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1) A lawyer argues that Google has become a new monopolist through its control over search results and online advertising. He points to Google demoting a comparison shopping site in search results and raising their advertising rates.
2) Government regulators are increasingly scrutinizing Google's acquisitions and behavior for potential anticompetitive practices given its dominance in search and online advertising. A judge will rule this summer on Google's settlement with book publishers over copyright issues.
3) Home healthcare is growing in India through corporate hospital chains providing services to assist the elderly and sick at home. However, increased competition will require lower costs or improved quality through healthcare technology and service innovations.
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my fortnightly column on healthcare ICT discussing on the home care services delivery in India
1) A lawyer argues that Google has become a new monopolist through its control over search results and online advertising. He points to Google demoting a comparison shopping site in search results and raising their advertising rates.
2) Government regulators are increasingly scrutinizing Google's acquisitions and behavior for potential anticompetitive practices given its dominance in search and online advertising. A judge will rule this summer on Google's settlement with book publishers over copyright issues.
3) Home healthcare is growing in India through corporate hospital chains providing services to assist the elderly and sick at home. However, increased competition will require lower costs or improved quality through healthcare technology and service innovations.
1) A lawyer argues that Google has become a new monopolist through its control over search results and online advertising. He points to Google demoting a comparison shopping site in search results and raising their advertising rates.
2) Government regulators are increasingly scrutinizing Google's acquisitions and behavior for potential anticompetitive practices given its dominance in search and online advertising. A judge will rule this summer on Google's settlement with book publishers over copyright issues.
3) Home healthcare is growing in India through corporate hospital chains providing services to assist the elderly and sick at home. However, increased competition will require lower costs or improved quality through healthcare technology and service innovations.
Wipro to give priority to BPO ventures in Kerala. 13 Technomics Oracle is buying British database firewall company Secerno. Samsung unit sees firm smartphone market. DC Five ways to keep online criminals at bay BRAD STONE NEWYORK I N the 1990s, Gary Reback, a Silicon Valley lawyer, almost single- handedly brought the antitrust weight of the feder- al government down on that eras high-tech heavy- weight, Microsoft. Now Mr Reback contends there is a dangerous new monopolist in the catbird seat: the search giant Google. This month, Mr Reback shepherded Adam and Shiv- aun Raff, the husband-and- wife entrepreneurs behind London comparison shop- ping site Foundem, around Washington. The three held meetings with Congression- al staff members and antitrust enforcers at the Department of Justice and the Federal Trade Commis- sion to air the Foundem cou- ples complaint that in 2006, Googles supposedly objec- tive algorithms suddenly dropped Foundem into the netherworld of Google search results. They say Google also raised the rates Foundem had to pay to advertise alongside search results. These moves, they said, pushed their compari- son shopping site out of view, and Google later put the spotlight on its own shopping listings. Google is the arbiter of every single thing on the Web, and it favours its prop- erties over everyone elses, says Mr Reback. What it wants to do is control Inter- net traffic. Anything that undermines its ability to do that is threatening. Google says its mission is to give users information they're looking for even if that means giving its own con- tent priority and de-empha- sizing sites it believes offer poor experiences. Telling a search engine that it cannot innovate and show results in a way that benefits users would undermine the very goals of our competition laws, says Matthew Bye, a Google lawyer. But Googles decisions on such matters may soon be judged by higher authori- ties. Over the last several years, it has become the canonical way to search the Web, an information door- way that dictates what kind of knowledge is visible to the browsing public. That growing market power has generated both sky-high profits and unwanted regula- tory attention. Almost a decade after Google promised that the creed Dont be evil would guide its activities, the feder- al government is examining Google's acquisitions and actions as never before, looking for indications that the companys market power may be anticompetitive in the worlds of Web search and online advertising. They are not just on the radar screen. They are the at the center of it, said Tim Wu, a professor at Columbia University. If you are in the federal government and are interested in antitrust, you are looking at Google. Google has managed to squeak by most regulatory reviews. On Friday, the Fed- eral Trade Commission approved Google's $750 million acquisition of AdMob, a mobile advertis- ing start-up. Staff members had initially planned to oppose the purchase, even saying in a statement that the deal raised serious antitrust issues. But the agency ultimately endorsed the deal, assuming that Apples entry in the market would facilitate competi- tion. Nevertheless, the search giant may get an indication this summer of just how uncomfortable Washington can get for such dominant firms. Federal Judge Denny Chin is expected to rule in the coming months on Googles amended settlement with authors and book publishers and whether the agreement gives the search giant too much control over the mil- lions of library books that it scanned. The Department of Justice has opposed the set- tlement on two occasions. NYT L ately many of Ben- galuru residents wo- uld have received SMS from Manipal Home- Care, asking you if you need medical care at home. This is a new service launched by the Manipal Hospitals Group. Their services include non-med- ical services providing assistance to elderly or sick with Activities of Daily Liv- ing (ADLs) such as bathing, dressing, hygiene and toilet- ing (including hygiene, use of incontinence products), transferring (moving from bed to chair, walker to toi- let, etc.) as well as Instru- mental Activities of Daily Living (IADLs) such as medication management, diet, feeding, etc. Other services which consists of skilled nursing services for such as dressing, wound care and suture removal, injections, blood glucose monitoring, etc. Though home-centered healthcare (HCHC) is an innovation in healthcare delivery in many parts of the world, the innovation in India is that it is now a service extension of brand- ed corporate hospital chains. While globally HCHC continues to be the warm fuzzy of health- care delivery system; patients and families wide- ly praise the services and are demanding more. Politicians, including Mr Obama, believing that care in the community is a more appropriate and cheaper alternative to in hospital patient care, have expand- ed the number of home care programmes as part of their healthcare reforms. If this occurs, HCHC pro- grammes will also compete with physicians for limited health service dollars under the reform programs around the world. Coming back to India, the issue is not the ageing pop- ulation that needs to be taken care, but the chronic disease burden of the youth and the mid-aged that are expected to explode and increase in numbers due to our genetic disposition. As I had mentioned in my ear- lier article in this column, close to 50 million house- holds would be the poten- tial. Hence HCHC is indeed the way forward for healthcare in India. How- ever as competition emerges in this segment, to improve value to customers one can cut costs and/or increase quality and servic- es. While there is little immediate opportunity for private HCHC providers like Manipal to cut costs and with innovative pricing substantial improvements in quality and services can be funded. To address this impasse, two solutions exists for HCHC players who enter into this seg- ment; increased economies of scale through consolida- tion in the HCHC services and radical improvements in efficiency through the exploitation of information and communication tech- nology (ICT). Over the last decade, the rapid development of ICT runs parallel to the HCHC innovation in healthcare. However, the main prob- lem in ICT-based HCHC is not a lack of technology but how to take advantage of it, how to organise healthcare delivery in a smart way around the home. While telemedicine has been utilised in various forms for many years, tele- home HCHC is a relatively recent innovation. It can include a variety of some- what different services or applications, including telemonitoring (e.g. blood pressure, blood glucose, ECG, etc.), teleconsulta- tion (e.g. online, by video- phone, by telephone) and telerehabilitation (e.g. by videophone), as well as self-care devices to be used by people in their own homes to help them moni- tor and manage their health themselves. Various indus- try consortiums such as Continua, 3iC, etc have been trying to establish ICT standards for telehome HCHC ICT applic- ations/services and clinical research may be developed as add-ons to the basic HCHC services. As healthcare consum- erism and competition increases in the HCHC seg- ment, use of ICT and pro- viding innovative services which will be positioned to increase the consumers to reach their full human potential would be the key differentiation points in HCHC segment. The key issue for ICT players and vendors to solve for HCHC clients is how can they cre- ate innovative technologies that are centered around the home and accessible by everybody at home, that can traverse multiple gen- erations from grand ma and pa to great grand kids liv- ing under the same roof or sharing time under the same roof. While electron- ic health records (EHRs) carry individuals records that are fairly centered around healthcare epis- odes, what the next genera- tion of ICT solutions. UID tech can transform the country May 23: The Indian gov- ernments unique identity programme will have some major positive economical and social implications, with ample opportunity to leverage the technology far more ambitiously and intensively, according to global consultancy firm Deloitte. The UID programme will provide the opportuni- ty to leverage technology far more ambitiously and intensively and build truly inclusive, transformational infrastructure. This will improve the overall produc- tivity of our economy, Deloitte India Principal Economist Shanto Ghosh said. According to Deloitte, the UID opens up a vast array of new possibilities for our technological future and offers a foundation on which a host of applications can be built. Elaborating it with an example, Ghosh says the UID number of each resi- dent can be linked to a bank account through which the government can provide direct services, such as health and education, thro- ugh digital vouchers and cash benefits. The Unique Identification Authority of India, headed by Nandan Nilekani, will issue the first set of 12-digit unique identification num- bers between August, 2010, and February, 2011 Thereafter, 600 million UID numbers will be issued in the next five years. Apart from providing identity, the UID will enable better delivery of services and effective gov- ernance. The UID project is prima- rily aimed at ensuring inclusive growth. Citing various media reports, Ghosh said the UID programme will create 350,000 new jobs and USD 20 billion of economic out- put over the next five years. PTI Dalai Lama Tweets with China May 23: The Dalai Lama tried to hold a rare direct conversation with people inside China on Friday, answering questions live on Twitter about the fate of Tibet. The hourlong session with the exiled Tibetan spir- itual leader was conducted by Wang Lixiong, a Chi- nese writer and convert to Tibetan Buddhism who lives in Beijing and who met the Dalai Lama for Fri- days online conversation in a hotel room in New York, where the Dalai Lama is visiting. Through a Chinese interpreter, the Dalai Lama sent messages criticising Chinas policies toward Tibet and words of wel- come to Chinese citizens. Twitter is blocked in China, but has become popular with thousands of Chinese, especially activists, who find a way around controls. Mr Wangs Twitter feed, where the conversation was posted, had more than 8,000 followers as of Friday night. NYT HP expands recall of laptops May 23: Hewlett-Packard Co is expanding a volun- tary recall of laptop com- puters due to the risk of fire from overheating batteries, the company and the US Consumer Product Safety Commission said on Fri- day. The commission said that since an initial recall in May 2009, HP has received additional reports of over- heated and ruptured batter- ies, leading it to expand its recall to include more mod- els. Reuters RIVA RICHMOND NEWYORK May 23: The Web is a fount of information, a busy mar- ketplace, a thriving social scene and a den of crimi- nal activity. Criminals have found abundant opportuni- ties to undertake stealthy attacks on ordinary Web users that can be hard to stop, experts say. Hackers are lacing Web sites often legitimate ones with so- called malware, which can silently infiltrate visiting PCs to steal sensitive per- sonal information and then turn the computers into zombies that can be used to spew spam and more mal- ware onto the Internet. At one time, virus attacks were obvious to users, said Alan Paller, director of research at the SANS Insti- tute, a training organization for computer security pro- fessionals. He explained that now, the attacks were more silent. Now its much, much easier infecting trusted Web sites, he said, and get- ting your zombies that way. So it is more important than ever to protect yourself. Here are some basic tips for thwarting them. Protect the Browser The most direct line of attack is the browser, said Vincent Weafer, vice president of Symantec Security Resp- onse. Internet Explorer and Firefox are the most targeted browsers because they are the most popular. If you use current versions, and down- load security updates as they become available, you can surf safely. But there can still be exposure between when a vulnerability is dis- covered and an update becomes available, so you will need up-to-date security software as well to try to block any attacks that may emerge, especially if you have a Windows PC. Get Adobe Updates Most consumers are familiar with Adobe Reader, for PDF files, and Adobes Flash Player. In the last year, a vir- tual epidemic of attacks has exploited their flaws; almost half of all attacks now come hidden in PDF files. Part of the problem is that many computers run old, vulnera- ble versions. But as of April, it has become easier to get automatic updates from Adobe. Beware Malicious Ads An increasingly popular way to get attacks onto Web sites people trust is to slip them into advertisements, usually by duping small- time ad networks. Malver- tising, as this practice is known, can exploit software vulnerabilities or dispatch deceptive pop-up messages. A particularly popular swindle involves an alert that a virus was found on the computer, followed by urgent messages to buy soft- ware to remove it. Of course, there is no virus and the security software, known as scareware, is fake. It is a ploy to get credit card numbers and $40 or $50. Closing the pop-up or killing the browser will usu- ally end the episode. But if you encounter this scam, check your PC with trusted security software or Microsofts free Malicious Software Removal Tool. Poisoned Search Results Online criminals are also trying to manipulate search engines into placing mali- cious sites toward the top of results pages for popular keywords. Google and search engines like Micr- osofts Bing are working to detect malicious sites and remove them from their indexes. Free tools like McAfees SiteAdvisor and the Firefox add-on Web of Trust can also help warn- ing about potentially dan- gerous links. Antisocial Media Attackers also use e-mail, instant messaging, blog com- ments and social networks like Facebook and Twitter to induce people to visit their sites. Its best to accept friend requests only from people you know, and to guard your passwords. Phishers are trying to filch login information so they can infiltrate accounts, imperson- ate you to try to scam others out of money and gather per- sonal information about you and your friends. Sure, its big. But is that bad? Delivering health care at homes a Dose of IT Kapil Khandelwal is director of EquNev Capital and a leading healthcare and ICT expert STEVE LOHR NEWYORK May 23: Mention health care reform and the image that instantly comes to mind is a big government program. But there is another broad transformation in health care under way, a powerful force for decen- tralised innovation. It is fueled in good part by technology low-cost computing devices, digital sensors and the Web. The trend promises to shift a lot of the diagnosis, monitoring and treat- ment of disease from hospitals and specialised clinics, where treatment is expensive, to primary care physi- cians and patients themselves at far less cost. The new models emphasise early detection of health problems, pre- vention and management of chronic disease. The approaches have adopt- ed a range of labels including well- ness, consumer-directed health care and the medical home. The potential transformation faces formidable obstacles, to be sure. Some of those hurdles include get- ting patients to embrace healthier lifestyles and persuading the gov- ernment and insurers to reimburse at-home testing and monitoring devices. Yet the promise, according to Dr David M. Lawrence, the for- mer chief executive of Kaiser Per- manente, a private health care provider, is an array of technology- enabled, consumer-based services that constitute a new form of pri- mary health care. For example, a start-up in the field of sleep medicine, Watermark Med- ical, offers an at-home device and a Web-based service for diagnosing sleep apnea. Characterised by snor- ing and pauses in breathing, sleep apnea is a serious health problem that often goes undiagnosed. Suffer- ers battle chronic fatigue, and sleep experts suspect that apnea is the cause of many workplace and car accidents. Treatments include a masklike apparatus that pumps air to keep the patients airway open; an oral appliance, resembling an ortho- dontic retainer, that helps open the throat; and surgery to shave tissue that blocks the air passage. If successful with sleep, Water- mark plans to branch out to other kinds of Web-based personal devices to monitor chronic condi- tions like heart disease and diabetes. NYT High-tech alternatives to high-cost care Technologies now aim at shifting diagnosis, monitoring, treatment of disease from hospitals to primary care physicians and patients. MCT