Modernity Means Loss of Privacy?

I often read pieces which seem to imply there's a tradeoff between modern life/globalization/the new and privacy. That we lose privacy whenever we use credit cards, surf the Internet, talk on cell phones, use Onstar-type navigation systems, and so forth. There might be a little truth to this--certainly lots of data on us is recorded on various hard drives. But there's a big difference between having data stored away and being observed by living people. (Grow up in the country and you'd know what I mean.) An example was buried in a recent NYTimes article on those Indians who are returning to India to enjoy and exploit the new opportunities there.

A Reversal of the Tide in India:

"The cultural impact on their nation is visible and visceral. The New Delhi suburb of Noida boasts a collection of luxury homes known as an 'NRI Colony.' Meanwhile, returning stay-at-home spouses confess they miss the freedom and distance of America, far from the prying eyes of in-laws and nosy neighbors."

The writer observes someone who in the U.S. enjoyed driving herself now has a chauffeur to drive her. Nations with a servant class have a whole etiquette governing how they should act and be treated. If I can trust British movies and tv shows it boils down to the idea that servants are invisible--see Gosford Park.

Buying a Car, Now and Then

Bought a new car yesterday (the reason I didn't post Monday or Tuesday). It's the first one since October, 1990. As I waited for the paperwork yesterday I thought about the differences. (My memory of 1990 may not be totally reliable.)

• Dealership--it changed ownership and is in a new building. It now claims to be the biggest Toyota dealer in a wide area.
  
• In 1990 the showroom had 3-4 cars on display, yesterday none. Does that mean the sales experience is less about flash and glitter?
• In 1990 the showroom had 4-5 white salesmen standing around, yesterday maybe 10 salespersons, mostly male, mostly, maybe even entirely minority, sitting at desks in the "showroom". (At the other dealership I went to in my shopping, the two salesmen (used and new cars) were both minority.) The minorities represented all the continents, except Antarctica. Management may not have been as integrated as the sales/finance staff. I wonder whether such sales jobs aren't particularly attractive to people who are aggressive, work long hours, have people skills. As such, they may be one of the ways for the upwardly mobile to bypass the need for credentials (i.e., college degrees).
  
• In 1990 my purchase started by walking in the door, in 2006 it started with an Internet search and query.
  
• In 1990, my salesman stumbled in using the computer terminal, yesterday every salesperson had a PC and seemed reasonably proficient (though I did see one guy about 50 typing with 2 fingers).
• In 1990 I consulted Consumer Reports and still felt at a loss. In 2006 a salesperson printed out data from Edmunds to compare the Honda and Toyota I was considering. He was open about the change in the power balance between salesman and buyer because buyers have access to lots more information now.
• In 2006 there was more paperwork, including more concern for identification and consumer rights and information.
  

Of course, the biggest difference was in the car I was buying.

If a Tree Falls and There's No One But a Microphone?

The NY Times had an article on data mining Taking Spying to Higher Level, Agencies Look for More Ways to Mine Data which includes this quote:

"But by fundamentally changing the nature of surveillance, high-tech data mining raises privacy concerns that are only beginning to be debated widely. That is because to find illicit activities it is necessary to turn loose software sentinels to examine all digital behavior whether it is innocent or not.

'The theory is that the automated tool that is conducting the search is not violating the law,' said Mark D. Rasch, the former head of computer-crime investigations for the Justice Department and now the senior vice president of Solutionary, a computer security company. But 'anytime a tool or a human is looking at the content of your communication, it invades your privacy.'"

If a tool is doing the looking, is that the same as a having a microphone in the famous forest where the tree falls? I disagree. It's when a human eyeball sees the content or a human ear hears it that there may be an invasion of my privacy.

Mr. Broder's Column, Revisited

Having done my mea culpa, let me take another crack at the plans of Secretary Leavitt for four "breakthrough projects" in health care and the column written by David Broder here.

1. Either Leavitt or Broder gets the genesis of the projects wrong--they aren't HHS initiatives; they're done under direction from President Bush with HHS as the "managing partner" with OMB's Tim Young as "portfolio manager".
   
2. The column reveals what may be a problem--according to Broder: "worthy as these big projects may be, it is clearly the New Orleans challenge that stirs Leavitt's juices." Why is this a problem? Leavitt may be doing NIH (not National Institutes of Health but "not invented here"). The four projects evolved over years and HHS got the job of managing them back when Tommy Thompson was the Secretary. (See the April 2004 Executive Order.) Assuming that Leavitt has the healthy ego of most successful politicians, Satan will tempt him with the idea that he will do more for the world by his work in the Big Easy, rather than supervising the four project effort. If Bush is a lame duck, so is Leavitt, so he may be tempted to push hard to get the Big Easy project done. Pushing hard is incompatible with maintaining good relations with DOD and VA. It's also likely to take people and money away from the four projects.
3. Another problem may be Broder's. In the piece he says Leavitt is "modest," "creative," "attacking the problem," "experienced", and interested in "empowering" people. Quite the description of the modern Presidential candidate.
   
4. It certainly made a better story for both Leavitt and Broder to slight the involvement of White House, DOD, VA, state and local government, and private "stakeholders" in the four project effort. I'm sure as good bureaucrats the members of the various workgroups will soldier on regardless of how much credit they get in the Post. But an effort as complex as this has low odds of success in any case and doesn't need any more straws added to its back.
   

Why I Got It Wrong

My post on Mr. Broder's column was wrong, at least in part. Why did I screw it up?

1. Impatience. As I grow older I seem to be more slapdash, meaning I focus on some things and miss others. I read the piece as Secretary Leavitt pushing his four "breakthrough projects" and missed the segue into the fact that he's more interested in treating New Orleans as a clean slate to redo healthcare.
2. Laziness. In my defense I flagged the fact I hadn't done research, but that's hardly valid in the days of Google. Just a minute of drilling down the http://www.egov.gov site brought up lots of background on Leavitt's four initiatives. The effort began in Clinton's time, includes an executive order from Bush, and this American Health Information Community (the Community) Workgroups Web site.
3. Misplaced self righteousness. Because I knew so well the problems and processes of trying to redo areas of USDA, I thought the same was true of Secretary Leavitt's effort. I jumped to conclusions--taking a couple bits of information from Broder's column and fitting them into an overall structure derived from past experience. I didn't allow for change and difference.
   

These faults are characteristic, both of me and often I think of others on the Internet.

Invading Privacy II

The Post reprinted this article from the Chicago Tribune | They've got game--and hijab " discussing Muslim girls playing basketball in the Chicago area.

"Duaa Hamoud holds a basketball to her hip. She is standing in a long blue gown in a gym at Bridgeview's Universal School. Her head is covered in a white scarf pulled tightly around her neck. Not a wisp of hair is showing.

Around her, other high school girls dressed in similar flowing robes shoot a few casual baskets while they wait for practice to begin. There are no men in the gym--no male coaches, no boys from school, no dads or brothers in the bleachers.

So when the coach arrives and the real training starts, they can peel off their Islamic dress, exposing their sweat pants and short-sleeved T-shirts underneath."

What interested me was the accompanying picture, taken by a woman, which showed some of the girls on the court, most of whom were in the robes, but one of whom was in sweat pants and shirt. It's not clear whether that was a mistake, whether the particular girl was less particular about the rules, or what. Anyhow it raises the subject of Islamic privacy and the rules of the various bodies within Islam as to what is appropriate dress in which contexts. I take it as saying that Islam wants its adherents to control their privacy, to be able to say how much of their body/face is revealed to which others. This seems to me to be an attractive metaphor for overall issues of data privacy. We as citizens want the ability to control how much data is visible to different groups.

David Broder and Why Government Doesn't Work (Revised)

David Broder's column today in the Post illustrates why government has problems working effectively. Mr. Broder writes in praise of an initiative by HHS secretary Leavitt to set up four sets of standards.

"One would standardize systems for registering patients and listing their prescriptions and other basic medical data so they would not have to be entered on separate clipboards with each visit. A second would set standards for equipment allowing remote monitoring of chronic illnesses, such as the blood sugar tests required by diabetes patients.

A third would focus on systems for exchanging medical test results from office to office. And the fourth is a 'biosurveillance system,' designed to alert public health officials to any change in the pattern of reported illnesses that could be an early warning of a pandemic.

Once the standards are set, he said, they will be applied in the purchase of systems by Medicare, Medicaid and the departments of Defense and Veterans Affairs, creating a market that the private sector is likely to follow."

All of this seems praiseworthy; certainly it did to Mr. Broder. So why do I take a contrarian position? It's not simply my advancing years, although to be truthful my problems are specifically with the first and third and are not based on any particular research.

[Updated--what follows is in error and will be revised. Meanwhile ignore it.]

My reservations are founded on the idea that HHS doesn't have this authority or a government wide mandate. If Bush or Andrew Card had given Leavitt this charge, we no doubt would have heard of it. My bet is that Leavitt is mostly unaware of the e-government initiatives,
specifically the Federal Enterprise Architecture. Leavitt is a policy man. He has seen a need and is moving to act. He's told his policy people to do this and they've saluted and said yessir. But the FEA is a technocrat's dream, which (odds are) Leavitt has never heard of. As the policy people work with the technocrats, they'll bump into these requirements, which will slow progress to a snail's crawl. This division between policy and technology is wide and deep and is always a major impediment to progress. Both Clinton (Gore's "Reinventing Government") and Bush come into office talking big about rationalizing government. But it doesn't happen. (It didn't happen when LBJ tried to apply McNamara PPB system, when Carter tried to apply zero-based budgeting, etc. etc.)

Even if Leavitt is effective enough within HHS to get this done, it's unlikely to work with DOD and VA. They have their own systems (VA at least is getting good press on the effectiveness of its system) into which their people have invested years of work. They will pick holes in HHS's proposals. Result: controversy, conflict and delay.

WSJ.com - How the Amish Drive Down Medical Costs

I don't normally go near the Wall Street Journal, but they do have some free articles and here is an excerpt from one--dealing with how the Anabaptists (Amish, Mennonites) deal with modern medicine.
How the Amish Drive Down Medical Costs:

"Heart of Lancaster is a small hospital, and its case load is fairly conventional. But the Anabaptists weren't looking for anything exotic. They wanted discounts on services such as orthopedic surgery, biopsies and childbirth. The hospital agreed to discounts of up to 40% off its top rates, resulting in prices that would still be slightly higher than Medicare reimbursements, the level most hospitals consider a minimum. Not satisfied, the Anabaptists pushed the executives to go lower. But the hospital said if it dropped prices to levels below Medicare reimbursements, it could be charged for fraud for charging Medicare patients more."

The Amish, and the other Anabaptists, fascinate me. They form a test case for many theories. Are they really American? How should one deal with other cultures (like those who discourage higher education)? etc. etc. In this connection, I strongly recommend the book "The Riddle of Amish Culture"by Donald Kraybill.

"Portgate" and Hutchison Whampoa

There's a fuss about the possibility of a company based in Dubai buying the company that runs a number of major U.S. ports. Critics on both sides of the aisle are yelling about the threat to security. It all reminds me of the 1990's controversy over Hutchison Whampoa and its taking over operation of the Panama Canal. In sum, an opportunity for some demagogery without substance.

Bigshottery, or You The Man

Christopher Lee has a good piece, albeit a bit lacking in cynicism, on backgrounders in the Post: Remember, You Didn't Hear This From Me . . .:

"Agencies cite any number of reasons for keeping names out of the press: allowing lower-level officials to be quoted might steal the spotlight from the Cabinet secretary or other high-ranking official; the briefers are policy wonks who are uncomfortable talking to reporters; the agency is involved in an issue, but in a supporting role; the officials are there to provide context or technical explanations as a courtesy, not to be the face of an agency."

My dyspeptic take: What much of this boils down to is that agency heads are ignorant bigshots. They don't know enough to be talking in detail to reporters and they want all the glory they can get. (It's a truism that the first thing any Beltway type does when picking up a book is to look in the index to find his or her name.) "Heads" want to be the "face" of the agency, not the brains, to be "the man".

But putting on my pseudo-economist glasses: any backgrounder involves a quid pro quo. The reporter likes it because they don't display their ignorance, as they might have to do in an open press conference. The official likes it because their hard-earned knowledge, won by years of toil in the trenches, can at least be flaunted. The agency head will tolerate the backgrounders as long as they don't take away any glory or raise questions about the head. There's also a question of balance--if there are more reporters with more time/space to fill with stories than there are agency heads with knowledge to impart, the reporter goes down the food chain.