“provenance” — broadly, where did data arise, what inferences were drawn from the data, and how relevant are those inferences to the present situation? While a trained human might be able to work all of this out on a case-by-case basis, the issue was that of designing a planetary-scale medical system that could do this without the need for such detailed human oversight.

There is a different narrative that one can tell about the current era. Consider the following story, which involves humans, computers, data and life-or-death decisions, but where the focus is something other than intelligence-in-silicon fantasies. When my spouse was pregnant 14 years ago, we had an ultrasound. There was a geneticist in the room, and she pointed out some white spots around the heart of the fetus. “Those are markers for Down syndrome,” she noted, “and your risk has now gone up to 1 in 20.” She further let us know that we could learn whether the fetus in fact had the genetic modification underlying Down syndrome via an amniocentesis. But amniocentesis was risky — the risk of killing the fetus during the procedure was roughly 1 in 300. Being a statistician, I determined to find out where these numbers were coming from. To cut a long story short, I discovered that a statistical analysis had been done a decade previously in the UK, where these white spots, which reflect calcium buildup, were indeed established as a predictor of Down syndrome. But I also noticed that the imaging machine used in our test had a few hundred more pixels per square inch than the machine used in the UK study. I went back to tell the geneticist that I believed that the white spots were likely false positives — that they were literally “white noise.” She said “Ah, that explains why we started seeing an uptick in Down syndrome diagnoses a few years ago; it’s when the new machine arrived.”

The journal will accommodate data but should be presented in the context of a paper. The Winnower should not act as a forum for publishing data sets alone. It is our feeling that data in absence of theory is hard to interpret and thus may cause undue noise to the site.