search engines.”

It seems search is going to remain broadly the same – ChatGPT isn’t about to displace Google search, and AI Overviews are not about to fundamentally change the search experience. But there remains the larger question of what the rest of the internet will look like. As AI steers the online economy into uncharted waters, the fate of the media is hanging in the balance. And whatever the future of the web looks like, it’s sure Google is going to play an enormous role in shaping it.

As I was editing this story, I double-checked to see if my knowledge panel was still fixed and discovered, confoundingly, that the problem had returned. The next time I checked, it was fixed again. I began to regularly Google myself in incognito mode, on different browsers and devices. Sometimes my face popped up as a dead physicist; sometimes it didn’t. The ever-changing, algorithmic nature of it made it feel like Schrödinger’s knowledge panel, both correct and incorrect at all times.

The frustration of trying to resolve the knowledge panel issue echoed the process of trying to get a solid read on the state of Google’s search engine. The company is too opaque, and its system has too many shifting parts, to make a clear pronouncement. It is many things to many people, constantly succeeding and failing its billions of users. Sometimes, as much as you search and search, there is no single answer to be found.

Here is the link:

https://www.theguardian.com/technology/article/2024/jul/20/google-is-the-worlds-biggest-search-engine-broken

What all this says to me is that trying to corral the scope of human knowledge and make it findable for the average punter may just be a leap too far!

If you consider just how hard fact-finding 20 years ago was compared to now one has to concede we have come a very long way and more worrying is the fact that a quantum improvement from here is pretty hard to imagine.

I really find it hard to imagine life without Google search (or some equivalent) and also struggle to envisage what the “next big thing” will look like!

I wonder where the garage is that the next step is being dreamt up?

David.

Tuesday, July 23, 2024

I Am Not Sure I Feel Entirely Comfortable With This Approach To Having A Baby?

This appeared last week:

How to make a superbaby

Helena de Bertodano

2:30PM July 19, 2024.

Although Noor Siddiqui and her husband have no fertility problems, she has undergone IVF so that she can freeze her embryos. Then, using the technology of her own startup company, Orchid, she is pre-screening each embryo for any potential health problems.

Siddiqui, 29, does not have children yet, nor is she even pregnant, but she knows a lot about her future family. She will have two sons and two daughters and, like any parent, she wants them all to be healthy. Unlike most parents, however, she is almost guaranteed to get what she wants.

We are not talking about simply screening for major birth defects or conditions such as Down’s syndrome – we are talking a full-scale analysis of each embryo’s predisposition to all the 1,200-plus diseases and conditions about which we currently have genetic information, including a wide range of cancers, diabetes, ­coronary artery disease and even Alzheimer’s. Based on the results, prospective parents can decide which embryos to implant. Testing costs $US2500 ($3700) per embryo, on top of the cost of IVF, leading to concerns that the rich will breed “superbabies” (although Orchid is also planning a select philanthropy program).

The difference between the Orchid testing – which is already available in dozens of clinics across the US – and what Siddiqui refers to as “the old testing” is off the charts. She suggests you think of it “like a book”. “The old testing is only looking at the table of contents, [whereas Orchid] is spellchecking the entire book. So if your genome is 3 billion letters, Orchid is looking at all of them.”

“Look,” Siddiqui adds, pointing to a graph she has pulled up on her iPhone that shows the analysis of one of her embryos. “All these genes that cause horrible diseases are negative. Same for hereditary cancer.” She flicks to another one and I see a solid red line. What’s that? “This ­embryo was in the 99th percentile for breast cancer. So it has a 37 per cent lifetime risk ­versus this embryo, which has an 18 per cent lifetime risk.”

She splits the screen so she can compare embryo three – the one with the heightened risk – with embryo five, which shows no heightened risk factor for any disease. So, I say, you would clearly choose embryo five over three. “You can choose whatever embryo you want,” says ­Siddiqui, who is hypersensitive to any suggestion that Orchid’s services have any similarity to eugenics. But embryo three would be an ­unusual choice, wouldn’t it? “Sure,” she ­concedes. “But embryo three knows at age zero to screen early for cancer.”

We are chatting in the San Francisco apartment of Masha Bucher, a Russian friend of ­Siddiqui’s and an investor in Orchid who plans to use the service herself. Aged 34, Bucher is married but says she is not ready for a child right now. Dynamic and bossy, she explains why she supports Siddiqui: “We have access to data on so many less important things. I’ve been calculating my calories since I was ten years old, I track how much time I sleep, I have financial apps. Why wouldn’t I use something that helps with such a major decision over the health and future of [my child]?”

In their friend circle, freezing eggs or embryos is the norm. “Many who are younger than me are already doing egg freezing or embryo banking with their partners,” Siddiqui says. “They get engaged and they make embryos and they plan to have kids in ten years, whatever.”

So far, Siddiqui has frozen 16 embryos. “Unfortunately, almost all are girls.” Just two are boys – and one of them is at a heightened risk for prostate cancer. Not that that in itself is a deal-breaker. “But if you want to have two boys, then you should probably have more than two embryos. Basically, each embryo has a 70 per chance of becoming a baby.”

So she is going to freeze more eggs in September. Yes, she says, IVF is uncomfortable. “But it’s really not an ordeal. Women do waxing, Botox, laser hair removal – and it’s completely frivolous. Who cares whether you have hair or not? I care way more if my baby is going to get cancer. I care way more if my child will go blind in college. So why wouldn’t I spend an extra two weeks and a couple of thousand dollars to make sure my child doesn’t suffer? That should not be stigmatised.”

Pretty and slight, Siddiqui seems to be one of those intellectually brilliant people who, on a practical level, is a complete disaster. I rarely feel like the grown-up in any situation that involves organisation, but after a chaotic day with Siddiqui I almost feel like a babysitter. The ­location and time of the interview change so often I lose track; patients and doctors whom she has lined up to speak to me suddenly evaporate. She doesn’t know which apartment ­Bucher lives in so we end up knocking on random doors while she tries to contact someone 8000km away who might have the address – except her phone battery dies and she doesn’t have a charger. At one particularly low point in the day I find myself stuck in a fire escape stairwell with her, unable to re-enter the main building because the door has locked behind us.

The day starts smoothly enough, albeit well behind schedule. Siddiqui offers to collect me from my hotel; a white Jaguar pulls up and I get into the back seat next to her. We begin chatting and as the car pulls out into busy traffic, I suddenly realise there is no driver. The car is driving itself. “I hate driving,” she says. “It’s so annoying.” So, being a young San Franciscan, naturally she uses Waymo, the self-driving car app that is rapidly supplanting Uber. “It feels super-futuristic when you first jump in, but then you forget about it,” she says.

It is pouring with rain and I ask her if – with all her technological know-how – there might be a way to stop it. Actually, she says, there might be. She knows someone who has a ­company called Rainmaker. “I don’t know if they can stop the rain, but they can start it.”

The daughter of Pakistani immigrants, both engineers, Siddiqui grew up in Virginia, where discussions around the dinner table were ­highly intellectual. “My family loves to debate. My older sister and my dad would spar about any topic: political, technical, nuclear power… I would try to insert myself and then, when I went to school, I’d sound so smart because I would just repeat the conversation.”

The one cloud on the family horizon was her mother’s worsening vision. She had been diagnosed with retinitis pigmentosa, and Siddiqui says that watching her mother struggle with the disease triggered her fascination with genetics. “Just think about it – someone you love, their independence is getting ripped away from them. It just struck me as incredibly unfair.”

As a teenager, she applied to the Thiel Fellowship, a program that funds 20 gifted young people a year to work on their ideas, deferring college. She won a place and founded a startup called Remedy, using Google’s augmented ­reality glasses to help healthcare providers care for patients. Later she attended Stanford, graduating with a master’s degree in computer science. By then she had met her future husband, Feross Aboukhadijeh, a fellow student. He is now the founder and CEO of Socket, a ­security platform, and seen as one of the most brilliant brains in Silicon Valley.

After eight years of dating, they married in a “giant, crazy” three-day wedding in Hawaii in 2022. “It took me way too long to decide to marry.” She was determined to be the one to propose first. “I told him I wasn’t going to ­accept any inbound [proposal]; I had to ask first.” So, not one to do anything by halves, she organised a flashmob proposal (it’s a thing these days, especially in California), flying in friends and family from around the country and contracting artists to perform his favourite music. He said yes, of course, and then organised his own return proposal with a scavenger hunt. They now live in San Francisco and plan to start a family in the next couple of years.

Using her own relationship as an example, Siddiqui robustly contests the argument that the IVF/freezing embryos route lacks romance. “Think of how much love and energy it takes to say we’re going to plan ahead to make sure this child is healthy,” she says. “This is the ­biggest gift I could give my child.”

And, she maintains, it is still a magical process. “Of the millions of eggs that existed in me when I was a baby, I capture 20 of them. Think about how miraculous that is. My husband has billions of sperm and it’s these specific magical combinations of literally trillions [of options] that get to be our kids… And we haven’t gotten pregnant yet. The first embryo might not take. So there’s still a lot of mystery.”

Of course, for couples who take the Orchid route to have a baby, sex in itself is unnecessary. “Sex is for fun,” is one of the lines that Orchid uses. “Embryo screening is for babies.”

“It’s a little tongue in cheek,” Siddiqui says. “But that’s what I personally think. You’re taking more risks [having a baby through sex].”

As for finding out about potential problems post-conception, the emotional toll is high. “The current process is much worse: once the pregnancy is already in progress, you can get a very small amount of genetic information and find out about a very small list of those thousands of diseases. And then you have a very tough choice to make: you can either terminate or continue that pregnancy. I would way rather have the information before I’m pregnant.”

I tell her that when I was pregnant with my second son in the US, I had an ultrasound that showed he might have Trisomy 18, also known as Edwards Syndrome, a chromosomal condition that affects the heart and lungs and is so ­severe that most children do not live beyond the first two weeks of life and fewer than 10 per cent beyond the first year. At the local hospital I was asked if, given the risks, I wanted to ­continue with the pregnancy. They offered me counselling and made it sound almost a certainty that he would be born with the condition (even though there was a much higher chance that he would be born without it).

Twenty-one years have passed since then. Obviously, if I had terminated the pregnancy I wouldn’t have my healthy, kind, beautiful son Joe. Or if I’d had the choice of several embryos, it’s unlikely I would have chosen one with an ­elevated risk of such a condition.

“But you’d have a different son,” Siddiqui says cheerfully, “whom you’d also love.”

She has the same answer to the suggestion that her mother might not have been born if her grandmother had been given a choice of embryos and saw that she had a heightened risk of blindness. “I’d have a different mother.” Clearly, Siddiqui herself would not exist either, but she thinks I am far too stuck on people who wouldn’t have been born. “People are always thinking about [one] person who wouldn’t exist. You immediately say, ‘I wouldn’t have my son.’ But what about all these future people who wouldn’t exist if you don’t use this technology?”

Perhaps doubting the efficacy of her ­positivity, she continues, “Think about this: my grandma had my mum when she was 16. Now women go to college and choose when they get married. You killed all the babies that you [could have] had at 16 and 17. And 18 and 19. All those eggs… There are trillions of children and children’s children who didn’t happen because we as a society have said we value women having autonomy over who and when they marry, when they have kids… I don’t think anyone in society would say that women should all be forced to have kids at 16.”

‘There is a genetic component to substance abuse,’ Siddiqui says. There are even, she adds, ‘certain aspects of personality that have a genetic basis.’

Well, no, but that’s different from ­selecting embryos when there is no apparent medical need to do so. There is something about the randomness of birth that is seen as ­almost ­sacred. Siddiqui is ready for this. “I think ­because it’s sacred, it is incumbent upon us to use the best science [we have] to give this ­person we’re bringing into the world the best chance at a healthy life. If a child needs more resources, then we should be summoning those resources earlier, not leaving it to the last minute, once it’s too late to intervene. There are so many of these situations where if you intervene earlier, you can either totally avoid the illness or significantly alter the trajectory of that child’s life.”

She talks at immense speed for hours, the words tumbling out of her. Even my voice ­recorder can’t keep up with her and at times I have to ask her to slow down. “Sorry, sorry,” she says breathlessly, slowing down a fraction before galloping on again. “When children are born without a skull, they might suffer and die within a week [or be] a stillborn. So it strikes me as very cruel to say to a family who’s going through IVF that you shouldn’t have this information – especially if you’ve already buried a child… Three per cent of babies are born with birth defects. Six per cent of ­babies are born with a neurodevelopmental disorder. We don’t have treatments. We have vaccines for smallpox and polio. And that’s about it. So unfortunately, the most humble thing to do is actually to screen embryos and identify the risks early. Because medicine is still in the Stone Age. We can’t cure most chronic diseases. A lot of people we serve weren’t going to have kids because they were so worried about the child suffering… So the idea that you should stigmatise access to information about the health of your embryo is offensive to me.”

So what you’re doing is editing out the risk? “Not editing,” she quickly corrects me. “Editing would mean you’d be manipulating embryos that already exist. This technology is just ­expanding the menu of choice.”

Although a lot of what she says makes good sense, I find that anyone I talk to about Orchid recoils when I explain what it is doing. Is she surprised that the subject causes some upset? “It honestly doesn’t make sense to me. People are already choosing embryos based on sex, which is a lot less important. They obsess over the most silly things: playing classical music or rock music during pregnancy; whether to have an organic or non-organic apple.”

Late last year, the first Orchid baby was born to a San Francisco couple. Siddiqui posted a film of herself meeting the baby, Japhy. His mother, Leah, was 38 when she married. “We both have family history of type 1 and 2 diabetes and my husband has a history of bipolar in his family, so we wanted to see if there was anything we could do to mitigate some of those issues,” Leah says. “It’s a huge relief to have the information to make informed decisions.”

Siddiqui is thrilled to have met Japhy. “This baby represents the future of how all babies will be created, hopefully.”

Dr Michael Feinman, an IVF doctor, says Orchid provides a valuable tool in preventing severe diseases. “While there are ethical considerations and societal implications, the primary focus should always be on the wellbeing of the future child and reducing the burden of disease on families and society.”

Orchid is also working on a way to predict if a future child is predisposed to addiction. “There is a genetic component to substance abuse,” Siddiqui says. There are even, she adds, “certain aspects of personality that have a genetic basis”. Maybe, I speculate, one could stop a future serial killer being born. Or someone like Vladimir Putin. Siddiqui looks doubtful. “I think you still have free will. You’re predisposed to things but I wouldn’t go so far as to say you could predict character.”

She dismisses as “sensational and silly” a recent headline about her that ran, “This woman will decide which babies are born.” “It’s the exact opposite of that. It’s the parents who decide; I don’t decide anything.”

Yet given the strong feelings the technology engenders, I ask if she sees any downside to what her company is doing. “I don’t think so. I think this is something that society has been waiting for. For generations. So much had to develop in the history of humans for us to be able to get here. It’s up to us to decide the ­morality and how it’s used. It’s just data on ­embryos at the earliest possible stage.”

She acknowledges that for some people, it is just too much information. “For people who want to take the risk and do it traditionally at home, more power to them.” But, she cautions, “Genetics is really messy, and so many things can go wrong. Your genetics is a lottery. Why don’t we try to make it a little more fair?”

Society will eventually embrace this ­technology, she believes. “Previous generations would consider IVF as taboo and stigmatised. And now it’s the opposite.” We are back in the car and she makes an analogy. “Self-driving cars were considered really scary and crazy, but look at the data: how many car accidents are there with human drivers? Thousands. Waymo had to pass one million miles without an ­incident. In the future, our grandkids are going to think it was so unsafe on the road before ­self-driving cars.”

She feels that Orchid is her “life’s work”. “It is the most meaningful work I’ve ever done,” she says. “We want to bring it internationally around the world.” She herself plans to decide which embryos to implant after her second round of IVF. “I built the whole company because I wanted to do that.”

A few minutes after we part, she sends me links to two YouTube videos set to music: one showing her marriage proposal to her partner, the other his proposal to her. The videos are sweet, if corny, and clearly prove the romance in their relationship. As she runs into his arms on top of a picturesque cliff, I note that Justin Bieber’s Anyone is playing and the accompanying lyric is, “You can’t predict the future.” ­Except now, of course, you actually can. b

Here is the link:

https://www.theaustralian.com.au/weekend-australian-magazine/how-to-make-a-superbaby/news-story/498a8f2957046f40fb72389a8a4fcf8b

I offer this article for comment as I am really unsure how I feel about this approach to “baby-making””

I guess many would like the control and risk reduction that is offered while others would really hate the lack of ‘natural processes’ involved.

How do you feel about what is offered here?

David.

Sunday, July 21, 2024

Well That Was Really The King Of IT Outages So Far!

 Here is the basic outline of what happened in case you have been hiding under a rock for the last few days!

The software patch that shook the world

Asa Fitch, Sam Schechner and Sarah E. Needleman

21 July, 2024

Hemant Rathod, an Indian executive, was sipping tea in a conference room on Friday morning in Delhi, about to send a long email to his team, when his computer went haywire.

The HP laptop suddenly said it needed to restart. Then the screen turned blue. He tried in vain to reboot. Within 10 minutes, the screens of three other colleagues in the room turned blue too.

“I had taken so much time to draft that email,” Rathod, a senior vice president at Pidilite Industries, a construction-materials company, said by phone half a day later, still carrying his dead laptop with him. “I really hope it’s still there so I don’t have to write it again.”

The outage, one of the most momentous in recent memory, crippled computers worldwide and drove home the brittleness of the interlaced global software systems that we rely on.

Triggered by an errant software update from the cybersecurity company CrowdStrike, the disruption as those in Asia were starting their days and Australians were well into them.

Over the course of less than 80 minutes before CrowdStrike stopped it, the update sailed into Microsoft Windows-based computers worldwide, turning corporate laptops into unusable bricks and paralysing operations at restaurants, media companies and other businesses.

US 911 call centres were disrupted, Amazon.com employees’ corporate email system went on the fritz, and tens of thousands of global flights were delayed or cancelled.

“In my 30-year technical career, this is by far the biggest impact I’ve ever seen,” said B.J. Moore, chief information officer for the Renton, Wash.-based healthcare system Providence, whose hospitals struggled to access patient records, perform surgeries and conduct CT scans.

Fixing the problem involved technical steps that confounded many users who aren’t tech-savvy. Some corporate IT departments were still working to unfreeze computer systems late on Friday. CrowdStrike said the outage isn’t a cyberattack.

Adding to the chaos – and further underlining the vulnerability of the global IT system – a separate problem hit Microsoft’s Azure cloud computing system on Thursday shortly before the CrowdStrike glitch, causing an outage for customers including some US airlines and users of Xbox and Microsoft 365.

The CrowdStrike problem laid bare the risks of a world in which IT systems are increasingly intertwined and dependent on myriad software companies – many not household names.

That can cause huge problems when their technology malfunctions or is compromised. The software operates on our laptops and within corporate IT setups, where, unknown to most users, they are automatically updated for enhancements or new security protections.

In a 2020 hack, Russian perpetrators inserted malicious code into updates of SolarWinds software in a way that compromised a swath of the US government and scores of private companies.

The rising frequency and impact of cyberattacks, including ones that insert damaging ransomware and spyware, have helped fuel the growth of CrowdStrike and such competitors as Palo Alto Networks and SentinelOne in recent years. CrowdStrike’s annual revenue has grown 12-fold over the past five years to over $US3 billion ($4.5bn).

But cybersecurity software such as CrowdStrike’s can be especially disruptive when things go wrong because it must have deep access into computer systems to rebuff malicious attacks.

Not all updates happen automatically, and computer attacks often occur because people or businesses are slow to adopt patches sent by software companies to fix vulnerabilities – in essence, failing to take the medicine the doctors prescribe. In this case, the medicine itself hurt the patients.

The global outage began with an update of a so-called “channel file”, a file containing data that helps CrowdStrike’s software neutralise cyber threats, CrowdStrike said. The update was timestamped 4:09am UTC – just after midnight in New York and just after 2pm Friday in eastern Australia.

That update caused CrowdStrike’s software to crash the brains of the Windows operating system, known as the kernel. Restarting the computer simply caused it to crash again, meaning that many users had to surgically remove the offending file from each affected computer.

The nature of the patch meant that the impact was uneven, with people in the same office even experiencing the outage very differently. Apple Macs, which don’t use the affected Windows software, were OK, and servers and PCs that weren’t on and internet-connected didn’t receive the toxic update.

CrowdStrike soon realised something was amiss and the update to the file was rolled back 78 minutes later. That meant it wouldn’t affect computers that were off or in sleep mode during that period. But for many of those that were switched on, the damage was done.

In a blog post, CrowdStrike told those users to boot into the Windows “safe mode,” delete the offending file – called C-00000291*. sys – and reboot.

IT teams often can fix problems on employees’ computers using remote-access software – tools that became especially common during the work-from-home boom of the pandemic. But for laptops and other PCs, that approach doesn’t work if the machines can’t restart.

For those systems, CrowdStrike’s fix had to be done in person – either by a tech-support person on site, or by a regular employee trying to apply the instructions.

Moore, the Washington State healthcare CIO, was away on vacation and initially wasn’t worried when emails about malfunctioning computer applications started landing in his inbox on Thursday night.

By late that night, he had learned that the outage had engulfed the nonprofit health system’s approximately 50 hospitals and 1000 clinics across seven US states. Hundreds of IT employees began deploying patches, which required manual remediation, he said.

Some of the system’s affected computers and devices were fixed by 6am Friday US time, and most were humming again by 10am. “It will be the end of the day before we get it all done,” Moore said on Friday morning.

As companies were grappling with the impact, CrowdStrike’s co-founder and chief executive officer, George Kurtz, was on TV trying to reassure customers – and shareholders – looking haggard after a long night.

“We identified this very quickly and rolled back this particular content file,” Kurtz said in a CNBC interview about nine hours after the faulty update.

“Some systems may not fully recover, and we’re working individually with each and every customer to make sure that we can get them up and running and operational,” he added.

The timeframe for the recovery could be hours or “a bit longer”, he said. Kurtz said on X that the outage isn’t “a security incident or cyberattack”.

Home Affairs Minister Clare O’Neil has provided an update on the CrowdStrike tech outage.

Microsoft CEO Satya Nadella took to X to offer his own reassurance that the company was working closely with CrowdStrike to bring systems back online.

Tesla CEO Elon Musk responded, “This gave a seizure to the automotive supply chain,” and later said, “We just deleted CrowdStrike from all our systems.”

For Rathod, the senior vice president at Pidilite, the travails didn’t end with his potentially lost email.

After switching to his iPad to keep working, he had to rush to the airport for a flight – only to find long lines and flummoxed security staff checking boarding passes manually. Flight information screens weren’t working, so he had to find airline staff to direct him to the right gate.

“It was a mess at Delhi airport,” Rathod said. “How can we depend so much on one company?”

Tom Dotan and Robert McMillan contributed to this article.

The Wall Street Journal

Here is the link:

https://www.theaustralian.com.au/business/the-wall-street-journal/the-software-patch-that-shook-the-world/news-story/fe6cce2fc54d97dbae8f57489532640f

I reckon all that can be said about this outage has pretty much been said and the article above is a pretty good summary for the record.

I find it interesting that my system just kept chugging along as I have no need of or awareness of Cloudstrike! To me what happened makes a care for simplicity in critical systems (hospitals and he like) and to plan any updates to happen at times when the use of the machine is not vital. (Given the rapid response just making sure updates happened on the weekend would have saved you!)

I am sure everyone from philosophers to we humble plebs are going to be pleased the simplicity of our operations and lack of pushed updates saved us completely.

There has to be a case for a total rethink of all the updating that seems to be presently inflicted on as all. Have you ever had a Windows Update that you really felt you needed? Maybe 3-4 times a year? I do not know but I feel we need some clever souls to redesign what is done, now we have seen the possible harm!

I also think we need to do something about the Windows Hegemony – Linux anyone? Surely Coles and Woolies would be better off with a Linux terminal network?

There are some hard questions that need answers.

What do you think?

David.

p,s. Remember this attack needs considerable effort to fix - if you are affected:

Here is the drill:

"The only remedy for Windows users affected by the “blue screen of death” error involves rebooting the computer and manually deleting CrowdStrike’s botched file update."

Glad you had never heard of Cloudstrike?

D.