What should be the priorities of the neurotechnology sector?

These remarks were delivered to the OECD Working Group on Emerging Technologies Minding Neurotechnology Workshop, in Shanghai, China, September 6, 2018. This workshop led to the OECD policy on Responsible Innovation in Neurotechnology.

Graeme Moffat, Chief Scientist & VP Regulatory Affairs, Muse (Interaxon); Senior Fellow, Munk School of Global Affairs & Public Policy (University of Toronto)

I would like to thank the OECD for inviting some representatives of the neurotechnology industry here to speak. I’m Graeme Moffat. I’m the Chief Scientist with Muse, as well as a Senior Fellow with the Munk School of Public Policy at the University of Toronto.

Muse is a success story of Canadian and Chinese collaboration on neurotechnology, between our partners in Xiamen and our head office in Toronto. This is a story of global integration in neurotechnology, with Canadian and Chinese engineering serving the world’s largest two markets of the USA and the EU. I am encouraged by the presence of representatives of industry at this conference; often, the people building and innovating on neurotechnology occasionally read reports of workshops attended by only academic philosophers and occasionally academic neuroscientists. There is an enormous disconnect between the practice of neurotechnology and the hypothetical ethical concerns raised in academic workshops on neuroethics, and that gap is wide and filled with misconceptions at best – and science fiction at worst. 

At Muse, we make neurotechnology for consumers and for brain health. Muse itself is the most widely adopted consumer neurotechnology in the world by about an order of magnitude, if not more. What is it? Muse is a biosignal system that incorporates electroencephalography and other sensors in a portable and wearable form factor. We believe that we became the biggest by focusing on delivering real and persistent value to people who use our technology. Our users, we believe, should encounter a human-centered technology experience, and it should empower them to lead happier and healthier lives. Our belief is that neurotechnology should be designed and built from the user outward, to solve a real problem for a real person, in a way that person can understand.

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How to think about private sector careers if you’re a neuroscience student (or postdoc)

Last weekend I had the good fortune to participate in a panel at Neuromatch Academy on career development for neuroscience students. If you’re a student who’s only ever experienced academia – and especially if your advisors have only ever seen academia – it can be hard to break out of academo-normative thinking and conceptualize the wider world of mainstream careers. (This problem is so weird that some academics refer to the path that 80-90% of graduate degree holders choose as “alternative careers” or ‘alt-ac’.)

Below are some slides that I hope will help students (in neuroscience and other disciplines) think a bit more clearly about mainstream career opportunities. This is just one of many perspectives on how to find your way into the private sector.

Should we feel sorry for Canadian billionaires?

Last week, my friend Sean Speer and I took on Linda McQuaig and Armine Yalnizyan in a television debate, produced by Wodek Szemberg and moderated by Steve Paikin, for The Agenda on TVO. It was fun. If you grew up in Ontario in the 70s, 80s, or 90s, you started out watching The Polka-Dot Door, then one day you’re watching The Agenda and it occurs to you that you’re an adult. Life goes Polkaroo-to-Paikin. All that is to say: I was happy to be on TVO.

The proposition we debated was “should we tax billionaires out of existence?”

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Hardware, software, data, and how Apple’s control of all three defines the future of digital health

In putting together the article above, Christina Farr was gracious enough to listen to my theory about Apple’s not-so-secret plan that explains why there’s suddenly an ECG in the Apple Watch 4. What surprised me the most is that everyone focused on it as an ECG, including all of the tech and digital health press, and missed Apple’s brilliant, extremely broad patent from 2014.

If you go looking, the name for what Apple patented (again, brilliantly) is a way of measuring something called pulse transit time (PTT) from wrist-worn devices alone. PTT is a proxy for cardiovascular health, in the same way measuring blood pressure with a cuff is a proxy for cardiovascular health. What you’ll find is that as of a little more than a decade ago, pulse transit time in laboratory settings was considered unreliable as a proxy for a blood pressure cuff. But then… that wasn’t being done by Apple.

Here’s how I think this will go: first, people will use the Apple watch ECG. There may even be a few cool ECG apps and stories about the ECG feature saving lives. Then, Apple will announce that the Apple Watch 5 (or the next Watch OS in 2019) includes PTT. People will start asking whether it really is a reliable proxy for a blood pressure cuff, and not long after, someone will point out that actually blood pressure measured via cuff is kind of not all that reliable anyway, because it’s just the easiest proxy measure we’ve got. And though the Apple Watch’s PTT will correspond pretty nicely to a blood pressure cuff, there’s no reason why PTT couldn’t just replace blood pressure as a more reliable measure of cardiovascular health.

Why can Apple do this where others have failed? For the same reason that the iPhone’s camera has taken better pictures than competitors for so many years: when you control both the hardware and the software, you can make your system do things others can’t. Your calibrations are consistent, you can rely on your data quality, and your measures are standardized to a precision at least as good as in any certified medical device. Your users share this data with you because they trust your reputation (as Apple) for exceptional data security.

It’s under conditions like these that machine learning becomes truly powerful, and turns an integrated platform of hardware, software and data into a highly reliable and useful product.

Add this cardiovascular health strategy to Apple’s investment in user privacy and in secure digital health records, and the world’s biggest company has likely found a way to bring tens of millions of people onto their health platform, to keep them there through continuous improvements and feature additions, and to collect monthly recurring revenues from every one of those people for many, many years.  Some people (or their insurers, or the companies making their medications) will likely pay a lot more per month for easy, wearable, AI-powered cardiovascular monitoring than the bulk of users pay for an iTunes subscription, because an iTunes subscription is arguably a less life-or-death proposition. This is a very good business model.

Ontario’s new government has some economic development priorities to sort out

As part of the Ontario360 30-on-30 initiative organized by Sean Speer at the Munk School of Public Policy, creative policy suggestions (proposed as non-partisan transition briefings for Ontario’s new government, just before the election) were solicited on how to solve some of the province’s toughest challenges. Here’s my contribution on economic development, R&D, and innovation.