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NostaLab: Is Telemedicine Failing To Revolutionize Traditional Healthcare?

The pandemic has undeniably expedited innovation. As people were forced to isolate themselves, major industries had to pivot to accommodate. That is no more true than in the realm of telemedicine–a medical model that brings the physician’s office…

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The pandemic has undeniably expedited innovation. As people were forced to isolate themselves, major industries had to pivot to accommodate. That is no more true than in the realm of telemedicine–a medical model that brings the physician’s office into the patient’s home. Regardless of the need for telemedicine over the past two years and waves of lockdowns, stagnating stocks show that “the future of care” isn’t sticking.

Why?

NostaLab CEO John Nosta, innovation theorist, member of the Google Health Advisory Board, and World Health Organization technology expert calls today’s anemic version of telemedicine no more innovative than a call from a doctor 50 years ago. In other words, we’ve resorted to “the same but better,” or safe improvements rather than exponential change. And that’s because change beyond an outcome we can anticipate based on past experience is hard. People resist. They prefer familiarity, even if they know things have to be different in order to truly be better. Nosta tells The Dales Report that the early days of television were nothing more than a radio show with a TV camera added in the background. Although television was a powerful medium, adoption was slow and had to be accomplished in baby steps. Telemedicine is television right after radio. The traditional doctor office experience has been cut-and-pasted onto a computer screen. “The talking head clinician is hardly a robust application of technology’s capabilities to telemedicine,” says Nosta. “Our challenge is to do much more than transfer an office visit to a Zoom call.”

But How? 

Today, we have an existing medical system and then we try to push technology into it. Nosta asks why we can’t look at it the other way around? Why can’t we take medicine and incorporate it into technology? Watch the interview to hear his examples. The path to mass adoption is not inevitable even if temporarily forced. With telemedicine, we couldn’t leave the house, so the online office visit was all we had. Innovation that slips in the back door, makes itself a snack in your kitchen, and sits on your couch as if it’s always been there finds a quicker path to adoption. There is no “sudden change.” It’s incremental, familiar, and then, eventually, you can’t seem to recall what life was like before it. Probably worse, though. 

As Nosta writes in his post The Urgent Need for Telemedicine 2.0:

The many and varied digital health tools available today can potentially provide a unique and appropriate window into patients’ real lives with real-time data and analytics. Simply put, the office can come to the patient! And the reality may just become that the office visit is less an intrusion into our lifestyle, but a part of a more dynamic continuum of care where that visit becomes less the rule and more the exception.

Build into the dialogue the role of artificial intelligence, language analytics, and the emerging aspects of voice, breath, and speech patterns, and what emerges is tomorrow’s telemedicine that expands the role of a simple conversation to a diagnostic tool in and of itself. From the ECG to the stethoscope to voice-mediated disease detection, technology no longer facilitates a connection but enhances the very nature of the techno-exam.

What Are The Current Financial And Business Implications Of Telemedicine?

Nosta says that the marketplace is a reflection of adoption and utility. If you look at the Teladoc (TDOC) stock, it’s down 50-60% over six months. We’re not seeing the financial support that can drive clinical adoption. That’s an interesting duality. When you see something like Tesla, Inc. (TSLA) going up, that feeds your interest to buy an electric car. It’s a complex dynamic. The question is: is telemedicine a viable clinical option when it’s not a viable financial option? I find that a lot of the business journals and papers are citing telemedicine as going up but they are using data that is six months old. In today’s world, particularly around Covid, that’s changing so quickly that those data are no longer an accurate reflection of the marketplace. In the final analysis, telemedicine is not at an inflection point, it’s at a tipping point. It’s going to be an interesting time where both technology and human nature, together, play a role in advancing this important therapeutic modality.

The post NostaLab: Is Telemedicine Failing To Revolutionize Traditional Healthcare? appeared first on The Dales Report.

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Spread & Containment

You can now enter this country without a passport

Singapore has been on a larger push to speed up the flow of tourists with digital immigration clearance.

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In the fall of 2023, the city-state of Singapore announced that it was working on end-to-end biometrics that would allow travelers passing through its Changi Airport to check into flights, drop off bags and even leave and exit the country without a passport.

The latter is the most technologically advanced step of them all because not all countries issue passports with the same biometrics while immigration laws leave fewer room for mistakes about who enters the country.

Related: A country just went visa-free for visitors with any passport

That said, Singapore is one step closer to instituting passport-free travel by testing it at its land border with Malaysia. The two countries have two border checkpoints, Woodlands and Tuas, and as of March 20 those entering in Singapore by car are able to show a QR code that they generate through the government’s MyICA app instead of the passport.

A photograph captures Singapore's Tuas land border with Malaysia.

Here is who is now able to enter Singapore passport-free

The latter will be available to citizens of Singapore, permanent residents and tourists who have already entered the country once with their current passport. The government app pulls data from one's passport and shows the border officer the conditions of one's entry clearance already recorded in the system.

More Travel:

While not truly passport-free since tourists still need to link a valid passport to an online system, the move is the first step in Singapore's larger push to get rid of physical passports.

"The QR code initiative allows travellers to enjoy a faster and more convenient experience, with estimated time savings of around 20 seconds for cars with four travellers, to approximately one minute for cars with 10 travellers," Singapore's Immigration and Checkpoints Authority wrote in a press release announcing the new feature. "Overall waiting time can be reduced by more than 30% if most car travellers use QR code for clearance."

More countries are looking at passport-free travel but it will take years to implement

The land crossings between Singapore and Malaysia can get very busy — government numbers show that a new post-pandemic record of 495,000 people crossed Woodlands and Tuas on the weekend of March 8 (the day before Singapore's holiday weekend.)

Even once Singapore implements fully digital clearance at all of its crossings, the change will in no way affect immigration rules since it's only a way of transferring the status afforded by one's nationality into a digital system (those who need a visa to enter Singapore will still need to apply for one at a consulate before the trip.) More countries are in the process of moving toward similar systems but due to the varying availability of necessary technology and the types of passports issued by different countries, the prospect of agent-free crossings is still many years away.

In the U.S., Chicago's O'Hare International Airport was chosen to take part in a pilot program in which low-risk travelers with TSA PreCheck can check into their flight and pass security on domestic flights without showing ID. The UK has also been testing similar digital crossings for British and EU citizens but no similar push for international travelers is currently being planned in the U.S.

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International

This country became first in the world to let in tourists passport-free

Singapore has been on a larger push to speed up the flow of tourists with digital immigration clearance.

Published

on

In the fall of 2023, the city-state of Singapore announced that it was working on end-to-end biometrics that would allow travelers passing through its Changi Airport to check into flights, drop off bags and even leave and exit the country without a passport.

The latter is the most technologically advanced step of them all because not all countries issue passports with the same biometrics while immigration laws leave fewer room for mistakes about who enters the country.

Related: A country just went visa-free for visitors with any passport

That said, Singapore is one step closer to instituting passport-free travel by testing it at its land border with Malaysia. The two countries have two border checkpoints, Woodlands and Tuas, and as of March 20 those entering in Singapore by car are able to show a QR code that they generate through the government’s MyICA app instead of the passport.

A photograph captures Singapore's Tuas land border with Malaysia.

Here is who is now able to enter Singapore passport-free

The latter will be available to citizens of Singapore, permanent residents and tourists who have already entered the country once with their current passport. The government app pulls data from one's passport and shows the border officer the conditions of one's entry clearance already recorded in the system.

More Travel:

While not truly passport-free since tourists still need to link a valid passport to an online system, the move is the first step in Singapore's larger push to get rid of physical passports.

"The QR code initiative allows travellers to enjoy a faster and more convenient experience, with estimated time savings of around 20 seconds for cars with four travellers, to approximately one minute for cars with 10 travellers," Singapore's Immigration and Checkpoints Authority wrote in a press release announcing the new feature. "Overall waiting time can be reduced by more than 30% if most car travellers use QR code for clearance."

More countries are looking at passport-free travel but it will take years to implement

The land crossings between Singapore and Malaysia can get very busy — government numbers show that a new post-pandemic record of 495,000 people crossed Woodlands and Tuas on the weekend of March 8 (the day before Singapore's holiday weekend.)

Even once Singapore implements fully digital clearance at all of its crossings, the change will in no way affect immigration rules since it's only a way of transferring the status afforded by one's nationality into a digital system (those who need a visa to enter Singapore will still need to apply for one at a consulate before the trip.) More countries are in the process of moving toward similar systems but due to the varying availability of necessary technology and the types of passports issued by different countries, the prospect of agent-free crossings is still many years away.

In the U.S., Chicago's O'Hare International Airport was chosen to take part in a pilot program in which low-risk travelers with TSA PreCheck can check into their flight and pass security on domestic flights without showing ID. The UK has also been testing similar digital crossings for British and EU citizens but no similar push for international travelers is currently being planned in the U.S.

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Government

Analysts issue unexpected crude oil price forecast after surge

Here’s what a key investment firm says about the commodity.

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Oil is an asset defined by volatility.

U.S. crude prices stood above $60 a barrel in January 2020, just as the covid pandemic began. Three months later, prices briefly went negative, as the pandemic crushed demand.

By June 2022 the price rebounded all the way to $120, as fiscal and monetary stimulus boosted the economy. The price fell back to $80 in September 2022. Since then, it has bounced between about $65 and $90.

Over the past two months, the price has climbed 15% to $82 as of March 20.

Oil prices often trade in a roller-coaster fashion.

Bullish factors for oil prices

The move stems partly from indications that economic growth this year will be stronger than analysts expected.

Related: The Fed rate decision won't surprise markets. What happens next might

Vanguard has just raised its estimate for 2024 U.S. GDP growth to 2% from 0.5%.

Meanwhile, China’s factory output and retail sales exceeded forecasts in January and February. That could boost oil demand in the country, the world's No. 1 oil importer.

Also, drone strokes from Ukraine have knocked out some of Russia’s oil refinery capacity. Ukraine has hit at least nine major refineries this year, erasing an estimated 11% of Russia’s production capacity, according to Bloomberg.

“Russia is a gas station with an army, and we intend on destroying that gas station,” Francisco Serra-Martins, chief executive of drone manufacturer Terminal Autonomy, told the news service. Gasoline, of course, is one of the products made at refineries.

Speaking of gas, the recent surge of oil prices has sent it higher as well. The average national price for regular gas totaled $3.52 per gallon Wednesday, up 7% from a month ago, according to the American Automobile Association. And we’re nearing the peak driving season.

Another bullish factor for oil: Iraq said Monday that it’s cutting oil exports by 130,000 barrels per day in coming months. Iraq produced much more oil in January and February than its OPEC (Organization of Petroleum Exporting Countries) target.

Citigroup’s oil-price forecast

Yet, not everyone is bullish on oil going forward. Citigroup analysts see prices falling through next year, Dow Jones’s Oil Price Information Service (OPIS) reports.

More Economic Analysis:

The analysts note that supply is at risk in Israel, Iran, Iraq, Libya, and Venezuela. But Saudi Arabia, the UAE, Kuwait, and Russia could easily make up any shortfall.

Moreover, output should also rise this year and next in the U.S., Canada, Brazil, and Guyana, the analysts said. Meanwhile, global demand growth will decelerate, amid increased electric vehicle use and economic weakness.

Regarding refineries, the analysts see strong gains in capacity and capacity upgrades this year.

What if Donald Trump is elected president again? That “would likely be bearish for oil and gas," as Trump's policies could boost trade tension, crimping demand, they said.

The analysts made predictions for European oil prices, the world’s benchmark, which sat Wednesday at $86.

They forecast a 9% slide in the second quarter to $78, then a decline to $74 in the third quarter and $70 in the fourth quarter.

Next year should see a descent to $65 in the first quarter, $60 in the second and third, and finally $55 in the fourth, Citi said. That would leave the price 36% below current levels.

U.S. crude prices will trade $4 below European prices from the second quarter this year until the end of 2025, the analysts maintain.

Related: Veteran fund manager picks favorite stocks for 2024

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