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    <div class="moz-cite-prefix">For me, one of the key distinctions is
      that banking is "valuable stuff that is <i>about</i> us/acts as
      our agents" (external) vs health care, which is "valuable stuff
      that <i>IS</i> us." Being one step removed, banking is much
      easier to game with an industry of middlemen, as systems go.
      Health care as an industry is trying to game the same system, but
      with people who have more/deeper to lose, and a Regulatorium that
      is ostensibly created to protect us. (No comment about how well
      this is working, just pointing to intent.)<br>
      <br>
        j.<br>
      <br>
      On 8/4/15 8:40 AM, Eve Maler wrote:<br>
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    <blockquote
cite="mid:CAMPbGmgzN89vBwrfBuETi=wmVdF9LnQxj85eFGLPdQTd01WuGA@mail.gmail.com"
      type="cite">
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        <div>Well, that didn't at all have the intended efffect. I'm
          sorry. Let me try again.</div>
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        </div>
        I'm <b>not at all</b> saying we should follow the financial
        industry's model! I'm saying that when they transfer data
        "behind people's backs", they have exactly the same trouble the
        healthcare industry has in identifying people. When an industry
        actually invites people in to the process, and gathers their
        consent, and learns more about them, then the "online person" is
        a participant in the process and is the "head" of their own
        account. That gives them the beginnings of control.
        <div><br>
        </div>
        <div>(From this point, you have a technological fulcrum on which
          to place individual control in future.)</div>
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                  <p><b>Eve Maler<br>
                    </b>ForgeRock Office of the CTO | VP Innovation
                    & Emerging Technology<br>
                    Cell +1 425.345.6756 | Skype: xmlgrrl | Twitter:
                    @xmlgrrl<br>
                    Join our <a moz-do-not-send="true"
                      href="http://forgerock.org/openuma/"
                      target="_blank">ForgeRock.org OpenUMA</a>
                    community!</p>
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        <br>
        <div class="gmail_quote">On Tue, Aug 4, 2015 at 8:17 AM,
          Moehrke, John (GE Healthcare) <span dir="ltr"><<a
              moz-do-not-send="true"
              href="mailto:John.Moehrke@med.ge.com" target="_blank"><a class="moz-txt-link-abbreviated" href="mailto:John.Moehrke@med.ge.com">John.Moehrke@med.ge.com</a></a>></span>
          wrote:<br>
          <blockquote class="gmail_quote" style="margin:0 0 0
            .8ex;border-left:1px #ccc solid;padding-left:1ex">
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                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">I
                    find it very troubling when the financial industry
                    is brought up as an example that healthcare should
                    follow. From a user experience, I agree with Adrian
                    that it seems to be a well ‘consumer centric’ model.
                    The reality is that they are not consumer centric,
                    they act only by force of consumer and often with
                    payment for transaction fee.</span></p>
                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">But
                    the financial industry are dealing with fungible
                    assets that can easily be insured and they have
                    regulated maximum damages. Healthcare has NOTHING
                    close to this. Further the only reason that the
                    financial industry communicates is because they are
                    moving your  money, an asset they get to leverage
                    far beyond the kind of analytics that the healthcare
                    community is often accused  of doing (some rightly
                    so). The financial world does not communicate in any
                    way to your benefit, they are perfectly happy having
                    fragmented and non-aligned assets. Where as in
                    healthcare there is an expectation that your current
                    treatment plan is chosen based on your full medical
                    history, without any piece of information
                    misunderstood (malpractice). </span></p>
                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">This
                    said, I am not against the goal that Adrian is
                    promulgating. I am just frustrated at the overbroad
                    statements about how wonderful the financial
                    industry is.</span></p>
                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">John</span></p>
                <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
                <p class="MsoNormal"><b><span
style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span
style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">
                    Openid-specs-heart [mailto:<a moz-do-not-send="true"
href="mailto:openid-specs-heart-bounces@lists.openid.net"
                      target="_blank">openid-specs-heart-bounces@lists.openid.net</a>]
                    <b>On Behalf Of </b>Eve Maler<br>
                    <b>Sent:</b> Tuesday, August 04, 2015 10:03 AM<br>
                    <b>To:</b> Adrian Gropper</span></p>
                <div>
                  <div class="h5"><br>
                    <b>Cc:</b> <a moz-do-not-send="true"
                      href="mailto:openid-specs-heart@lists.openid.net"
                      target="_blank">openid-specs-heart@lists.openid.net</a><br>
                    <b>Subject:</b> Re: [Openid-specs-heart] Proposal
                    for reworked use case AND use case template</div>
                </div>
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                  <div class="h5">
                    <p class="MsoNormal"> </p>
                    <div>
                      <p class="MsoNormal">Adrian, your patient vs.
                        banking identity explanation was really good --
                        I'm going to steal that one. :-) Warning,
                        musings on identity and proofing below. Hope
                        they're marginally interesting/helpful.</p>
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                        <p class="MsoNormal"> </p>
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                      <div>
                        <p class="MsoNormal">In the world of marketing
                          data brokerage, they deal in heuristic data
                          about people all the time but don't have to
                          (or, maybe, even want to) precisely identify a
                          unique human being. (If you ever want to be
                          weirded out, read about Acxiom <a
                            moz-do-not-send="true"
href="https://urldefense.proofpoint.com/v2/url?u=http-3A__www.oceanoutdoor.com_site_wp-2Dcontent_uploads_ORCGuideToPersonicx.pdf&d=AwMFaQ&c=IV_clAzoPDE253xZdHuilRgztyh_RiV3wUrLrDQYWSI&r=B4hg7NQHul-cxfpT_e9Lh49ujUftqzJ6q17C2t3eI64&m=BjxAvFx8QWs4XC6iU1PL1lgMCP4YVzdBhh4vu2fWdeU&s=QtcwptaLBxuQh2WeoBs1IhxRnZzLuQe2ljx-h2VKN4A&e="
                            target="_blank">Personicx</a> psychographics
                          codes. I had someone in the field tell me she
                          looked "herself" up in the data warehouse. She
                          said, "They knew my bra size.")</p>
                      </div>
                      <div>
                        <p class="MsoNormal"> </p>
                      </div>
                      <div>
                        <p class="MsoNormal">In the world of credit data
                          brokerage, they have much the same problem as
                          the "offline patient identity" world does,
                          though with a somewhat different regulatory
                          environment. If you're in the US and you want
                          to try and look up the annual free credit
                          scores that you're entitled to by law, think
                          about the trouble you have to go through to
                          identify yourself with multiple-choice
                          questions about your past financial life.
                          Outside the US, it's even harder because
                          privacy laws limit the sources of data. As
                          demographics shift and more and more people
                          get comfortably online/mobile, identification
                          gets easier because an organization funneled
                          someone through the process once and now owns
                          the "hygiene" of that credential over time --
                          <i>everyone</i> can amortize the investment.
                          However, of course, data privacy gets more
                          challenging.</p>
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                                <p><b>Eve Maler<br>
                                  </b>ForgeRock Office of the CTO | VP
                                  Innovation & Emerging Technology<br>
                                  Cell <a moz-do-not-send="true"
                                    href="tel:%2B1%20425.345.6756"
                                    value="+14253456756" target="_blank">+1
                                    425.345.6756</a> | Skype: xmlgrrl |
                                  Twitter: @xmlgrrl<br>
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