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New track spikes. C-YA!  (Taken with instagram)

New track spikes. C-YA! (Taken with instagram)

Traditions. #pennrelays (Taken with instagram)

Traditions. #pennrelays (Taken with instagram)

Guggenheim (Taken with instagram)

Guggenheim (Taken with instagram)

Sunday traditions (Taken with instagram)

Sunday traditions (Taken with instagram)

i looooooove this
imwithkanye:

Yep, this just happened!

i looooooove this

imwithkanye:

Yep, this just happened!

non-beliebers

  • me: is it bad that i really like justin bieber's new song?
  • adrianna: yuck
  • adrianna: yes
  • adrianna: why would you tell me this?
Hey pup! (Taken with instagram)

Hey pup! (Taken with instagram)

violin shop in philly  (Taken with instagram)

violin shop in philly (Taken with instagram)

absolutely love this video - perfect analogy.

the importance of an open internet

You may have noticed something different about the internet today – many of your favorite websites are taking a visible stand against the Stop Online Piracy Act (SOPA) and PROTECT IP Act (PIPA), which both are currently under review by Congress.  Some sites, such as Wikipedia and Reddit, are blacking out their sites today in protest of the bills. Other sites, like TED, are raising awareness about SOPA & PIPA by sharing TED Talks about the importance of net neutrality.

SOPA and PIPA are two pieces of legislation that were written as a way to address copyright infringement on the internet.  While these relatively obscure bills seem to have gotten a lot of attention in the past few days, the debate has been going on since May 2011 when PIPA was first introduced. Those who are against these bills are in no way supporting piracy; in fact, nobody is disagreeing that protecting intellectual property is an important issue worth addressing.  However, the criticism of the bills is about the method in which they are trying to solve this problem.  Through SOPA and PIPA, law officials and copyright holders have the ability to shut down sites and sue website owners who they believe are promoting online piracy, rather than targeting the individuals themselves.  This is in violation of the Digital Millennium Copyright Act’s Safe Harbor provisions that prevent websites from being held responsible for how individuals use (or abuse) their product – it’s the same logic behind why you can’t sue a car company when somebody gets killed in car accident, for example. Furthermore, the bill enforces that these sites must be removed from search engine results, barred by Internet Service Providers, and cannot partner with online advertisers and payment partners – this is where the real damage occurs, and can pose a long-term threat to the integrity of the internet.  There is a lot of information available online about these two bills, and I encourage you to read more to understand the details of this issue. Given how much our business relies on the openness of the Internet, however, SOPA and PIPA could have a damaging impact on innovation, particularly in Healthcare I/T, since so many new HIT initiatives are web applications that rely on the internet’s open structure.  When you strip away the politics and hyperbole coming from both sides of the argument, I believe there are 3 key technical and economic reasons why SOPA and PIPA are flawed:

1. A controlled internet stifles innovation.
The internet has enabled such incredible economic growth because it’s not controlled by anyone. It’s free, it’s open, and allows individuals, organizations, and companies (large and small) to connect with other people, share information, and conduct commerce without any interference.  Vint Cerf, the renowned computer scientist best known for being the founder of the internet, spoke out against SOPA in December by saying the bill would initiate “a worldwide arms race of unprecedented ‘censorship’ of the Web.” If SOPA had been around ten years ago, websites that allowed users to share videos (Youtube), social networks that allowed friends to connect with one another (Facebook), collaborative online encyclopedias (Wikipedia), or online marketplaces for people to buy and sell used goods (eBay) would have quickly been shut down because it would have incorrectly been perceived as promoting piracy and copyright infringement.  These are sites and services that we not only use in our personal lives, but use in our business as well – we are able to connect and engage with consumers, patients, business partners and colleagues because of these tools.

2. Shutting down websites doesn’t protect intellectual property.
If SOPA and PIPA were to pass and websites were blocked, the truth is that it wouldn’t actually stop piracy.  Instead, it will just push a lot of this activity underground into the “darknet”, which is a term to describe private, peer-to-peer file sharing networks that use anonymous IP addresses.  This will ultimately create a more robust “information black market”, which will undermine the internet economy that so many businesses (including ours) have come to rely on.  Additionally, as more and more legitimate services are forced to enter the information black market, it will saturate that underground environment, and will make it exponentially harder to find the real rogue sites that are intentionally trying to increase piracy. 

3. Tampering with DNS compromises internet security.
A major criticism of SOPA and PIPA was that the bill was written by people who aren’t experts in technology and don’t fully understand the lasting technical damages this bill could have.  Internet security is at high risk with SOPA because of the fact that it encourages the manipulation of the Domain Name System.  An example of how SOPA/PIPA will convolute security can be seen with the Domain Name System Security Extension (DNSSEC).  DNSSEC is a separate initiative that is aimed towards making the internet more secure by preventing credit card fraud, unlawful eavesdropping over VoIP, or stealing user passwords, for example.  The effort is aimed at increasing internet trust, which will continue to improve the way we use the internet in productive ways.  SOPA, however, will derail this initiative, because of the way the bill manipulates DNS – it will make it nearly impossible to implement this security program because it will complicate the system, and will in fact make the internet a more unsafe environment than it currently is.

Technology causes disruption – there is no denying it. We’ve seen industries rise and fall because of new technologies, and that’s part of the natural cycle of innovation.  The solution to protecting intellectual property online isn’t to stifle the technology, but instead to focus on new, innovative business models and distribution channels that work in harmony with these tools.  Healthcare has evolved for the better because of information technology, and our business operates more efficiently because of the internet. We should continue to embrace technology disruption and focus on bringing creative healthcare solutions to our patients and serve our business partners more effectively through the open internet.

I’m not brave, I’m actually pretty scared a lot of the time. But I must like being scared, because I keep doing things that scare me.
Yo-Yo Ma, recipient of the 2011 Kennedy Center Honors.  

looking forward

really loved this article - trends for 2012: ten innovators share their thoughts

Cornell was hungrier, Cornell was more humble in the process—I think it helped them win the proposal.

Charlie Kim, CEO of NextJump. (via betabeat)

While the NYC Tech campus is fantastic news for anyone who cares about stimulating our economy, I can’t help but be super proud of my alma mater for the way the entire Cornell community came together to rally passionate support for this initiative.

The Sharing Economy of Healthcare

I had a great conversation with one of my teammates earlier this week on what we believe will disrupt healthcare.  I feel convinced that this will happen through “The Sharing Economy”. The concept behind The Sharing Economy is that individuals distribute their goods directly to consumers – they cut out the middle-men and the monopolies that control distribution, and democratize the way products and content are provided and consumed.  Some are initially skeptical about the power that these types of models have, but it’s becoming increasingly clear that this could be the future for multiple industries. We’ve already seen how the successes of Wikipedia, YouTube, and eBay have dramatically changed the way we conduct research, watch videos, and engage in commerce, respectively, but there are other industries that are seeing this type of change as well.

AirBnB is a fantastic example of a company that’s disrupted the hospitality industry through The Sharing Economy.  Through the internet, people can explore new cities by renting other people’s apartments, houses, or any other creative space. Their “tipping point” occurred famously in Denver during the 2008 Democratic National Convention - all of the major hotel chains were overbooked, so AirBnB decided to serve this demand in a creative way.  Now, they’ve turned the tourism industry on its head, and through the power of the network effect, they can create tourism opportunities in emerging markets (or neighborhoods) faster than any hotel conglomerate ever could.

Another example is Kickstarter, which has changed the film industry through its powerful community. This successful crowdfunding platform has also embraced the power of The Sharing Economy by empowering and encouraging ordinary individuals to fund independent projects for unique rewards.  A few months ago, I was fortunate to hear Charles Adler speak at our J&J Global Strategic Design Office, and he talked about how Kickstarter was a place for “projects without a home to find a home”.  Instead of having to go through bureaucratic production studios to make a film, artists could now raise their own money through an active community that wanted to support the film.  This year, Kickstarter can boast an impressive accomplishment- fourteen of the films selected for Sundance Film Festival this year were all funded through Kickstarter.

So how will The Sharing Economy impact healthcare? It may seem hard to believe now that we could also be getting healthcare from our peers, not from large institutions, but by looking at other industries, it seems very likely to me.  While some may say that patient privacy and large bureaucracy are obstacles that will never allow The Sharing Economy to survive in healthcare, I’d argue that we’re seeing this succeed in other similarly sensitive industries like finance.  Take a look at companies like Kiva, TimeBanks, and Lending Club – if we’re allowing our peers to help us address our financial issues, stigmas against our peers helping us with our healthcare will also drop.

When we think about some of the biggest sore-spots in our healthcare system, it comes down to high costs, lack of health education and awareness, and limited accessibility to under-served communities.  Imagine all of the positive impact that services embracing The Sharing Economy could have on healthcare.  A company like HealthTap can dramatically reduce costs by leveraging the knowledge and support of the larger population, which will decrease the demand for low-importance doctor and hospital visits, which will ultimately free up those scarce resources for critical patients who need urgent care.  A company like Genomera could use the network effect to increase awareness and literacy about healthcare issues and drive people towards preventative care and behaviors that could ultimately prevent chronic illnesses like diabetes or cancer.  A community like PatientsLikeMe has the ability to exponentially increase access in under-served areas – no longer will you need to live in close proximity to the leading healthcare professionals, but now through the internet you can have a person on the other side of the world help provide medical advice and support.  Soon we could see The Sharing Economy help healthcare as people crowdfund surgeries, communicate with doctors from across the world, or engage in preventative health measures in a more meaningful way.

year in review #2011

New track spikes. C-YA!  (Taken with instagram)

New track spikes. C-YA! (Taken with instagram)

Traditions. #pennrelays (Taken with instagram)

Traditions. #pennrelays (Taken with instagram)

Guggenheim (Taken with instagram)

Guggenheim (Taken with instagram)

Sunday traditions (Taken with instagram)

Sunday traditions (Taken with instagram)

i looooooove this
imwithkanye:

Yep, this just happened!

i looooooove this

imwithkanye:

Yep, this just happened!

non-beliebers

  • me: is it bad that i really like justin bieber's new song?
  • adrianna: yuck
  • adrianna: yes
  • adrianna: why would you tell me this?
Hey pup! (Taken with instagram)

Hey pup! (Taken with instagram)

violin shop in philly  (Taken with instagram)

violin shop in philly (Taken with instagram)

absolutely love this video - perfect analogy.

the importance of an open internet

You may have noticed something different about the internet today – many of your favorite websites are taking a visible stand against the Stop Online Piracy Act (SOPA) and PROTECT IP Act (PIPA), which both are currently under review by Congress.  Some sites, such as Wikipedia and Reddit, are blacking out their sites today in protest of the bills. Other sites, like TED, are raising awareness about SOPA & PIPA by sharing TED Talks about the importance of net neutrality.

SOPA and PIPA are two pieces of legislation that were written as a way to address copyright infringement on the internet.  While these relatively obscure bills seem to have gotten a lot of attention in the past few days, the debate has been going on since May 2011 when PIPA was first introduced. Those who are against these bills are in no way supporting piracy; in fact, nobody is disagreeing that protecting intellectual property is an important issue worth addressing.  However, the criticism of the bills is about the method in which they are trying to solve this problem.  Through SOPA and PIPA, law officials and copyright holders have the ability to shut down sites and sue website owners who they believe are promoting online piracy, rather than targeting the individuals themselves.  This is in violation of the Digital Millennium Copyright Act’s Safe Harbor provisions that prevent websites from being held responsible for how individuals use (or abuse) their product – it’s the same logic behind why you can’t sue a car company when somebody gets killed in car accident, for example. Furthermore, the bill enforces that these sites must be removed from search engine results, barred by Internet Service Providers, and cannot partner with online advertisers and payment partners – this is where the real damage occurs, and can pose a long-term threat to the integrity of the internet.  There is a lot of information available online about these two bills, and I encourage you to read more to understand the details of this issue. Given how much our business relies on the openness of the Internet, however, SOPA and PIPA could have a damaging impact on innovation, particularly in Healthcare I/T, since so many new HIT initiatives are web applications that rely on the internet’s open structure.  When you strip away the politics and hyperbole coming from both sides of the argument, I believe there are 3 key technical and economic reasons why SOPA and PIPA are flawed:

1. A controlled internet stifles innovation.
The internet has enabled such incredible economic growth because it’s not controlled by anyone. It’s free, it’s open, and allows individuals, organizations, and companies (large and small) to connect with other people, share information, and conduct commerce without any interference.  Vint Cerf, the renowned computer scientist best known for being the founder of the internet, spoke out against SOPA in December by saying the bill would initiate “a worldwide arms race of unprecedented ‘censorship’ of the Web.” If SOPA had been around ten years ago, websites that allowed users to share videos (Youtube), social networks that allowed friends to connect with one another (Facebook), collaborative online encyclopedias (Wikipedia), or online marketplaces for people to buy and sell used goods (eBay) would have quickly been shut down because it would have incorrectly been perceived as promoting piracy and copyright infringement.  These are sites and services that we not only use in our personal lives, but use in our business as well – we are able to connect and engage with consumers, patients, business partners and colleagues because of these tools.

2. Shutting down websites doesn’t protect intellectual property.
If SOPA and PIPA were to pass and websites were blocked, the truth is that it wouldn’t actually stop piracy.  Instead, it will just push a lot of this activity underground into the “darknet”, which is a term to describe private, peer-to-peer file sharing networks that use anonymous IP addresses.  This will ultimately create a more robust “information black market”, which will undermine the internet economy that so many businesses (including ours) have come to rely on.  Additionally, as more and more legitimate services are forced to enter the information black market, it will saturate that underground environment, and will make it exponentially harder to find the real rogue sites that are intentionally trying to increase piracy. 

3. Tampering with DNS compromises internet security.
A major criticism of SOPA and PIPA was that the bill was written by people who aren’t experts in technology and don’t fully understand the lasting technical damages this bill could have.  Internet security is at high risk with SOPA because of the fact that it encourages the manipulation of the Domain Name System.  An example of how SOPA/PIPA will convolute security can be seen with the Domain Name System Security Extension (DNSSEC).  DNSSEC is a separate initiative that is aimed towards making the internet more secure by preventing credit card fraud, unlawful eavesdropping over VoIP, or stealing user passwords, for example.  The effort is aimed at increasing internet trust, which will continue to improve the way we use the internet in productive ways.  SOPA, however, will derail this initiative, because of the way the bill manipulates DNS – it will make it nearly impossible to implement this security program because it will complicate the system, and will in fact make the internet a more unsafe environment than it currently is.

Technology causes disruption – there is no denying it. We’ve seen industries rise and fall because of new technologies, and that’s part of the natural cycle of innovation.  The solution to protecting intellectual property online isn’t to stifle the technology, but instead to focus on new, innovative business models and distribution channels that work in harmony with these tools.  Healthcare has evolved for the better because of information technology, and our business operates more efficiently because of the internet. We should continue to embrace technology disruption and focus on bringing creative healthcare solutions to our patients and serve our business partners more effectively through the open internet.

I’m not brave, I’m actually pretty scared a lot of the time. But I must like being scared, because I keep doing things that scare me.
Yo-Yo Ma, recipient of the 2011 Kennedy Center Honors.  

looking forward

really loved this article - trends for 2012: ten innovators share their thoughts

Cornell was hungrier, Cornell was more humble in the process—I think it helped them win the proposal.

Charlie Kim, CEO of NextJump. (via betabeat)

While the NYC Tech campus is fantastic news for anyone who cares about stimulating our economy, I can’t help but be super proud of my alma mater for the way the entire Cornell community came together to rally passionate support for this initiative.

The Sharing Economy of Healthcare

I had a great conversation with one of my teammates earlier this week on what we believe will disrupt healthcare.  I feel convinced that this will happen through “The Sharing Economy”. The concept behind The Sharing Economy is that individuals distribute their goods directly to consumers – they cut out the middle-men and the monopolies that control distribution, and democratize the way products and content are provided and consumed.  Some are initially skeptical about the power that these types of models have, but it’s becoming increasingly clear that this could be the future for multiple industries. We’ve already seen how the successes of Wikipedia, YouTube, and eBay have dramatically changed the way we conduct research, watch videos, and engage in commerce, respectively, but there are other industries that are seeing this type of change as well.

AirBnB is a fantastic example of a company that’s disrupted the hospitality industry through The Sharing Economy.  Through the internet, people can explore new cities by renting other people’s apartments, houses, or any other creative space. Their “tipping point” occurred famously in Denver during the 2008 Democratic National Convention - all of the major hotel chains were overbooked, so AirBnB decided to serve this demand in a creative way.  Now, they’ve turned the tourism industry on its head, and through the power of the network effect, they can create tourism opportunities in emerging markets (or neighborhoods) faster than any hotel conglomerate ever could.

Another example is Kickstarter, which has changed the film industry through its powerful community. This successful crowdfunding platform has also embraced the power of The Sharing Economy by empowering and encouraging ordinary individuals to fund independent projects for unique rewards.  A few months ago, I was fortunate to hear Charles Adler speak at our J&J Global Strategic Design Office, and he talked about how Kickstarter was a place for “projects without a home to find a home”.  Instead of having to go through bureaucratic production studios to make a film, artists could now raise their own money through an active community that wanted to support the film.  This year, Kickstarter can boast an impressive accomplishment- fourteen of the films selected for Sundance Film Festival this year were all funded through Kickstarter.

So how will The Sharing Economy impact healthcare? It may seem hard to believe now that we could also be getting healthcare from our peers, not from large institutions, but by looking at other industries, it seems very likely to me.  While some may say that patient privacy and large bureaucracy are obstacles that will never allow The Sharing Economy to survive in healthcare, I’d argue that we’re seeing this succeed in other similarly sensitive industries like finance.  Take a look at companies like Kiva, TimeBanks, and Lending Club – if we’re allowing our peers to help us address our financial issues, stigmas against our peers helping us with our healthcare will also drop.

When we think about some of the biggest sore-spots in our healthcare system, it comes down to high costs, lack of health education and awareness, and limited accessibility to under-served communities.  Imagine all of the positive impact that services embracing The Sharing Economy could have on healthcare.  A company like HealthTap can dramatically reduce costs by leveraging the knowledge and support of the larger population, which will decrease the demand for low-importance doctor and hospital visits, which will ultimately free up those scarce resources for critical patients who need urgent care.  A company like Genomera could use the network effect to increase awareness and literacy about healthcare issues and drive people towards preventative care and behaviors that could ultimately prevent chronic illnesses like diabetes or cancer.  A community like PatientsLikeMe has the ability to exponentially increase access in under-served areas – no longer will you need to live in close proximity to the leading healthcare professionals, but now through the internet you can have a person on the other side of the world help provide medical advice and support.  Soon we could see The Sharing Economy help healthcare as people crowdfund surgeries, communicate with doctors from across the world, or engage in preventative health measures in a more meaningful way.

year in review #2011

non-beliebers
the importance of an open internet
"I’m not brave, I’m actually pretty scared a lot of the time. But I must like being scared, because I keep doing things that scare me."
"Cornell was hungrier, Cornell was more humble in the process—I think it helped them win the proposal."
The Sharing Economy of Healthcare

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i like to run and laugh at my own jokes.

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