That's right. Google wants to host your medical records. Last week they announced a partnership with a clinic in Cleveland, OH. Now they're talking more about the product itself. Here's the scoop from Google Blog:
- Platform - One of the most exciting and innovative parts of Google Health is our platform strategy. We're assembling a directory of third-party services that interoperate with Google Health. Right now, this means you'll be able to automatically import information such as your doctors' records, your prescription history, and your test results into Google Health in order to easily access and and control your data. Later, this platform strategy will mean that you will be able to interact with services and tools easily, and will be able to do things like schedule appointments, refill prescriptions, and start using new wellness tools.
- Portability - Our Internet presence ultimately means that through Google Health, you will be able to have access and control over your health data from anywhere. Through the Cleveland Clinic pilot, we have already found great use-cases in which, for example, people spend 6 months of the year in Ohio, and 6 months of the year in Florida or Arizona, and will now be able to move their health data between their various health providers seamlessly and with total control. Previously, this would have required carrying paper records back and forth. With Google Health, the user can simply import the data from each medical facility and then choose to share it with the other facilities. It's advances in data portability like this that we think can really make a difference in the quality of healthcare. The clearer and more comprehensive the information regarding your health becomes, the better your care will be.
I'll be clear. I like Google. I think they mean well. They've got a ton of smart people there. On the other hand, the idea that my medical records are stored somewhere central, indexed and made available to anyone who can get access to the machine (as opposed to my doctor keeping his own records and sharing them when I tell him to) goes completely counter to my sense of privacy. Some things are best kept difficult. Sharing confidential records of any short should be one of them. To be honest, I think anything you want to keep secret or confidential should be on paper. My doctor, who is a pretty young, tech-savvy individual, uses a tablet PC to take his charts, and he's been kind enough to print his notes and stick them in a paper file.
Why do I ask him to do this when I don't have anything to hide? When there is no paper, there is no paper trail. If I know that only my doctor has my records, if they show up anywhere else, I have a pretty good idea of where they came from. If they're hosted on Google's machines, I have no idea who is doing what with my data.
Would this extend to mental health records? Imagine if you went to a therapist, marriage counselor, rehab, whatever, and those notes and records were online for "easy access." I want it to be a total pain in the neck for anyone to get them. I want it to be difficult for me to get them sent to anyone.
I switched Dentists this year. To transfer my charts and X-Rays, I had to call my old dentist, have them fax my new dentist a release form, which I signed in their presence, which they faxed back to my old dentist, who put my charts and X-Rays in a tracked, signed for FedEx envelope. It took some time and it was annoying, but my privacy was protected. Remember, there are many medical conditions that are illegal to disclose in the U.S. Imagine if a misplaced setting on this Google Health inadvertantly released people's genetic records or HIV status? I wonder what Andrew Sullivan, the Internet's favorite HIV+ pundit has to say about this.
People's medical records contain all kinds of things that are nobody's business but their own. Any doctor or hospital that would outsource their record-keeping, which is one of the most important things that a doctor can do for a patient (keep a good chart), is abdicating their responsibility and calls into question whether they value convenience over ethics. The doctor-patient relationship, including medical records, has long been considered sacrosanct. For a company like Google to actually want to offer this as a service says more about their arrogance than the system itself does about their capacity to innovate, and for any doctor or hospital to buy or use it would, to me, be a violation of trust.
There are those in Washington and around the country (Paul Krugman is one) who believe that electronic, portable charts are the key to universal health care. Krugman regular cites the Veterans Administration as an example, since they use some electronic records. The big difference is a) they keep it in-house, and b) they are a single organization. If I wanted to send my VA records to a private doctor, I would have to jump through way more hoops than just telling Google it's OK...and I should have to. Hillary Clinton regularly throws out "e-charts" as the solution to all our problems, and more centralization of records was a big part of her failed 1993 "Hillarycare" plan that she is so loathe to discuss now.
This should not be easy.
Google should be commended for trying to simplify health care record keeping, but this is an arena where they should keep their mitts off. If they want to sell a "black box" turnkey solution for internal record keeping, go for it, but I will still insist on paper. Host my records for me? Go away.
Privacy will always be a concern with people's health records. I think you are missing the point of why doctors keep medical records, online or paper, in the first place...
...to analyze, diagnose, advise and prescribe you better. That's it. Paper records with "difficult access" make each of those verbs much harder for doctors to accomplish.
I understand why doctors keep records.
What I don't understand is why there should be a central repository for them that I don't control. I can give my doctor my records on paper, or a flash thumbdrive if I want. But what I won't do is let a company who sells ads off my data keep my most personal details.
A lot of doctors are moving medical records to their "decentralized" computers making it much easier to track, update and send to specialists for second opinion etc.
We don't know the privacy architecture Google has built for our "centralized" health records yet, but I'm sure it will be more secure than the "decentralized" computers at our personal doctor's local practice.
Also, Google said they WEREN"T going to use ads for the Google Health product.
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If it's anything like the UK Governments abysmal record keeping then you might as well post all your medical details on the internet. They have lost millions of people's personal information.
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Bali is a traditional Indonesian province famous for its sandy beaches, people and food. Read further and you will be able to know some very interesting facts roughly this Island city limits in Indonesia.
A few other things to note: outside the Mataram/Senggigi area on Lombok, emergency services may be nonexistent, or a long time coming. Don’t expect an ambulance to collect injured surfers from the southwest coast. The Gili Islands don’t have a formal police force. Bangsal, Mawi and Kuta have problems worth noting.
There are three important factors when travelling to Bali :
Bali average temperature in the costal areas, about 28?C during May, June, July
The cheapest and most efficient forms of transport on Bali are the ubiquitous bemo and inter-island buses (usually taking you to the other islands in Indonesia). Bemo are available anywhere on the island and can be chartered for a couple of hours or a total day.
When In Bali, don't cross your legs exposing the bottom of your foot to anyone.
Cremation is a very important event when of the dead person's soul is released.
In Bali, do not drink water from the taps. Drinking water is cheap and easily available in sealed bottles. When buying water insures that the seal on your bottle is intact.
Water pollution can also be a problem, especially after rains. Try to swim well away from any open streams you see flowing into the surf. Be careful when swimming over coral, and never walk on it at all. It can be very sharp and coral cuts are easily infected. In addition, you are damaging a fragile environment.
Bali Humidity is high, from a minimum of 70% to a maximum of 95%.
Bali's largest peak, Mount Agung, is alleged to be the house of there is a gods.
In Bali, Tax and service charges amount to 21% on top of most lodge accommodation and food and beverage bills, which consist of 10% service charge and 11% Government Tax.
There are three important factors when travelling to Bali :
What are the best things to shop for in Bali? Shop for the Indonesian textile batik, silver, leather crafts, baskets, cloth, porcelain, tin art objects, wood, ikat, masks, coffee, tea and honey. Be prepared to bargain for everything! Start low and expect to meet the seller at least halfway. Yogyakarta: leather crafts and handbags made of plant fibers, silver, batiks, and wayang kulit puppets. Irian Jaya: wood carvings. Surabaya: Ikat weavings and batik.
Tipping is not a general practice in Bali. In larger hotels a service charge already is included. However, if the service has been good, a token sum would be appreciated (Rp 1,000,- - Rp 5,000,-) Porters at the airport expect Rp 1,000 - Rp 1,500 per bag.
What is required for entry into Bali? : U.S. and Canadian citizens need a valid passport, proof of onward passage, and sufficient funds.
There is no such thing as a "right price".
The cheapest and most efficient forms of transport on Bali are the ubiquitous bemo and inter-island buses (usually taking you to the other islands in Indonesia). Bemo are available anywhere on the island and can be chartered for a couple of hours or a entire day.
Tipping is not a general practice in Bali. In larger hotels a service charge already is included. However, if the service has been good, a token sum would be appreciated (Rp 1,000,- - Rp 5,000,-) Porters at the airport expect Rp 1,000 - Rp 1,500 per bag.
Bali Population is: 3 million people and increasing.
Tipping is not a general practice in Bali. In larger hotels a service charge already is included. However, if the service has been good, a token sum would be appreciated (Rp 1,000,- - Rp 5,000,-) Porters at the airport expect Rp 1,000 - Rp 1,500 per bag.
When In Bali, don't cross your legs exposing the bottom of your foot to anyone.
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Most of reviewing the Balinese population belongs to unquestionable the lowest caste known as Shudra. The nobility is divided into priests (Brahman), the military and ruling royalty (Kshatriya), and merchants (Vaisya).
Be aware of Balinese sensibilities. Visitors who wish to visit the temple compound should dress appropriately and wear a sash when entering a temple. A sash over shorts and a T-shirt or a very brief top is not adequate. Make sure you have a sarong and sash handy for temple visits and ceremonies and wear long pants or a skirt and a decent shirt when leaving the seaside areas.
Bali lies between 8 and 9 degrees south of the equator.
Numerous high-profile drug cases in Bali and on Lombok should be enough to dissuade anyone from having anything to do with illicit drugs. As little as two ecstasy tabs or a bit of pot has resulted in huge fines and multiyear jail sentences in Bali’s notorious jail in Kerobokan. Try dealing and you may pay with your life.
Bali Aga means this latest original Balinese. Some of the Bali Aga people live in the now legendary villages of Tenganan and Trunyan.
Most of the now legendary Balinese population belongs to a trained lowest caste known as Shudra. The nobility is divided into priests (Brahman), the military and ruling royalty (Kshatriya), and merchants (Vaisya).
The cheapest and most efficient forms of transport on Bali are the ubiquitous bemo and inter-island buses (usually taking you to the other islands in Indonesia). Bemo are available anywhere on the island and can be chartered for a couple of hours or a entire day.
Total area of Bali around : 5,363 square meters.
When in Bali remember that hands on hips is a sign of superiority or anger.
Numerous high-profile drug cases in Bali and on Lombok should be enough to dissuade anyone from having anything to do with illicit drugs. As little as two ecstasy tabs or a bit of pot has resulted in huge fines and multiyear jail sentences in Bali’s notorious jail in Kerobokan. Try dealing and you may pay with your life.
In Bali You can expect to be offered pot, ecstasy, shabu-shabu (methamphetamine), crystal meth (yabba), magic mushrooms and other drugs in nightclubs, shores and while walking along tourist-area streets. Assume that such offers come from people who may be in cahoots with the police. That some foreigners have been able to buy their way out of jail by paying enormous fines (US$50,000 and up) should indicate that nabbing tourists for drugs is a cottage industry.
You may be approached by beggars in Kuta, Legian or Ubud ? typically a woman with one or more young children. Pause and they might literally latch on.
The rupiah is the standard unit of currency. No restriction exist on the exchange, import and export of foreign currencies whether cash, checks or travelers checks.
All major credit cards are accepted in Bali. There are numerous ATM locations. Travelers checks are easily exchanged and they are a good idea instead of large sums of cash. In the Indonesian rupiah, there are coins of 25, 50,100, 500,1,000, 100,000 and 150,000 (purchase available only from the bank) and paper notes of : 100, 500, 1,000, 5,000, 10,000, 20,000, 50,000 and 100,000.
It’s important to note that compared with many places in the world, Bali is fairly safe. There are some hassles from the avaricious, but most visitors face many more dangers at home. Petty theft occurs but it is not prevalent.
Numerous high-profile drug cases in Bali and on Lombok should be enough to dissuade anyone from having anything to do with illicit drugs. As little as two ecstasy tabs or a bit of pot has resulted in huge fines and multiyear jail sentences in Bali’s notorious jail in Kerobokan. Try dealing and you may pay with your life.
The immigration hall at Ngurah Rai International Airport is quite crowded, so be patient and ensure all your documents are in order and your white Indonesian Immigration card is ready for collection.
Water pollution can furthermore be a problem, especially after rains. Try to swim well away from any open streams you see flowing into the surf. Be careful when swimming over coral, and never walk on it at all. It can be very sharp and coral cuts are easily infected. In addition, you are damaging a fragile environment.
Rituals, tradition and culture play in integral a section of Balinese life. Most of Bali follow a 12-month lunar calender and a 210 day ritual cycle, called the pawukon cycle calender.
Many visitors regard the persistent attentions of people trying to sell as the number one annoyance in Bali (and in day-tripper areas of Lombok). These activities are officially restricted in many parts but hawkers will still work just outside the fence. Elsewhere, especially around many tourist attractions, visitors are frequently, and often constantly, hassled to buy things. The worst places for this are Jl Legian in Kuta, Kuta beach, the Gunung Batur area and the over-subscribed temples at Besakih and Tanah Lot. And the cry of ?Transport?!?’, that’s everywhere. Many touts employ fake, irritating Australian accents, eg ?Oi! Mate!’ Pirate DVDs and CDs often don’t work.
Bali average temperature in the costal areas, almost 28?C during May, June, July
In Bali, Tax and service charges amount to 21% on top of most resort accommodation and food and beverage bills, that consist of 10% service charge and 11% Government Tax.
The old island of Bali is component to some state of Indonesia.
What are the voltage requirements in Bali? Voltage: 127/230 V *Conversion to 230V in progress
The magical, mystical legends of Bali combined with the friendly Balinese inspire images of tropical paradise with soaring volcanoes, palm lined beaches and breathtaking rice terraces. The Hindu Bali philosophy encourages a peaceful balance between mankind, the environment and spiritual world.
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Bali is Central Indonesian Time, the same as Singapore, eight hours ahead of GMT and four hours behind Australian Eastern Standard Time. This means when it is noon in London, 10 PM in Sydney, 7 AM in New York and 4 AM in Los Angeles, it is 8 PM in Bali.
Tipping is not a general practice in Bali. In larger hotels a service charge already is included. However, if the service has been good, a token sum would be appreciated (Rp 1,000,- - Rp 5,000,-) Porters at the airport expect Rp 1,000 - Rp 1,500 per bag.
Be aware of Balinese sensibilities. Visitors who wish to visit the temple compound should dress appropriately and wear a sash when entering a temple. A sash over shorts and a T-shirt or a very brief top is not adequate. Make sure you have a sarong and sash handy for temple visits and ceremonies and wear long pants or a skirt and a decent shirt when leaving the beach areas.
Don’t assume that activities operators are looking out for your well-being. Travellers have died with the sports activities operators in Tanjung Benoa and dive mishaps occur everywhere. The iconic volcanoes claim trekkers, especially Gunung Rinjani on Lombok. The moral: keep a healthy scepticism approximately you if others bear responsibility for your safety.
The rupiah is the standard unit of currency. No restriction exist on the exchange, import and export of foreign currencies whether cash, checks or travelers checks.
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Are there any health precautions I should take when going to Bali? : Malaria risk exists throughout the year in the whole nation except in Jakarta Municipality, big cities, and within the areas of the traveler resorts of Bali and Java.
The immigration hall at Ngurah Rai International Airport is quite crowded, so be patient and ensure all your documents are in order and your white Indonesian Immigration card is ready for collection.
As the weather and humidity of the island are hot, light comfortable clothing and shoes or sandals are required as most visitors do a lot of walking. If you do not have these sun clothing, there's plenty to buy in Bali. Don't forget your swimwear. Shorts and T-shirts will always come in handy.
Rituals, tradition and culture play in integral section of Balinese life. Most of Bali follow a 12-month lunar calender and a 210 day ritual cycle, called the pawukon cycle calender.
What are the best things to shop for in Bali? Shop for the Indonesian textile batik, silver, leather crafts, baskets, cloth, porcelain, tin art objects, wood, ikat, masks, coffee, tea and honey. Be prepared to bargain for everything! Start low and expect to meet the seller at least halfway. Yogyakarta: leather crafts and handbags made of plant fibers, silver, batiks, and wayang kulit puppets. Irian Jaya: wood carvings. Surabaya: Ikat weavings and batik.
What are the voltage requirements in Bali? Voltage: 127/230 V *Conversion to 230V in progress
Bali is a traditional Indonesian province famous for its sandy beaches, people and food. Read further and you will be able to know some very interesting facts only this Island metropolis in Indonesia.
Numerous high-profile drug cases in Bali and on Lombok should be enough to dissuade anyone from having anything to do with illicit drugs. As little as two ecstasy tabs or a bit of pot has resulted in huge fines and multiyear jail sentences in Bali’s notorious jail in Kerobokan. Try dealing and you may pay with your life.
In Bali, Tax and service charges amount to 21% on top of most restaurant accommodation and food and beverage bills, that consist of 10% service charge and 11% Government Tax.
Exactly the "Wallace Line" passes between Bali and Lombok islands and between Kalimantan and Sulawesi. In 1869 Alfred Wallace reasoned that there are Asian and Australian animals on either side of along with the Lombok Strait because Ice Age sea levels prevented animals crossing.
Are there any health precautions I should take when going to Bali? : Malaria risk exists throughout the year in the total country except in Jakarta Municipality, big cities, and within the areas of the tourist resorts of Bali and Java.
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