“Software that controls your body should always respect your freedom,” warns the program manager of the Free Software Foundation:
In July, users of the proprietary software app LibreLink, who live in the UK and use Apple devices, found that the app they depend on to monitor their blood sugar was not working anymore after the developer Abbott pushed an update for the app… Despite what its name may suggest, there is nothing libre about the LibreLink app. It’s proprietary software, which means users must depend on the company to keep it running and to distribute it. With free software, [a user] would have had the freedom to run, copy, distribute, study, change, and improve the software himself, or he could have leaned on a community of developers and users to share and fix the software, and the old version of the software would have been available to revert the update…
Two months later, with Apple’s update to iOS 17, users of the FreeStyle LibreLink and Libre 2 apps had reason again to fear that the software they rely on wouldn’t work after updating their iPhones. This time, users all over the world were affected. In September, Abbott warned Apple users: “As part of the upcoming iOS 17 release, Apple is introducing StandBy Mode and Assistive Access Mode … this release may impact your experience with the FreeStyle Libre 2 app, the FreeStyle LibreLink app, or the FreeStyle LibreLinkUp app. We recommend that you disable automatic operating system updates on the smartphone using the mentioned apps.” This warning was made because StandBy Mode would sometimes prohibit time-sensitive notifications such as glucose alarms, and the Assistive Access Mode would impact sensor activation and alarm setting modification in the app…
And a scenario where a company abandons service or updates to its users is not merely theoretical. This is the bitter reality faced by users of eye implants produced by Second Sight Medical Products since the company decided to abandon the technology in 2020 when facing the prospect of bankruptcy. [“>According to IEEE Spectrum], Terry Byland, whose sight has been dependent on the first-generation Argus implant since 2004, says of his experience, “As long as nothing goes wrong, I’m fine. But if something does go wrong with it, well, I’m screwed. Because there’s no way of getting it fixed.” That’s what also happened to Barbara Campbell, whose retinal implant suddenly stopped working when she was on a subway…
It’s up to us advocates of free software to inform the people around us of the issues with proprietary software in medical aids. Let’s encourage our friends, parents, and grandparents to ask their doctor about the software in their medical devices and to choose and insist upon free software over proprietary software.
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