This is definitely a problem. There are many divides. Digital divide. Then not everyone had a credit card. Not everyone has a bank account.
22% of Americans are unbanked or underbanked.

“The events of recent months relating to COVID-19 ..have brought increased attention to the digital divide...an economy that runs on the assumption that individuals have full access to traditional banking”

forbes.com/advisor/bankin…
“the unbanked and underbanked ..less education or to be in a racial or ethnic minority group, according to the Fed data. Put all of these characteristics together.. those who are unbanked and underbanked... who may have historically felt shut out of traditional banking”
“..costs of alternative financial services ..add up to a much steeper expense over time. According to the Financial Health Network, unbanked and underbanked Americans spent $189 billion in fees and interest on financial products in 2018”

= cost of poverty
“The biggest issue w/ using prepaid cards, however, is that, unlike credit cards, they do nothing to help their users build and maintain a credit history...credit history..accessed by employers, landlords, utility companies and insurers in making decisions on whom to hire, rent”
A viewpoint on whether #cryptocurrency & #blockchain can be the answer for “banking the unbanked”

forbes.com/sites/yayafanu…
Key parts here. Issues are lack of income which means they are unbanked as undermarketed as not an “attractive” market.

We need to raise incomes. How to store, access, transfer, invest money is less an issue.
#Blockchain definitely has a lot of potential, including in the developing world, in regards to security, anti-corruption, transparency, trust.

Hard to believe adults steal lunch from low income kids, but...

...actually nothing surprises me

weforum.org/agenda/2019/05…
But that is a different issue from being unbanked/underbanked

This is 10 years old, from FDIC, but many issues remain relevant

The trust issue is true of banks or thinks like #COVID19 #vaccine. Boils down to trust in a system that historically excluded

fdic.gov/about/comein/K…
But before we even get to what the solutions are for the “underbanked” - do we even agree on how to define the term?

americanbanker.com/opinion/ditch-…
Looks like the “answer” #cryptocurrency has many of its own security risks/breaches - this fear must be why some people keep money in a mattress.

zdnet.com/article/2020s-…
If financially savvy people are falling for scams, how do we protect the historically marginalized? fbi.gov/news/pressrel/…
An issue with unbanked & underbanked is generating a credit score to get credit/be financed. Instead of traditional banks, can use #microfinance models. This examines that with #blockchain.

forbes.com/sites/seanstei…
#microfinance won @Yunus_Centre a Nobel Prize. Video on how he started a movement.

When intelligent people get frustrated and keep trying to solve a problem, you get pretty awesome results. You sometimes just need to care enough and not give up.

I get frustrated with cultural chauvinism and misallocation of resources in a lot of these issues. Not about being prudish, rather, what women and men need is economic empowerment and self efficacy. Access to credit, loans, financing is a huge part of that.
On how #Pakistan is handing #digital #finance #Ehsaas @SaniaNishtar

Love that they are inviting ethical #hackers to find vulnerabilities so they can troubleshoot and plan ahead for inevitable future attacks #hackathon

nation.com.pk/09-Oct-2020/eh…
It’s impressive what is being done via #Ehsaas by @SaniaNishtar including in very low resource villages in #Pakistan

So the U.S. has GOT to be able to reduce the unbanked/underbanked rate from 22%
A conversation between @BillGates and @SaniaNishtar on #poverty alleviation at @SDGaction @UN_SDG

A step before all this for many is the digital divide

cs.stanford.edu/people/erobert…

time.com/4718032/the-di…
There are gender disparities as well in the #digitaldivide globally

news.un.org/en/story/2019/…
From the @UN on the imperative of closing the #digitaldivide, especially to prevent worsening of inequities. #poverty #equity

news.un.org/en/story/2019/…
Of course as some are trying to expand access, there is this threat of a #technology Cold War for power that often disrupts attempts to democratize

foreignaffairs.com/articles/north…
More on that U.S. China #digital Cold War and what to expect from president elect #technology #technews

Interestingly, China is doing a much better job at poverty alleviation

“people living in poverty in China has fallen from 750 million in 1990 to just 16.6 million in 2019.”

But their human rights record is 😱, especially vs Muslims

borgenproject.org/poverty-allevi…
A 10 minute video on #poverty in America. While the absolute number has gone down, near poverty has spread and the nature of poverty has changed

~40 million live in poverty or 1/8th of the population living in less than $26K/year for a family of 4

Child hunger in America is especially a problem and expected to worsen this winter.

“Nearly 12% of Americans, or 25.7 million people, reported not having enough to eat over the past week”

1 in 6 children live in food insecure households.

cnbc.com/2020/12/11/mil…
Many people have to choose between paying for food or paying for housing - food insecurity and housing insecurity go together along with other #SDoH or #socialdeterminantsofhealth

housingmatters.urban.org/articles/how-s…
Going back to the initial tweet, what do people who are homeless do in banking which is step towards cashless? These are a few options:

homelessthf.org/education/modu…
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More from @usnehal

4 Jan
Dear #MedTwitter please, please, if you are a licensed medical professional and/or in school to be, do NOT delete your tweets or comply with anyone telling you to do so. It will harm you far more than leaving them up and explaining. Nothing is ever deleted. Can be used in court.
When I was at Harvard Med School and at an esteemed children's hospital, a case against an esteemed professor, that NO lawyer would touch cuz this was someone who had WRITTEN the textbooks and trained every expert, was won ..based on "a document was deleted" - creating suspicion
"Sunlight is the best disinfectant" you will hear me say OVER and OVER - wins & losses *should* be on data/standards but unfortunately wins & losses are in the court of public opinion. So be reliable, credible, and trustworthy. Transparency is one way to achieve that reputation.
Read 64 tweets
4 Jan
I was just reflecting on that this last day.

There is SO much shame in various cultures: healthcare (medicine, nursing), religion (Catholic, Muslim, Jewish), political (conservative or progressive/woke).

People who say “shame on you” are revealing they’ll a lot about selves.
If you shame others, is that your own internal wiring?

Thing is, if you allow shame to be your go to for others, you keep it alive internally. That is SO easily manipulated.

It is also the basis for ostracizing behaviors associated with bullying.

psycnet.apa.org/record/2009-07… ImageImage
It is the lazy person’s way to express themselves in interpersonal interactions IMHO because most of us had shame instilled in us by culture, religion, family, education. It is why so many have #impostersyndrome which is really is about ego, not ethics or getting 💩 done.
Read 7 tweets
3 Jan
Spot on.

No one agrees on definition of #professionalism.

Differs by field & setting within medicine.

Let’s be more precise.

There are several cultural and system changes/shifts happening in healthcare that change interactions, expectations, parameters.

#MedTwitter
More from @Dr_Bowser - yes, #professionalism is diffuse, varied

It quickly devolves into
shaming labels
in/out group
(=You do not belong in the profession/club)

Fear of being ostracized

to enforce “rules” that are
nebulous
not verifiably mapped to quality
often indefensible
Methods to exclude, ostracize, label as “out group”

are hallmarks of bullying

which we know is too prevalent in medicine and education

Not everyone who uses term “professionalism” intends to/is a bully but many of us are complicit ImageImageImageImage
Read 17 tweets
3 Jan
I just found the bachata channel on TikTok. Guyses, this may be a hole from which I never emerge from. Also I know my go to Latin dance club is open. I will wait until it is safe. TikTok bachata channel it is.
Like wow... you can do that even when super preggers? Holy cannoli. That is another level. (Is she post dates & trying to induce labor?)

m.tiktok.com/v/690585866955…
And wow at his hand styling.

I once, in salsa, elbowed somebody in the nose. He was a super good sport about it. But you know they teach you to go for the nose in self defense. He was in PAIN. So now I keep everything tucked in to avoid accidents.

m.tiktok.com/v/691179694159…
Read 4 tweets
2 Jan
Frankly every single person has some kind of privilege. If you have sight or two functioning legs you lack certain barriers

Acknowledging the same about structural racism is not insulting

unless you have cultural chauvinism/superiority & believe your own culture faultless
Personally, as someone Muslim, what I was taught about my purpose on this earth is the every single thing I “have” is only loaned to me and nothing I am entitled to.

You have to pay interest on loans.

More you have, more you must give (back).

Of course I face barriers too.
I don’t talk about religion a lot. I am deeply spiritual. I do believe Islam is “a way of life.”

I am less worried about reciting the exact right dua/prayer when stepping in a room with the correct foot.

Hadith can be disputed but this one is beautiful. Mercy matters most.
Read 60 tweets
2 Jan
Well that is lovely.
Welcome 2021.

I should just disable the news notifications. I have no need to know about homicides being up. And yes, I am, aware, domestic violence is a big killer. People home with their “loved ones” = danger, maybe death.
Again, I prefer pumas to humans many a day.

Conservatives try to fear monger & tell you it is some “other” (typically another race) who is the murderer & rapist.

Nope, danger is greatest from those you trust the most with access. Pediatricians know this. americanbar.org/groups/public_…
I have become extremely discerning regarding abuses of power particularly in faculty given this long history that is extensive across multiple elite boarding schools where reputation mattered more than protecting children including my own boarding school. I had no idea of it then
Read 15 tweets

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