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US Navy Opens Medical Vault For Google

January 1, 2023

 

by James Bandler (ProPublica) In early February 2016, the security gate at a U.S. military base near Washington, D.C., swung open to admit a Navy doctor accompanying a pair of surprising visitors: two artificial intelligence scientists from Google.

 

In a cavernous, temperature-controlled warehouse at the Joint Pathology Center, they stood amid stacks holding the crown jewels of the center’s collection: tens of millions of pathology slides containing slivers of skin, tumor biopsies and slices of organs from armed service members and veterans.

 

Standing with their Navy sponsor behind them, the Google scientists posed for a photograph, beaming.

 

Mostly unknown to the public, the trove and the staff who study it have long been regarded in pathology circles as vital national resources: Scientists used a dead soldier’s specimen that was archived here to perform the first genetic sequencing of the 1918 Flu.

 

Google had a confidential plan to turn the collection of slides into an immense archive that — with the help of the company’s burgeoning, and potentially profitable, AI business — could help create tools to aid the diagnosis and treatment of cancer and other diseases. And it would seek first, exclusive dibs to do so.

 

“The chief concern,” Google’s liaison in the military warned the leaders of the repository, “is keeping this out of the press.”

 

More than six years later, Google is still laboring to turn this vast collection of human specimens into digital gold.

 

At least a dozen Defense Department staff members have raised ethical or legal concerns about Google’s quest for service members’ medical data and about the behavior of its military supporters, records reviewed by ProPublica show. Underlying their complaints are concerns about privacy, favoritism and the private use of a sensitive government resource in a time when AI in health care shows both great promise and risk. And some of them worried that Google was upending the center’s own pilot project to digitize its collection for future AI use.

 

Pathology experts familiar with the collection say the center’s leaders have good reason to be cautious about partnerships with AI companies. “Well designed, correctly validated and ethically implemented [health algorithms] could be game-changing things,” said Dr. Monica E. de Baca, chair of the College of American Pathologists’ Council on Informatics and Pathology Innovation. “But until we figure out how to do that well, I’m worried that — knowingly or unknowingly — there will be an awful lot of snake oil sold.”

 

When it wasn’t chosen to take part in JPC’s pilot project, Google pulled levers in the upper reaches of the Pentagon and in Congress. This year, after lobbying by Google, staff on the House Armed Services Committee quietly inserted language into a report accompanying the Defense Authorization Act that raises doubts about the pathology center’s modernization efforts while providing a path for the tech giant to land future AI work with the center.

 

Pathology experts call the JPC collection a national treasure, unique in its age, size and breadth. The archive holds more than 31 million blocks of human tissue and 55 million slides. More recent specimens are linked with detailed patient information, including pathologist annotations and case histories. And the repository holds many examples of “edge cases” — diseases so vanishingly rare that many pathologists never see them.

 

Google sought to gather so many identifying details about the specimens and patients that the repository’s leaders feared it would compromise patients’ anonymity. Discussions became so contentious in 2017 that the leaders of the JPC broke them off.

 

In an interview with ProPublica, retired Col. Clayton Simon, the former director of the JPC, said Google wanted more than the pathology center felt it could provide. “Ultimately, even through negotiations, we were unable to find a pathway that we legally could do and ethically should do,” Simon said. “And the partnership dissolved.”

 

But Google didn’t give up. Last year, the center’s current director, Col. Joel Moncur, in response to questions from DOD lawyers, warned that the actions of Google’s chief research partner in the military “could cause a breach of patient privacy and could lead to a scandal that adversely affects the military.”

 

Google has told the military that the JPC collection holds the “raw materials” for the most significant biotechnology breakthroughs of this decade — “on par with the Human Genome Project in its potential for strategic, clinical, and economic impact.”

 

All of that made the cache an alluring target for any company hoping to develop health care algorithms. Enormous quantities of medical data are needed to design algorithmic models that can identify patterns a pathologist might miss — and Google and other companies are in a race to gather them. Only a handful of tech companies have the scale to scan, store and analyze a collection of this magnitude on their own. Companies that have submitted plans to compete for aspects of the center’s modernization project include Amazon Web Services, Cerner Corp. and a host of small AI companies.

 

But no company has been as aggressive as Google, whose parent company, Alphabet, has previously drawn fire for its efforts to gather and crunch medical data. In the United Kingdom, regulators reprimanded a hospital in 2017 for providing data on more than 1.6 million patients, without their understanding, to Alphabet’s AI unit, DeepMind. In 2019, The Wall Street Journal reported that Google had a secret deal, dubbed “Project Nightingale,” with a Catholic health care system that gave it access to data on millions of patients in 21 states, also without the knowledge of patients or doctors. Google responded to the Journal story in a blog post that stated that patient data “cannot and will not be combined with any Google consumer data.”

 

In a statement, Ted Ladd, a Google spokesperson, attributed the ethics complaints associated with its efforts to work with the repository to an “inter-agency issue” and a “personnel dispute.”

 

More:

https://gcaptain.com/us-navy-opens-medical-vault-for-google/