{"id":"c421dba8-4786-472d-b083-ac1778ec6fda","slug":"s14e04-substack-the-health-technology","subject":"s14e04: Substack; The Health Technology Surveillance Complex","title":"Substack; The Health Technology Surveillance Complex","publish_date":"2023-01-05T18:34:52.304860+00:00","year":2023,"month":1,"season":14,"episode":4,"episode_label":"s14e04","canonical_url":"https://newsletter.danhon.com/archive/s14e04-substack-the-health-technology/","is_premium":0,"word_count":686,"body_html":"<h1>0.0 Context Setting</h1>\n<p>It's a cloudy morning in Portland, Oregon, on Thursday 5 January, 2023.</p>\n<hr />\n<h1>1.0 Some Things That Caught My Attention</h1>\n<p>A few short ones today.</p>\n<h2>1.1 Substack</h2>\n<p>I've subscribed to a few more newsletters on Substack lately:</p>\n<ul>\n<li>Kasey Klimes' <a href=\"https://rhizomerd.substack.com\">rhizome r&amp;d</a>, because it promises to cover soon some basic facilitation techniques that'll be useful in my work; see his thread about you not hating meetings, instead <a href=\"https://mastodon.online/@kasey/109632822076101238\">you hate unstructured collaboration</a>.</li>\n<li>Manu Saadia's <a href=\"https://againstmars.substack.com\">Against Mars: Space Colonization and its Discontents</a>, because it captures what feels like a shift in the space vibe (sigh) away from people who grew up in the 80s/90s and got turned on to Humans! In! Space! then grew up, some of whom had families, and then looked despairingly at the world. Manu is a wonderful internet friend, triply so because he coined the name <em>Space Karen</em>.</li>\n<li>Beebe Sharkey's <a href=\"https://bandpractice.substack.com\">Band Practice</a>, an old friend's music newsletter reviewing albums that of course just covered the <a href=\"https://bandpractice.substack.com/p/issue-16-best-of-2022\">Best of 2022</a>. I'm not... in to? music, I don't really get it, but I really appreciated Beebe's writing and clear enthusiasm.</li>\n</ul>\n<p>Okay, all of that out of the way, here are some horrific ideas for product development at Substack, which to be clear:</p>\n<p>I don't like Substack because of how the founders run their business, which includes things like &quot;we don't make editorial decisions&quot; but also &quot;but there's a distinct profile of people we pay advances towards, and paying advances are not editorial decisions, they are just business decisions&quot; ugh even just typing that again is irritating.</p>\n<p>Anyway! That won't stop me from coming up with irritating product ideas, to wit:</p>\n<p>Substack should make it easy for writers to bundle individual newsletter issues together into collections and then trivially turn those collections into eBooks, taking a cut, of course.</p>\n<p>Then, as a bonus, and realizing that this idea has all of its &quot;Oh, Mastodon is so hot right now&quot; tinted glasses on, Substack also could spin up an ActivityPub/Mastodon interface to show that it's not <em>too</em> tied to Twitter, but really, as another reason for writers to choose it. There's a whole bunch of writers who are weirdly On Mastodon And Therefore Not On Twitter But Are On Substack, so in the Venn diagram of &quot;don't like Musk&quot; and &quot;are totally okay with certain a16z-backed plays for content that have certain ideological editorial stances&quot;, there are certainly people in the middle! Those people might like a Substack-authenticated/hosted Mastodon account! I mean, it would solve several problems:</p>\n<p>Some people who have Substack newsletters are very insistent that Mastodon is too hard to use and they don't know how to pick a server. So boom: use the one Substack gives you.</p>\n<p>Er. And then it also lets them share their newsletter on Mastodon? Which is okay, I guess?</p>\n<p>Anyway, <em>if</em> Substack did this, then they would kick of such a firestorm of drama around blocking and de-federating that it would make them the main character for <em>at least</em> six hours.</p>\n<h2>1.2 Smaller things</h2>\n<p>In an example of the health-technology-surveilance-complex, via Lee Edwin Coursey<sup class=\"footnote-ref\"><a href=\"#fn1\" id=\"fnref1\">[1]</a></sup>, Walgreens publishes its own <a href=\"https://www.walgreens.com/healthcare-solutions/covid-19-index\">COVID-19 Index</a> (proudly running on Microsoft PowerBI!).</p>\n<blockquote>\n<p><em>Caught my attention because:</em> the fact this data is public in the first place (even in the form that it's in) is super interesting.</p>\n</blockquote>\n<p>This happened a while ago, but the <a href=\"https://vimeo.com/eyeofestival\">videos from 2022's Eyeo Festival</a> (also the final Eyeo Festival ever) are up.</p>\n<blockquote>\n<p><em>Caught my attention because:</em> It's Eyeo!</p>\n</blockquote>\n<p>Neutrogena has improved on its skincare app at this year's CES by, well, letting you &quot;use AI to give users personalized, on-demand, 3D-printed skin supplements called SkinStacks&quot;<sup class=\"footnote-ref\"><a href=\"#fn2\" id=\"fnref2\">[2]</a></sup>.</p>\n<blockquote>\n<p><em>Caught my attention because:</em> There are so many buzzwords in here. <em>So many</em>.</p>\n</blockquote>\n<hr />\n<p>Okay, that's it for today. How are you doing?</p>\n<p>Best,</p>\n<p>Dan</p>\n<hr class=\"footnotes-sep\" />\n<section class=\"footnotes\">\n<ol class=\"footnotes-list\">\n<li id=\"fn1\" class=\"footnote-item\"><p>&quot;The National Test Positivity Rate from the Walgreens COVID Index has exceeded 40% for the first time in the entire pandemic.&quot;; <a href=\"https://mstdn.party/@leeco/109622771620101739\">Lee Edwin Coursey on Mastodon</a>, 2 January 2023 <a href=\"#fnref1\" class=\"footnote-backref\">↩︎</a></p>\n</li>\n<li id=\"fn2\" class=\"footnote-item\"><p>CES 2023: <a href=\"https://mashable.com/article/neutrogena-personalized-3d-printed-skin-supplements-ces-2023\">You can now 3D print your skin supplement habit, thanks to Neutrogena</a>, Christiana Silva, Mashable, 3 January, 2023 <a href=\"#fnref2\" class=\"footnote-backref\">↩︎</a></p>\n</li>\n</ol>\n</section>\n","body_text":"0.0 Context Setting\n\nIt's a cloudy morning in Portland, Oregon, on Thursday 5 January, 2023.\n\n1.0 Some Things That Caught My Attention\n\nA few short ones today.\n\n1.1 Substack\n\nI've subscribed to a few more newsletters on Substack lately:\n\nKasey Klimes'\nrhizome r&d\n, because it promises to cover soon some basic facilitation techniques that'll be useful in my work; see his thread about you not hating meetings, instead\nyou hate unstructured collaboration\n.\n\nManu Saadia's\nAgainst Mars: Space Colonization and its Discontents\n, because it captures what feels like a shift in the space vibe (sigh) away from people who grew up in the 80s/90s and got turned on to Humans! In! Space! then grew up, some of whom had families, and then looked despairingly at the world. Manu is a wonderful internet friend, triply so because he coined the name\nSpace Karen\n.\n\nBeebe Sharkey's\nBand Practice\n, an old friend's music newsletter reviewing albums that of course just covered the\nBest of 2022\n. I'm not... in to? music, I don't really get it, but I really appreciated Beebe's writing and clear enthusiasm.\n\nOkay, all of that out of the way, here are some horrific ideas for product development at Substack, which to be clear:\n\nI don't like Substack because of how the founders run their business, which includes things like \"we don't make editorial decisions\" but also \"but there's a distinct profile of people we pay advances towards, and paying advances are not editorial decisions, they are just business decisions\" ugh even just typing that again is irritating.\n\nAnyway! That won't stop me from coming up with irritating product ideas, to wit:\n\nSubstack should make it easy for writers to bundle individual newsletter issues together into collections and then trivially turn those collections into eBooks, taking a cut, of course.\n\nThen, as a bonus, and realizing that this idea has all of its \"Oh, Mastodon is so hot right now\" tinted glasses on, Substack also could spin up an ActivityPub/Mastodon interface to show that it's not\ntoo\ntied to Twitter, but really, as another reason for writers to choose it. There's a whole bunch of writers who are weirdly On Mastodon And Therefore Not On Twitter But Are On Substack, so in the Venn diagram of \"don't like Musk\" and \"are totally okay with certain a16z-backed plays for content that have certain ideological editorial stances\", there are certainly people in the middle! Those people might like a Substack-authenticated/hosted Mastodon account! I mean, it would solve several problems:\n\nSome people who have Substack newsletters are very insistent that Mastodon is too hard to use and they don't know how to pick a server. So boom: use the one Substack gives you.\n\nEr. And then it also lets them share their newsletter on Mastodon? Which is okay, I guess?\n\nAnyway,\nif\nSubstack did this, then they would kick of such a firestorm of drama around blocking and de-federating that it would make them the main character for\nat least\nsix hours.\n\n1.2 Smaller things\n\nIn an example of the health-technology-surveilance-complex, via Lee Edwin Coursey\n[1]\n, Walgreens publishes its own\nCOVID-19 Index\n(proudly running on Microsoft PowerBI!).\n\nCaught my attention because:\nthe fact this data is public in the first place (even in the form that it's in) is super interesting.\n\nThis happened a while ago, but the\nvideos from 2022's Eyeo Festival\n(also the final Eyeo Festival ever) are up.\n\nCaught my attention because:\nIt's Eyeo!\n\nNeutrogena has improved on its skincare app at this year's CES by, well, letting you \"use AI to give users personalized, on-demand, 3D-printed skin supplements called SkinStacks\"\n[2]\n.\n\nCaught my attention because:\nThere are so many buzzwords in here.\nSo many\n.\n\nOkay, that's it for today. How are you doing?\n\nBest,\n\nDan\n\n\"The National Test Positivity Rate from the Walgreens COVID Index has exceeded 40% for the first time in the entire pandemic.\";\nLee Edwin Coursey on Mastodon\n, 2 January 2023\n↩︎\n\nCES 2023:\nYou can now 3D print your skin supplement habit, thanks to Neutrogena\n, Christiana Silva, Mashable, 3 January, 2023\n↩︎","raw_format":"markdown","source":"app","summary":"This issue explores the contradictions and absurdities of various digital platforms and health-tech products, from Substack's hypocritical editorial stance to the surveillance implications of corporate health dashboards. The connecting thread is how companies present themselves as neutral tools or innovative solutions while making opaque ideological and business decisions that undermine those claims—whether that's Substack claiming not to make editorial decisions while strategically funding certain writers, or Walgreens packaging pandemic data as public health while feeding the health-technology surveillance complex. The author ranges from critiquing Substack product ideas (some serious, some tongue-in-cheek) to cataloging the genuinely dystopian buzzword-laden nonsense of things like 3D-printed \"personalized skin supplements,\" all written in a tone of bemused exasperation at how tech companies market their interests as progress.","reading_minutes":3,"links":[{"url":"https://rhizomerd.substack.com","normalized_url":"https://rhizomerd.substack.com/","domain":"substack.com","anchor_text":"rhizome r&d","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://mastodon.online/@kasey/109632822076101238","normalized_url":"https://mastodon.online/@kasey/109632822076101238","domain":"mastodon.online","anchor_text":"you hate unstructured collaboration","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://againstmars.substack.com","normalized_url":"https://againstmars.substack.com/","domain":"substack.com","anchor_text":"Against Mars: Space Colonization and its Discontents","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://bandpractice.substack.com","normalized_url":"https://bandpractice.substack.com/","domain":"substack.com","anchor_text":"Band Practice","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://bandpractice.substack.com/p/issue-16-best-of-2022","normalized_url":"https://bandpractice.substack.com/p/issue-16-best-of-2022","domain":"substack.com","anchor_text":"Best of 2022","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://www.walgreens.com/healthcare-solutions/covid-19-index","normalized_url":"https://walgreens.com/healthcare-solutions/covid-19-index","domain":"walgreens.com","anchor_text":"COVID-19 Index","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://vimeo.com/eyeofestival","normalized_url":"https://vimeo.com/eyeofestival","domain":"vimeo.com","anchor_text":"videos from 2022's Eyeo Festival","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://mstdn.party/@leeco/109622771620101739","normalized_url":"https://mstdn.party/@leeco/109622771620101739","domain":"mstdn.party","anchor_text":"Lee Edwin Coursey on Mastodon","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"},{"url":"https://mashable.com/article/neutrogena-personalized-3d-printed-skin-supplements-ces-2023","normalized_url":"https://mashable.com/article/neutrogena-personalized-3d-printed-skin-supplements-ces-2023","domain":"mashable.com","anchor_text":"You can now 3D print your skin supplement habit, thanks to Neutrogena","is_archive":0,"archive_url":null,"archive_service":null,"category":"external"}],"sections":[{"id":3979,"ord":0,"number":"0.0","heading":"Context Setting","level":1,"word_count":14},{"id":3980,"ord":1,"number":"1.0","heading":"Some Things That Caught My Attention","level":1,"word_count":11},{"id":3981,"ord":2,"number":"1.1","heading":"Substack","level":2,"word_count":475},{"id":3982,"ord":3,"number":"1.2","heading":"Smaller things","level":2,"word_count":182}]}