Who Do You Want To Be?

hiding behind a mask
[Image: The Nonsense Blog]

Identity, or rather the ability to create new identities, is a key facet of the internet. Some people troll away on internet forums under assumed names just to cause trouble, while others use made up identities to expose political scandal or even circumvent local laws. This ability to change identity at will is both a boon to the creative and a bane to the legislative, but in its own way it drives innovation and change.

Identity And Social Media

Eric Schmidt of Google spoke recently at the Edinburgh International Television Festival to announce the launch of Google Television in Europe, which should hit our shores in the new year. However, he also took some questions, including one from Andy Carvin about Google Plus (G+). He asked “how Google justifies the policy [of making people use their real name] given that real identities could put people at risk?”

Schmidt’s answer was that G+ was built primarily an identity service, and that people were free not to use it if they felt they could be putting themselves at risk. I found the answer a little disappointing, especially given the tone of his actual speech which took issue with the ongoing split between the sciences and the arts in the UK.

By forcing G+ users to use their real identities Google are in effect silencing the weird and the creative along with the subversive and the disruptive, leaving them to create their “fake” identities on message boards and Twitter and Facebook instead. Google’s attitude appears to be driven by their desire to use G+ data as part of their search results algorithm as a way of reducing web spam, but this seems like a short sighted method of guaranteeing the authenticity of a +1 click for instance.

Authentication vs Identity

Rather than focus purely on identity I think Facebook and Twitter are getting it right by focusing on authentication. By verifying that you are the person who created a certain Facebook or Twitter account you can continue that internet persona uninterrupted on a myriad of different sites. You could potentially Like things more than once, or share them on multiple Twitter accounts, but does that really cause a problem when a real person does it once or twice?

Say you could have more than one G+ account then, how many people would go to go to the trouble of creating two accounts to game Google’s search results? A lot unfortunately. There’s real money riding on it after all, and knowing the experience of Black Hat SEO practitioners and their “creative” ways of building links, they’ve probably already gotten around Google’s current protections anyway.

Google really are going to be fighting an uphill battle to keep it to one account per person. Twitter suffers a great deal from fake accounts being set up for spam purposes. Facebook apparently less so, even though Facebook Likes are now almost a web currency of their own. But companies with people as smart as the ones at Google, Facebook and Twitter should be able to decouple the ideas of multiple (valid) identities and spambots created purely to manipulate results.

Who Are You Right Now?

I think Fred Wilson’s take on Identity and Authentication is pretty spot on too. He comes at it from a slightly different angle, not so much about fake or hidden identities but rather about his real identity being split across different sites for different reasons. It was for exactly this reason that G+ made the leap forward it did with Circles, letting people split out who they talk to based on some common themes, but by tying it all to your real name it restricts itself unnecessarily.

Quinton O’Reilly also recently covered some of the problems that arise from having a publicly accessible profile with its own unique persona, especially when potential employers come looking to dig up some dirt on you. To me that’s all the more reason why people should be allowed to have different accounts, or identities if they want to. In fact, it’s almost exactly the reason that most people I know on LinkedIn are members of that site. They don’t want their Facebook profiles perused by employers, colleagues or customers!

Should Businesses Care?

Which brings me to the business end of things. Most people who use WhatClinic.com use their real names when they create an enquiry and they use real email addresses and real phone numbers. But do we know if they just created that email account, or just bought a prepaid mobile phone? No. Do we know if they’re using a pseudonym? No. Should we care? Not really. So long as the clinic can actually contact the user they’re free to call themselves whatever they want.

People change depending on the situation they’re in. They do it in the real world and they do it online, and I doubt even Google are going to be able to stop that.

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More Strange Analytics Behaviour

Google Analytics over-reporting visits

Google Analytics was recently updated to change how it calculated when a visitor’s session ended. We were told this should have only a small effect, around 1% on average, on how our visitors were being counted. The change went live on Thursday August 11th. If you look at the graph above you can see on Friday the 12th our reported visits increased by over 40%. This trend continued for nearly a week.

Now a 40% increase in traffic would obviously be welcome, but our unique visitors report told a very different story. Nothing had changed much at all!

Google Analytics unique visitors

So, what was going on? It turns out there were some bugs in the Analytics update that created new sessions for users when they should have had only one. Full details are in the update to the announcement of the original change. It would seem that in our case visitors who clicked the back button in their browser to go back to the landing page they arrived on were being counted multiple times.

Google pushed a fix to this problem on Tuesday the 16th of August and everything seems to be back to normal now, but I’m sure we’re not alone in having spent some time trying to work out what was going on and what changes we’d need to make to be able to compare reports from before and after the change. Thankfully it looks like that’s not an issue anymore. Still, it seems like a pretty big bug to slip through the net for such an important product.

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Why Pricing Matters

Cash money & Stethoscope

Any time we bring attention to the fees that dentists, doctors and other medical professionals charge we are given out to. We are told there is a lot more to medical treatment than just the cost involved, and by putting an emphasis on the fees being charged we are encouraging patients to choose the least expensive rather than the best quality treatment.

The fear among medical professionals is that open price competition will lead to a race to the bottom, where quality no longer matters. But this fear is blinding the same professionals to the reason that we are obsessed with price at WhatClinic.com:

This information is what the consumer wants.

Consider the following:

  • 55% of all enquiries sent to clinics specifically mention the price, cost or fee being charged. This figure is even higher when the price has not been published.
  • 84% of our visitors from the UK admit to having delayed dental work because of the costs involved. This is a shameful statistic.
  • Nearly 100% of consumers who travel abroad for medical treatments cite price as their primary motivation, and yet they are generally unaware of affordable treatment options at home because of the dearth of price information available locally.

After 4 years of running WhatClinic.com and over a million patient introductions to clinics we know that price is the number one piece of information potential patients are interested in. They want price transparency and we intend to work continually to provide it.

The Information Vacuum

We understand that a price alone can’t tell the whole story. There are different material options available, providers can have different qualifications and experience, and facilities can be state of the art, or decades old. This information is difficult to communicate to consumers, but the answer isn’t to create an information vacuum.

It is a simple fact that the clinics that share the most information on our website are the same ones who gain the most new patients. Their openness and transparency builds trust before the consumer even picks up the phone or types their email.

And it’s not just prices we are interested in publishing. We want to encourage clinics to share as much relevant information with the public as possible. What brand of dental implant do you use? How many times have you performed a tummy tuck? What specialist training do you have? How long have you been practicing?

The fact remains though, “How much do you charge for… ?” is one of the most common enquiries that clinics receive from patients, and if you’re going to tell patients how much you charge, why not tell them why you charge that much by providing a little extra information? Prices don’t tell the whole story, but they are a starting point.

Obviously not all treatments can have a fixed price, but they should all have a fixed lowest price. Price ranges give patients a clear idea of what to expect even if they’re not exact. By not publishing any prices at all though patients often feel that the price they are quoted has more to do with their ability to pay than the treatment they will receive, and ultimately encourages them to “shop around”.

The Language Problem

Another issue that gets raised time and time again is the wording used when talking about these issues. “Patients aren’t consumers”, “we have fees, not prices”, and “dentistry isn’t a commodity, you can’t compare prices” are common complaints.

The problem here though is that patients, or consumers, or visitors, or whichever word you want to use to describe them don’t care which wording is correct. They talk about prices and they talk about cost. They nearly never talk about fees.

Moreover, how they talk is how they search on the internet, so in order to get the information to them today that’s how we talk too. If and when the public start talking about fees instead of prices or costs, then we will too.

Of course dentists are right when they say “dentistry isn’t a commodity”, but unless they publish qualitative data too, which the vast majority don’t right now, then price is the only piece of information the patient has access to, which effectively results in a commodification of the market.

Helping Patients Get Treated

It’s our view that getting hung up on semantics does nothing to help patients get treated, and really that’s the common goal that we share with the clinics and health professionals who use our service.

We want to share price information because patients want it. We want to share quality information, because patients should know about it. And we want to share availability information because it makes all our lives that little bit easier.

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