I bump fists. I don’t shake hands. In 2009, teaching 300 students was like wading into a cesspit of swine flu contagion. After class, dozens came to meet me with big smiles, hands extended expecting my welcoming handshake. During class there hadn’t been a quiet 15 seconds when somebody wasn’t coughing, sneezing, or hacking. So I closed my hand and offered my fist. They closed theirs and we bumped. Most thought I was trying to be cool. I was just trying to keep from catching cold.
When you work with young people dedicated to burning boxes of candles with blowtorches, staying healthy means being careful. So when Facebook told me 31 of my “friends” had used the “KeepMeWell” app, I clicked the link. I got the standard rigmarole of Facebook’s familiar “Request for Permission” page. The KeepMeWell app wanted permission to access my basic and contact information. And it wanted to post publish my health status and alerts. Maybe granting that type of information gives you creepbumps, but I gave more access to the app that told me which Teletubby I am (Winky-Dinky). I had way too much going on to be sick. I clicked “Accept.”
The KeepMeWell app would monitor my health status by calculating my overall risk. I didn’t have to tell it anything – it would use something called “OpenGraph” to ascertain my risk level. Its “KeepMeWell” meter would update me when anything altered my health status – a little icon that moved from green to red when I was at risk. So the app had my back. Sure. I wasn’t going to tell it anything, so it if told me something to help keep me well, what the heck.
Then a week later it happened. That telltale tickle in your throat that mutates into a painful swallow. A body ache that made the walk to the bathroom feel like I had run a marathon. And a fever. Despite the fist bumps and holding my breath to avoid sharing air, it had got me. The flu. I should have ordered the fashion surgical masks like my colleagues!
Attempting to minimize my imminent decline, I leave a Facebook message for my wife “I think I have the flu. I am going home to keep from spreading germs.” It can take my wife days to answer my emails, but she “Likes” this post right away. Then something interesting happens. That KeepMeWell app posts an alert in my newsfeed – my health risk has moved from green to yellow.
I go to WebMD, search for “flu symptoms,” and read a “Flu Guide” that recommends Chlor-Trimeton Oral. I will grab some on the way home. I open Facebook to log off and there is another post in my newsfeed. Now I am at orange. What the??
The down economy has even highly paid professors pinching pennies and I have a little trick in my pocket. With ShopSavvy, an iPhone app, you scan a bar code on a product and it tells you where you can find the lowest price. At the CVS I scan the Chlor-Trimeton and find that I can get it for a dollar less at Amazon. I show the clerk the price on my iPhone and she matches the price. Yee haw.
By the time I get home, I’m coughing with that nagging pain behind my eyes. I settle in on the couch with a box of Kleenex and my iPad – “Dancing with the Stars,” the true panacea. Before I bring up the video, I check Facebook. Two new posts. One is from KeepMeWell moving me all the way over into the red. And the second is from my co-worker, Brian, one of the people who turned me onto the KeepMeWell app. He isn’t coming into work tomorrow because KeepMeWell just moved him to orange.
“KeepMeWell says I’m at risk for flu. If I am sick for my wedding next week, Lucinda will kill me. I am staying home!”
Sure, I made it all up. But it could happen. I didn’t read the ENTIRE terms of service, but the Cliff Notes version tells you that Zuckerberg et. al. own everything you do in Facebook – every single tag, post, message, like, and photo. Facebook’s OpenGraph lets anyone write an app that can access all that information. But it is going farther than that. Facebook is now entering “partnerships” with a range of companies and organizations to enable what it is calling “Frictionless Sharing.” In essence, Facebook is making it easy for other sites to push info about you to be stored in Facebook – so your OpenGraph isn’t just want you do on Facebook – it is becoming what you do online.
Are we getting dangerously close to the creep line? Privacy issues, right? And what are people going to do with this info? Sure, a bunch of them are trying to sell us things. But there might be another way of looking at it. Facebook is becoming a permeable data source. It stores info we voluntarily contribute about our tastes, behaviors, purchases, interactions, desires. Then we have the option to give apps (and companies and other organizations) permission to use it. Wouldn’t it be cool if those apps improved our lives? What if they kept us healthier?
I will be talking about Facebook as a Permeable Data Source at the Digital Health Conference Extravaganza ( http://www.dhcx.org )on February 17th in Orlando, Florida.
