Although Russian hackers are reported to have tried to disrupt the November election with attacks on the voting systems of 39 states, the consensus of the intelligence community is that they were probably unsuccessful in their efforts to delete and alter voter data. But another national election is just 15 months away, and the risk that those working on behalf of President Vladimir Putin of Russia could do real damage — and even manage to mark your ballot for you or altering your vote — remains...

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ONC’s first public event under the new administration was very well organized and run. Eight leading health information exchange incumbents were able to describe their current approaches and plans, the patient advocate position was clearly stated, and a nice synthesis of the issues raised by the trusted framework approach to interoperability was prepared by a consulting organization. Much to ONC’s credit, they went out of their way to provide access and public comment to an extent that is unprecedented in my experience. Slides and recordings will be posted soon and a 30-day comment period runs through August 24. Kudos to ONC...

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In the days following the Jan. 10, 2010, earthquake in Haiti, chaos prevailed. Transportation was limited, if not impossible. Lines of communication were broken. A few radio stations continued to broadcast, but the disaster’s scale was overwhelming. Only one form of mass communication remained relatively intact: cellular phones. Even before the disaster, there had been only 108,000 landbased telephone lines in the country, compared with 3.5 million mobile phones. After the earthquake, mobile communications, particularly text messages, were one of the few means by which people could report their needs and location...

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In the weeks following Hurricane Irma, parts of Florida have been awash in millions of gallons of sewage. Meanwhile, in Texas, oil refineries and chemical plants have dumped a year’s worth of cancer-causing pollutants into the air following Hurricane Harvey. In both states, doctors are on the lookout for an uptick in respiratory problems, skin infections, and mosquito-borne diseases brought on by the water and mold the storms left behind...

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In the days and hours before Hurricane Irma slammed into Florida, its residents were treated to copious media speculation about nightmare scenarios. This monster storm, journalists said, could bring a 15-foot storm surge, blow roofs off of buildings, and cause tens of billions of dollars in damage. But perhaps no scenario seemed more dire than the one Quartz warned about the day before Irma made landfall: “Hurricane Irma will likely cover South Florida with a film of poop”...

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On June 14, 2016 a Federal Court ruled that broadband internet is as essential to American as phones, electricity, water and sewer systems and should be available to all Americans as a utility, rather than a luxury that doesn’t need close government supervision. In the United States, public utilities are often natural monopolies because the infrastructure required producing and delivering a product such as electricity or water is very expensive to build and maintain. As a result, they are often government monopolies, or if privately owned, the sectors are specially regulated by a public utilities commission which severely limits the profits for the private utility company and the associated costs passed on to consumers of that utility...

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VA health care is as good or in some cases better than that offered by the private sector on key measures including wait times, according to a study commissioned by the American Legion. The report, issued Tuesday and titled "A System Worth Saving," concludes that the Department of Veterans Affairs health care system "continues to perform as well as, and often better than, the rest of the U.S. health-care system on key quality measures," including patient safety, satisfaction and care coordination...

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White House officials see standardizing federal data as a crucial step to making government more effective and efficient. Opening that data to the public could also spur economic growth, they said. “Open data is not just a transparency exercise,” said acting Federal Chief Information Officer Margie Graves. “It really is integral to the management of government itself. Everybody recognizes that this is the platform on which we have to build our house”...

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Even as the Trump administration works to repeal the Affordable Care Act, it is taking advantage of one of the 2010 law's provisions to advance its own take on health system innovation. Seema Verma, administrator of the Centers for Medicare and Medicaid Services, on Sept. 20 announced plans to redirect the six-year-old Center for Medicare and Medicaid Innovation within the Health and Human Services Department. Its mission is to test new approaches or models to pay for and deliver high-quality health care more efficiently...

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ONC is challenging healthcare stakeholders to build secure Fast Healthcare Interoperability Resources (FHIR) servers to improve health IT security and ensure that secure FHIR options are available in the future. The Secure API Server Showdown Challenge will ideally “identify unknown security vulnerabilities in the way open source FHIR servers are implemented,” ONC Office of Standards and Technology Director Steven Posnack, MS, MHS, wrote in a blog post...

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