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Medical records on the blockchain – the history of a bad idea

davidgerard.co.uk

151–154 of 154 posts

Re: Medical records on the blockchain – the history of a bad idea

#151
post #147
post #144

Earlier quoted context omitted.

> Don’t forget to add in the currency conversion fees on either side since most people transfer money to use it. Hm? That would be factored in already. If I wanted to send money to say, India, I would buy Bitcoin with US dollars and then send it to someone's account on an Indian exchange, where they'd sell it for Rupees. The conversion is already baked in. > Walmart charges $8 for the same service. There is some pote…

> Hm? That would be factored in already. If I wanted to send money to say, India, I would buy Bitcoin with US dollars and then send it to someone's account on an Indian exchange, where they'd sell it for Rupees. The conversion is already baked in. Right, but if you're comparing apples to apples, you need to compare the cost of, say, going to Walmart.com (or a bunch of other places) with $1,000 and sending it to someo…

> Right, but if you're comparing apples to apples, you need to compare the cost of, say, going to Walmart.com (or a bunch of other places) with $1,000 and sending it to someone in India vs. starting with the same $1,000 and shipping it. Unless the conversion rates for gating in and out Bitcoin are always exactly the same you need to measure the whole cost.

Ya, but that only argues for even more cost to the traditional method, no?

> Note that I wasn't saying that there no things which were technically possible, only that very few people have a situation where it's advantageous to use Bitcoin. A possible modest savings on international transfers does not seem like a viable foundation for a decade of big world-changing rhetoric.

Let's take a look at what you said:

> We’ve been hearing this for a decade – it’ll change the world, if you don’t agree it’s because you don’t understand it well enough – and yet we don’t have a single example of it being competitive, much less compelling.

I'd say I provided a single example of it being competitive. And I think there's a lot more value there that isn't being properly realized yet, but the international wire use case is concrete and immediately available.

I think part of the reason people don't see the value (yet) is that they are so entrenched in the existing system they don't even realize what it's costing them. You see people on this site complaining about companies like Facebook violating their privacy rights all the time by aggregating their behavioral data. Do you know who's been doing that for decades? Credit card companies and banks. Nobody bats an eyelash when they do it, simply because they've been grandfathered in, and we had no reasonable alternative to them. Cryptocurrencies are a reasonable alternative to the banking / credit card system. And they're one that allows their users to maintain genuine autonomy and privacy. It's fine if you don't personally find that valuable, but the chorus of people here whining about corporate privacy violations ought to if they're concerns are more than performative.

> … so, you get rid of banks by creating a new bank, putting a “not a bank” sign on it, and hoping nobody will notice a) how many people have lost money by trusting Bitcoin exchanges and b) how quick the community was to blame them for the loss and saying that they were fools to trust an exchange?

This is a common criticism, but there is a very important difference. You cannot practically remove your money from the banking system. You can practically remove your crypto from an exchange. This gives you a degree of leverage and autonomy you simply don't have when your money is at say, Wells Fargo. You have a meaningful choice about where to keep your funds when you're dealing in crypto. You can keep them on an exchange and incur that risk, or you can hold them yourself and incur the risk that you'll lose them in some way. But you get to choose.

Re: Medical records on the blockchain – the history of a bad idea

#152
post #34

I recently worked on a yellow paper that outlines a data exchange with no centralized authority that puts ownership and encryption responsibility of that data back onto the users of the network. It's a data exchange not a blockchain because all data should be mutable and nullifiable. Blockchain is the wrong technology for so many things that it's been hyped for.

Perhaps your comment was meant to be tongue in cheek, but it sounds like this data exchange is a replacement for the World Wide Web? It's not IPFS is it?

IPFS was a technology we evaluated but decided it was not appropriate given specific requirements of all parties that will be using it.

Re: Medical records on the blockchain – the history of a bad idea

#153

Earlier quoted context omitted.

The link you posted doesn't even aim for replacing DNS, by the abstract and landing page it seems to be an experimental setup to replace the root zone which has been signed for nearly 10 years now. DNSSEC is a thing. Don't really see what's hand-wavy about your parent comment tbh, the link you posted doesn't seem to address common scenarios like 51% attacks or even why our current system is flawed. The only tangible…

I didn't post the link. I'm just asking for details about an unspecified attack in your comment, or really any pointed criticism at all (:

It isn't hand-wavy. However, it is problematic when people propose solutions to fundamental design issues, without knowing the threat model.

In the link that was posted, a pollution of a distributed root zone will vitiate the entire Internet's DNS. That is the vulnerability, and there are many attacks that will achieve that for the link that was posted.

Re: Medical records on the blockchain – the history of a bad idea

#154
post #133

Earlier quoted context omitted.

>> I don't want them to be immutable, if there's an error I want it corrected. Immutable here means no in-place update, you have to update using an "errata" record. This is the requirement for many type of official documents, even before computers were used. >> I don't want my medical records to be distributed for obvious reasons. Distributed here means no single point of failure. >> Encrypted, sure, but "cryptograph…

>>>Immutable here means no in-place update, you have to update using an "errata" record. Yes, and people have been building financial systems with relational databases using this journaling principle (updates and deletes handled by inserting new records and timestamping) for decades. >>>Distributed here means no single point of failure. Which can be done with most standard RDBMS or NoSQL databases and clustering/shar…

Make up your mind. First, you said these properties were useless, now you're saying these properties have been in use for a long time using relational database, which means they're really useful.

>> Do you really want multiple copies of your personal medical records on some public blockchain? No I don't. This thread's starter and I never said that these properties can only provided by "blockchain", neither did we said that "blockchain" should be used. We only said that these properties were useful and people wanted them.

>> For financial transactions, sure, but for medical records? For what purpose? Other than me and my provider (and any specialist I select) why would anyone else even need to access my medical records? Who would be faking them?

For example, a fraudulent specialist with access to your data can modify your prescription so they can steal money from your insurance provider and also take these extra medicine to sell on the black market.

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