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Google Health's Lifeline Runs Out

turing0 writes "As a former bioinformatics researcher and CTO I have some sad news to start 2012 with. Though I am sure not a surprise to the Slashdot crowd, it appears we — or our demographic — made up more than 75% of the Google Health userbase. Today marks the end of Google Health. (Also see this post for the official Google announcement and lame excuse for the reasoning behind this myopic decision.) The decision of Google to end this excellent service is a fantastic example of what can represent the downside of cloud services for individuals and enterprises. The cloud is great when and while your desired application is present — assuming it's secure and robust — but you are at the mercy of the provider for longevity." (Read more, below.) turing0 continues: "I am surprised to see Google abandoning Google Health just when we can see the benefit to personal health when micro sensors such as the Nike Plus and Jawbone's UP bracelet are entering the market. Greater amounts of personal health data can be gathered now via smartphone and then turned into valuable preventative as well as useful diagnostic medical information.

Shuttering Google Health is a surprising and short-sighted decision on Google's behalf, IMHO. Perhaps closing the Google Health service is not 'Evil' per se — but given the immense magnitude of financial resources at Google I cannot believe Google Health will make a decimal place of impact on Google's operating costs. Services like Google Health are a fantastic public relations tool as well as an amazing potential source of raw scientific data if nothing else.

In closing, it's very funny to note Google suggests Google Health users migrate GH data to the Microsoft Health Vault. Hopefully some Web service other than Health Vault will rise from the ashes of Google Health. The real benefit in terms of Google being a custodian of my health and wellness records via Google Health was that Google as a corporation is considered a trustworthy intermediary by most users and health care professionals. Now I am not so sure; perhaps it's time to re-claim my email ..."

22 of 196 comments (clear)

  1. New to me by crawforc3 · · Score: 5, Insightful

    This is the first time I've heard of Google Health.

    1. Re:New to me by imp7 · · Score: 4, Interesting

      When I was working for a pharmacy chain back in 2007/08ish, and I got to see a presentation on Google Heath at a conference. Our software provider was partnering with Google to import all your prescription information into Google Health in real time. At the time the idea of being able to have several different pharmacies, doctor offices, and hospitals put your information into a central "electronic health record" was being pushed by Obama's campaign to lower health care costs and save lives. There was money to be had.

      Of course this would be an extremely valuable service for Google, but medical industry is very powerful and clouded by federal laws. As we move forward, electronic health records are still right around the corner and someone will make all the money. I doubt there will be more then one private entity storing your data, but then again it could be like Medicare D and you have to choose from 20+ companies.

      (By the way, the presentation on Google Health was the best and most professional presentation I've ever seen. They hire pros for real.)

    2. Re:New to me by Kalriath · · Score: 3, Interesting

      Microsoft (or rather Bing) does tend to launch counters to pretty much every Google service and then proceed to refuse to close them when Google closes theirs. Translate API is another example of that.

      --
      For a site about things like basic rights, Slashdot users sure do like to censor "dissent".
  2. Re:Google needs to focus on a few products by SharkLaser · · Score: 5, Insightful

    That also means that everyone loses trust in Google's services. They just seem to cancel anything anytime they want. There was an earlier discussion about Native Client. Who's to say Google won't just drop it? Even Microsoft offers very specific end-of-lifecycle dates and they're always several years in to the future. With every version, too!

    I won't be trusting Google's services to stay up, and hence won't be using them either. I only use the ones I can afford to end randomly, like search and youtube.

  3. Tech-savvy people less valuable to Google? by Mannfred · · Score: 4, Insightful

    One way of interpreting the decision is that Google is finding it hard to make money off tech-savvy people (who probably use adblockers and can tell the difference between sponsored links and actual search results, etc).

  4. Lack of Impact by sirdude · · Score: 4, Insightful
    Quoting http://googleblog.blogspot.com/2011/06/update-on-google-health-and-google.html :

    In the end, while we weren’t able to create the impact we wanted with Google Health, we hope it has raised the visibility of the role of the empowered consumer in their own care.

    Considering the fact that I - somebody who in many ways spends more time on the Internet than off it - have not heard about this interesting service until today, I seriously doubt that the problem is that there haven't been enough takers. Yes, it sounds a touch megalomaniacal. But my conclusion is that Google has simply just not raised awareness about this product. With the amount of faeces being thrown all over the interwebz for other products such as Google Plus, I dare say that a small fraction of the resources expended could have saved initiatives such as Google Health from flatlining ...

    1. Re:Lack of Impact by stephanruby · · Score: 3, Interesting

      I seriously doubt that the problem is that there haven't been enough takers. Yes, it sounds a touch megalomaniacal. But my conclusion is that Google has simply just not raised awareness about this product.

      As a former user of the service, I'm actually not that surprised.

      Out of all the health services I was personally using, the only service that reliably plugged into it was my Walgreens pharmacy. Of course, my doctor could have used it himself, but I didn't even ask. Ever since I've migrated to the US from France, I've given up asking non-French doctors to fill out my medical blue book (my medical blue book contains all the medical records I've had since I was a baby, I do not know if they still use it in France now, but I love having all my medical information summarized and centralized in one thing that I actually have control over).

      For me Google Health was just like a big empty spreadsheet that I needed to fill out manually (except for my medication information which could get automatically imported from my pharmacy). I just didn't see any immediate pay off in taking the time of entering that data in it. May be, if I ever have a kid, it might be cool to start keeping something like that from the very first day of his birth (or even sooner, by recording the prenatal care the mother is given), to later give it to him for his information, but for me personally, it just isn't worth it unless my insurance or my doctor's office started participating in it as well (otherwise, I'd just end up duplicating a lot of information manually without a real reason for it otherwise, or just start using something like Excel/Google Docs instead).

  5. There is no good substitute by alfrin · · Score: 3, Interesting

    I've been an avid user of Google Health for a couple years now. Since the decision to end the service was announced, I've attempted numerous times to find some sense of replacement from HealthVault. HealthVault is a great service, but its hardly equivalent. For instance, HealthVault is merely a storage system for your raw data, and to view it or continue to keep track of it, you have to utilize other services (such as through the Mayo Clinic) with which HV interfaces to manage. It has a lot of possibility, in that you can utilize many specialized services from many different places, however it fails at keeping the experience seemless. You always know that you are leaving to a new site, and often times go through redundant logins and registrations.

    Google Health however kept everything restricted to a couple pages. Your blood pressure measurements, weights and other vitals were displayed in concise graphs The greatest strength of Google Health was its stripped down visuals and your ability to create your own trackers for virtually any metric. I used it to keep track of my migraine headaches in hopes of finding a trend which would reveal possible triggers. Some of the services, such as the Mayo Clinic's personal health manager, which use HealthVault offer similar customization, but they are very stripped down, the interfaces are clunky and, once again, it takes an annoying amount of log-in's and desperate clicking to get into the service.

    I wish Google would just release the source, so that someone else could construct their own version. I for one would. I loved it.

  6. Re:Hippa by markdavis · · Score: 4, Informative

    It is "HIPAA", not "HIPPA", and yes it most certainly DOES apply to information you give to a company :)

    http://en.wikipedia.org/wiki/Protected_health_information

  7. Re:Google needs to focus on a few products by Animats · · Score: 5, Insightful

    Even Microsoft offers very specific end-of-lifecycle dates and they're always several years in to the future. With every version, too!

    With Microsoft, you're the customer. With Google, you're the product.

  8. Re:Google needs to focus on a few products by 93+Escort+Wagon · · Score: 5, Insightful

    That also means that everyone loses trust in Google's free services.

    There, fixed that for you.

    Seriously - did turing0 like this "excellent" service enough to be willing to pay for it? If so, did he ever write Google and suggest it move to a for-fee model? After all, we had quite a bit of warning this was going to happen.

    Reading the rest of turing0's post, though... it's obvious what he wants is for Google to continue to provide this service at no cost to himself - "given the immense magnitude of financial resources at Google I cannot believe Google Health will make a decimal place of impact on Google's operating costs."

    Heck, I'd be irritated if Google decided to discontinue Gmail - but I'd recognize it's their right to do so, given I'm not paying a dime for it (directly, anyway - and I don't believe Google Health could be contextual-ad-supported in the same way, what with FIPAA and all).

    --
    #DeleteChrome
  9. Why Cloud Services are Not Recommended by Jane+Q.+Public · · Score: 4, Insightful

    Seriously. I never recommend to my customers that they rely on "cloud services". In the last year or so, even Amazon and other services have gone down, taking innumerable websites offline for unpredictable amounts of time.

    Just recently, an Amazon server went down, and a customer was notified that their site was down and that they had 48 hours to save the site or it would be gone... and they received the notice about 24 hours after that 48 hours had already expired.

    Other people I know have had other, similar experiences.

    My advice to customers is: DO NOT make your business dependent on the performance of "services" over which your have no control. You are putting all your eggs in someone else's basket, and that's just plain a Bad Idea. And that includes everything from depending on Google Apps to sites on EC2.

    I'll pass, thanks very much.

  10. Personal Health Records by kuhneng · · Score: 4, Insightful

    Google Health and Microsoft HealthVault's personal health records (PHRs) are well known in health IT circles, but even among the health IT and healthcare informatics professionals I work with, uptake has been very shallow. There have been connected PHR-enabled sensors available for weight, blood pressure, blood glucose, and many other biometrics for some time, but again, very little interest in flowing this data into stand alone PHRs.

    Stand alone PHRs aren't the only way to facilitate doctor-patient interaction. Many leading electronic medical records systems (EMRs) offer integrated personal health records - the disadvantage being that these records only show the data from one provider or health care system. Health Information Exchanges (HIEs) are rapidly springing up across the country to facilitate provider to provider data integration and provide a compelling model for direct patient participation in their care.

    Personally, I've tracked these services for years but I've never bothered to create an account. Entering my information manually is tedious, and the standards and integration between EMRs and stand-along PHRs is emerging at best. If I had a fully populated PHR, it's not clear what value I'd really get out of it. My main provider already has most of my information and can source information directly from other practices when needed. Doctors are culturally suspicious of patient submitted data, as they have concerns about amateur self-diagnosis and drug-seeking patients.

    The way Google is winding this down increases my trust in their other services. Google announced their plan to shutter Google Health a year and a half before the final shutdown date. They're offering multiple data export and migration options, including instructions and support to migrate to their largest competitor, HealthVault. I've had significantly worse experiences with migration / upgrade of many paid services / software - I'm looking at you Intuit.

    1. Re:Personal Health Records by Treffster · · Score: 3, Informative

      I am a full-time software engineer working in Health IT, specialising in in-hospital cross-system integration. Our business is accepting the data feeds from lab systems, radiology systems, ED information systems, and patient administration systems, and then present the results as a cohesive single health record.

      Well, you'd think standards and compliance would make it easy, but that assumes when people say they meet the standard... they ACTUALLY meet the standard. Format is one thing, but ensuring correct sequence and field validation is something else entirely. Unlike HTTP and the internet, in health there are no business drivers for integration compliance.

      On the contrary - large companies (like Cerner) who can offer an "all-in-one-integrated-solution" benefit from the lack of conformance. The real obstacle is not setting up trusted health vaults, that's the easy part. The difficulty is populating it with live information, from live systems, with full trust.

      Of course, that's before you mention terminology. Does a haemoglobin result mean the same thing from two different lab systems? How about normal ranges? Blood glucose or urine glucose? Presenting complaint vs discharge diagnosis? I'm not trying to be overly pessimistic, but this is a much more difficult problem than simply sticking up a database somewhere.

  11. Re:Google needs to focus on a few products by Animats · · Score: 5, Informative

    Google isn't selling people.

    Microsoft makes most of their money selling things for which end users, be they businesses or individuals, pay real money. Microsoft Office, Xbox, stuff like that. Their customers are their users. Microsoft's aggressive activity is generally aimed at competitors.

    Google sells ads, and information about and access to their users. Google's customers are almost entirely (94% of revenue) advertisers. Google's aggressive activity is aimed at their users. When Microsoft got into serious legal trouble, it was over their behavior towards competitors. When Google got into serious legal trouble, it was about their behavior towards users. See the DOJ non-prosecution agreement in the pharmacy case.

  12. No More Innovation at Google ! by eulernet · · Score: 5, Interesting

    I'm surprised that nobody noticed it: Google is stopping all its future innovations, and concentrate on short-term revenues, which is a decision from their CEO, not by the cost of maintaining the current tools (it's a very small cost).

    Something similar happened in 2000 with the 3M company, when James McNerney from GE became the new CEO.
    http://www.businessweek.com/magazine/content/07_24/b4038406.htm
    In 5 years, 3M, which was ranked as the most innovative company in the world, fell at the 7th place.
    This year, 3M disappeared from the 50 most innovative companies, check here:
    http://www.businessweek.com/interactive_reports/innovative_companies_2010.html

    McNerney focused on using Six Sigma, and improving productivity.
    3M, based on a culture of innovation since 100 years, had its internal culture almost destroyed in only 5 years.

    The inventor of post-it said that it would have been impossible that the "post-it" concept would have been successful using the new method.

    In my opinion, it's a very short-sighted decision, as you can see with Microsoft and IBM, which invest a lot of money in innovation.
    It's impossible to predict what will work in a few years, and I doubt that the current monopoly of Google on Internet ads will long very last.

    Now, let me give a prediction:
    currently, Apple and Google are ranked 1st and 2nd as the most innovative companies.
    I bet that in 2 years, they won't be in the top 10 anymore.

    1. Re:No More Innovation at Google ! by eulernet · · Score: 3, Insightful

      No, it's not because of capitalism, since IBM and Microsoft are probably even more capitalist than Google or Apple.
      It's a human decision.
      Do you focus on your next quarter, or do you see farther ?

      Google encouraged its employees to work 20% of their time on innovation. Now, I'm sure that this is no more the case.

      Google is taking the easiest route, and when you stop taking risks, you don't create anymore.
      The option "let's cut all useless expenses" is necessary only when you are in big financial trouble, otherwise, it's just plainly stupid.

      Let's see how the stock market will respond now.

  13. hoarded by r00t · · Score: 4, Interesting

    records are hoarded by doctors, pharmacies, hospitals

    It's offensive how this works. Take my X-rays for example. My surgeon sent me some place to get them done. He's the one with a clue; they just take pictures. Despite this, they insist on having me wait for some on-staff radiologist to "interpret" the X-rays. They claim state law requires this. (if so, surely because they lobbied for it) Then I'm not allowed to truly own the images, physically or by copyright, and neither is my surgeon. (again by state law, which they surely lobbied for) I'm allowed to borrow the X-rays, taking them to my surgeon so he can see them. I'm sternly warned that I'm violating some law if I don't bring them back. WTF, is somebody covering the storage costs? Fortunately I didn't see a due date, so I'm still "borrowing" my own damn X-rays a decade later and I don't remember who the "owner" is. If I had foolishly been a good boy and returned them, I'd currently have no possible way to access them. The X-rays would be gone, preventing future surgeons from being able to compare them with newer X-rays or being able to make an initial guess before ordering new X-rays.

    The same goes for the dentist. IMHO, it's a racket to encourage repeat business. Come back to us, or you suffer extra X-ray exposure and it won't even be covered by your insurance.

    1. Re:hoarded by Grishnakh · · Score: 3, Informative

      That's weird. I live in AZ, and I recently had a CT scan done. They gave me a CD-R of all the images before I walked out the door, and I loaned that to my surgeon to take a look at (along with the radiologist report). I still have the disc, so I'm the "owner" of the images.

      As for my dentist, we'll see when I move out of state if my dentist will transfer my records to my new dentist. He's a pretty nice guy and I suspect he will, but I don't know for sure yet.

      It does help, however, to check out your doctors before doing any business with them. Look them up on Google Maps and see if there's any reviews written about them. Shy away from anyone with negative reviews. Before seeing my current surgeon, I had a visit with a competing one, and what a jerk he was, and his office staff was utterly incompetent, mixing up my records with some other patients' (one bimbo said this was a recurring problem for them). I canceled all future visits and found my present surgeon who's great, but I looked up the first one and found a bunch of bad reviews complaining about the office staff etc. I added my own too.

    2. Re:hoarded by GNious · · Score: 3, Interesting

      records are hoarded by doctors, pharmacies, hospitals

      It's offensive how this works. Take my X-rays for example. My surgeon sent me some place to get them done. He's the one with a clue; they just take pictures. Despite this, they insist on having me wait for some on-staff radiologist to "interpret" the X-rays. They claim state law requires this.

      I had xrays done, and the on-site radiologist discovered the cracked vertebrae immediately and got me rushed to get an MRI which showed the problem in more detail. If they've simply punted it to the doctor, it would have been hours (and likely end-of-business-come-again-tomorrow) before the doctor would have seen them.

      Since then, I had my hand xray'd following a fracture - there the radiologist wasn't so much checking for the fracture (I told them up front about that one), but to verify the quality of the pictures before they are given to the doctor.

  14. Re:Google needs to focus on a few products by Kalriath · · Score: 4, Insightful

    No, you're wrong there. Google sells access (for advertisers) to an extremely large pool of people whom use Google services. Google does not sell anything to that pool of people. While it might be slightly disingenuous to say that the pool of people is the product, they most certainly are not the customers.

    --
    For a site about things like basic rights, Slashdot users sure do like to censor "dissent".
  15. Re:Google's lack of focus by LordLimecat · · Score: 4, Insightful

    Had you actually heard about Google Health before today? Be honest.

    And if you had, what would your level of interest be in handing over your health records to google?

    Thats why this cancellation is really not any surprise at all.