King’s re-framed

An unusual view of one of Cambridge’s iconic buildings.
Quote of the Day
”We live in a world where there is more and more information and less and less meaning.” Jean Baudrillard
This insight, that reality has been replaced by representation, was what inspired the movie The Matrix.
Musical alternative to the morning’s radio news
Franz Schubert | An die Musik, D. 547 (Live at Metropolitan Opera, New York, 2023) | Lise Davidsen
Short and exquisite.
Long Read of the Day
On Teaching Machines to Predict Death
Interesting essay by Muhammad Aurangzeb Ahmad which examines how AI mortality-prediction models can perpetuate healthcare inequities and create harmful self-fulfilling prophecies.
The French poet Jean de La Fontaine has a famous quote that “A person often meets his destiny on the road he took to avoid it.” We find echoes of this phenomenon in global literature, whether it’s Oedipus in the Greek Myths, Rostum and Sohrab from Iran, or the story of Kamsa and Krishna in the Hindu tradition. There are elements of self-full filling prophecy that we are seeing in the world of predictive modeling.
Consider the use of AI and machine learning models to predict risk of mortality in an ICU setting. Some of these models have extremely high accuracy and precision. They do in milliseconds what it would take a team of clinicians hours to synthesize. The predictive power of such models need to be contextualized however: A mortality prediction model is trained on historical data i.e., on what happened to patients who looked like this, had these labs, were managed in this way. But the historical data does not merely record biology, it also records medicine as it was practiced. This includes all its established patterns, its habits, its inequities, and its mistakes.
Consider a well known finding that has been often used as a cautionary tale: in a certain historical ICU dataset, patients with a diagnosis of asthma had lower predicted mortality than otherwise similar patients without it. This seems absurd, asthma is a serious respiratory condition. When researchers looked closely, they realized that the problem was not about asthma biologically but it was about care. Asthma patients were more likely to have their respiratory distress recognized early. They arrived with better documentation, better advocates, better access to specialists who knew them. The asthma diagnosis was not a protective biological factor. It was a marker of a particular kind of patient i.e., one who had navigated the healthcare system in a way that produced better documentation, faster escalation, more attentive management…
Remembering James Mayall

On Friday I went to the Memorial event for James Mayall organised by his Cambridge college to honour the memory of an extraordinary man. I was there because I had been lucky enough to have had his friendship, and because he had changed the way I think.
I first got to know him in the mid-1990s when he was Professor of International Relations in Cambridge and I was writing A Brief History of the Future, on the origins of the Internet. He was emphatically not a techie but he was intrigued by the technology and the impact that a global network might have on the international system. And so we began to meet and talk.
He was one of the wisest people I ever knew. On the one hand he was a formidable scholar who wore his erudition lightly. But he also had a kind of worldly wisdom which came from having travelled very widely, and from working outside of academia. One felt sometimes that James had seen everything, good and bad, about humanity. Among other things, he had been a British Army officer who had served in Africa and elsewhere. And he looked like a handsome Brigadier whose sense of humour had not been surgically removed at Sandhurst.
On one memorable occasion he and I travelled to Seattle for a meeting of the Internet Political Economy Forum, a small discussion group of engineers and international relations scholars which had sprung up after the arrival of the World Wide Web. This particular meeting took place in the Whiteley Centre, a beautiful scholarly retreat on Friday Island in the Puget Sound. (Among its many attractions was the fact that one was transported to it by seaplane!)
One morning there was a particularly animated discussion in the conference room and at one stage James reached over to me and asked (in a whisper) if I’d brought any cigars. I nodded and he suggested we slip outside onto the deck overlooking the Sound for a breath of fresh air (and tobacco). We sat peacefully in the sunshine watching a mega-yacht owned, no doubt, by a Microsoft billionaire, dropping anchor. And after a while he asked, “Do you think that this technology will have the revolutionary impact on the world that your friends inside think?”
I answered — confidently — “yes” because this was indeed what I thought. James sat back meditatively puffing on his cigar and looking quietly thoughtful. After a few minutes, slightly irritated by his reticence, I said “What do you think, James?” He puffed away briefly and then replied: “We’ll see, dear boy, we’ll see.” And at that moment the first inklings of doubt entered my utopian soul! Where it has remained — and festered — ever since. And it’s why, when asked for a brief description of myself, I always reply that I’m a recovering Utopian.
My Commonplace booklet
The bottled-water racket
Henry Mance has a nice piece in the Financial Times arguing that “None of modernity’s silly purchases can compare with bottled water when there is drinkable stuff in the taps.”
He’s right, which is why when that bright smiling waitress asks you “Still or Sparkling?”, the correct answer is “Neither”.
The bottled-water fad, he says, is everywhere.
”Really, it should never have survived the farce that is Fiji Water: a US-owned brand of “natural artesian water” that is extracted more than 5,000 miles from America, while nearly a fifth of Fijians have no domestic access to drinking water. “
Spot on. Mine’s a glass of tap water. Cheers!
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