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Chicago thinks Zocdoc can help solve its vaccine chaos

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Chicago thinks Zocdoc can help solve its vaccine chaos


During the first week of February, a winter storm blew through Chicago, leaving piles of snow before subzero temperatures set in. Eve Bloomgarden, an endocrinologist at Northwestern Memorial Hospital, got a call from a worried patient who was scheduled to receive a covid-19 vaccine that week. She was preparing to brave the weather—and drive for the first time since the start of the pandemic—because she was concerned that this would be her only chance to get a shot.

“I’m seeing immense frustration and fear that they’re going to be left behind,” Bloomgarden says. 

Chicago, like many parts of the US, has found the distribution of covid-19 vaccines slower than anyone hoped. Just 6% of the city’s 2.7 million residents have been vaccinated so far, and people have said the process is “like the Hunger Games,” requiring them to stay up late to refresh multiple websites in the hope that an open slot will pop up. Making things worse, official sign-up websites are clunky and hard to navigate. 

In early February, the Department of Public Health announced a plan to help ease some of those technical problems: a partnership with Zocdoc, the popular online health-care scheduling company. Zocdoc is acting as a unified portal for multiple providers, so that people can sign up with a single, more user-friendly tool rather than wrestle with several different systems at once. While Chicago is the first city to make this specific agreement with Zocdoc, other health agencies are launching similar partnerships with private startups.

Before the pandemic, Zocdoc acted as a one-stop shop where patients could check out different doctors, compare medical providers, and make appointments. The company’s CEO, Oliver Kharraz, says the years spent bridging a fragmented health-care system unknowingly prepared it for taking on covid-19 vaccination appointments. After the idea was tested with the Mount Sinai Health System in New York, Zocdoc says, Chicago reached out about a partnership—and the system was up and running within a few weeks. Zocdoc connects with 1,400 different scheduling systems: doctors’ workflows remain unchanged, but patients all see the same simple interface no matter which provider they’re using.

“If you’re not plugged into the right system, then how are you going to get access?”

“You don’t have to register 10 times, and you know when the next available shot is for you,” Kharraz says.

Bloomgarden, the doctor at Northwestern Memorial, says the new Zocdoc tool will be a “great addition” to Chicago’s vaccine drive, but that it addresses only one of the issues with the rollout. After all, it’s still a version of the same first-come, first-served approach, which means it’s not solving the most critical problem: vaccines aren’t reaching the people who need them most.

Christina Anderson, deputy commissioner of the Chicago Department of Public Health and chief of operations for covid-19 response, says that while Zocdoc may not be the solution needed to reach and vaccinate elderly Chicagoans, it has the potential to help others who are struggling to get vaccinated, such as those without a primary care provider. 

But Bloomgarden says truly making vaccines accessible will require targeted outreach—much of it offline.

Who you know matters

Local and federal officials in the US seem to be coming to the same conclusion. On February 9, President Joe Biden announced a new program that will provide vaccines directly to community health centers serving 30 million people across the US, two-thirds of whom are at or below the federal poverty line. Federally qualified community health centers receive federal funding to provide care to underserved populations.

Keon L. Gilbert, an associate professor in behavioral science and health education at Saint Louis University, says the approaches to serving particularly vulnerable populations have varied widely from state to state. Some states have moved adults over 65 up the priority list regardless of their other risk factors. Other strategies have come up against obstacles: when Dallas attempted to prioritize vaccinations for eligible people living in hard-hit zip codes—who tend to be people of color—the state threatened to reduce the county’s allotment of doses. 

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A bot that watched 70,000 hours of Minecraft could unlock AI’s next big thing

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A bot that watched 70,000 hours of Minecraft could unlock AI’s next big thing


The researchers claim that their approach could be used to train AI to carry out other tasks. To begin with, it could be used to for bots that use a keyboard and mouse to navigate websites, book flights or buy groceries online. But in theory it could be used to train robots to carry out physical, real-world tasks by copying first-person video of people doing those things. “It’s plausible,” says Stone.

Matthew Gudzial at the University of Alberta, Canada, who has used videos to teach AI the rules of games like Super Mario Bros, does not think it will happen any time soon, however. Actions in games like Minecraft and Super Mario Bros. are performed by pressing buttons. Actions in the physical world are far more complicated and harder for a machine to learn. “It unlocks a whole mess of new research problems,” says Gudzial.

“This work is another testament to the power of scaling up models and training on massive datasets to get good performance,” says Natasha Jaques, who works on multi-agent reinforcement learning at Google and the University of California, Berkeley. 

Large internet-sized data sets will certainly unlock new capabilities for AI, says Jaques. “We’ve seen that over and over again, and it’s a great approach.” But OpenAI places a lot of faith in the power of large data sets alone, she says: “Personally, I’m a little more skeptical that data can solve any problem.”

Still, Baker and his colleagues think that collecting more than a million hours of Minecraft videos will make their AI even better. It’s probably the best Minecraft-playing bot yet, says Baker: “But with more data and bigger models I would expect it to feel like you’re watching a human playing the game, as opposed to a baby AI trying to mimic a human.”

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The Download: AI conquers Minecraft, and babies after death

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The Download: AI conquers Minecraft, and babies after death


+ Scientists have found a way to mature eggs from transgender men in the lab. It could offer them new ways to start a family—without the need for distressing IVF procedures. Read the full story.  + How reproductive technology is changing what it means to be a parent. Advances could lead to babies with four or more biological parents—forcing us to reconsider parenthood. Read the full story.

The must-reads

I’ve combed the internet to find you today’s most fun/important/scary/fascinating stories about technology.

1 Elon Musk wants to reinstate banned Twitter accounts
It’s an incredibly dangerous decision with widespread repercussions. (WP $) 
+ Recent departures have hit Twitter’s policy and safety divisions hard. (WSJ $)
+ It looks like Musk’s promise of no further layoffs was premature. (Insider $)
+ Meanwhile, Twitter Blue is still reportedly launching next week. (Reuters)
+ Imagine simply transferring your followers to another platform. (FT $)
+ Twitter’s potential collapse could wipe out vast records of recent human history. (MIT Technology Review)

2 Russia’s energy withdrawal could kill tens of thousands in Europe 
High fuel costs could result in more deaths this winter than the war in Ukraine. (Economist $)
+ Higher gas prices will also hit Americans as the weather worsens. (Vox)
+ Ukraine’s invasion underscores Europe’s deep reliance on Russian fossil fuels. (MIT Technology Review)

3 FTX is unable to honor the grants it promised various organizations 
Many of them are having to seek emergency funding to plug the gaps. (WSJ $)
+ Bahamians aren’t thrilled about what its collapse could mean for them. (WP $)

4 It’s a quieter Black Friday than usual
Shopping isn’t much of a priority right now. (Bloomberg $)
+ If you do decide to shop, make sure you don’t get scammed. (Wired $)

5 The UK is curbing its use of Chinese surveillance systems 
But only on “sensitive” government sites. (FT $)
+ The world’s biggest surveillance company you’ve never heard of. (MIT Technology Review)

6 Long covid is still incredibly hard to treat 
Its symptoms vary wildy, which can make it hard to track, too. (Undark)
+ A universal flu vaccine is looking promising. (New Scientist $)

7 San Francisco’s police is considering letting robots use deadly force
The force has 12 remotely piloted robots that could, in theory, kill someone. (The Verge)

8 Human hibernation could be the key to getting us to Mars 
It could be the closest we can get to time travel. (Wired $)

9 Why TikTok is suddenly so obsessed with dabloons 
It’s a form of choose-your-own-adventure fun. (The Guardian)

10 We can’t stop trying to reinvent mousetraps 🧀
There are thousands of versions out there, yet we keep coming up with new designs. (New Yorker $)

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We can now use cells from dead people to create new life. But who gets to decide?

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We can now use cells from dead people to create new life. But who gets to decide?


His parents told a court that they wanted to keep the possibility of using the sperm to eventually have children that would be genetically related to Peter. The court approved their wishes, and Peter’s sperm was retrieved from his body and stored in a local sperm bank. 

We have the technology to use sperm, and potentially eggs, from dead people to make embryos, and eventually babies. And there are millions of eggs and embryos—and even more sperm—in storage and ready to be used. When the person who provided those cells dies, like Peter, who gets to decide what to do with them?

That was the question raised at an online event held by the Progress Educational Trust, a UK charity for people with infertility and genetic conditions, that I attended on Wednesday. The panel included a clinician and two lawyers, who addressed plenty of tricky questions, but provided few concrete answers. 

In theory, the decision should be made by the person who provided the eggs, sperm or embryos. In some cases, the person’s wishes might be quite clear. Someone who might be trying for a baby with their partner may store their sex cells or embryos and sign a form stating that they are happy for their partner to use these cells if they die, for example. 

But in other cases, it’s less clear. Partners and family members who want to use the cells might have to collect evidence to convince a court the deceased person really did want to have children. And not only that, but that they wanted to continue their family line without necessarily becoming a parent themselves.

Sex cells and embryos aren’t property—they don’t fall under property law and can’t be inherited by family members. But there is some degree of legal ownership for the people who provided the cells. It is complicated to define that ownership, however, Robert Gilmour, a family law specialist based in Scotland, said at the event. “The law in this area makes my head hurt,” he said.

The law varies depending on where you are, too. Posthumous reproduction is not allowed in some countries, and is unregulated in many others. In the US, laws vary by state. Some states won’t legally recognize a child conceived after a person’s death as that person’s offspring, according to the American Society for Reproductive Medicine (ASRM). “We do not have any national rules or policies,” Gwendolyn Quinn, a bioethicist at New York University, tells me.

Societies like ASRM have put together guidance for clinics in the meantime. But this can also vary slightly between regions. Guidance by the European Society for Human Reproduction and Embryology, for example, recommends that parents and other relatives should not be able to request the sex cells or embryos of the person who died. That would apply to Peter Zhu’s parents. The concern is that these relatives might be hoping for a “commemorative child” or as “a symbolic replacement of the deceased.”

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