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Technology: one step forward and two steps back

I read my colleague @paulaabowles’s blog last week with amusement.  Whilst the blog focussed on AI and notions of human efficiency, it resonated with me on so many different levels. Nightmarish memories of the three E’s (economy, effectiveness and efficiency) under the banner of New Public Management (NPM) from the latter end of the last century came flooding back, juxtaposed with the introduction of so-called time saving technology from around the same time.  It seems we are destined to relive the same problems and issues time and time again both in our private and personal lives, although the two seem to increasingly morph into one, as technology companies come up with new ways of integration and seamless working and organisations continuously strive to become more efficient with little regard to the human cost.

Paula’s point though was about being human and what that means in a learning environment and elsewhere when technology encroaches on how we do things and more importantly why we do them.  I, like a number of like-minded people are frustrated by the need to rush into using the new shiny technology with little consideration of the consequences.  Let me share a few examples, drawn from observation and experience, to illustrate what I mean.

I went into a well-known coffee shop the other day; in fact, I go into the coffee shop quite often.  I ordered my usual coffee and my wife’s coffee, a black Americano, three quarters full. Perhaps a little pedantic or odd but the three quarters full makes the Americano a little stronger and has the added advantage of avoiding spillage (usually by me as I carry the tray).  Served by one of the staff, I listened in bemusement as she had a conversation with a colleague and spoke to a customer in the drive through on her headset, all whilst taking my order.  Three conversations at once.  One full, not three quarters full, black Americano later coupled with ‘a what else was it you ordered’, tended to suggest that my order was not given the full concentration it deserved.  So, whilst speaking to three people at once might seem efficient, it turns out not to be.  It might save on staff, and it might save money, but it makes for poor service.  I’m not blaming the young lady that served me, after all, she has no choice in how technology is used.  I do feel sorry for her as she must have a very jumbled head at the end of the day.

On the same day, I got on a bus and attempted to pay the fare with my phone.  It is supposed to be easy, but no, I held up the queue for some minutes getting increasingly frustrated with a phone that kept freezing. The bus driver said lots of people were having trouble, something to do with the heat.  But to be honest, my experience of tap and go, is tap and tap and tap again as various bits of technology fail to work.  The phone won’t open, it won’t recognise my fingerprint, it won’t talk to the reader, the reader won’t talk to it.  The only talking is me cursing the damn thing.  The return journey was a lot easier, the bus driver let everyone on without payment because his machine had stopped working.  Wasn’t cash so much easier?

I remember the introduction of computers (PCs) into the office environment. It was supposed to make everything easier, make everyone more efficient. All it seemed to do was tie everyone to the desk and result in redundancies as the professionals, took over the administrative tasks.  After all, why have a typing pool when everyone can type their own reports and letters (letters were replaced by endless, meaningless far from efficient, emails). Efficient, well not really when you consider how much money a professional person is being paid to spend a significant part of their time doing administrative tasks.  Effective, no, I’m not spending the time I should be on the role I was employed to do.  Economic, well on paper, fewer wages and a balance sheet provided by external consultants that show savings.  New technology, different era, different organisations but the same experiences are repeated everywhere.  In my old job, they set up a bureaucracy task force to solve the problem of too much time spent on administrative tasks, but rather than look at technology, the task force suggested more technology. Technology to solve a technologically induced problem, bonkers. 

But most concerning is not how technology fails us quite often, nor how it is less efficient than it was promised to be, but how it is shaping our ability to recall things, to do the mundane but important things and how it stunts our ability to learn, how it impacts on us being human.  We should be concerned that technology provides the answers to many questions, not always the right answers mind you, but in doing so it takes away our ability to enquire, critique and reason as we simply take the easy route to a ready-made solution.  I can ask AI to provide me with a story, and it will make one up for me, but where is the human element?  Where is my imagination, where do I draw on my experiences and my emotions?  In fact, why do I exist?  I wonder whether in human endeavour, as we allow technology to encroach into our lives more and more, we are not actually progressing at all as humans, but rather going backwards both emotionally and intellectually.  Won’t be long now before some android somewhere asks the question, why do humans exist?

Will Keir Starmer’s plans to abolish NHS England, help to save the NHS?

In a land-mark event, British Prime Minister Keir Starmer has unveiled plans to abolish NHS England, to bring the NHS back into government control. Starmer justifies much of this change with streamlining operations and enhancing efficiency within the NHS, that in recent years has faced a backlash following long queues and an over-stretched staff pool. Moreover, this is part of Starmer’s plan to limit the power of control from bureaucratic systems.

NHS England was established in 2013 and has taken control and responsibility of the NHS’s daily operational priorities. Primarily, NHS England is invested in allocating regional funds to local health care systems and ensuring the smooth delivery of health care across the NHS. However, concerns, particularly in Parliament have been raised in relation to the merging of NHS England and the Department’s of Health and Social care that is alleged by critics to have brought inefficient services and an increase of administrative costs.

Considering this background, the plans to abolish NHS England, for Starmer come under two core priorities. The first is enhancing democratic accountability. This is to ensure that the expenditures of the NHS are contained within government control, thus it is alleged that this will improve efficiency and suitable allocation of spending. The second is to reduce the number of redundancies. This is backed by the idea that by streamlining essential services will allow for more money to be allocated to fund new Doctors and Nurses, who of course work on the front line.

This plan by Starmer has been met with mixed reviews. As some may say that it is necessary to bring the NHS under government control, to eliminate the risks of inefficient services. However, some may also question if taking the NHS under government control may necessarily result in stability and harmony. What must remain true to the core of this change is the high-quality delivery of health care to patients of the NHS. The answer to the effectiveness of this policy will ostensibly be made visible in due course. As readers in criminology, this policy change should be of interest to all of us… This policy will shape much of our public access to healthcare, thus contributing to ideas on health inequalities. From a social harm perspective, this policy is of interest, as we witness how modes of power and control play a huge role in instrumentally shaping people’s lives.

I am interested to hear any views on this proposal- feel free to email me and we can discuss more!

By whose standards?

This blog post takes inspiration from the recent work of Jason Warr, titled ‘Whitening Black Men: Narrative Labour and the Scriptural Economics of Risk and Rehabilitation,’ published in September 2023. In this article, Warr sheds light on the experiences of young Black men incarcerated in prisons and their navigation through the criminal justice system’s agencies. He makes a compelling argument that the evaluation and judgment of these young Black individuals are filtered through a lens of “Whiteness,” and an unfair system that perceives Black ideations as somewhat negative.

In his careful analysis, Warr contends that Black men in prisons are expected to conform to rules and norms that he characterises as representing a ‘White space.’ This expectation of adherence to predominantly White cultural standards not only impacts the effectiveness of rehabilitation programmes but also fails to consider the distinct cultural nuances of Blackness. With eloquence, Warr (2023, p. 1094) reminds us that ‘there is an inherent ‘whiteness’ in behavioural expectations interwoven with conceptions of rehabilitation built into ‘treatment programmes’ delivered in prisons in the West’.

Of course, the expectation of adhering to predominantly White cultural norms transcends the prison system and permeates numerous other societal institutions. I recall a former colleague who conducted doctoral research in social care, asserting that Black parents are often expected to raise and discipline their children through a ‘White’ lens that fails to resonate with their lived experiences. Similarly, in the realm of music, prior to the mainstream acceptance of hip-hop, Black rappers frequently voiced their struggles for recognition and validation within the industry due similar reasons. This phenomenon extends to award ceremonies for Black actors and entertainers as well. In fact, the enduring attainment gap among Black students is a manifestation of this issue, where some students find themselves unfairly judged for not innately meeting standards set by a select few individuals. Consequently, the significant contributions of Black communities across various domains – including fashion, science and technology, workplaces, education, arts, etc – are sometimes dismissed as substandard or lacking in quality.

The standards I’m questioning in this blog are not solely those shaped by a ‘White’ cultural lens but also those determined by small groups within society. Across various spheres of life, whether in broader society or professional settings, we frequently encounter phrases like “industry best practices,” “societal norms,” or “professional standards” used to dictate how things should be done.

However, it’s crucial to pause and ask:

By whose standards are these determined?

And are they truly representative of the most inclusive and equitable  practices?

This is not to say we should discard all concepts of cultural traditions or ‘best practices’. But we need to critically examine the forces that establish standards that we are sometimes forced to follow. Not only do we need to examine them, we must also be willing to evolve them when necessary to be more equitable and inclusive of our full societal diversity.

Minority groups (by minority groups here, I include minorities in race, class, and gender) face unreasonably high barriers to success and recognition – where standards are determined only by a small group – inevitably representing their own identity, beliefs and values.

So in my opinion, rather than defaulting to de facto norms and standards set by a privileged few, we should proactively construct standards that blend the best wisdom from all groups and uplift underrepresented voices – and I mean standards that truly work for everyone.

References

Warr, J. (2023). Whitening Black Men: Narrative Labour and the Scriptural Economics of Risk and Rehabilitation, The British Journal of Criminology, Volume 63, Issue 5, Pages 1091–1107, https://doi.org/10.1093/bjc/azac066

The industry of hope

There is expectation in hope that things will change.  Every personal and social issue that is not going according to plan, all the adversities and the misfortunes, are placed on the anticipation that eventually, things will change.  The conviction for the change is hope.  Hope is a feeling based on emotions, irrational and inexplicable.

Hope is a refuge for those whose lives are wronged and feel unable to do anything but to hope.  Millions of people hope for better days, better health, better relationships, better lives.  This hope keeps expectations high even when you are told of the opposite. 

Consider the following dialogues:

“The environment is changing, global warming, the pandemic and the economic recession.  It looks like we’ve had it!  We are one meteor away from a catastrophic event”.  “I agree with what you say, but I hope that despite all these we will find a way out of all these.”   

 “Your crime is too serious; looks like you are going to jail”.  “I hope the judge is lenient and maybe I will not go to prison”     

“The tests indicate that your health has deteriorated, it is unlikely to change; I am afraid you have only a few months to live”.  “I hope that God will listen to my prayer and cure me”.

“I do not love you anymore, I want to leave you!  “Don’t break my heart; I hope you change your mind.”

All these have one thing in common.  The respondent’s hope for something, despite the overwhelming evidence to the contrary.  This unwavering conviction comes at a price!  The entire world is built on an industry of hope.  Institutions, systems, “experts” and many more who profit from the misfortune of others.  One of the main benefactors in this industry is undoubtedly religious institutions and belief experts. 

Some years ago, in one of my trips, in found myself in a monastery that has a tradition of snakes appearing on the day of the ascension of the Virgin Mary.  The revellers regard it as a sign of good fortune and favour from her grace.  I was in the monastery on a different day, when a group of boisterous Russian tourists were trying to buy some grace.  The lady in the church was clear; a small bottle of holy water 3 euros, a small bottle of oil 5 euros.  There were bigger sizes and of course for more certainty of hope, a purchase of both is indicated.  Since then, it got me thinking; what is the price of hope? 

Faced with a terminal disease, how much would any of us will pay to live a little bit longer?  The question is merely rhetorical, because each of us is likely to pay according to what they can afford.  There are those who may care less for themselves, but are willing to sacrifice anything for someone special; or a great idea. 

Since the discovery of electricity, Victorian scientists dispelled the expertise of those charlatans that spoke with the dead and commuted with the spirits. Even though there have been mounting evidence against them, their industry of hope is still booming. People like to hope. They embrace its positive message. After all Dum Spiro Spero.*

There is of course the other side; Nikos Kazantzakis famously said; “I hope for nothing. I fear nothing. I am free.” It is liberating not to hope, but it is very difficult to achieve. Personally, despite experiencing negative situations, and even after meeting some naysayers armed with a sour face in life, I will never stop hoping that people are better inside and they can change and embrace their better selves. My hope, I fear, is incurable.

*While I breathe, I hope

Ask the expert, if you can find one

It was around four years ago I discovered the title of ‘Doctor’ extended beyond medical staff. I’m not sure many people outside of the academic world fully understand or have any reason to know the order in which post nominal letters are awarded or titles are given. Gaining the title of ‘doctor’ at the very beginning of any academic journey, seems so distantly part of any future plan, its barely imaginable. Some career paths seem wildly ambitious. Wanting to be an ‘expert’ in your field for the humble student, feels much like aspiring to become an astronaut midway through a physics degree.

Once you enter the world of academia, the titles people hold seem to determine an awful lot of their credibility. It’s rare to find a university lecturer who isn’t working towards doctoral qualification, most already have one. The papers, books and research journals are filled with the knowledge of individuals who once were nothing more than students. I often wonder though, at what point someone becomes an expert? At what point, (if ever) do the most academically qualified individuals refer to themselves as experts within a narrow area of their field.

The government often talks about relying on ‘expert’ evidence. Watching the experts stand beside the PM discussing the current pandemic, they appear uneasy, particularly when questions are raised about a different expert having a contradicting opinion. One thing I feel quite sure of is that experts seem to rarely agree. As Bertrand Russell (1927/42) states, “even when all the experts agree, they may well be mistaken” . Maybe that’s because it’s questionable if anyone can ever truly know everything on a given subject area.

The scientific committee seems to be buzzing with accusations that the experts are not quite what they seem. The ‘data scientists’ advising government and sitting on SAGE are not all from a background which comfortably implies they are qualified to discuss virology or immunology. In the background lingers the fact with such a new virus, with so little known about it, expert knowledge in a narrow sense, is undoubtedly in its infancy and will probably require some degree of hindsight later on.

In the past week one of the UK’s leading experts has resigned from his job after breaking his own guidance. Meanwhile the public watched Matt Hancock ‘snap’ at an opposition MP in parliament. A woman who despite being no more of an ‘expert’ than himself, at least has experience as a qualified A&E doctor to base her opinions and views on. It seems last week’s experts and heroes are this week’s victims in the ongoing witch-hunt for someone to blame.

I’ve started to wonder if labelling someone an ‘expert’ is something other people do to install confidence that a piece of research being relied upon is credible, rather than the experts referring to themselves that way. There’s almost an assumption of arrogance for anyone who dares to protest that their knowledge should be recognised with a title, outside of the academic world anyway. Maybe people simply don’t understand what it took to reach that level of knowledge in the first place.

I’ve looked a lot at ‘labelling’ within the criminological context and it seems to me the labels that are attached to us, almost always seem to come from someone else. In an age of self-proclaimed ‘internet experts’ the real experts, it seems are hard to find.

Reference

Russell, Bertrand (1927/1942) cited in The Collected Papers of Bertrand Russell: A Fresh Look at Empiricism, 1927-42, edited by by John Slater and Assisted by Peter Köllner, (London: Routledge)

Coronavirus (Covid-19): The greatest public health crisis in my lifetime

The coronavirus has caused an ongoing pandemic of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome. The outbreak started in Wuhan, Hubei province, China, as early as November 2019. The World Health Organization (WHO) declared the outbreak to be a Public Health Emergency of International Concern on 30 January 2020 and recognized it as a pandemic on 11 March 2020. Whilst we all have an interest in the ongoing spread and consequence of the greatest public health crisis in generations it holds a specific interest for me given my visits to Wuhan and Hubei province whilst working for Coventry University. Wuhan is a massive city with over 11 million of a population, but little heard of until this outbreak. It is believed that its origins are most likely linked to the Huanan Seafood Wholesale Market, in Wuhan which also sold live animals, and one theory is that the virus came from one of these kinds of animals. The virus spread quickly through the population of Wuhan City which led to comprehensive lockdown to contain the virus. However, the virus spread beyond the city across China and into other countries. The scale of the spread has been significant and by the time the World Health Organisation declared the outbreak a full pandemic in March 2020 there were cases recorded in hundreds of countries.

Cases in the UK emerged on January 31st 2020, which prompted a government response to manage the outbreak. In the early stages there was some discussion about “taking it on the chin” and allowing the virus to spread through the population in order to gain “herd immunity”. However, the public health, medical and scientific experts at Imperial College London suggested that the death toll through their modelling exercises, if this strategy played out, could be in excess of 500,000. This was a situation that would be socially and politically unpalatable, and a change of thinking emerged with a combination of social distancing, public health advice on washing hands and a strategy to protect the capacity of the NHS to cope with escalating cases. A new lexicon emerged that we are now all familiar with: flattening the curve, delaying the spread, the peak of the infection and latterly the language of the health professionals in the frontline supporting and caring for people acutely ill with Covid-19; Personal Protective Equipment (PPE), Continuous Positive Airway Pressure (CPAP), ventilation and oxygen saturation and therapy. This is because the virus can attack the respiratory system leading to pneumonia and in several cases an immune response that leads to multi-organ shutdown. The media presentation of this crisis is all very frightening.

At the time of writing the pandemic has progressed relentlessly in the UK with currently over 65,000 people have tested positive and of those hospitalised nearly 8,000 patients have died. Some commentators have suggested that the UK was slow to recognise the seriousness of the virus and was slow to initiate the “lockdown” measures required to halt the spread. In addition, the UK’s position on testing for the virus has been criticised as slow, lacking preparation despite the global warnings from WHO and a shortage of the essential materials required. Whether these criticisms are valid only time will tell but the UK’s data on cases, hospitalisation, need for critical care and deaths is on a trajectory like other countries which could be described as liberal democracies. Here is the first clue to the timing of the response. The measures required to halt the spread of the virus have massive economic consequences. Balancing these two issues is incredibly difficult and has led to some commentators suggesting all liberal democracies will struggle to respond quickly enough.

What is now abundantly clear is that this is going to take some time for us to get through as a society and the consequences for large sections of our society are going to be devastating. However, what I’d like to discuss in the remainder of this blog are a number of early lessons and personal observations in terms of what we are seeing play out.

First, the data emerging indicates that the narrative about the “virus does not discriminate” is a false one. It is clear that health professionals are much more greatly exposed and that the data on cases and deaths indicate higher numbers of the socially deprived and BAME community. This should not be a surprise as the virus will be keenest felt in communities negatively impacted by health inequalities. This has been the case ever since we recognised this in the “Black Report” (DHSS 1980). The Report showed in detail the extent to which ill-health and death are unequally distributed among the population of Britain and suggested that these inequalities have been widening rather than diminishing since the establishment of the National Health Service in 1948. It is generally accepted that those with underlying health issues and therefore most at risk will be disproportionately from socially deprived communities.

Second, the coronavirus will force the return of big government. The response already supports this. In times of real crisis, the “State” always takes over. Will this lead to more state intervention going forward? If so then we will witness the greatest interventionist Conservative government in my lifetime.

Third, the coronavirus provides one more demonstration of the mystique of borders and will help reassert the role of the nation state. Therefore, the coronavirus is likely to strengthen nationalism, albeit not ethnic nationalism. To survive, the government will ask citizens to erect walls not simply between states but between individuals, as the danger of being infected comes from the people we meet most often. It is not the stranger but those closest to you who present the greatest risk.

Fourth, we see the return of the “expert”. Most people are very open to trusting experts and heeding the science when their own lives are at stake. One can already see the growing legitimacy that this has lent to the professionals who lead the fight against the virus. Professionalism is back in fashion, including recognition of the vital role of the NHS.

Fifth, the coronavirus could increase the appeal of the big data authoritarianism employed by some like the Chinese government. One can blame Chinese leaders for the lack of transparency that made them react slowly to the spread of the virus, but the efficiency of their response and the Chinese state’s capacity to control the movement and behaviour of people has been impressive.

Sixth, changing views on crisis management. What governments learned in dealing with economic crises, the refugee crisis, and terrorist attacks was that panic was their worst enemy. However, to contain the pandemic, people should panic – and they should drastically change their way of living.

Seventh, this will have an impact on intergenerational dynamics. In the context of debates about climate change and the risk it presents, younger generations have been very critical of their elders for being selfish and not thinking about the future seriously. Ironically the coronavirus reverses these dynamics.

Finally, I return to a point made earlier, governments will be forced to choose between containing the spread of the pandemic at the cost of destroying the economy or tolerating a higher human cost to save the economy. In conclusion, I have heard many say that this crisis is different to others we may have faced in the past 30 years and that as a result we can see society changing. Whilst I’m sure a number of the issues raised in this blog could potentially lead to society change it is also a truism that our memories are short, and we may return to life as it looked before this crisis quite quickly. Only time will tell.

Reference
“The Black Report” (1980): Inequalities in Health: Report of a Research Working Group. Department of Health and Social Security, London, 1980.