The thread was about "knowing" the impact of the digital world on
health/healthcare. We just went down a little side road about knowing. It's
a healthy thing to do from time to time. ;-)
Steve snow 


On 8/9/08 11:11 AM, "Jorge Gallardo Rius" <[EMAIL PROTECTED]> wrote:

> 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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