Currently, Prof. Eastaway is seeking answers to the sensitive question “What are the pillars for rehabilitation of Spain, in the aftermath of the crisis? This is one aspect of a research project conducted jointly by the Universities of Barcelona, Valencia and Lerida. To be more specific, Prof. Eastaway is studying the impact and organization of so-called “creative neighbourhoods”, notably in terms of governance and networking. “We have clearly understood, that more than just coming up with a single recipe, we had to pay special attention to the strengths a d weaknesses of a given city, its history, its economic tissue … to deduce and identify possibilities for developments that would be solidly grounded and not just superficial”, she insists.
One recipe for each territory
She also insisted that important as it is for a city, for a district or a neighbourhood to attract external talents, it must also ensure that it can produce its own new talents, new skills and review the programmes, if needed, of teaching/training establishments. “The strengths of a given city are unique; we must be able to detect and encourage them to build a more creative city”, says economist Eastaway. This leads to the concept of one recipe for each territory. To illustrate, Montserrat Pareja Eastaway explains how Barcelona integrated design — a strong historic feature of the city — in its innovation district, alongside media agencies, energy companies, ICT start-ups and biology intensive institutions. In contradistinction, when Barcelona helped Medellin in Columbia, South America to set up its creative district, the Catalan capital went beyond just duplicating its own experience, adapting the proposals and plans to take the local context into account.
“22@” in Barcelona
If we decide to invent a single recipe for each city, the ingredients are well-known, viz., the relationships that already exist between academic, political and economic spheres that we need to detect and deploy. “The notion of network(ing) is very important. The interconnections between these three spheres are primordial when it comes to building up innovative new cities or urban districts. We must therefore create spaces where these connections can be generated and animated. For each territory there will be a network-head to animate the operations”, recalls Montserrat Pareja Eastaway. In Barcelona, the so-called “22@” district covers 200 hectares of industrial waste land. As one of the most significant urban rehabilitation programmes in Barcelona, “22@” called for 180 Meuros in public investment. The city authorities managed this dossier, and assumed the role of local innovation-intensive network head. They organized such simple things as frequent collective breakfasts, public lectures, meetings and exchange programmes. Physical eye-to-eye meeting is very important here: going digital is one thing but it boils down to recognising that almost everything rely on human contact. Moments like these help to keep the innovation process moving, with an identification of common interests between enterprise and research scientists, to whom the city authorities are gradually handing over the reins of leadership of 22@, underscores the economist Eastaway. And in order for these common interests to be able to one day turn out some concrete projects, the city authorities have also readied and made available a focal centre to conduct experiments.
Regional planning to avoid overlapping projects
In order for these innovation intensive districts to remain interesting, we must avoid “overselling” the product. “Ever since the economic crisis, everyone wants to have their own innovation district given that sectors that connect into innovation and knowledge appear to survive better than others. However, it is not advisable that several such districts co-exist in the same region, unless they are specialized in different types of activity. That is why regional planning is primordial” concludes Montserrat Pareja Eastaway.
“In the coming years, somewhere between 30 and 50% of all employment positions will be replaced by machines and automated processes. The ensuing productivity gains will be enormous, way beyond those due to implementation of Taylorism. Notwithstanding, from warehouse handlers to surgeons, unemployment will also take on huge proportions that will even lead to the question of short-term solvability of Fordist companies. We must start thinking about new distribution patterns for wealth”, feels Bernard Stiegler, who will shortly be publishing a book on the subject, under the title « La société automatique » [Automated Society]. What the philosopher proposes to counter such changes is to invent a “contributive income”, on the same model as that used to pay part-time show world workers, which would make citizens valorise the tile they have at their disposal, a time that will necessarily increase as Society becomes more and more automated. “ In parallel, we must set up institutions to develop and valorise knowledge ad to reinvent an economic model that would be based notably on contributive projects”, he surmises, inviting the listeners to think about these questions today inasmuch as these will become more acute to answer in the next decade.
Contributive neighbourhoods or “smart cities”?
“This is a work area which also involves UTC, to the extent that we must prepare teaching courses and launch research in line with the future context. Territories, urban districts and neighbourhoods must also become contributive and here technologies will have a major role to play, with the proviso that they are under the control of overarching policies. Failing to do so, the scenario we see in Singapore may repeat itself with remote management of urban processes under the control of multinational companies. Deviations like this, integrated to the concept of smart cities is dangerous”, warns Bernard Stiegler. Automation is so to speak at the door of neighbourhoods to control, for example, their water, transport or power supplies, among others. “Digitised urbanity (and automation in general) are major societal challenges to the extent that it will tend to destroy our autonomy (or self-reliance)”, adds philosopher Stiegler. From driverless vehicles to big data economics, automation will annihilate decision making by humans and individuals. We must therefore take care to use technologies to give back their roles to the individuals, as citizens, consumers, members of a family, a company, etc., and not to quash any initiatives they might envisage. “This is the task undertaken by Mayor Jean-François Caron, I his town of Loos-en-Gohelle (French Region Nord – Pas-de-Calais). “The energy performance sensors installed by the Townhall are monitored by the Mayor and his staff and not connected to a data processing centre that would manage energy consumption on behalf of the inhabitant-consumers. It is the latter who democratically take the relevant, decided steps in meeting organized for this very purpose. Technology we see here can also serve collective intelligence, rather than destroy it”.
Innovation, somewhere between utopia and a fight to survive
On a wider scale, Prof. Stiegler analyses at the example provided by big data processes in financial spheres: following the subprime crisis, Alan Greenspan, former Chair of the Board of Governors of the Federal Reserve Bank (FED) admitted that economic modelling alone would not provide all the answers and that we needed to use it only to support and serve economic theory. Automation, whatever, the sector where it is introduced, increases the local system entropy, viz., its level of disorder, going as far as destroying it. “Thus, Google linguistic robots lead to a loss of semantic diversity, as has been demonstrated by Frédéric Kaplan, research scientist working with the Ecole Polytechnique Fédérale de Lausanne (EPFL). Increased entropy creates in indifferentiation and finally to the death of the system. In reverse, negentropy generates singularities and more values. The future of innovations leads to two era options: entropocene or a negentropocene” adds Bernard Stiegler referring to entropic concepts. And, to conduct the human species on a path that would enable a few specimens with their free will intact to survive, we must use the time gained through automated processes to fight the generated loss of autonomy.
‘Territory-schools’
Society tomorrow must produce a lot of collective intelligence. Automation authorises a degree of autonomy, as is proven in the case of pianists – they can only perform by freeing themselves from learning automatisms they first had to acquire by modifying natural automatisms è- in this way they can create, improvise and interpret in a “singular” manner. Physicists must use and free themselves from what they have already learned in order to make new discoveries and enrich the system. A race-course driver is a machine, to the extent that he can ‘disautomate’ himself for a fraction of a second to avoid a crash or to win the trace. ‘Disautomation’ is only possible if the individual has previously automated an enormous quantity of movements, reflexes, knowledge”. In order to reach this degree of autonomy, we must accept to undertake experiments, at every level of our organization. We must give individuals, the universities, the territories, the right to experiment. This indeed is the only way to test and retain appropriate solutions to face up to the major changes ahead. “That is why I am currently working on the notion of territory-schools, where young PhD students carry out contributive research tasks to study, for example, how one could distribute contributive incomes to replace social benefits. This research work also involves the inhabitants, the economic spheres, the political and academic milieus … all of whom are driven by the right to innovate. To anticipate on future changes, the European Union should launch and encourage such experiments”
The assigned objective is to adapt new technologies to health care protocols. “Smartphones for example can be used in the case of chronic illnesses that require constant monitoring. For Parkinson, it turns out to be more practical for the patents to integrate data in their phone, carried constantly, than to have them written down in a notebook, which we note at the last minute, with errors and bias”, illustrates Cécile Monteil. Thus, without intruding in the patient’s private sphere, the smartphone records the data in a higher quality format and allows the practitioner to monitor the case more efficiently.
More accurate information for chronic ailments
Connected objects also bring specific benefits: with an illness like eczema, where itching can wake up persons in the middle of the night, inducing a high level of fatigue, a bracelet can be used to record ‘wake’ periods and compare these with normal patient’s rhythms. In the area of cardiology, a connected object can record heart pulse rate and the associated smartphone app will invite the patient to indicate his/her current physical activities if and when heart-rate increases abnormally. “This data represents information that doctors simply could not access before. But of course they are meaningless outside a given context: if a heart pulse rate of 170, when a cardiac patient is going up a flight of stairs, it if not at all a serious as if the same pulse was noted while watching TV”, adds Cécile Monteil. Ad Scientiam is working with the world leader iHealth to develop these health service related connected objects, with academic research to analyse the symptoms carefully using new technologies as well as will enterprises in the pharmaceutical sector to monitor the effects of the medicinal drugs used under real conditions.
Motivation, monitoring and prevention
In the long term, patients will benefit from this research. To illustrate, in the case of Parkinson or diabetes, better monitoring ensures better treatment. We can imagine an “app” that connects to the pill-box dispenser and which sends out a signal if the patient has forgotten open it. Apps on smartphones reinforce the monitoring and improve accompaniment between two appointments, which in turn increases motivation and keep the morale up”, explains Cécile Monteil. Another example is when there is an impending heart failure, with the symptom of water gathering abnormally in the ankles and which usually ends up in the emergency ward. To avoid this, the patients only need to weigh themselves every day: if the weight increases abnormally their GP can call them in for an urgent check-up. The question is: can solutions like these be adapted to every case? “Yes”, replies Cécile Monteil. “Smartphone technologies are constantly improving and the “apps” can be made sufficiently accessible to be understood by all, using, for example, photos of the medicinal drugs to be taken. Patients do not like intrusion, so if they use their smartphone, it is ‘their’ acquires technology and not a new machine. In the framework of our research, we have noted a very high level of satisfaction, even among the elderly persons.”
Will “apps” be reimbursed by social security system?
The potential here will become a reality if the tools are co-designed by engineers and medical practitioners. “There are currently only a few inter-connections between these two worlds. The doctors know their medical fields, but they often ignore the possibilities offered by new technologies. The role of Ad Scientiam is to crate bridges between the engineering medical professions”, underlines Cécile Monteil who has drafted the research protocols that allow an interaction of new technologies and the patients’ specific needs. This new area of research raises a series of questions. If the protection of personal data is guaranteed by drastic regulation, the question of reimbursement of medical applications has not yet been settled in France. “In the USA and the UK, certain apps are reimbursed by their social services. But it should be seen that they can induce considerable amounts of savings — if only avoiding persons being taken to emergency admission services”, underlines Cécile Monteil, but who recognizes that there can be deviations via “well-being” or “quantified-self” apps in which medical data can be misused, or support hypochondriac behaviours.
There will still be doctors
If I have not completed enough steps in my day, or of I refuse to share the calories ingested during my last dinner, I become suspicious … these very applications could disconnect people, in as much as they become too attached to their data and algorithms. This deviation is a risk that must be considered carefully since data taken out of context can be interpreted in many different manners”. This is why there will always be doctors. “Interpreting data and monitoring patients will remain essential — an application will never announce to a patient that they have a cancer, for example. The role of the practitioners will evolve towards a more human approach: new technologies will set time free that can prove useful for explanations and accompaniment of the patients”.