Exploring the impact of broadband and technology on our lives, our businesses, and our communities.

The emerging revolution in health care....by Apple

Some time this fall, Apple is likely to announce what has been called the "iWatch," although that may or may not actually be its name. There have probably been more rumors promulgated about this supposed product than any other Apple product ever. The latest rumor is that the watch will have "more than ten sensors," including a heart rate sensor and other health and fitness monitoring devices.

If the watch comes with even five sensors, it will trigger an massive change in health care, as patients and doctors will, for the first time, have inexpensive access to real time health and medical data that was previously only available in hospital rooms and the ICU. And even hospital monitoring equipment does not have what will be available via the iWatch--simple to understand and simple to interpret health information that is available both to the patient and the doctor.

Apple is poised to upend another industry and create a massive new market area providing software and related devices, just as it did with the music business.

Along with all the innovation, we will have huge issues with data privacy, as all this data will be stored in many places (computers, phones, tablets, the cloud, doctor offices, hospitals) with massive potential for security breaches. And insurance companies will be anxious to use the data to adjust health insurance rates, although there is the possibility that having excellent real time health data may, for some, push rates down rather than up.

Knowledge Democracy:

One Soap to rule them all

For many households, the WiFi router is probably an item regarded with a mixture of dread and fear. Once you get the thing configured properly, you generally tend to forget about it...except when the Internet stops working. Then the FUD (Fear, Uncertainty, Doubt) takes over the lizard part of your brain...and your first step is stare at the wretched device, hoping that somehow, the gods of the Internet will just magically get the Internet back on so you can continue sorting your Netflix DVD list and posting what you just ate to Facebook.

A new wireless home router called Soap started out as an Internet filtering device ("cleaning" the Internet for families), but as the product was developed, more features were added to provide a higher level of integration.

Unlike every other wireless router on the planet, Soap has a touchscreen interface to help simplify configuring it--no more really bad Web-based control screens that only a Unix geek could love. Soap also understands a wide variety of wireless protocols that allows it to talk to the rapidly expanding market of home automation devices. This may turn out to be its best feature if it works well.

I have been interested in the home automation market for a long time, and have always thought that the biggest challenge is integration and interface. If every device manufacturer makes buyers use a poorly designed one-off interface, homeowners will be quickly overwhelmed and frustrated at the effort involved in configuring and managing many different "smart" (or dumb) devices. If Soap delivers on the interface and configuration features, it will force massive changes in the wireless router market.

What does this have to do with fiber? Some Fiber To The Home equipment manufacturers are integrating WiFi routers into the fiber interface equipment. But the utility of a device like Soap far out-strips anything that can be built into a fiber interface.

FCC Chair Tom Wheeler argues for community-owned broadband

The FCC has posted an article by Tom Wheeler, the FCC Chair. In it, Wheeler discusses the benefits that Chattanooga's municipal Gigabit fiber network has brought to the region, especially with respect to dramatic improvements in economic development and jobs creation. If you take the time to read it, the comments are just as interesting, as some folks local to Chattanooga argue with an ISP about the role of local government in telecom.

The fight over who controls broadband

This article has a good short summary of the battle over broadband. There are many players, including the FCC, Congress, the incumbents, the states, and local communities. The incumbent cable and telephone providers want their monopoly/oligarchy status protected, preferably by legislation. The FCC has the difficult task of reconciling user interests with industry interests, and is mulling over the idea of redefining "broadband," which almost certainly won't turn out well. The definition of broadband is vague today but that vagueness has enabled a flood of innovation in telecommunications, with a myriad of new services and industry disruptions. Codifying "broadband" will likely produce a stifling of new services and businesses, and could damage local economic development if it becomes more difficult for communities to get the telecom infrastructure they need to retain existing businesses and to attract new ones.

Broadband is disrupting home security market

This IndieGoGo project is just one of numerous home security systems that are disrupting the market. Companies like ADT have dominated it for decades, using old-fashioned telephone land lines to monitor in-home door, window, and fire sensors. But always-on broadband and Internet connectivity make it possible to do more with less, and a host of start-ups are slowly eating away at the over-priced big security firms.

Will Apple's HealthKit revolutionize health?

In San Francisco yesterday, Apple Computer announced that it was bringing both a new app ("Health") and a new developer interface for that app ("HealthKit") to the iPhone and the iPad. The app will give users a single place to store and track a wide variety of health-related information, including fitness activity, lab results, medications, and vital signs. The app is less important than the developer interface to the app, which will allow healthcare providers and healthcare services to push a wide variety of data into a single place, giving the user a single, integrated look at the state of their health.

While there have been much prognostication that Apple has "run out of steam" and has no innovation left in the company, this health-focused software takes the company in a whole new direction. The software Apple is releasing has the potential to make dramatic changes in the way health care is provided and the way we use and access health-related information. And most importantly, better information under our own control is likely to help contain health care costs over the long term.

But there is always a cost. Concentrating all this information in one place raises privacy and security issues, but I'd rather have all this information under my control than in a vast government database. Having said this, Apple will be storing all this information in iCloud for us. There is no free lunch here.....the convenience and information on one hand, the risk of mis-use on the other.

Knowledge Democracy:

FCC may move to knock down state laws banning muni broadband

FCC head Tom Wheeler says the FCC may move to preempt state laws that make it difficult or impossible for local governments to create competitive broadband networks.

It is good news that the FCC is beginning to more openly support competitive municipal projects, but we will have to wait and see if this actually has any real effect. There is going to be pushback from some states, and there will be vigorous lobbying by the incumbents at both the state and Federal level to stall this initiative.

Knowledge Democracy:

"U-verse stinks"

"U-verse stinks." That's not me, that's Netflix, according an article from Lightwave. Here's the interesting quote from Netflix:


"The surprising news is that AT&T fiber-based U-verse has lower performance than many DSL ISPs, such as Frontier, CenturyLink & Windstream..."

This was in a letter from the CEO of Netflix, Reed Hastings, to stockholders. While this little spat between AT&T and Netflix is amusing, it highlights the vast divide between incumbent attitudes about what constitutes good service and what the customers of those incumbents regard as good service. The incumbents believe that good service is whatever they decide they want to give their monopoly-captive customers, while the customers think good service is being able to use Over The Top (OTT) services like Netflix without constant stuttering, re-buffering, and stalling out.

I mentioned this in an earlier post, but I was recently in a community that told me no one wants to live there anymore because of poor Internet service from the incumbent phone and cable companies. It's created an economic development crisis, because senior business managers that are being brought by existing companies in the town are choosing to live hours south of the community. And to make things worse, those same existing businesses are saying they can't expand and add jobs because their business Internet service won't support expansion.

Communities are at a crossroads: You can let the incumbent providers decide your economic development growth potential, or you can take control of your future and make some basic investments in competitive broadband infrastructure.

Knowledge Democracy:

Death of TV: Part LXIII: Amazon announces Amazon Fire TV

Amazon announced yesterday their "Fire TV" product, which is a $99 Internet to TV box that follows in the footsteps of Apple TV, Roku boxes, and Google Chromecast. All of these products connect directly to a late model TV and give you easy access to a wide variety of Internet-based content. The Amazon Fire offers Netflix, Hulu, NBA, AOL, Showtime, iHeart radio, Amazon Prime shows and movies, and Pandora, among other offerings. The box also gives you access to Amazon cloud storage for your own pictures and videos.

In terms of competing boxes, the Fire TV probably comes closest to the Apple TV box, which offers direct access to the iTunes store (movies, TV, music) and Apple's iCloud personal storage service.

I remain kind of ho-hum about all these devices, because I can access all the same stuff right on my computer at home, and simply watch the content on a large screen monitor. I have a hard time getting excited about a box that duplicates what I already have. But these boxes can deliver higher quality video, and if you have a large screen TV that you want to use for entertainment, these boxes deliver a lot of value. I dumped my cable subscription years ago, but even with Netflix, Amazon Prime, and Hulu subscriptions, I just don't watch much TV...perhaps a couple of hours a week at most.

I see two significant things with this announcement. First, Amazon continues to deliver incredible value to its customers, and this box really ties together their other services like Prime video and cloud storage. This puts pressure on Apple, Google, and Microsoft to offer more and better products--always a very good thing. Second, it is getting easier and easier to cut the cable/satellite TV subscription. Comcast seems to have finally begun to agree with me that the old cable TV model is about dead, and is more focused on delivering improved Internet access to its customers. But a monopoly is a monopoly, and even if you save money in the short term by dumping your TV subscription, expect the cable companies to keep increasing their fees for Internet...because they can.

Apple buys Radio Shack

In a surprise announcement this morning, Apple CEO Tim Cook announced that the giant computer and phone maker has purchased the Radio Shack Corporation. Radio Shack has attracted a lot of attention recently for the company's clever "The eighties want their store back" ads that attempted to highlight Radio Shack's shift in marketing strategy. But industry analysts have been uncertain that the changes were enough to bring some momentum back to the company.

When interviewed about the move, Cook had some interesting comments. "With the continuing success of our Apple stores, we wanted to dramatically expand our retail footprint, and we've nearly exhausted the big city venues. Radio Shack's most valuable asset are the thousands of stores in smaller towns and cities. This gives us an opportunity to expand quickly."

Cook went on to reveal a stunning new product line that could dramatically alter Apple's future direction. Cook explained, "We kept looking at the huge success of Maker Spaces and of products like the Raspberry Pi single board computer. Personally, I just got tired of hearing there is no innovation left at Apple. So we said, "To hell with it, let's go for broke." We are renaming the Radio Shack stores as "Apple Shacks," and the flagship product is going to be a keystone item in an entirely new Apple product line aimed at Maker Spaces and experimenters: The Apple Pi."

Norman Feisterburger, Apple's new head of the Apple Shack line of business, provided more detail about the new product. "The Apple Pi is a single board computer designed for the huge surge in interest that Maker Spaces are bringing to the hobbyist market place. The Apple Pi comes with everything you need to get into programming, house control, media control, and "maker" projects. The board has HDMI, Ethernet, and USB interfaces, and comes with 32 Gig of storage space in a micro SD card. And best of all, the Apple Pi comes loaded with the command line version of Unix and the Mach kernel that runs on all Mac, iPad, and iPhone products. We're opening up the Mac platform to a whole new generation of "makers," and we expect that the Apple Pi will become the dominant platform for development in the "Internet of Things."

When asked about the cost of this new venture, Tim Cook brushed off the financing issues. "Radio Shack has been struggling for so long, we were able to pick up the whole company, including all the stores, for a little less than $7 billion. And to tell you the truth, we came up with the idea when an intern was cleaning out some filing cabinets in Steve Job's office and she found $14 billion stuffed in a bottom drawer in an assortment of international currencies. We looked at the cash and said to ourselves, "We are getting slammed in the press for not being innovative. What this calls is a really futile and stupid gesture be done on somebody's part!" So we all shouted, "Let's do it!" I got on the phone with the CEO of Radio Shack and we closed the deal in less than a week.

Cook indicated that the rebranding of the stores will take place on April 1st, 2014, and he also hinted that a Retina-based 12" iPhone may be released at the same time.

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