What Medical Tests Should Teach Us About the NSA Surveillance Program
First time accepted submitter Davak writes "In many ways finding the small amount of terrorists within the United States is like screening a population of people for a rare disease. A physician explains why collecting excessive data is actually dangerous. Each time a test is run, the number of people incorrectly identified quickly dwarfs the correct matches. Just like in medicine, being incorrectly labelled has serious consequences."
You, sir, are a nutjob.
Dave Barnes 9 breweries within walking distance of my house
So you have no test and just let the virus spread? You will end up with an epidemic. If there are better followup tests and second opinions in order to determine who is sick, then that is the way to do it. Just telling everyone, including those who are violent, what you are doing so they can get around the tests won't help anything. There will be plenty more false positives now once people who are seen as avoiding the system seem guilty of something and need to be followedup on...
Violent extremism is a ideological disease that spreads in the same way as a infection through society.
the NSA is not concerned about infringing on people's rights and civil liberties. if we are going with medical analogies, i think the NSA would rather amputate than treat an infection.
Anons need not reply. Questions end with a question mark.
After glancing over the summary, I'm fine with doctors are experimenting on terrorist dwarves.
It could be the "blue screen of death" or "Abend"?
How do you find out what went wrong? You look at all the activity that led up to the event. That is why you log events, why you save memory.
The is a lot more to saving information than predicting events.
If saving this information is a good idea is a political question.
That the NSA is not specifically looking for terrorists, although that is the convenient excuse. They are looking for all sorts of things, and that is why they are collecting everything. They are listening in on foreign diplomats to see what they are up to, they are eavesdropping on foreign corporations to give US companies an advantage in trade deals, they are digging up dirt on political enemies and protesters, and they are checking up on reporters to help keep them in line, and they are especially looking for whistle blowers who might throw some light on what they are doing with our tax dollars. All of these activities have been reported, so it doesn't take much imagination to realize they are collecting everything they can on purpose and for numerous reasons, most of which are not to the benefit of the American people. If the intention was to help the American people, they would be putting all that computing power into bioinformatics to cure cancer and other diseases that kill half a million Americans a year.
A brain is a terrible thing to waste... Mind? That's debatable.
Truth and innocence are the first casualties of any conflict. The real truth, is that the government should fear its people, not the other way around. Government should nurture the population and not herd them to slaughter. When you use fear and sanctions against the people, a time will come when the people have nothing left to lose and nothing left to fear, this is when the people become the most dangerous.
The mind conceives, the body achieves, the spirit manifests.
No, because the point is that the false positive results lead to more invasive tests (which in themselves may do harm), over-interpretation of other physical signs, worry etc.. The parallel with terrorism is that people end up on no-fly lists, get invasively searched and questioned, might get turned down for jobs or credit etc.. The uselessness of screening tests for low prevalence diseases is well known in the medical world, which is why tests need to be targeted to a high-risk population to have any value.
Correctly done, Medical testing is made more accurate by gathering additional data.
Basic tests are generally inexpensive but have a pretty high false positive rate. The key here is to have a very low false negative rate first and then minimize the false positive rate with additional tests.
If a positive result is obtained additional data is gathered using different tests aimed at eliminating the false positives. This additional testing is often more invasive and expensive, however it drastically reduces the number of false positives.
The premise this article is based on is just repeating the initial screening over and over. That's not what happens.
Surely you jest... Curing cancer would be a financial disaster that would kill the US financial system. The actuarials are built on an 80 year life span average, now extend that to 120 + years and see what happens to the investment funds that back insurance and retirement plans. A stock market dive.
The databases become a nice preexisting conditions and Recissions list.
If only I had mod points to give... thanks.
As your elected representative let me enlighten you as to why you voted for me rather than the other guy:
* I made good, powerful speaches. I went to some classes to help with this, it is more important that I dress in a good suit and have a strong voice than what I say makes sense.
* I avoided checking facts when making opinions. If you know the facts you realise that things are not black & white, but to express that makes people think that you are a ditherer, that you don't know what you stand for. Who wants a politician who, when asked a question instead of saying ''yes'' or ''no'' says something long and boring that starts with ''It depends'' ?
* Most of you don't look at the facts, you work on gut feeling and gross extrapolation. You remember that story in the local press last week about the thief from out of town who had green eyes, blond hair and a limp ? Yes: you are quite right to know that everyone from out of town with blond hair & a limp is a good for nothing crook and we don't want people like that round here!
* You people just want to be safe. You don't care what happens to out of townies, how hard we make it for them; or even foreigners -- some of who have a skin of a funny colour. They just don't matter!
* You don't really know what safe means, but are happy if you can still watch TV and drink beer when supporting your team. My predecessor did not do anything to make you realise that you can do something else, neither will I --so you will vote for me next time.
* In order to get on the short list for election I had to sign up to what the party says. They won't listen to a newbie like me, if I ask questions there are plenty of others to choose from who do what the party bosses say.
* Do you know how much I got in ''research grants'' and travel ''expences'' from the large corpotations? To say nothing about my fee for 2 days work a year as a consultant. I must not upset them by saying something that upsets them. All that money buys a lot of publicity as well as letting me buy that new yacht..
* I have a good friend who knows people, (I don't want to know why they are), but I got warnings of the other guy's plans and it was mighty useful when his campaign manager was caught in bed with that young ... that no one had seen before
So you see, I would be really silly if I upset the status quo and made you think for yourself.
You're also missing a much bigger problem with his choice. When you collect data on a disease, the disease doesn't take steps to avoid being in the data. It's not a sentient being like terrorists. The terrorists aren't in the dataset he's collecting, because he's collecting the low hanging fruit in the easy to process data formats.
General Alexander decided simply to store it all, and so that is what happened. Terrorism is just the excuse. IT WAS NEVER HIS CHOICE TO MAKE. He was never given the power to flip a political system from 'innocent by default' to 'suspect-of-terrorism' by default. I don't believe the FISA court had that power even. It was a political decision that needed a change of constitution. A political decision that never happened because what he's doing is not legal within the constitution and nobody has the balls to fire him.
I think you need a president who will restore the constitution, and that ain't Obama. He doesn't even seem to be in charge at this point, just some sort of PA who makes the phone calls.
No, you want a President to fix things? Vote Snowden 2016.
Whether excessive medical tests or excessive surveillance, the minions happily promote it to ensure their job security. If the patient or the society suffers, well, that's okay. Perhaps a bit regrettable, but okay.
Ultimately, a society that strenuously promotes competition also engenders a mercenary attitude. So, you see, the excesses of Wall Street are not that far removed from the excesses of the NSA, or Microsoft, to pick but a very few examples.
"Each time a test is run, the number of people incorrectly identified quickly dwarfs the correct matches"
This is simply not true as a universal statement. It is only true if the false positive rate of a test exceeds the true positive rate. While screening tests are selected for their high sensitivity and may suffer from lower specificity and therefore higher false positive rates, no one is labeled as having a condition until a confirmatory test with higher specificity is positive. I can't speak to how terrorists are labeled, but please don't drag medicine down into that morass.
Where's the "-1: conspiracy theorist" option?
This is a pretty classic statistics problem called the base rate fallacy. I've seen it come up pretty often when doing Bayes theorem exercises. Bruce Schneier pointed out the pitfalls of data mining back when the Bush Administration was pushing the Total Information Awareness program:
http://www.schneier.com/blog/archives/2006/03/data_mining_for.html
Of course more data makes it more likely that they'll catch more terrorists. The question is if that is worth it. If nothing else, they will have a large amount of information about a newly discovered terrorist immediately already on file, so they can instantly track down any co-conspirators who might think they can't be found and who are planning something nefarious.
Data-mining should also be valuable. If they investigate 10 000 people per year, then more information used properly will increase the probability that terrorists will actually be among those 10.000 people. The flaw in the analogy is that the doctor here is assuming that everything mildly suspicious will be investigated, as with medical matters, but the capacity for investigation is independent of the amount of information. All that will happen with more information is that the selection of who to investigate will be better.
This NSA overreach and spying is terrible for the country because, but that's mainly because of the possibility of misuse of the data and the international repercussions. The issue pointed out in this story isn't really an issue at all in this context. Criminal investigations are not done the same way as medical decisions, mainly because the criminals who go free will not sue the police department if they are guilty but not investigated. Huge difference.
And this in itself will create more "terrorist" because some of the people who end up on a no-fly list, lose their job and credit, wife and kids probably too; will be pretty mad and decide to do crazy things. Then more surveillance is needed and more control. The more control the more people will become "terrorists" true or not and repeat until either the terrorists on one side win or the other terrorists.
Haven't people seen enough science fiction movies by now to realize everyone is a terrorist if you push them hard enough.
https://en.wikiquote.org/wiki/WarGames
Joshua/WOPR: Greetings, Professor Falken.
Stephen Falken: Hello, Joshua.
Joshua/WOPR: A strange game. The only winning move is not to play. How about a nice game of chess?
Here's another doctor who made the same argument about testing for illegal drugs. Be sure to catch the distinction between screening tests and diagnostic tests.
http://www.kevinmd.com/blog/2013/07/drug-testing-considered-screening-tests.html
Should drug testing be considered screening tests?
Chris Rangel, MD | Conditions | July 12, 2013
However, the possibility of a false positive drug screen and the need for further testing and evaluation is rarely considered outside the context of clinical practice. Employers, school administrators, government agencies, and law enforcement can and do consider a positive drug test to be perfectly equivalent to an admission of illicit drug use. This frequently results in the administration of some form of punishment or corrective action being delivered without giving the accused the right to defend themselves in any way. Essentially, drug testing is an effective way to violate a person’s right to due process since most drug screening is managed by lay people in non-clinical roles who believe that drug testing is 100% reliable. But this would be the same absurdity as giving chemotherapy to the smoker with the abnormal chest x-ray without first trying to verify the diagnosis with further evaluation (due process).
The other problem comes from the mass drug testing of large numbers of people (either random or at the initial point of contact). The interpretation of the results of a medical test are never as simple as positive or negative. The statistical probability of a false positive or a false negative result must be considered in concert with the pretest probability....
Yes, specially with the revealings of the recent weeks, it is impossible to think about any other wrong doing of governments and spying agencies (i.e. conspiracies).
Both for false positives and ineffective treatments: http://www.drmcdougall.com/misc/2005nl/july/050700physical.htm ... ..."
" The annual physical exam is an intensive, well-orchestrated, experience designed to make apparently well people, sick (with good intentions). You walk into the doctor's office as George or Francine and you leave as a breast cancer, prostate cancer or heart-disease victim. The initial exams commonly lead to more tests â" some of which are painful, disfiguring, and dangerous, such as mammograms, breast/prostate biopsies, colonoscopies, and angiograms. Ultimately, the costs of all this meddling can make you homeless and take away your life savings.
The annual physical is supposed to be a means of prolonging your life â" and it could have been, except for the fact that the treatments that follow the initial exam are at best useless, and at worst, dangerous. Let me give you two fundamental reasons why the annual physical is doomed to failure, and because of lack of real life benefits all major health organizations have recommended against it:
The goal of every patient should be to remain out of the health care system. This is accomplished by staying healthy. This highly desirable state is not simply a matter of good luck, but rather a result of your behaviors; more specifically, following a low fat, plant-food based diet, getting moderate exercise and having clean habits.
However, note that such advice is also in the context of teaching people how to avoid most disease through better nutrition.
"3 Biggest Mistakes People Make in Their Diets - Dr. John McDougall"
http://www.youtube.com/watch?v=OF7Uanr-lYA
See also on why we don't change because we're invested in a belief system (cognitive dissonance):
"Mistakes Were Made (But Not by Me): Why We Justify Foolish Beliefs, Bad Decisions, and Hurtful Acts"
http://www.amazon.com/Mistakes-Were-Made-But-Not/dp/0151010986
A 21st century issue: the irony of technologies of abundance in the hands of those still thinking in terms of scarcity.
If you want a medical to NSA the analogy would be they test someone and they have a sexual transmitted disease and it shows positive. The person says I had sex with person X so the medical team says we need to check with person X and see if they actually had sex with the person and if they did if they got the disease. If so then person X needs to be handled as required.
Maybe it should be "+1 conspiracy theorist"
I've had my fun at the expense of foil hatters in my day, but recently I kinda wonder.
What changed under Obama? Nothing Good
The NSA is full of really smart people. There is not much we can come up with here they haven't thought of. The problem is that they are not being evaluated by how many attacks they stop (see the Boston bombings). They get measured by how active and busy they look.
Political ignoramuses consider a short, narrow targeted no-fly list a failure (picture Bush Jr in the oval office: "you've only found 100 people after I gave you 10Gigadollars???") while they are very impressed with a 100K long no-fly list ("you are catching so many of them! good job! here's another 3Gbucks").
Thanks!
I use the exact same analogy now for over 10 years. Does anybody listen? No.
When you weaponize computers everything could look as a disease. Running a trojan (or worse, removing a software that is a government trojan), receiving spam message, doing a "funny comment", or just someone else playing social engineering could put you in the enemy of the state list. The fake version of the disease is the one viral, not the disease per se (even if the government is trying very hard to have sick people to justify what they are doing)
In medical terms, what is being perpetrated is creating a new disease, forbidding doctors to make a vaccine, intentionally release in all the world, and asking foreigners to not bring that disease here, because we won't develop any cure even if we want because that cure could be used elsewhere.
Unless they are terminally stupid, they do not. Surveillance does not actually help against terrorism, and the NSA does know that very well. Terrorism is just a convenient pretext (i.e. lie) to justify the surveillance. What they are really interested in is profiling every person they can get data on and identify dissenters, independent thinkers, etc. as these can threaten a police state, as the US is more and more becoming.
What they are overlooking is that this is extremely dangerous. Just have one president go off the deep end, and the US will make Nazi Germany look tame. All the surveillance and population control mechanisms are already in place. The police is already used to shoot citizens as a matter of routine. Prisons are in ample supply. The only thing missing is the madman at the top. It will be just a question of time before that one is found.
Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
When doctors say it's bad to collect too much information, they're talking about medicine not liability. Liability determines the motivations, and tells us how both doctors and the NSA will act:
If Doctors or the NSA don't identify someone: Major liability (although doctors only have to ID patients they encounter, not everyone in the general population)
If Doctors or the NSA have false positives: No liability (because it was an honest mistake, by people doing their best)
If Doctors or the NSA don't treat/investigate someone who's identified: Major liability
If Doctors or the NSA treat/investigate someone correctly: No liability (even if the patient dies or the person becomes a terrorist)
If Doctors or the NSA are negligent when treating/investigating: Major liability (NB: negligence is NOT determined by outcome, but by professional standards)
When politicians hold agency witch-hunts after disasters they make the liability unlimited, and we get the NSA breaking laws (even the constitution!) to adjust.
tomorrow who's gonna fuss
They're not concerned about any rules at all since they have enough loopholes to do whatever they like, down to largely making their own rules. But they're not in the business of treating anything.
The NSA will take a picture, possibly put it on the (secret, internal) wall as an interesting example, maybe push a copy to some analyst who may or may not shove it on through to someone in some other agency to eventually take a look at, and move on to the next thing to take a picture of. Just in case someone somewhere might want to look at pictures of interesting medical cases later. They do have the most extensive collection of medical pr0n on the planet, only it's secret. Useful, no?
Did Steve Ballmer write "people incorrectly identified quickly dwarfs"? While this phrase may be part of a coherent sentence, groaners like this don't pass the eyeball test. Why not use simple, direct wording?
"Each time a test is run, significantly more people are incorrectly identified than are correctly matched." - doesn't use more words or take up more space, but does not have the groaner.
"Avoid Doctors to Protect Your Health!" http://www.youtube.com/watch?v=ahELa5oYrkM
To be clear, at the link in my previous post there are a few specific tests McDougall suggests for early cancer detection (including visual exams of the skin for melanoma).
A 21st century issue: the irony of technologies of abundance in the hands of those still thinking in terms of scarcity.
So this doctor really refuses to do a test if the false positive rate would be high? The right thing to do when a test comes out positive is to do a second test. The reason why you do the less acurate test first is that it's less expensive and/or less risky, so even if it produces some false positives, it still greatly reduces the number of individuals to undergo the second test that is more expensive or intrusive. The decision what second step to take is still the patient's and the doctor's responsibility. There is no automatism. The more data this decision is based on, the better.
I can't believe this guy thinks complete ignorance is better than some knowledge. Isn't M.D. a scientific degree? What scientist would say: "If the outcome won't give me 100% certainty I'd rather not do this experiment at all"?
Having said that, the analogy with governments spying on people is totally flawed. A medical test is a privacy concern, but the patient consents to being tested, and the test result is (should be) confidential. Government spying is done without the knowledge or consent of the person targetted, and without consent of the so-called sovereign, the people. If there weren't some people with a conscience inside the apparatus, we wouldn't even know about it. The analogy should be: Don't test me without my consent : Don't spy on me.
When Law Enforcement sits on its ass and reads a screen, few things are more useful.
Obviously seems that it would be harder to find a needle in a haystack if you make the haystack larger......
But then again this is almost certainly backed up with some high powererd filtering algorithms that eliminate most of the hay immediately..... so maybe the analogy isn't as appropriate as it seems due to the existence of, you know, fast data processing.
Me, I guess some fairly crude URL list based and keyword based stuff, backed up with some strong human intelligence which is quite successful in identifying the really risky idiots out there is what's really at the heart of all this.
Therefore you can leave your tinfoil hat off when visiting hilariouscatvideos.com - their budgets do not really stretch to employing tens of thousands of staff to monitor most stuff in the detail many people imagine.
Having said all that, you might have just flagged yourself onto the "idiot" scoreboard by doing so, and who knows what consequences that might have the next time someone with access to it leaves their laptop on a train?
the conspiracy nutjobs are suggesting that there is some sort of useful policy in blowing up innocent people. That requires some serious extraordinary proof.
Abdulrahman al-Awlaki
TFA has some merits, but also some limits, as some medical test are quite reliable. For instance, I do not see how we are going to make fake positive by screening vitamin D levels.
"The NSA" would not "rather" do anything, because "the NSA" doesn't make up missions for itself
The purpose of NSA (and any other government dept.) is to perpetuate itself. So if some politicians want NSA to "catch terrists", they will "catch terrists". Their real existence does not matter.
Back in the days of KGB, politicians in Soviet Union were always telling them to "catch spies". It did not matter that there were no spies to catch. But the KGB did catch spies in their internal security division. You know, local informants saying that their estranged neighbor or whatever was a spy, etc. etc. But numbers are numbers.
Another case would be Florida police force and war on drugs. They catch the "little guys" (users). They they make a deal with the little guys that if they snitch on dealers, and others, they will get reduced sentences. Since users and other small timers don't really know anyone except other drug addicts, they end up just snitching on other users. The police get more arrests. They look good. The little guys go in jail for a long time. Rehabilitation - none.
http://www.bbc.co.uk/news/magazine-21939453
So, as long as NSA provides names to the list(s), they remain relevant. They remain the "doers" and the money keeps flowing. Hell, they even got the late Sen. Kennedy on the list and that was OK.
http://www.washingtonpost.com/wp-dyn/articles/A17073-2004Aug19.html
I had the good fortune to run across Bayes Theorem (Not by name) in an article about misdiagnosing problems in Discover magazine back in the 80's, and for some reason filed the factoid away as 'Oh, this is *important* and is going to apply to a lot of things' and have never forgotten it.
The fundamental takeaway for me is "It doesn't *matter* how accurate your test is - what matters is how accurate it is compared to how rare the condition you're looking for is.". Random drug tests, random highway stops, the instant you are doing anything that force a 99% accurate test on a population that might only be 1% guilty, you should be fined for a violation of Bayesian logic.
It is one of those universally applicable truths, and we need to hammer it into the brain of every teenager before the get out of High school.
Pug
An Invisible Entity of Vast Power whose existence must be taken on faith alone: Liberal Media
You know, when people talk about who was warned about what, they completely forget the sharpshooter falacy. Warn everyone about everyone, then when some one does some one thing you can say "you were warned" because, in the huge pile of everything-squared you can find that nedle in the nedle-stack.
Now all the people who pointed at the nedle demand a bigger nedle-stack full of smaller and smaller nedles.
More signal. But more noise. And more noise per each increment in signal.
And more blame to go around.
There was a song, it has a point. "You have to hold-on loosly but don't let go". There was a movie, and it has a point "the more you tighten your grip the more systems will slip through your fingers." It's like there are all these old aphorisms and they came about for having truth within them. The truth of moderation.
More isn't better, it likely never was.
Innocent people shouldn't be forced to pay for inferior software development.
--"Code Complete" Microsoft Press
I would counter that no one in their right mind is 100% certain that no false flag operation have been done. The question is not whether there is some sort of "useful" policy, or even whether aq givengiven operation is a false flag op, but whether false flag operations serve the ends of people with the capacity to make them happen, and given recent and not so recent historical events its even more irrational to suggest or imply that no publicscrutiny should be made as to whether false flag operationsw have been run.