We all know that the US healthcare system — just like the healthcare systems of many other countries — has become unsustainable. We also know from experience that changes in the healthcare industry come slowly; probably quite a bit more slowly than the double-digit growth rate of health expenses that is reaching 20% of GDP.
So Quo Vadis Health?
Fortunately, increasingly many people both inside and outside of the healthcare industry are seeing this not just as a problem, but as an opportunity. To give this community a "virtual water cooler" to hang out, we recently put up a wiki and a couple of mailing lists at:
If you are interested in the unconventional, the disruptive, the new new thing in healthcare, why don’t you join us? There will be a second HealthCamp some time in February, building on the success of the first HealthCamp in San Francisco. Sign up the announce mailing list to find out where and when.
James McGovern posted a number of questions and thoughts on Federated Identity and Authorization (the most recent installment is here), and challenged a bunch of us to respond. Well, here are some answers from my point of view:
I can’t answer for Microsoft, and leave it to Kim to answer that part of the question. The thing to keep in mind about OpenID is that OpenID is an open community that has no central planner who says "this is what is on the roadmap and this is what isn’t". So I can’t answer the question about what OpenID as a community will or won’t do — nobody can. That is a feature, not a bug, by the way
What is clear, however, is that authentication isn’t very useful if it can’t be connected to authorization, and all OpenID implementations (including ours at NetMesh) have some support for authorization. There aren’t any standard protocols, however, and authorization support is still baked into applications instead of being interchangeable. Looking ahead, I would consider it entirely possible though that somebody in the community builds another Yadis service type for XACML of some kind, demonstrates how useful it is in the context of OpenID, and it moves into the OpenID process. (James, would you like to do that? That’d be really cool … the nice thing about an open-source-style community like OpenID is that anybody can innovate within it, no permission required.)
That isn’t quite true for OpenID: Ruby has been supported as a first-class citizen for some time. I haven’t heard of Smalltalk support, however.
It most certainly should work with it. I personally don’t have the expertise to say how, but I think we have a customer who has actually done that integration for URL-based identity, so it presents an OpenID user experience on the front and uses RACF on the back.
That is already happening in some internal projects, for basic protocol support. I would fully expect, however, that a new range of products will show up on the market that employ user-centric identity in novel ways and that do not map on product categories as they are known today. Those new products will likely not be developed by the incumbent vendors.
Admittedly, some Liberty folks got a bit blindsided by the newer stuff that is going on, like CardSpace, OpenID, OSIS, Higgins etc. However, many of the Liberty folks are engaging in the community, are trying hard to understand why some of those technologies have popped up and what they are trying to accomplish, and how to integrate with the many good things Liberty has created already. I think we should give them credit for working hard to stay relevant, and there is a no reason to believe Liberty doesn’t have a continuing role to play.