OK. So there's a piece (no paywall) on @JAMA_current today by Freddy Abnousi (head of #healthcare @facebook), @hmkyale, +@DrJRums "Social Determinants of Health in the Digital Age: Determining the Source Code for Nurture." jamanetwork.com/journals/jama/… #cyberwoke /1

Before you think this is any kind of good news, remember that @Facebook has successfully incinerated democracy in several places, in the process turning all of us into meat puppet data cash machines (we don't get the cash) and now ... #cyberwoke /2

In addition to knowing where we are, who we're with, what we like, and what we think, they want our health data? How big of a FUCK NO, NO WAY, OMFG HAVE YOU LOST YOUR EVERLOVIN' MIND will we have to raise to kill this? #cyberwoke /3

Sure, social determinants #SDOH are critical factors in human health, but are we gonna trust a bunch of dweebs who've defenestrated democracy with our HEALTH DATA? Just what I've always wanted, Russian troll farms up in my cancer and ob/gyn history. Wot larks! #cyberwoke /4

Not to mention the risk of online "presence" being bots or black hats, so what Facebook/data-slurpers think is a human ain't. How TF does that improve population health? Is troll health even a thing? Asking for a friend. #cyberwoke /5

Since we're in the not-to-mention zone, LET'S NOT BRING UP INFORMED CONSENT or #HIPAA! Sure, we can trust the guys who've leaked ALL THE DATA in ALL THE PLACES while waving impenetrable ToS with our most intimate info. And I'm the Queen of England. #cyberwoke /6

I wouldn't trust @Facebook to clean a latrine at this point. So the chances of me thinking that they, or Google, or Amazon, or Apple, or Twitter, would do anything but try to mint more coin off my #healthdata stand at zero-heading-negative-number. #cyberwoke /7

I utterly fail to see how "move fast and break things" can work in any way with #medicine or human #health without fucking up humanity even further than we've managed to accomplish to date. And that's sayin' something. #cyberwoke /8

So put me in the "over my dead body" column on Facebook getting their hands on #healthcare and #sdoh research. And know that I'll make specific provisions, in my Advance Directive, that they not get my dead body either! #cyberwoke /9