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OUR BODIES, OUR DATA

HOW COMPANIES MAKE BILLIONS SELLING OUR MEDICAL RECORDS

A thorough report, carefully researched and well-documented, aimed at both general readers and policymakers.

A disturbing look at the threat to privacy created by the lucrative and growing health care data-mining industry.

In his previous book, What Stays in Vegas: The World of Personal Data—Lifeblood of Big Business—and the End of Privacy as We Know It (2014), Tanner, a writer in residence at Harvard University’s Institute for Quantitative Social Science, took a broad look at the enterprises that gather and sell computer-generated data on consumers. Here, he zeroes in on the trade in patient medical information, discovering that an industry dealing in intimate personal information is very closemouthed about its own inner workings. Tanner is a persistent and experienced researcher, however, and the information he gleans paints an alarming picture. As doctors and hospitals adopt electronic health records, companies operating these systems sell the information to data-mining enterprises, who in turn are making big money marketing the data on millions of patients to insurers, makers of medical devices, drug manufacturers, physicians, and attorneys. Although the patient’s identity is removed from a record, enough information is retained that can reidentify the person. Through his own personal experience in changing health insurance plans, Tanner reveals how patients have little say in how their data will be shared. He asserts that our health care system has failed to provide easy access to comprehensive medical records by doctors, who need it for treatment of their patients, and he rebuts the claim by data miners that the information they gather advances science by providing valuable information to medical researchers. Finally, he takes a stab at reforming the system, a task that first requires that patients know that this threat to their privacy exists and how it affects them, information that Tanner provides in detail.

A thorough report, carefully researched and well-documented, aimed at both general readers and policymakers.

Pub Date: Jan. 10, 2017

ISBN: 978-0-8070-3334-0

Page Count: 248

Publisher: Beacon Press

Review Posted Online: Oct. 10, 2016

Kirkus Reviews Issue: Nov. 1, 2016

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GOOD ECONOMICS FOR HARD TIMES

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.

It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

Pub Date: Nov. 12, 2019

ISBN: 978-1-61039-950-0

Page Count: 432

Publisher: PublicAffairs

Review Posted Online: Aug. 28, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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#GIRLBOSS

Career and business advice for the hashtag generation. For all its self-absorption, this book doesn’t offer much reflection...

A Dumpster diver–turned-CEO details her rise to success and her business philosophy.

In this memoir/business book, Amoruso, CEO of the Internet clothing store Nasty Gal, offers advice to young women entrepreneurs who seek an alternative path to fame and fortune. Beginning with a lengthy discussion of her suburban childhood and rebellious teen years, the author describes her experiences living hand to mouth, hitchhiking, shoplifting and dropping out of school. Her life turned around when, bored at work one night, she decided to sell a few pieces of vintage clothing on eBay. Fast-forward seven years, and Amoruso was running a $100 million company with 350 employees. While her success is admirable, most of her advice is based on her own limited experiences and includes such hackneyed lines as, “When you accept yourself, it’s surprising how much other people will accept you, too.” At more than 200 pages, the book is overlong, and much of what the author discusses could be summarized in a few tweets. In fact, much of it probably has been: One of the most interesting sections in the book is her description of how she uses social media. Amoruso has a spiritual side, as well, and she describes her belief in “chaos magic” and “sigils,” a kind of wishful-thinking exercise involving abstract words. The book also includes sidebars featuring guest “girlbosses” (bloggers, Internet entrepreneurs) who share equally clichéd suggestions for business success. Some of the guidance Amoruso offers for interviews (don’t dress like you’re going to a nightclub), getting fired (don’t call anyone names) and finding your fashion style (be careful which trends you follow) will be helpful to her readers, including the sage advice, “You’re not special.”

Career and business advice for the hashtag generation. For all its self-absorption, this book doesn’t offer much reflection or insight.

Pub Date: May 6, 2014

ISBN: 978-0-399-16927-4

Page Count: 256

Publisher: Portfolio

Review Posted Online: June 22, 2014

Kirkus Reviews Issue: July 15, 2014

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