• The More Lavish the Gifts to Doctors, the Costlier the Drugs They Prescribe - The New York Times
    https://www.nytimes.com/2017/10/25/well/live/the-more-lavish-the-gifts-to-doctors-the-costlier-the-drugs-they-prescribe.

    « Il vaut mieux ne pas visiter les #médecins que visitent les représentants des laboratoires pharmaceutiques »

    Any gift was associated with higher cost prescriptions, but the larger gifts had an even greater effect. Those who received gifts worth more than $500 during the year averaged $189 per prescription.

    The senior author, Dr. Adriane J. Fugh-Berman, director of PharmedOut, a project on drug prescribing based at Georgetown University Medical Center, had some straightforward advice for patients. “You shouldn’t see doctors who see drug reps,” she said. “Less than a minute of talking to a drug rep will increase prescribing of brand-name drugs.”

    #pharma #corruption

  • Can Washington Stop Big Tech Companies ? Don’t Bet on It - The New York Times
    https://www.nytimes.com/2017/10/25/technology/regulating-tech-companies.html

    The tech giants are too big. They’re getting bigger. We can stop them. But in all likelihood, we won’t.

    The history of American business is one of repeated cycles of unfettered, sometimes catastrophic growth followed by periods of reflection and regulation. In previous eras of suffocating corporate dominance over our lives — when industrialists gained an economic stranglehold through railroads and vast oil and steel concerns, or when rampant financial speculation sent the nation into economic paroxysms — Americans turned to their government for a fix.

    In the last half-century, lawmakers and regulators set up a regime to improve the safety of automobiles and other manufactured goods, to break up a telephone monopoly that controlled much of the nation’s communications and to loosen the fatal grip that tobacco companies held over American society.

    We are now at another great turning point in the global economy. A handful of technology companies, the Frightful Five — Apple, Google, Microsoft, Facebook and Amazon, the largest American corporations by stock-market value — control the technological platforms that will dominate life for the foreseeable future.

    Yet despite their growth and obvious impact on the economy and society, technology has long been given a special pass. For nearly two decades, under Republican and Democratic presidents, most tech giants have been spared from much legislation, regulation and indeed much government scrutiny of any kind.

    J’avais parlé de ce phénomène en 2007 sous le vocable de #Vectorialisme pour désigner la nouvelle forme de monopole qui émergeait du numérique. Devant le scepticisme de mes collègues, j’avais laissé cette approche de côté. J’ai eu tort (de l’abandonner) car j’avais une belle intuition.

    Part of what has hampered governmental action against the Five is the unusual nature of their power. Much of what they do now, and will soon have the power to do, exceeds what we’ve ever expected from corporations. In different ways, they each collect, analyze and mediate our most important public and personal information, including news, political data and our relationships. They’re being called upon to police free speech, terrorism and sex trafficking, and to defend nations and individuals against existential digital attack.

    But in other ways, the Five do not cleanly fit traditional notions of what constitutes dangerous corporate power. Only a couple of them enjoy monopolies or duopolies in their markets — Google and Facebook in digital ads, for example.

    Then there is our own complicated relationship with the tech giants. We do not think of them in the same way we think of, say, the faceless megacorps of Wall Street. The Five’s power comes cloaked in friendliness, utility and irresistible convenience at unbelievable prices. We hooked our lives into them willingly, and then we became addicted to them. For many Americans, life without all but one or two of them might feel just about unlivable.

    #Economie_numérique #Monopoles #Plateformes

  • Amazon’s Latest Way Into Your Life Is Through the Front Door - The New York Times
    https://www.nytimes.com/2017/10/25/technology/amazon-key-home.html

    For many online shoppers, packages often linger for distressingly long hours outside their homes, where they can be stolen or soaked by rain. Now, if customers give it permission, Amazon’s couriers will unlock the front doors and drop packages inside when no one is home.

    What could possibly go wrong?

    The head spins with the opportunities for mischief in letting a stranger into an empty home. There are risks for couriers too — whether it’s an attacking dog or an escaping cat. To allay these concerns, Amazon is asking customers to trust it — buy a package of technology including an internet-connected smart lock and an indoor security camera.

    Amazon isn’t the only business that believes this is the future of internet shopping, as well as other services that require home access, like dog walking and house keeping. This summer, a start-up that makes smart locks, Latch, struck a deal with Jet.com, an online shopping site owned by Walmart, to jointly pay for the installation of its locks on 1,000 apartment buildings in New York City to make deliveries easier. The arrangement offers some of the security of a doorman for people who live in buildings without them.

    Quand les plateformes s’étendent à des relations qui auparavant demandaient une co-présence et une co-connaissance des participants (par exemple avec les employées de maison). Qu’est-ce qui construit la confiance dans le monde numérique.

    Ryan Calo, a law professor at the University of Washington who specializes in legal issues related to technology, said Amazon’s new service relies on the same kind of trust homeowners commonly extend to services to which they hand over their keys. But he said those agreements often involve in-person interactions, which won’t happen when homeowners allow Amazon to unlock its doors.

    “It raises questions about how do you specify and police expectations when the relationship is one mediated almost entirely by technology?” Mr. Calo said.

    #Comerce_électronique #Confiance #Plateformes #Amazon

  • Video Games Are Destroying the People Who Make Them - The New York Times
    https://www.nytimes.com/2017/10/25/opinion/work-culture-video-games-crunch.html

    Among video game developers, it’s called “crunch”: a sudden spike in work hours, as many as 20 a day, that can last for days or weeks on end. During this time, they sleep at work, limit bathroom breaks and cut out anything that pulls their attention away from their screens, including family and even food. Crunch makes the industry roll — but it’s taking a serious toll on its workers.

    Modern video games like Mass Effect and Uncharted cost tens of millions of dollars and require the labor of hundreds of people, who can each work 80- or even 100-hour weeks. In game development, crunch is not constrained to the final two or three weeks of a project. A team might crunch at any time, and a crunch might endure for several months. Programmers will stay late on weeknights to squash bugs, artists will use weekends to put the final polish on their characters, and everyone on the team will feel pressured to work extra hours in solidarity with overworked colleagues.

    Importance des syndicats... qui sont absents du monde du jeu vidéo

    While many jobs are demanding, the conditions in this industry are uniquely unforgiving. Most game developers in the United States do not receive extra compensation for extra hours. They may gaze with envy at their colleagues in the film industry, where unions help regulate hours and ensure overtime pay. Their income pales in comparison to what’s offered in other fields with reputations for brutal hours, like banking and law. The average American game developer earned $83,060 in 2013, according to a Gamasutra survey, or less than half the pay of a first-year associate at a New York law firm.

    While I was reporting for a book on how video games are made, veteran game makers told me stories of lost family time, relationship strains and such severe burnout that they considered leaving for other industries.

    Une question de culture professionnelle qui rend la souffrance nécessaire.

    To avoid long-term deleterious effects, game developers must commit to stop facilitating a culture in which crunch is the norm. The occasional long night or weekend at the office can be useful and even exhilarating, but as a constant, it is damaging. No video game is worth burnout, brain damage or overnight stays at the hospital.

    #Jeu_vidéo #Souffrance_travail #digital_labour #syndicalisme