Digital Inclusion is a Social Determinant of Health

Curated on Posted on by Stefaan Verhulst

Paper by Jill Castek et al: “Efforts to improve digital literacies and internet access are valuable tools to reduce health disparities. The costs of equipping a person to use the internet are substantially lower than treating health conditions, and the benefits are multiple….

Those who do not have access to affordable broadband internet services, digital devices, digital literacies training, and technical support, face numerous challenges video-conferencing with their doctor,  checking test results, filling prescriptions, and much more.  Many individuals require significant support developing the digital literacies needed to engage in telehealth with the greatest need among older individuals, racial/ethnic minorities, and low-income communities. Taken in context, the costs of equipping a person to use the internet are substantially lower than treating health conditions, and the benefits are both persistent and significant.2 

“Super” Social Determinants of Health

Digital literacies and internet connectivity have been called the “super social determinants of health” because they encompass all other social determinants of health (SDOH).  Access to information, supports, and services are increasingly, and sometimes exclusively, accessible only online.

The social determinants of health shown in Figure 1. Digital Literacies & Access, include the neighborhood and physical environment, economic sustainability, healthcare system, community and social context, food, and education.4  Together these factors impact an individual’s ability to access healthcare services, education, housing, transportation, online banking, and sustain relationships with family members and friends.  Digital literacies and access impacts all facets of a person’s life and affects behavioral and environmental outcomes such as shopping choices, housing, support systems, and health coverage….(More)”

Figure 1. Digital Literacies & Access. 

Power to the Public: The Promise of Public Interest Technology

Curated on Posted on by Stefaan Verhulst

Book by Tara Dawson McGuinness and Hana Schank: “As the speed and complexity of the world increases, governments and nonprofit organizations need new ways to effectively tackle the critical challenges of our time—from pandemics and global warming to social media warfare. In Power to the Public, Tara Dawson McGuinness and Hana Schank describe a revolutionary new approach—public interest technology—that has the potential to transform the way governments and nonprofits around the world solve problems. Through inspiring stories about successful projects ranging from a texting service for teenagers in crisis to a streamlined foster care system, the authors show how public interest technology can make the delivery of services to the public more effective and efficient.

At its heart, public interest technology means putting users at the center of the policymaking process, using data and metrics in a smart way, and running small experiments and pilot programs before scaling up. And while this approach may well involve the innovative use of digital technology, technology alone is no panacea—and some of the best solutions may even be decidedly low-tech.

Clear-eyed yet profoundly optimistic, Power to the Public presents a powerful blueprint for how government and nonprofits can help solve society’s most serious problems….(More)“

Mapping Career Causeways

Curated on Posted on by Stefaan Verhulst

User Guide by Nesta: “This user guide shows how providers of careers information advice and guidance, policymakers and employers can use our innovative data tools to support workers and job seekers as they navigate the labour market.

Nesta’s Mapping Career Causeways project, supported by J.P. Morgan as part of their New Skills at Work initiative, applies state-of-the-art data science methods to create an algorithm that recommends job transitions and retraining to workers, with a focus on supporting those at high risk of automation. The algorithm works by measuring the similarity between over 1,600 jobs, displayed in our interactive ‘map of occupations’, based on the skills and tasks that make up each role.

Following the publication of the Mapping Career Causeways report, data visualisation and open-source algorithm and codebase, we have developed a short user guide that demonstrates how you can take the insights and learnings from the Mapping Career Causeways project and implement them directly into your work….

The user guide shows how the Mapping Career Causeways research can be used to address common challenges identified by the stakeholders, such as:

  • Navigating the labour market can be overwhelming, and there is a need for a reliable source of insights (e.g. a tool) that helps to broaden a worker’s potential career opportunities whilst providing focused recommendations on the most valuable skills to invest in
  • There is no standardised data or a common ‘skills language’ to support career advice and guidance
  • There is a lack of understanding and clear data about which sectors are most at risk of automation, and which skills are most valuable for workers to invest in, in order to unlock lower-risk jobs
  • Most recruitment and transition practices rely heavily on relevant domain/sector experience and a worker’s contacts (i.e. who you know), and most employers do not take a skills-based approach to hiring
  • Fear, confidence and self esteem are significant barriers for workers to changing careers, in addition to barriers relating to time and finance
  • Localised information on training options, support for job seekers and live job opportunities would further enrich the model
  • Automation is just one of many trends that are changing the make-up and availability of jobs; other considerations such as digitalisation, the green transition, and regional factors must also be considered…(More)”.

Data Brokers Are a Threat to Democracy

Curated on Posted on by Stefaan Verhulst

Justin Sherman at Wired: “Enter the data brokerage industry, the multibillion dollar economy of selling consumers’ and citizens’ intimate details. Much of the privacy discourse has rightly pointed fingers at Facebook, Twitter, YouTube, and TikTok, which collect users’ information directly. But a far broader ecosystem of buying up, licensing, selling, and sharing data exists around those platforms. Data brokerage firms are middlemen of surveillance capitalism—purchasing, aggregating, and repackaging data from a variety of other companies, all with the aim of selling or further distributing it.

Data brokerage is a threat to democracy. Without robust national privacy safeguards, entire databases of citizen information are ready for purchase, whether to predatory loan companies, law enforcement agencies, or even malicious foreign actors. Federal privacy bills that don’t give sufficient attention to data brokerage will therefore fail to tackle an enormous portion of the data surveillance economy, and will leave civil rights, national security, and public-private boundaries vulnerable in the process.

Large data brokers—like Acxiom, CoreLogic, and Epsilon—tout the detail of their data on millions or even billions of people. CoreLogic, for instance, advertises its real estate and property information on 99.9 percent of the US population. Acxiom promotes 11,000-plus “data attributes,” from auto loan information to travel preferences, on 2.5 billion people (all to help brands connect with people “ethically,” it adds). This level of data collection and aggregation enables remarkably specific profiling.

Need to run ads targeting poor families in rural areas? Check out one data broker’s “Rural and Barely Making It” data set. Or how about racially profiling financial vulnerability? Buy another company’s “Ethnic Second-City Strugglers” data set. These are just some of the disturbing titles captured in a 2013 Senate report on the industry’s data products, which have only expanded since. Many other brokers advertise their ability to identify subgroups upon subgroups of individuals through criteria like race, gender, marital status, and income level, all sensitive characteristics that citizens likely didn’t know would end up in a database—let alone up for sale….(More)”.

Why Trust Matters: An Economist’s Guide to the Ties That Bind Us

Curated on Posted on by Stefaan Verhulst

Book by Benjamin Ho: “Have economists neglected trust? The economy is fundamentally a network of relationships built on mutual expectations. More than that, trust is the glue that holds civilization together. Every time we interact with another person—to make a purchase, work on a project, or share a living space—we rely on trust. Institutions and relationships function because people place confidence in them. Retailers seek to become trusted brands; employers put their trust in their employees; and democracy works only when we trust our government.

Benjamin Ho reveals the surprising importance of trust to how we understand our day-to-day economic lives. Starting with the earliest societies and proceeding through the evolution of the modern economy, he explores its role across an astonishing range of institutions and practices. From contracts and banking to blockchain and the sharing economy to health care and climate change, Ho shows how trust shapes the workings of the world. He provides an accessible account of how economists have applied the mathematical tools of game theory and the experimental methods of behavioral economics to bring rigor to understanding trust. Bringing together insights from decades of research in an approachable format, Why Trust Matters shows how a concept that we rarely associate with the discipline of economics is central to the social systems that govern our lives….(More)”.

A Resurgence of Democracy in 2040?

Curated on Posted on by Stefaan Verhulst

Blog by Steven Aftergood: “The world will be “increasingly out of balance and contested at every level” over the next twenty years due to the pressures of demographic, environmental, economic and technological change, a new forecast from the National Intelligence Council called Global Trends 2040 said last week.

But among the mostly grim possible futures that can be plausibly anticipated — international chaos, political paralysis, resource depletion, mounting poverty — one optimistic scenario stands out: “In 2040, the world is in the midst of a resurgence of open democracies led by the United States and its allies.”

How could such a global renaissance of democracy possibly come about?

The report posits that between now and 2040 technological innovation in open societies will lead to economic growth, which will enable solutions to domestic problems, build public confidence, reduce vulnerabilities and establish an attractive model for emulation by others. Transparency is both a precondition and a consequence of this process.

“Open, democratic systems proved better able to foster scientific research and technological innovation, catalyzing an economic boom. Strong economic growth, in turn, enabled democracies to meet many domestic needs, address global challenges, and counter rivals,” the report assessed in this potential scenario.

“With greater resources and improving services, these democracies launched initiatives to crack down on corruption, increase transparency, and improve accountability worldwide, boosting public trust. These efforts helped to reverse years of social fragmentation and to restore a sense of civic nationalism.”

“The combination of rapid innovation, a stronger economy, and greater societal cohesion enabled steady progress on climate and other challenges. Democratic societies became more resilient to disinformation because of greater public awareness and education initiatives and new technologies that quickly identify and debunk erroneous information. This environment restored a culture of vigorous but civil debate over values, goals, and policies.”

“Strong differences in public preferences and beliefs remained but these were worked out democratically.”

In this hopeful future, openness provided practical advantages that left closed authoritarian societies lagging behind.

“In contrast to the culture of collaboration prevailing in open societies, Russia and China failed to cultivate the high-tech talent, investment, and environment necessary to sustain continuous innovation.”

“By the mid-2030s, the United States and its allies in Europe and Asia were the established global leaders in several technologies, including AI, robotics, the Internet of Things, biotech, energy storage, and additive manufacturing.”

The success of open societies in problem solving, along with their economic and social improvements, inspired other countries to adopt the democratic model.

“Technological success fostered a widely perceived view among emerging and developing countries that democracies were more adaptable and resilient and better able to cope with growing global challenges.”…(More)”.

Averting Catastrophe

Curated on Posted on by Stefaan Verhulst

Book by Cass Sunstein on “Decision Theory for COVID-19, Climate Change, and Potential Disasters of All Kinds…The world is increasingly confronted with new challenges related to climate change, globalization, disease, and technology. Governments are faced with having to decide how much risk is worth taking, how much destruction and death can be tolerated, and how much money should be invested in the hopes of avoiding catastrophe. Lacking full information, should decision-makers focus on avoiding the most catastrophic outcomes? When should extreme measures be taken to prevent as much destruction as possible?

Averting Catastrophe explores how governments ought to make decisions in times of imminent disaster. Cass R. Sunstein argues that using the “maximin rule,” which calls for choosing the approach that eliminates the worst of the worst-case scenarios, may be necessary when public officials lack important information, and when the worst-case scenario is too disastrous to contemplate. He underscores this argument by emphasizing the reality of “Knightian uncertainty,” found in circumstances in which it is not possible to assign probabilities to various outcomes. Sunstein brings foundational issues in decision theory in close contact with real problems in regulation, law, and daily life, and considers other potential future risks. At once an approachable introduction to decision-theory and a provocative argument for how governments ought to handle risk, Averting Catastrophe offers a definitive path forward in a world rife with uncertainty….(More)”.

The Promise of Access: Technology, Inequality, and the Political Economy of Hope

Curated on Posted on by Stefaan Verhulst

Book by Daniel Greene: “Why simple technological solutions to complex social issues continue to appeal to politicians and professionals who should (and often do) know better.

Why do we keep trying to solve poverty with technology? What makes us feel that we need to learn to code—or else? In The Promise of Access, Daniel Greene argues that the problem of poverty became a problem of technology in order to manage the contradictions of a changing economy. Greene shows how the digital divide emerged as a policy problem and why simple technological solutions to complex social issues continue to appeal to politicians and professionals who should (and often do) know better.

Greene shows why it is so hard to get rid of the idea—which he terms the access doctrine—that the problem of poverty can be solved with the right tools and the right skills. This way of thinking is so ingrained that is adopted by organizations that fight poverty—which often refashion themselves to resemble technology startups. Drawing on years of fieldwork, Greene explores how this plays out in the real world, examining organizational change in technology startups, public libraries, and a charter school in Washington, DC. He finds that as the libraries and school pursue technological solutions, they win praise and funding but also marginalize and alienate the populations they serve. Greene calls for new political alliances that can change the terms on which we understand technology and fight poverty….(More)”

Our Brain Typically Overlooks This Brilliant Problem-Solving Strategy

Curated on Posted on by Stefaan Verhulst

Diana Kwon in Scientific American: “For generations, the standard way to learn how to ride a bicycle was with training wheels or a tricycle. But in recent years, many parents have opted to train their kids with balance bikes, pedalless two-wheelers that enable children to develop the coordination needed for bicycling—a skill that is not as easily acquired with an extra set of wheels.

Given the benefits of balance bikes, why did it take so long for them to replace training wheels? There are plenty of other examples in which overlooked solutions that involve subtraction turn out to be better alternatives. In some European cities, for example, urban planners have gotten rid of traffic lights and road signs to make streets safer—an idea that runs counter to conventional traffic design.

Leidy Klotz, an engineer at the University of Virginia, noticed that minimalist designs, in which elements are removed from an existing model, were uncommon. So he reached out to Gabrielle Adams, a social psychologist at the university, to try to figure out why this was the case. The two researchers hypothesized that there might be a psychological explanation: when faced with a problem, people tend to select solutions that involve adding new elements rather than taking existing components away….

These findings, which were published today in Nature, suggest that “additive solutions have sort of a privileged status—they tend to come to mind quickly and easily,” says Benjamin Converse, a social psychologist at the University of Virginia and a co-author of the study. “Subtractive solutions are not necessarily harder to consider, but they take more effort to find.”…(More)”.

Dark patterns, the tricks websites use to make you say yes, explained

Curated on Posted on by Stefaan Verhulst

Article by Sara Morrison: “If you’re an Instagram user, you may have recently seen a pop-up asking if you want the service to “use your app and website activity” to “provide a better ads experience.” At the bottom there are two boxes: In a slightly darker shade of black than the pop-up background, you can choose to “Make ads less personalized.” A bright blue box urges users to “Make ads more personalized.”

This is an example of a dark pattern: design that manipulates or heavily influences users to make certain choices. Instagram uses terms like “activity” and “personalized” instead of “tracking” and “targeting,” so the user may not realize what they’re actually giving the app permission to do. Most people don’t want Instagram and its parent company, Facebook, to know everything they do and everywhere they go. But a “better experience” sounds like a good thing, so Instagram makes the option it wants users to select more prominent and attractive than the one it hopes they’ll avoid.

There’s now a growing movement to ban dark patterns, and that may well lead to consumer protection laws and action as the Biden administration’s technology policies and initiatives take shape. California is currently tackling dark patterns in its evolving privacy laws, and Washington state’s latest privacy bill includes a provision about dark patterns.

“When you look at the way dark patterns are employed across digital engagement, generally, [the internet allows them to be] substantially exacerbated and made less visible to consumers,” Rebecca Kelly Slaughter, acting chair of the Federal Trade Commission (FTC), told Recode. “Understanding the effect of that is really important to us as we craft our strategy for the digital economy.”

Dark patterns have for years been tricking internet users into giving up their data, money, and time. But if some advocates and regulators get their way, they may not be able to do that for much longer…(More)”.