everyone we're about getting ready to start with our next panel just a few quick announcements not sure if everyone's heard but we are in partnership with the O'Reilly security publications and we are going to be putting together a book about biohacking we will be accepting entries until January 31st 2018 and these entries will be about a chapter during length and if you are or if you are able to put in we are trying to put in on that hard date for a quick edit and submission for publication hopefully in time to have copies ready for next year's DEF CON and if you are interested you can email your entry to I'm going to spell it out because I cannot pronounce it H-A-R-A M as in Mary capital N as in Nancy zero zero capital R H-A-R-A M as in Mary capital N as in Nancy zero zero capital R at protonmail.ch I'll be more than happy to show you how it's written also we are collaborating with a few other villages this year with the darknet group we are doing points for the darknet village where if you have an implant your friend has an implant or if he just make friends with someone today who has an implant you can scan and get points for the darknet village for security we're letting everyone sign. everyone know, all it is is just identifying that it is in fact an implant. Any security or information is immediately deleted right after it's scanned. As well, we are working with the IoT Village. They are doing a medical device workshop. If you are interested in tinkering around with a few medical devices, definitely head down to their village and they'll be able to tell you when the workshops are set up. Finally, we have some lightning talks scheduled for this evening around 7 o'clock. If you are interested in giving a quick little 10 minute talk, please find one of the core members wearing a heart here and let them know that you are interested and what the title would be. Now, without further ado, I'd like to get the panel started for ethical implications for biohacking. Here as our moderator, I'd like to introduce our panel. Here one of our original core members with the Biohacking Village, ladies and gentlemen, Amir Kay. Amir Kay Hi, everyone. By the way, Nina assures me that that email that Harry keeps giving out is absolutely not being given to us by the social engineering. That would have been a good one though. That's my real email. Yeah. So that's a real email allegedly, if you can believe anyone here. So... Yeah, really honest. So, by the way, I don't know if you've been curious, but a lot of you have come to a lot of these talks, and I know some of you just got out of bed to make here. The reason we're all tethered, if you're new, you don't know, but, you know, for potential security reasons, we don't really use wireless mics, so it may seem very old school that we're all tethered, but just in case you're wondering, you're not familiar with that, that's fine. The other thing I would say is I've had calls with all the panel. I know some of their sort of thoughts. I'm much more interested, actually, in your thoughts. So what I asked the panel, and they agreed, was to... I know your alcohol level's maybe quite high still, but what I would like you to do, we're going to go and introduce a very great, diverse panel, but while we're doing that, if you could multitask, which our friend Adam Gasley will tell us from UCSF you can't do, but I'm going to ask you the impossible, which is while you get the intros, just think about what you would like for us to have talked about, because I'd like to actually get you to shout that out to make sure... All the panel was happy to pivot, and so we're interested in really addressing issues that are important to you. And because we're a very informed audience, we'd rather talk about things that are important to you than what we think are as important. So please think about that while I go through the panel. So I'm going to get the panel to introduce themselves. We have Amy first, then Amber, then David. So let's start with you, Amy. Can you kind of tell everyone what your background is, what you're up to? Yeah, no worries. So my name is Amy Cruz. My background is I have a PhD in neuroscience. I'm a former DARPA program manager. So I've been in the defense industry for quite some time. I'm currently the chief scientific officer for the Flatbush Institute. So you guys may have heard David talk yesterday. We're an applied neuroscience institute, so my focus at the moment is taking all the fantastic information that's already existing in the literature and the community that we know about and actually turning it into applications that people can use. Thanks. I'm going to set the bar pretty high for you today, so I hope you're ready. Hi, I'm Amber Case. I studied a field starting in 1993 called cyborg anthropology, which is looking at cyborgs and it's really looking at the extension of how we exist as humans through our tools and how that changes us over time and how technology is affecting culture and things like that. And then I started an conference called Cyborg Camp in 2008, and that went to a few different places. We had one at Media Lab, one in Toronto, one in Seattle, one in Seattle, one in Portland, Oregon. And of course, one of the sessions in 2010 was an RFID installation, which one person volunteered and a few people looked on terrified and some people were really excited. And we kind of talked about the implications of that. I also did a few different residencies, one in Banff, Canada, where I met somebody who got two RFIDs installed, which I thought would be a great idea to confuse. And then I did a few scanners, two instead of one. I met a number of different people who had magnets installed in their hands and tried to talk to them about that. Right now I spend half of my time between Portland, Oregon and Cambridge, Massachusetts. I'm doing some work, I'm doing a fellowship at the MIT Media Lab and the Civic Media Group. There's a lot of open source and how we can kind of democratize what's usually shut off from us by all these kind of enhancing technologies. And then I'm also at the Berkman Klein Center, for Internet and Society at Berkman Law School, where we're trying to talk about the real implications of these technologies. That's all I've got to do for now. Go ahead. . I'm David Sheen. I'm a dog breeder. I don't have a PhD or anything. . . The amount of time you save, that's incredible. . . So I'm a dog breeder. I want to do a better job at it, so I learned genetic engineering. I built an animal genetic engineering lab for my shed. And so that's what I've been doing, and then I kind of got involved with and all the crazy stuff he's doing. And sort of crashed out into the rest of the biomagnet community and everybody in places like here. And so I've been contracted out by a few different biotech companies to work for them and consulting for biotech companies and stuff. But it's all kind of crazy. . So that's kind of scratched the surface, really, what these three panel members are up to. So you can see they're all very interesting things their own way. So I've got you to think, hopefully. I don't know if you did. So what I'd like to just hear from people, there is a mic that's on as well, but you can shout out why are you here and what you want us to discuss. Now yesterday many talks and today talked about, sort of mentioned the ethical sort of implications. And it seems that technology is always going to be ahead of the ethical framework. So, you know, the ethical framework is going to become more and more important, right, as these things really impact our lives. So I think it's kind of an obvious kind of issue that we have. Does anyone have any thoughts that issues they would like to have had us discuss that they thought would impact them and they'd like us to discuss? Yeah, we've got one here, then we'll come to you. Oh, I'm sorry. I thought I was supposed to go to the mic. Sorry? Is the mic working? It's supposed to be. Hold on. Yeah, thanks. It's working now? Yes. Thank you. Sorry, I thought I was supposed to go to the mic. Yes. Okay. Okay. Good. I'm Victoria Sutton. I'm giving the workshop on street law for biohackers at the end of this village. And I had a question. I have lots of questions, but one I'd like to ask is, David Ishii, I read about your interaction and I was wondering, it wasn't clear if you actually had to deal with FDA or not. I'd love to hear about your experience. And how they contacted you. Did they give you a letter, the usual introductory letter? Or what did you have to do to deal with them and your interesting project? David, if you hold on, we'll cover this. So we'll get the ideas and we'll go through them. I'm making notes, okay? All righty. So FDA, David. Did you have any others you want to tell us about or will that do? You're welcome to give more ideas. I got a lot, but I don't want to take up. I'll come up later if you run out. Okay. Okay. Thank you. So as we get more emerging technology, I'm wondering how patents and ownership go over, especially when we're talking about things like genetic elements or implantable technology that might be done to circumvent EULAs and things. How might we create frameworks where we can operate and understand that? Thank you. So someone else coming up. Please feel free. Such polite biohackers. Not like these other people. As we get a lot more powerful tools in biohacking, I'm curious to know what you think the role of the biohacking community is in terms of leading the conversation about safety, especially given that regulation is likely to be slow and the tools are likely to get really powerful. Thank you. Great. Bringing it down a bit more specifically, what is your opinions on personalized DNA or personal DNA synthesizers, citing the fears of their recently synthesized horse pox and possibly other viruses, gene drives, et cetera? Keep going. Amber, I hope that you can comment on the cultural influences on cybernetics, that is, the influences shaping why people are doing these things to their bodies and what they understand themselves to be doing in context. So kind of as biohacking advances and as we get more advanced technologies, just kind of wondering about whether or not you guys think that there will be an elitism or a dichotomy between those that have these advanced biohacking technologies and those that don't. Great. It's interesting. I'm noticing some of the questions have kind of come up yesterday. Yeah. We've got one more here. Mike, then we'll come to you. One more. Go ahead. So as we progress from kind of the theoretical ethics of what we're talking about, what we should and shouldn't be doing, and we progress towards more normative ethics of imposing rules within a community, how do you see the different roles between the DEFCON-type biohacking community and the other organizations that would impose regulations or norms? I'm not sure DEFCON's ever going to impose anything, but go ahead. If they do, by the way, if they do, we're going to disobey, right? Well, it's actually a feature I didn't know what I was going to ask. Well, I would just like to know everybody's thoughts on what do you think about the types of people who are just like, I don't give a shit about rules, I'm just going to do what I want to do. I don't give a shit, people. I don't think I've met anyone like that, definitely. Let me just, hold on, I'm going to write this down. Fantastic. And if your brain kicks in, if you're doing some stimulation or something halfway through, it's still time to ask us to go through things. So maybe we'll start actually with stuff that's come up. I know we're going to talk about other stuff too, but David, how about starting with you and the FDA? Have you had interactions with them? No. It's easy to still be alive, so, you know. So how much time do we have? So I contacted the FDA, which, let me tell you, is stupid. I came into the idea in a pretty naive way, thinking that, okay, well, I'll just, I was learning the techniques, but, you know, the hard part, right? And that I would then, you know, do what I needed to do, you know, because I didn't think things were good. I thought it would be okay. And I would just go through the regulatory process, and I'd be fine. And at first, actually, it was very nice. I called them because, like, I started Googling shit. It was like, okay, call this number at the Center for Veterinary Medicine before you start selling genetically modified animals. So I called the number to talk to people and set up a few meetings, and they were actually pretty nice. And so before the time when I was just like, okay, I want to do this and make a dog that's different and do the thing, they were fine with it. When I started talking about, and then I want to make a kid so hundreds of thousands of other dogs can do it, they did not like that. It started shutting down. And so finally I was like, hey, look, if we use CRISPR, there's no, like, because the way they used to do it, from the old regulation was that the regulated article is the transgene itself. So there's no transgene to do genomic edits. There's no regulated article. It's just a dog. That's what it should be. But they changed it. So I commented to them. I was like, hey, if I make this genomic edit in a Dalmatian and purify for your ischemia, then there's no transgene. So it's not regulated. And I sent this to the FDA. I was like, this isn't regulated. Right? So two weeks later, they changed the regulation. It is now. Right? You never ask the regulator, hey, this isn't regulated. Right? So you didn't get bounty, bounty money or something? No. And so. We don't find a way to speed up the process. Yeah. Just ask the regulators if they're regulating enough. And so. And so. So they only have like a bunch of rounds. It's clearly not focused on safety or risk, because like the document, 187, their guidance for industry, a new one, on page three at the bottom . Is this being seared into your brain? It specifically examines random eugensis. So I can take dogs for example, part of the radiation, and pregnant a female dog, have a litter of mutant puppies, and release them with a yellow tongue, breed them to wolves, and the FDA doesn't give a shit. But if I use CRISPR to cure a disease, that's a big deal. The way they have it right now, that dog is legally a drug. The animal itself is a drug. And any puppies it has are drugs. And they have to all, like if I have a litter of 12, 6 of them are genetically modified. Even if all you did was correct a point mutation, they all have to now go through drug trials. And separately, each one has to get an IAD, each one has to get an NAD, each one has to go through a completely clinical veterinary drug approval. The dogs. The dogs are drugs. So you're hollow. Yeah, absolutely. Yeah, that's just not right. Yeah. Tell them how much that costs per dog. Oh, yeah, so like, even just to talk to them, get an IAD, it's 100 grand. Per hour dog. And so, and that's annually. So it's 100 grand a year per dog while you're going through the process. And that's just the IAD. The NAD has its own fees, and then all the testing that they want to do have their own fees. And it's completely bullshit because they're not worried about the risks associated with, with, oh, what if you have an all-party mutation? Or what if this mutation that you do is something different? But it's, it's, they're not worried about it at all because they specifically examine the grand immunogenesis. They don't give a shit about hybridization. They don't give a shit about anything. So it's not about risk, it's about controlling who has access to the technology and what portal they have to the patient. Amen. So how, when you called up, I mean, did they have much experience with random people not from institutions calling them? Well, no, I mean, like, you know, they're used to, like, Pfizer and stuff, right? And so they told me, you know, I know what they're doing. So, so, like, we had to have all kinds of meetings just to figure out who I needed to meet with. You know, there's different branches of this thing now. And so, you know, like, some people, like, the hand animal, some people, the gen, the parent, but it's not really the crossover. And so, it was a, it was a big deal that, like, when you try to talk to them about tamoxification or sharing all the contours, they want me to try to own it so they can just own me. So, so, I will, I will say that we could spend three hours discussing the interactions with FDA. I've actually run meetings for days with FDA and, you know, pharma talking about their interactions. So, I don't want to get too derailed by that, but what I would say is what that tells me is the challenges that we have that our regulatory bodies are not nimble or any part of government, really, are very nimble in keeping up the space, the speed of technology, right? Oh, definitely. Definitely. We're regulating genetics as drugs and they just, they're not structurally similar in, like, how they're distributed. Like, you can't just go up to, you can't just go shut the door on the factory and say, okay, we shut it down. Okay. So, now, David's been doing lots of other interesting stuff, but I'm going to move on to other topics and we may come back to all that. So, the next question was requested, was patents and ownership and ethics of that. Who wants to take that on the panel first? What are your thoughts? In the context, in the context of genetics or in the context of, of, what was the? It was a genetic set of plans. Okay. You can do stuff that you want but you don't even have the tools to get that. Right. Right. So, it's, it's actually an interesting space because it's another place where people are completely unprepared to, from a regulatory or, or patent space to talk about. I was actually going to, it riffs off a little bit about what David said with the FDA. When I was at DARPA, we had started the prosthetics program, right? Which is awesome, right? Like helping, you know, wounded soldiers restore function. The medical devices group in the FDA had no people or knowledge of, of how to regulate implantable devices for the purposes of that kind of restorative function. Right? It was, you know, it was just a completely new space. So, I think it's, it's a question of, you know, you know, and unfortunately, right, it's the, it's the chicken-egg problem. Do you want to ask the question and unleash the beast, you know? Or do you want to, you know, let somebody else make a, make a run at it? I mean, I think unless there is a large, I mean, in the case of the prosthetics program with DARPA, there was an industry provider, right? And a university provider that wanted to go after it and actually produce it. And so, they were concerned with actually, you know, getting some intellectual property protections around it. But I have not seen a great deal of intellectual property protections around those implantable devices unless they're from a big, and I think it's because of the cost. I think it's really because of the cost of protecting the information, the cost of actually going through the regulatory process. I mean, it was only because it was part and parcel of those programs that they were actually able to afford it. The universities and the researchers would never have been able to afford that process. Yeah, go ahead. Right. Right. You know, I like to tell people that, you know, fortunately, they're not, fortunately, I don't think they're tracking it that closely. I mean, a lot of the, a lot of the work that's been done, I'm not familiar with the amount of patents that were filed in that space, but a lot of it is for government purpose rights and then the researchers themselves are allowed to go at it commercially. So it may be the case that if it has a, sort of an, I'll call it an off-label use for lack of a better term, but I don't necessarily know that they'd be interested in going after individuals in that way unless it was somehow disruptive to the larger organization that had gone after it. I hope that's helpful. So your question actually brings up something. I think one of the things I talked about I think with Amber. So ownership, let's take ownership not patents. You know, most consumers who are just giving their spit to 23andMe have no idea that they're not owning that the 23andMe is monetizing that, right? And really there's a big question about why shouldn't individuals own their own DNA, right? Why shouldn't there be a marketplace for that or they choose who, you know, so that's definitely a huge area that's still not got that. Amber, I think you talked a little bit to me on the phone about implants and others and can you talk a little bit about your thoughts about that and ownership? Sure. Well, I was working for a wellness slash healthcare company. They hired me out of doing this little startup that I had done. So I got to go to Nashville, Tennessee a lot. Of course, I ended up talking to people on the plane next to me constantly, you know, hey, what do you do? So I met this one guy and he said, oh, well, I work for a pacemaker company. I said, oh, that's great. So these things last about 20 years, right? He said, well, actually, all of our new models in order to increase market share and make sure that we grow as the required way as a publicly traded company must grow, we now make pacemakers that last for maybe, you know, four or five years because it's very nice to get 30, 40K at a time for the take out the thing, it's now outdated and put the new thing in, not to mention all the security issues they're running into because they're putting things like Bluetooth and stuff and Wi-Fi and connect to grandpa's hotspot. Great. This really, really bothered me and it bothered him too and I said, doesn't that seem unethical to you? He said, yeah, but I don't have a choice. My choice is you don't have a job or you have a job. The company has to grow as required by the artificial intelligence that owns us as publicly traded companies that must grow, right? So this was the big issue. I said, now it's a subscription model that you have to pay every five years for your life, right? The whole point of entering into a society is to give up some rights in order to get others, right? Well, how many rights do we end up giving up? And if people have a lot of money from the retirement accounts, a lot of money from health insurance, of course they can get a new implant. And I also thought about the, you know, cochlear implants and things like that and these hearing aids that now have Bluetooth so you can turn off your hearing or, you know, you can play music through it which is kind of nice but that can also be hacked too and you can get somebody into a horrible feedback loop and have to turn it off. So I was kind of thinking about there's, you know, and as an anthropologist all I think about really is social class. It's, okay, well, I've got somebody who would normally get a 20-year pacemaker and this is fantastic or 40 years or something that's stable and now because I don't have enough money I can't go in and get the next version of the pacemaker and I die and there's no controls around that. In cyber-organic anthropology class we got to write a lot of science fiction as our assignments and, of course, I wrote a story called Designer Jeans which was all these kids in a really wealthy school, their parents were constantly buying CRISPR-like solutions for their kids so every season you had to, oh, well, these are the new years for the season, you know, so immediately you would see that, like, the person wasn't up-to-date with this stuff that would be $10,000. We see this now in South Korea is people get, like, plastic surgery as a birthday present and you put your picture with your resume so that people can see whether you're attractive enough or not to be hired in a job because it's this trying to pretend like it's not two generations away from an agrarian society and we have to prove that we're really, I think, you know, after spending some time over there it was really intense and so I'm concerned about the social class issue of here's a bunch of people that can fix their own problems not only can they get, they can go in and get their DNA tested which is owned by somebody else but then they can subscribe to all the new, all the new systems that can improve their life and then you have a bunch of people who now have a lifespan of maybe 30 or 40 years and then you've got a bunch of people who can live for 80 or 90 years and there's this, like, class divide of short-term disposable robot workers that are put on pause and work three jobs to barely make ends meet and then you've got people who can live for a really long time and then you have even worse the kids of these really wealthy people who take care and take it for granted that they can just fix anything they want and so when I, when I was, you know, put my data into 23andMe there was a time where you could take out a lot more of the raw data than I think you can right now and I was able to shove it into all these open source analysis tools and I was trying to find, because my mom has MS, I was like, well, do I carry that gene and am I able to absorb vitamin D from the sun and I found out, oh yeah, I carry this horrible gene that means that I'm very susceptible to this but now I can, you know, that making what was informally invisible visible gave me a lot of empowerment but without that and it's just being used for somebody else and I had to run it through all these weird graduate level processes in order to get that data out so I think there's this, this issue that you have all these people giving away their data, they aren't getting any visibility on it, they aren't owning any of their data and it's totally not fair. I had a friend who is, it was found that he was HIV resistant and he was like, so they took all of that out and they said, well now we can synthesize some drugs based on you. They gave him a patient number. Does he get access to, you know, does he own any of that? No. You know, so they made just tremendous amounts of money off of him and then you have farmers who they've got these genetically engineered seeds they have to subscribe to and those seeds can sometimes pollinate with other seeds in other fields and cause those seeds to be genetically modified and then there's been these companies that like Monsanto will actually sue those farmers like, well we found genetically modified seeds in your field and you didn't buy the subscription model to the seeds. It's like, these seeds from this farmer's field infected my seeds. They're like, well you still have to pay up. And I was like, well we can't really contain the pollination of these seeds. So my biggest concern is that you're going to have a whole class of people kind of like now that has access to healthcare and implants and things like that which is why I'm really for people doing their own implants and making a 3D printed prosthetic leg. The only issue is that once you have a community like that that does it kind of underground for really cheap, you have to have a support network that says, okay, well I put something in my hand and now I have a microtumor, I have an infection, I need to get it out. Is there an underground department that I can go to that I can get this taken out in a safe way that I don't have to go to the hospital and have them either sue me because I have some government property in me or that's not going to alert any authorities. That's going to be able to do that surgery for me at a cheap level, kind of off-grid. Do we have to go to other countries for that? Do we have to go to some back alley for that? We're going to have to see that whole underground market that does this on the cheap and then all sorts of ways of deflecting any authority's detection of these systems because right now it's not enough of a profit loss for these large companies to go after people but at some point if it's a gene mutation or some nice thing that prevents you from having a disease and you got it off market, then hey, they lost $100,000. I can't imagine now you'll have celebrities that'll say, well, I'll buy one of those designer dogs. That sounds great. I can get one of these dogs without diabetes. Fantastic. But it'll be really cost prohibitive and there's money for that and it comes from these tiny little places and that's my big concern that there's no overarching authority that says, hey, this is unethical. We're going to create an even larger class divide and a whole subclass of people that do this off-grid that we can't we can just raid. Imagine getting raided as an off-the-grid medical facility and all the different ways that you're going to have to hide what you're doing and that sucks and unfortunately it goes into science fiction but now that's today unfortunately. So these are the things I'm concerned about. There needs to be democratization of this stuff because look at what we did with like, yeah, we had GMO food but now we can feed more people. Okay, right? Or the whole point of let's say a democracy or having some rights is that you have access to these things. Like you have access to the new technologies. We don't have things anymore really like a Bell Labs or like the idea of electrical grids that everybody gets electricity and yeah, we can subscribe to it but it's pretty affordable. We need to have that same thing going on for this new generation of medical implants and devices and genetic processes or we're going to get in really big trouble with our future selves and it will suck horribly. And right now it's just too goddamn profitable for people to be able to right now so they're hoarding all the money and consolidating all the capital and I just think that how that works in the past isn't very good and democracy makes things a little bit more stable over time so we're just kind of shooting ourselves in the foot. It's hard to tell people that who are CEOs who make a lot of money because they have to respond to their shareholders and they have to grow. So your question really opened the giant can of worms, right? So it touched on a few topics that we've been talking about and we've been thinking about so that's great. Thank you. I'll combine two of them. I'll combine next the safety implications, right? And the don't give a shit people kind of question. So how do we deal with the biohacking community and their sort of ensuring safety and how do we impose rules like someone said to folks who don't give a shit about rules, right? So I've been thinking about this a little bit because you know as someone who's transited this space from both of I would ask I would call an over-regulated environment which was you know working in defense and trying to get through institutional review boards and things like that to work in what I considered mission critical slash life-saving applications and the struggle there all the way to advising my friends and colleagues on the best placement of TDCS electrodes for you know the kind of stuff they're trying to do, right? So I absolutely believe in the democratization of this space and so I was wondering I was playing with the idea of you know with the you know there's obviously you know even the word IRB institutional review board you know gives me hives, right? Because of you know sort of dealt with that but I was wondering is there could there be an equivalent in the biohacking community of some type of peer-reviewed you know review board where it was not binding in any way but you you got the input of folks who may be actually specialists or willing to to transit that space and I think one of the challenges has been and I'm going to criticize my own group of people right? So I'm going to criticize researchers in general maybe people who consider themselves professional researchers I think they've been hesitant to cross the threshold of interacting with you know sort of do-it-yourself for biohackers for fear of I don't know their own research credentials or you know nobody's going to take away my PhD if I help my friends like put their electrodes somewhere you know I give them the same caveat that I'd give anybody else that I you know whether I'm recommending you like eat something or you know put an electrode on your head I think it's a you know it's a it's a conversation that we're having I have a colleague Zoran Popovic who's done the work on Foldit it was that like crowdsourced protein folding thing and he was the one who insisted to Science Magazine that all of the researchers who had participated in that crowdsourced activity get their name on the paper and I think we need more researchers you know I don't necessarily think that it's it's entirely incumbent on the biohacking or DIY community to figure that out I think it's also incumbent on researchers and medical folks to cross over and start interacting in a better way so is there a way to do peer review is there a way for researchers and scientists to share methodologies that don't necessarily impose anything on folks who are doing that but want to get into that space so a couple of comments on that first of all would the you guys that are going don't give a shit people would you ever think of submitting to an institute review board I would assume not when I did the circadia implant like we actually contacted a doctor like a neuroscience professional and we just said hey can you can you just give us some advice highly off record just do it this is about placement we just want to know if this is going to kill me that's all right and he was like I'm not answering look dude I just want to know if this is going to kill me that's it is this going to kill my friend and he's like I can't comment dog I can't so it's not that we wouldn't talk to them they won't talk to us and it makes us feel really sad yeah let me address it from a different scientific perspective because there are those academics who will say I personally don't want to participate and they have the right to not participate however there are committees at the universities who will look at an academic and say did you participate in this you submitted this when you asked for a promotion or for tenure and now we have a problem with you and so they're not they're never they're never going to get clarification until he says hey can I do this are you guys going to throw this back on my face can you tell us more about what we're going to throw on your face later it's all about liability because if I said oh yeah you can implant this right here and it won't kill you and then it kills somebody because they had some other issue in their system that was unique to their genetics and they die you personally are on the line because you said that to them so one of these people has sworn an oath right to basically take care of people right and do what's in the best interest for somebody's health right but there's another class of people that is like holding out for their own like that or one of the core research credentials that don't have that obligation about the health care I think if we if we kind of there's kind of a framing that I like to look at where you have the norm line right here's the norm line of everybody has cell phones in their pockets and video cameras and this is no big deal but 15 years ago we didn't and anything above that was considered an enhancing technology oh my gosh you have a camera phone that's insane that's not evenly distributed this is horrifying oh my gosh our privacy is dead and then a few years later it's not really a big deal because everybody's got it right so anything above that you know military technology is usually enhancing and then you have below that that gets you back to the current norm you have this restorative technology I glasses medical devices things like that and so what I'd like and then you have this other vector over here which is art and art you could say well this is art so you don't you can't regulate it right so it's about reframing it so that they don't have a legal liability it's oh well I'm going to put an ear on my hand well okay I'm allowed to do that because I'm an artist right so I'm also interested in these like little tiny legal gaps that you can exploit to make your things art or something that you can experiment with and publish not that it works in all these studios right so let's see like whether that's reasonable or not like I think in some cases if you write about it and you kind of do like the legal thing as an art as well there might be gaps you can get through but again you could things could change and you could get totally destroyed right so this is an inherent thing but the question I have is do people have a right to restorative technology if we think about vaccinations and penicillin and all these things that are about a public health crisis and suddenly everybody needs this thing because there's some CRISPR thing that takes out something horrible that could spread to other people then wouldn't that be a reason to have these things democratized so it's 20 bucks and you go get it at the CVS pharmacy as a shot and everybody has to have it versus you pay $100,000 as a very small individual with a trust fund that can have it and nobody else can have it and I wonder if we come upon things that are good enough or like as crucial to public health that we that suddenly there's an incentive for everybody to have it it still will make people money it will still make insurance companies money this is being very utopian but I'm wondering if that's a possibility so like in terms of like the people who don't follow the rules necessarily like I think they're absolutely necessary to the health of the system in general so looking at it from a broader systemic perspective any system of control has to have a little chaos at the edges because if it doesn't then there's there's no resistance to people who would game the system so you know like right now like half the reason our fucking financial system is fucked up is because people are gaming the system and so you need people who can innovate faster than they can game the system you need people who can introduce unexpected elements so that the system can change any system that's total order is is just ripe for manipulation and there's no opportunity for the system to adapt and so when you have people who are like I don't give a fuck I'm putting this thing in my arm then you know you have opportunities for new ideas to spread you have opportunities for the regulatory bodies to look at new things happening and say well fuck we never expected anybody to do that you have opportunities for the system to adapt in ways that make it resistant to people who would capitalize on the system from below and from above so like bioterrorists you know fucking like tyrannical governments that would use this shit on their population you know fucking greedy industrialists who would use this stuff to their advantage and so when you've always got a little bit of unknown at the edges and you've got people who are willing to hack the gaming that they're doing then you can create a path out of them capitalizing and getting total control of the system I think it was a comment or question over here I was just going to comment that when you're talking about peer review and something similar to an IRB or board in terms of biohacking community that already exists because it's part of the open science community there is peer review people periodically call the biohacking boards and say oh I want to do this and they immediately get feedback from people who have either tried it or have some sort of specialization and can give them feedback I know that's not reasonable and completely unfiltered too like hey man your shit's stupid yeah well that's a great I mean that's a I mean we see those things circle through and that that would be a really interesting place because that that does you know sort of enforce and I'm using the word enforce in the lightest possible way just a rigor you know from that perspective without necessarily imposing you know any controls on the on the overall hypotheses or the folks that things are going after the other thing I was going to say about regulation in general was just you know you sort of came up with the example of the CRISPR you know we find some solution and it's in the CVS the interesting thing I think about the disruption in this space is just speed you know I mean look at how long it takes even something that's desperately needed to get through a regulatory process and get through trials I mean I mean I just I just want to blow that whole thing up so I just want to come back just to your comment first actually I think to me I edit journals we were having dinner last night one of our many conversations was about how broken peer review is fake journals and also conflict of interest in peer review so actually I think crowdsourced kind of feedback in many ways is stronger and better than traditional peer review the other thing I'd like to point out many people don't know this but unlike most other countries in the world at the moment the largest institutional review boards in the US that actually have contracts with most academic centers are owned by private equity and they're actually monetizing the data that comes into the institutional review boards so even what we think of as institutional review boards private equity owned and very much for profit and most people even in industry don't really understand that yeah I was definitely not advising for commercial yeah yeah yeah but the thing is the people don't even realize in the US even those RRBs which are traditionally thought of as you know in independent independent the I does not stand for independent exactly on that line and not in defense of the RRB at all I share your pain how though can we as a community enforce the intent of an institutional review board of protection of participants and informed consent yeah I mean I think so you're using the word enforce it's interesting to me that now that in that super lightweight so so when you're going to so citizen scientists by hacking paradigm I'm just not sure the genies out of both I'm not sure how you can enforce it like you would with employees in a company or something yeah at what point do you take it in terms of making sure that the information is available right from a standpoint of your friend wants to know if this is going to kill him right really aim for is well if obviously it should or shouldn't given we don't know that , but what else is under line right here's all the info that's out there that you can take a look at and kind of gauge your own risks yeah that there's a reason why I what why I like coming in with my optimal stuff then just sharing hey here's some stuff that you guys can look at right I I don't pretend to tell I'm telling you to tell anybody how to go through the process but here's the starting point isn't that kind of the ethos we're going for here yeah yeah exactly where you go try not to screw it up for anybody else right and the best and the best information too right it's sometimes sometimes I'm not sort of arguing for or against you know a credentialed person having more knowledge or more information but sometimes there is experience in the field that helps you pull together things that are across studies or across spaces to impact and I'm one of the people where you know when I'm my friend asked me where to put their electrodes I'm like I'm giving you the papers and the whole raft of stuff and I'm telling you how I derived that thought process and you tell me if it works or it doesn't work for you right exactly right right right but that seems like a good version of some type of informed consent in a I mean obviously there's a there's also the relationship with the between the person if there is a someone doing the procedure and someone receiving the procedure that also you know I think is maybe a little bit higher level of informed consent than right exactly I think part of the problem that we're experiencing by is that it's indistinguishable from medicine medicine is different than biohacking it's a different discipline a discipline that has acceptable risk yeah and the thing is if we were to split these two in academia in some way we would find ourselves able to do things at a speed which could then be beneficial to the medical community in a backwards way yeah absolutely and guess what now we can help you in the medical industry when people have agreed to accept the risk absolutely but yet our view on body autonomy when it comes to medicine is just not there you don't own your medicine you're not allowed to heal yourself you need to go to the guy with the paper you can see it it's on the fridge it's on it actually made me think of that because my dad has an implanted defibrillator and I realized we don't have access to any of that data he doesn't actually own that implant it's like a little resident in his body that's essentially owned by Medtronic I'm a neuroscientist I can actually do something with that data if I had it I could do all kinds of things and right yeah yeah that's yeah I keep thinking about I had an employee once that had an insulin pump and he was really excited about it and then he got it done okay great so we had a one-on-one meeting and he beeped and I said huh I can hear the implant he said yeah it needs to be refilled so it beeps can you change the alert so I style. And he said, nope. And so this whole thing that he was so excited about, about restoring to the norm and nobody noticing that he was just a cyborg, it would go off during weddings and funerals, draw attention to him and make it seem like he was being rude. But then when he was at a really loud concert, he couldn't hear it. And that was a health risk to himself. And he couldn't go to the company and say, hey, why don't I have control over even the alert style? Because it was done. And he didn't even get to see all of the features of it before it got implanted because he was so excited about it. This was like the state of the art. And so I actually wrote a book called Calm Technology, which is about allowing people to change alert styles. And you're going to have a different situation. You're not in an assisted care home where the person who is taking care of you needs to hear that so they can refill the insulin pump. You're your own independent individual and you need to change the alert style. And not even having control over that is so odd because now we'll have a series of future in which all of us have different cyborg attachments and one is owned by this company and one is owned by that company and one is owned by that company and one is owned by this company and they all fight with each other and then you had support between the two so you could get some nice data out. Oh, but sorry, we closed down the API because it wasn't making any money. And that was my concern with like, you know, web 2.0 right now is that there are a lot of companies that, you know, especially in like the qualified self community, which is, oh, you can have access to your data or you can buy back yourself in a way, right? We're buying back ourself and subscribing to ourself. And that, you know, if you were in the Olympics, maybe you could hack these and get some data out. But then that would render that. Useless. But you had this kind of small mini utopia of, for a while, being able to access all the data, remix it, and people could make their own third party systems for analysis of that data, which was rendering the formerly invisible visible. And that was fantastic. But we might not see until like the next generation of the web how actually useful for all these companies it is to allow that data. Because a hardware developer isn't necessarily always the best at software, as you can see with all these like home devices. It's like, oh, wow, this is a Philips Hue Lite, but I can't really use the app because it's awful and it doesn't really work. So allowing third parties, especially also with like government data and things like that, to make the best interface for their purpose and make money off of that turns it into an ecosystem model that benefits both people. Because if I bought one of those Nike wristband things as somebody who advised the Nike accelerator and they've never finished their API and nobody could do anything with it, it would be really nice. I mean, more people would buy this because it would be more useful to them. And no company can actually say, oh, I know all the different use cases for this technology. It's up to the customer to do that. And having this symbiotic relationship between the two would be useful for both parties. And it's really upsetting to see how terrified people with legal and these like old school industrial methods that they just say, oh, we need to close all of this off and we're fearful and then they wonder why nobody is buying their devices anymore. And I think we have to get over this period of time where we realize there's an incentive for things to be connected to at least the customer for that to happen. But we probably won't see this in this generation of the web. We have to have kind of the tide going out and it coming back in. And that's what really threw me into a depressive loop when all this stuff started shutting down. Because we go through periods of the web and data that are very open and exploratory and fun and people are remixing things and wow, these cool things and then, you know. And it just makes me feel awful. It's like, well, now it's all beige and corporate again and we lose all the opportunity and the art. And you brought up Steve Kurtz which is a really interesting case. I might not get the case right but there's this guy Steve Kurtz and he was doing a bunch of art and he had this guy named Professor Farrell who was getting some non-interactive biomaterial for use in these art exhibits. And he was very open about the fact that he was experimenting. And then his wife got sick or died or something. He called 911 and they said, oh, well, it must have been the biomaterial in your house. And so they made this big case out of it. And they said, you might have killed your wife or something like that. And they went through his house with hazmat suits and tried to figure it out and they tried to indict the professor for giving him this non-interactive biomaterial. And I was like, well, none of this was an issue. But it was this big landmark case that this person doing art. And so when we talk about, is it okay for me? Is it going to harm me? That's one level. But the next level is, is it going to harm somebody in my household? And if you make a system and sell it to somebody else that interacts with some cancer that they have in their system and triggers it, and there's a correlation tied by some police officer, like regulatory institution that has nothing to do with what you did, then are you on the line for all these other people? And so that was a scary case that came out where they tried to get him in trouble for something that he actually didn't do, but out of this, out of this fear-based thing. So we have to wrap up, unfortunately. But I'm really glad that we were easily able to solve this simple problem in our one hour panel. So what I would say is I would propose to Nina that we continue actually talking about ethics probably every year, because this is an evolving area. And obviously, we feel very passionate about it. And the level of engagement we've got from the audience, thank you for doing the job for us. Really appreciate that. And we'll definitely, if you like it, we'll continue. Really, I think this is an area we need to think about every year and try and maybe show some leadership even to more traditional groups. So thank you, everyone. I appreciate it. .