Hey guys,
  What does all this have to do with Health and the Digital Divide?

--- On Fri, 8/8/08, Stephen Snow <[EMAIL PROTECTED]> wrote:

From: Stephen Snow <[EMAIL PROTECTED]>
Subject: Re: [DDN] The Digital Divide and Human Health
To: "The Digital Divide Network discussion group" 
<digitaldivide@digitaldivide.net>
Date: Friday, August 8, 2008, 3:10 PM

Taran,

Data is not a bad thing; it also is not every thing. Empiricism does not make
for truth anymore than feeling makes for empiricism. [Was Decartes correct of
did he just have it backward? Maybe instead of I think therefore I am, it is I
am, therefore I think...and because I think I *know* that I am!] 

It takes a combination. Just as you say you need data, you cite a quixotic
novelist as your own "data". That's not a criticism, it is merely
a reflection fo the way we all are -- needing both "facts" and
"knowing," the latter of which often is other than or beyond facts or
empirical data.

Now, of course, data matter. And there is a dearth of solid data in many areas
of the electronic world. And from a data perspective, then, we can't really
"know" what works or to what depth. (It raises a huge question about
the actual validity of ANY online mechanisms, doesbn't it? About all we
truly know is that a lot of people [20% of 6 billion is still quite a bunch in
my limited thinking] use the heck out of this stuff and they use it in their own
ways and for their own purposes, which often aren't OUR purposes or even
purposes we believe are "useful" or "valuable" or, even,
"right."

What was it Sam Clemmens once wrote? There are three kinds of lies: "lies,
damned lies and statistics." So it isn't just data but also the quality
of the data -- how it was gathered, how it was conceived (!), how it was
interpreted -- that matters, as well.

As long as I have been actively involved in the online world, and I'd put
that right at about 20 years, I have believed (felt, sensed -- not known) that
no one really knows what is going on with all of the online "things."
As soon as someone says he/she does know, I am immediately skeptical. Companies
often do this: they love to prognosticate value or usage or some certain future
because it might benefit them in some way. The truth -- or better yet, my belief
-- is that we all are still touching separate parts of the elephant and
describing it as the whole.

--Steve Snow
[EMAIL PROTECTED]

-----Original Message-----
>From: Taran Rampersad <[EMAIL PROTECTED]>
>Sent: Aug 8, 2008 8:37 AM
>To: The Digital Divide Network discussion group
<digitaldivide@digitaldivide.net>
>Subject: Re: [DDN] The Digital Divide and Human Health
>
>I am not disagreeing with you, but I do have some questions and comments.
>
>Stephen Snow wrote:
>> Don't think that I confuse the two; I don't. For many people,
electronic
>> connections are very important aspects of their lives in positive ways
and,
>> because of that, they are healing.
>I'd like to think that you are right, but more accurately I *feel* that

>you are right. Whether this feeling is correct or not would require 
>empirical data to substantiate it, and that never seems to come to the 
>fore. Realistically speaking, 20% of the humans held to this planet by 
>gravity are online. Factor in mobile phones and that percentage can go 
>up very high - but here's the issue: How do we *know* that? In the 
>circles we operate in - we who participate in discussion lists, social 
>networks, et al - how do we know that people we do not know see benefit 
>in these? And how do we substantiate the value of electronic connections?
>
>Kurt Vonnegut wrote this:
>
>"...Electronic communities build nothing. You wind up with nothing. We

>are dancing animals. How beautiful it is to get up and go out and do 
>something. We are here on Earth to fart around. Don't let anybody tell 
>you any different..."
>
>(Man Without a Country, Chapter 6, last paragraph)
>
>I'm somewhere between Vonnegut and what 'many' people in
electronic 
>communities claim. One of the issues I find interesting is the 
>telecenter, which is lauded as being one of the great things that works 
>toward the digital divide decreasing - and yet, the success of 
>telecenters is not necessarily in the electronic communities but the 
>communities - the human communities - that get together in the 
>telecenters and help each other out. Rarely do you hear of telecenters 
>being an integral aspect of social networking sites, etc - and that is 
>because their real asset is bring people together in a physical manner 
>while using technology.
>
>In essence, telecenters are an interesting success and their failure 
>comes when internet access at residences has a cost decrease which 
>permits people to stay at home. Yet is there a benefit to staying home 
>and working on one's computer, away from other human beings? Is it... 
>better? Or does it isolate us? Where is the balance? How much is good, 
>how much is bad? How do we know?
>
>We don't really. 'Many' people believe that we 'know',
but we really 
>don't. Everyone is different. The people around us tend to support what

>we believe because... those are the people we surround ourselves with.
>
>So, I understand what you mean and I agree with it. But I cannot 
>substantiate my agreement, and that is troubling. Maybe we're wrong. I 
>know we're all really smart and everything, but we could be wrong. When

>a statement ends in 'because I said so', the 'I' has lost.
>>  I think it is oversimplifying to call it
>> merely a crutch. The truth is *anything* can be considered a crutch
and
>> anything improperly used can create further complications.
>Anything is a crutch. I agree. But we were discussing technology and 
>human health, not being human. :-)
>>  A doctor friend
>> of mine told me just last evening of a human error she made that cost
a
>> person her life; has she put that woman on an ultrasound machine, she
very
>> well might not be dying of cancer right now. I don't think of the
world in
>> such starkly dualistic terms, generally, Taran -- heaven/hell,
right/wrong.
>> Certainly there are moral absolutes (we all have our favorites) and
the
>> blind affection for technology is no exception, but I tend to think we
live
>> in the world of 'gray,' mostly, technology included.
>>   
>We agree. But even in agreeing, I question why we agree and I question 
>my own thoughts on this as I would like to believe that recent advances 
>in communication technology can have a positive impact on humanity as a 
>whole - but I have no data to support it and even have data to say that 
>it isn't so. My question is - and this will be unpopular for many, but
I 
>think it is important - how can we justify ourselves other than saying 
>we 'feel' we are doing the right thing? Where is the data that
supports 
>our position?
>
>The faith in the idea that technology can help in any context, including 
>human health, is good and I think it is important as being a core. But I 
>also believe that we need to really do a bit of technocultural 
>introspection and see what it is we are actually trying to achieve and 
>how we are trying to achieve it. My best offer for a metric is one I 
>bring up from time to time - counting smiles - but that is impractical.
>
>Again, I might sound pessimistic but I am not trying to be. I want to 
>know - *know* - how we are impacting, who we are impacting, and whether 
>the positives and negatives for individuals balance or not. I do not 
>know, and 'many' people say that they do know but they then refer
to 
>'many' other people... we have to have harder data than that
somewhere. 
>We should. Medicine is still run on statistics, though the human genome 
>project should have thrown at least part of that out the window by now. 
>The human genome project certainly can and has helped with health, and 
>in that way has allowed technology to help medicine... but has it 
>reached it's potential? I would like to think we can do better.
>
>I just cannot tell you with any accuracy or margin of error whether we 
>are actually doing anything of value. We need more data. At least I do.
>
>-- 
>Taran Rampersad
>Presently in: San Fernando, Trinidad
>[EMAIL PROTECTED]
>
>http://www.knowprose.com
>http://www.your2ndplace.com
>
>Pictures: http://www.flickr.com/photos/knowprose/
>
>"Criticize by creating." — Michelangelo
>"The present is theirs; the future, for which I really worked, is
mine." - Nikola Tesla
>
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Stephen Snow, PhD, LPC
Executive Director
Collaborative Family Health Association
www.cfha.net
[EMAIL PROTECTED]
828-689-3615
828-689-5066 (c)
"Nearly 70% of all health care visits have primarily a psychosocial
basis." (Fries, et. Al 1993, Shapiro et al., 1985)
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