WORK Death of the office: The coronavirus pandemic has sped up a revolution in home working, leaving offices around the world empty. But what was the point of them anyway?

Catherine Nixey:

In the spring of 1822 an employee in one of the world’s first offices – that of the East India Company in London – sat down to write a letter to a friend. If the man was excited to be working in a building that was revolutionary, or thrilled to be part of a novel institution which would transform the world in the centuries that followed, he showed little sign of it. “You don’t know how wearisome it is”, wrote Charles Lamb, “to breathe the air of four pent walls, without relief, day after day, all the golden hours of the day between ten and four.” His letter grew ever-less enthusiastic, as he wished for “a few years between the grave and the desk”. No matter, he concluded, “they are the same.”

The world that Lamb wrote from is now long gone. The infamous East India Company collapsed in ignominy in the 1850s. Its most famous legacy, British colonial rule in India, disintegrated a century later. But his letter resonates today, because, while other empires have fallen, the empire of the office has triumphed over modern professional life.

The dimensions of this empire are awesome. Its population runs into hundreds of millions, drawn from every nation on Earth. It dominates the skylines of our cities – their tallest buildings are no longer cathedrals or temples but multi-storey vats filled with workers. It delineates much of our lives. If you are a hardworking citizen of this empire you will spend more waking hours with the irritating colleague to your left whose spare shoes invade your footwell than with your husband or wife, lover or children.

Or rather you used to. This spring, almost overnight, the world’s offices emptied. In New York and Paris, in Madrid and Milan, they ready themselves for commuters who never come. Empty lifts slide up and down announcing floor numbers to empty vestibules; water coolers hum and gurgle, cooling water that no one will drink. For the moment, office life is over.

Even before coronavirus struck, the reign of the office had started to look a little shaky. A combination of rising rents, the digital revolution and increased demands for flexible working meant its population was slowly emigrating to different milieux. More than half of the Ameri­can workforce already worked remotely, at least some of the time. Across the world, home working had been rising steadily for a decade. Pundits predicted that it would increase further. No one imagined that a dramatic spike would come so soon.

Large Tech Organization Censorship Examples

Tony Perez:

You can argue that the openness of the web has been dying for the past decade. For the web, death comes in the form of a centralization of control and power, and arbitrary authoritarian changes made for the “greater good.” 

The current state of our fear for the safety of public health has created the perfect event to push the pendulum out of balance. 

Let there be no mistake in our minds, the actions that my fellow technologists, and associated companies, are taking, and pushing, are things that society as a whole will feel in the not so distant future. 

The scariest part for me is that as a technologists, I have seen first hand what an organization can do with unfettered access to data, when the checks and balances are lost, when we believe we are the ones capable of dictating what is good for society, on their behalf, without choice, and what a little power can do to any person. 

What further amplifies the concern is that it is not government that is driving this “big brother” state of affairs, its big tech. These are entities that are not elected officials, but corporations that transcend physical and logical boundaries. They have the ability to influence what you see, what you think, and they have the ability to choose sides. 

——-

This was not a case of individuals selling snake oil. They were sharing their observations, and opinions. Right or wrong, is not the point. It’s the process of normal debate and discourse. They were also seasoned medical professionals.

Shortly after its release, it was removed from the platform. Because it didn’t conform to the guidance from the World Health Organization (WHO). Say what?

It seems a far stretch to remove their content simply because it doesn’t conform to WHO, and goes contrary to spirt of the examples Susan provided. In essence, YouTube is saying you are not allowed to disagree with WHO, at all; do so, and your content will be removed. But what if they are wrong? Are we not allowed to question that?

Once it’s demonstrated that a company has this level of power, how, who, draws the distinction between what government policies they conform with, and which you don’t? What happens when society as a whole disagrees? How do you say yes to state government, but not Federal? How do you tell China, Cuba, North Korea they are wrong for their censorship when we do the same thing?

“A major source of skepticism about the infection-tracing apps is distrust of Google, Apple and tech companies generally”

Craig Timberg,  Drew Harwell and Alauna Safarpour:

A major source of skepticism about the infection-tracing apps is distrust of Google, Apple and tech companies generally, with a majority expressing doubts about whether they would protect the privacy of health data. A 57 percent majority of smartphone users report having a “great deal” or a “good amount” of trust in public health agencies, and 56 percent trust universities. That compares with 47 percent who trust health insurance companies and 43 percent who trust tech companies like Google and Apple.

“I don’t feel like they have a good track record of taking care of people’s privacy and data. And I don’t want to give them more if I don’t trust them,” said Brent Weight, 43, a Republican-leaning independent voter who runs a small trucking company in Rigby, Idaho. “Seems like every other day you’re hearing of a data breach in a big company, and they’re losing credit card information and everything else. For them to just tell us it’s going to be safe and anonymized, I’m not going to take them at face value.”

Among Americans overall, 41 percent say they both have a smartphone and are willing to use an infection-tracking app, the poll finds. Oxford University researchers have suggested that 60 percent of a country’s population would need to use a coronavirus-tracking app like this to stop the viral spread. Reduced adoption could limit its effectiveness in slowing new infections and deaths.

Dubrovnik: The medieval city designed around quarantine

Kristin Vukovi?:

Since ancient times, societies have attempted to separate people with disease from those who remained unaffected, with references to self-isolation dating back to the Old Testament. As Covid-19 sweeps across the globe, we are advised to “self-quarantine” if we have recently returned from a part of the world where the virus is rapidly spreading, or if we have knowingly come into contact with an infected person. To understand the importance of self-quarantining during this modern-day pandemic, it’s helpful to look back to the history of the word “quarantine” itself, which traces its origins to medieval Europe.

Two linked trade ports

Like Venice, Dubrovnik (formerly Ragusa) has always been a city popular with travellers from around the world; today, both are Unesco World Heritage sites. During medieval times, Venice and Ragusa were powerful trade ports with intertwined histories: Ragusa recognised Venetian suzerainty from 1205 until 1358, but still retained much of its independence. In 1420, when Dalmatia (a coastal region bordering the Adriatic Sea, now mostly in present-day Croatia) was sold to Venice, Dubrovnik remained a free city in all but name.

The word “quarantine” has Italian roots: in an effort to protect coastal cities from the Black Death ravaging 14th-Century Europe, ships arriving in Venice from infected ports were required to sit at anchor for 40 days (quaranta giorni) before landing, a practice that eventually became known as quarantine – derived from ‘quarantino’, the Italian word for a 40-day period.

Posted in Uncategorized.

The Nurse Who Came by Sea

Laura Van Staaten:

On Easter Sunday, as the noon sun bore down on New York City in bloom during what is surely its saddest spring in a century, a 50-foot white-hulled sailboat named Turning Point arrived in New York Harbor to berth in an otherwise empty marina in Brooklyn Bridge Park. On deck and ready to throw a line to the waiting dockhands was 26-year-old Rachel Hartley, an ICU nurse who had just sailed the nearly 250 miles from Hampton, Virginia — keeping watch overnight with her husband, Taylor, over the 34-hour passage — and ready to make the boat her home for the next two months. She is one of thousands of out-of-town medical professionals answering the call to provide reinforcements to the city’s hospitals.

Hartley, who has been a nurse since 2015 and spent two years working in an ICU, was working in surgical pre-ops in Lynchburg, Virginia, when, in early March, her hospital began to cancel all but the most urgent surgeries. Then, for several weeks, she said not a day went by when she was not “called or emailed or texted by one of the nurse-staffing companies” seeking people with intensive-care experience for coronavirus epicenters like New York: “Holy cow! There was such a need!”

She thought: “I’m not being utilized and I have training and skills to offer … [Because] my true bread and butter is critical care.” By then, she had already treated a few COVID-19 patients and her hospital was “bracing for a surge,” but she knew it would be “nothing like New York.” She gave her two weeks notice, and said good-bye to her colleagues. Since she and her husband, Taylor Hartley, a college recruiter and photographer (he took these pictures), owned a boat, they decided they’d sail up to New York in it to give her a place to stay.

Posted in Uncategorized.

The Man Who Beat the 1957 Flu Pandemic

J Cavanaugh Simpson:

Twenty biomedical companies. Seventy nations. An aggressive search for COVID-19 treatments and vaccines is underway worldwide. Yet even 21st-century technology can’t match one man who curbed a major influenza pandemic spreading across the United States in 1957. 

Pioneering virologist Maurice Hilleman, now oft-forgotten, detected that pandemic from across the globe, convinced reluctant U.S. health officials to take notice, and single-handedly fostered a vaccine that became publicly available. All in just four months.

An irascible, no-holds-barred Montana farm boy born in the midst of the 1918-19 influenza pandemic, Hilleman survived diphtheria and Great Depression-era poverty to earn a PhD in microbiology and chemistry at the University of Chicago. Practical and impatient, he turned down the prestige of academia and primarily worked in industry, at the pharmaceutical company E. R. Squibb & Sons and later Merck & Co, where he led vaccine research for 25 years.

An iconoclast who slung swear words like the proverbial sailor, Hilleman helped develop an astounding 40 vaccines: to prevent measles, mumps, rubella, pneumonia, meningitis, hepatitis A and B, and other infectious diseases. The measles vaccine alone has saved an estimated one million lives a year. “Maurice’s genius was in developing vaccines, reliably reproducing them, and [taking charge] of all pharmaceutical facets, from research to marketplace,” biographer Paul A. Offit, MD, told the British Medical Journal for Hilleman’s obituary in 2005The New York Times later noted that researchers credit him with “saving more lives than any other scientist in the 20th century.”

How accurate is the medical record? A comparison of the physician’s note with a concealed audio recording in unannounced standardized patient encounters

Saul J Weiner, Shiyuan Wang, Brendan Kelly, Gunjan Sharma, Alan Schwartz:

Accurate documentation in the medical record is essential for quality care; extensive documentation is required for reimbursement. At times, these 2 imperatives conflict. We explored the concordance of information documented in the medical record with a gold standard measure.

Materials and Methods

We compared 105 encounter notes to audio recordings covertly collected by unannounced standardized patients from 36 physicians, to identify discrepancies and estimate the reimbursement implications of billing the visit based on the note vs the care actually delivered.

Results

There were 636 documentation errors, including 181 charted findings that did not take place, and 455 findings that were not charted. Ninety percent of notes contained at least 1 error. In 21 instances, the note justified a higher billing level than the gold standard audio recording, and in 4, it underrepresented the level of service (P = .005), resulting in 40 level 4 notes instead of the 23 justified based on the audio, a 74% inflated misrepresentation.

$37,920,077,070 in Taxpayer Electronic Medical Record Subsidies: 2009 – January 2018

The scab & the wound beneath

Victor Davis Hanson:

The Bloomberg viral ironies did not end there. During his campaign, his prior folk wisdom emerged in a series of embarrassing videos of past sermons. In one, he lectured an Oxford audience about the banality and rote of farming, ancient and modern, claiming that he “could teach anybody to be a farmer.” Information technology, Bloomberg insisted, required “a lot more gray matter.” During the lockdowns in Manhattan, the country did not need any more multibillionaires with brains full of “gray matter” capitalizing Chinese communist government companies, but instead needed innovative farmers—you could call them “anybodies”—to keep sending a sheltered-in-place America the most diverse, safe, plentiful, and cheap food in the world.

The apparently consensually led China touted by Bloomberg has lied about the birth, origins, spread, and infectiousness of covid-19; sent over one million of its citizens into U.S. airports after Beijing knew that the virus was communicable; had countless more circumvent U.S. restrictions; falsely declared that the U.S. military created the virus; threatened to cut off shipments of medical supplies produced in China by U.S.–Chinese joint ventures; and caused several thousand American deaths while causing trillions of dollars’ worth of economic damage.

Not having control of the supply of needed medical appurtenances and medicines may be the Boomers’ version of the Greatest Generation’s waking up on December 8, 1941, and realizing that there was nothing in the American arsenal comparable to the Japanese Mitsubishi A6M “Zero” fighter or Type 93 “Long Lance” torpedo—and would not be for the months of hard fighting and dying ahead. Likewise, Beijing now enjoys enormous advantages in the short term as it inventories all the ways the American military, government, and consumers are China-dependent. Whether China has woken a sleeping giant in the manner of the earlier Japanese, or just a purring kitten, remains to be seen. One test will be whether we begin to recalibrate key American industries or unleash Adam Schiff to conduct yet another congressional investigation against his nemesis Donald Trump.

Before the epidemic, critics of globalization could not convince our best and brightest that enriching autocracies by asymmetrical trade policies would not eventually turn China into Jackson Hole or Palm Beach. Doubters of America’s China policy complained that running up staggering American trade deficits with China would hardly lure China into the family of nations—at least in the manner of Barack Obama, who in 2014 once boasted that his new outreach initiatives with Beijing, inter alia, would “help affected countries to strengthen capacity-building on health and epidemic prevention so as to place the epidemic under control as soon as possible.” How has China’s envisioned “epidemic prevention” and “control” worked out?

So the virus confirmed what many Americans had long suspected at home as well. “Trump Derangement Syndrome” was no longer a Republican talking point, but was exposed as a psychosis with real consequences for the entire country. In the initial weeks of January, when Trump was told by the who, the Centers for Disease Control, Dr. Anthony Fauci, and most foreign and American leaders that the virus, like the earlier Chinese-born sars virus, was containable, the President, like they had at times, compared it to a bad flu. But by January 31 he had reversed course earlier than many of his future critics, rejected the earlier insistence of experts that xenophobia, racism, and chauvinism, and not the virus, were the real enemies, and issued travel restrictions—the one step that stopped some fifteen to twenty thousand Chinese nationals from arriving daily into the United States, including on direct flights from ground zero in Wuhan. Altogether over a million Chinese had arrived in October, November, December, and January. After the restrictions were enacted, many more found ways to enter the United States on connecting flights from non-embargoed nations in Europe and Asia.

No matter. House Speaker Nancy Pelosi claimed Trump’s response to the virus had been “deadly” and later added, “As the president fiddles, people are dying.” At about the same time, she tried to delay passage of a joint congressional bailout bill intended to keep endangered small business and the unemployed afloat as she scrambled to insert funding for the Kennedy Center and Planned Parenthood.

“Why is it that companies and governments always call on McKinsey when they could call on McLaren?”

Rory Sutherland:

One obstacle might be the boredom threshold. If you are used to a high-octane life on the Grand Prix circuit, a three-hour meeting with healthcare regulators might leave you wanting to bite your arm off. Once, by accident, I ended up as part of a project-management workgroup seeking regulatory approval for a drug: after the 18th Gantt chart, I experienced one of those moments where boredom becomes physically painful.

But the other issue at stake is the difference between deterministic and probabilistic improvement. If you engage engineers, you don’t know what you are going to get. You may be unlucky and get nothing. Or their solution may be so outlandish that it is hard to compare with other competing solutions. On average, though, what you get will be more valuable than the gains produced by some tedious restructuring enshrined in a fat PowerPoint deck.

But in business, let alone in government, it is only in crises that people find a budget for probabilistic interventions of this kind (in peacetime, nobody would have given Barnes Wallis the time of day). The reason is that both bureaucrats and businesspeople are heavily attracted to the illusion of certainty. Standard cost-cutting ‘efficiencies’ can usually be ‘proven’ to work in advance; more interesting lines of enquiry come with career-threatening unknowability.

One problem with this pretence of certainty is that cost-savings are more easily quantified than potential gains — so business and government are increasingly geared towards providing people with more, poorer things at an ever-lower price. Yet much evidence suggests that people like fewer, better things at a slightly higher price.

Indeed one reason why the world is in a mess is because, for a long time, the ratio between ‘explore’ and ‘exploit’ has been badly out of whack. Entities like procurement have been allowed to claim full credit for money–grabbing cost-savings without commensurate responsibility for delayed or hidden costs. The shadow of this is everywhere, from Grenfell Tower to PPE shortages.