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Exam Code: ANS-C00 Practice test 2022 by team
ANS-C00 AWS Certified Advanced Networking Specialty (ANS-C00)

Exam Details
Format : Multiple choice, multiple answer
Type : Specialty
Delivery Method : Testing center or online proctored exam
Time : 170 minutes to complete the exam
Language : Available in English, Japanese, Korean, and Simplified Chinese

The AWS Certified Advanced Networking - Specialty is intended for individuals who perform complex networking tasks.
Abilities Validated by the Certification
Design, develop, and deploy cloud-based solutions using AWS
Implement core AWS services according to basic architecture best practices
Design and maintain network architecture for all AWS services
Leverage tools to automate AWS networking tasks
Recommended Knowledge and Experience
We recommend candidates hold an AWS Certified Cloud Practitioner or a current Associate-level certification: AWS Certified
Solutions Architect - Associate, AWS Certified Developer - Associate or AWS Certified SysOps Administrator - Associate
Advanced knowledge of AWS networking concepts and technologies
Minimum five years hands-on experience architecting and implementing network solutions
Advanced networking architectures and interconnectivity options (e.g., IP VPN, MPLS/VPLS)
Networking technologies within the OSI model, and how they affect implementation decisions
Development of automation scripts and tools
CIDR and sub-netting (IPv4 and IPv6)
IPv6 transition challenges
Generic solutions for network security features, including WAF, IDS, IPS, DDoS protection, and Economic Denial of Service/Sustainability (EDoS)
Prepare for Your Exam
There is no better preparation than hands-on experience. There are many relevant AWS Training courses and other resources to assist you with acquiring additional knowledge and skills to prepare for certification. Please review the test guide for information about the competencies assessed on the certification exam.

Advanced Networking - Specialty
Design and implement AWS architectures
Review the test guide, which contains the content outline and target audience for the certification exam. Perform a self-assessment to identify your knowledge or skills gaps.

The AWS Certified Advanced Networking – Specialty (ANS-C00) is intended for individuals who perform complex
networking tasks. This examination validates advanced technical skills and experience in designing and
implementing AWS and hybrid IT network architectures at scale.
It validates an examinees ability to:
 Design, develop, and deploy cloud-based solutions using AWS
 Implement core AWS services according to basic architectural best practices
 Design and maintain network architecture for all AWS services
 Leverage tools to automate AWS networking tasks
Recommended AWS Knowledge
 Professional experience using AWS technology
 AWS Security best practices
 AWS storage options and their underlying consistency models
 AWS networking nuances and how they relate to the integration of AWS services
Recommended General IT Knowledge
 Advanced networking architectures and interconnectivity options (e.g., IP VPN, MPLS/VPLS)
 Networking technologies within the OSI model, and how they affect implementation decisions
 Development of automation scripts and tools
o Routing architectures (including static and dynamic)
o Multi-region solutions for a global enterprise
o Highly available connectivity solutions (e.g., DX, VPN)
 CIDR and sub-netting (IPv4 and IPv6)
 IPv6 transition challenges
 Generic solutions for network security features, including WAF, IDS, IPS, DDoS protection, and Economic
Denial of Service/Sustainability (EDoS).
Select one or more responses that best complete the statement or answer the question. Distractors, or incorrect answers, are response options that an examinee with incomplete knowledge or skill would likely choose. However, they are generally plausible responses that fit in the content area defined by the test objective.
Unanswered questions are scored as incorrect; there is no penalty for guessing.
Unscored Content
Your examination may include unscored items that are placed on the test to gather statistical information. These items are not identified on the form and do not affect your score.
Exam Results
The AWS Certifie Advanced Networking – Specialty (ANS-C00) is a pass or fail exam. The examination is scored against a minimum standard established by AWS professionals who are guided by certification industry best practices and guidelines.
Your score report contains a table of classifications of your performance at each section level. This information is designed to provide general feedback concerning your examination performance. The examination uses a compensatory scoring model, which means that you do not need to “pass” the individual sections, only the overall examination. Each section of the examination has a specific weighting, so some sections have more questions than others. The table contains general information, highlighting your strengths and weaknesses. Exercise caution when interpreting section-level feedback.
Content Outline
This test guide includes weightings, test domains, and objectives only. It is not a comprehensive listing of the content on this examination. The table below lists the main content domains and their weightings.

Domain % of Examination
Domain 1: Design and implement hybrid IT network architectures at scale 23%
Domain 2: Design and implement AWS networks 29%
Domain 3: Automate AWS tasks 8%
Domain 4: Configure network integration with application services 15%
Domain 5: Design and implement for security and compliance 12%
Domain 6: Manage, optimize, and troubleshoot the network 13%
TOTAL 100%

Domain 1: Design and implement hybrid IT network architectures at scale
1.1 Implement connectivity for hybrid IT
1.2 Given a scenario, derive an appropriate hybrid IT architecture connectivity solution
1.3 Explain the process to extend connectivity using AWS Direct Connect
1.4 Evaluate design alternatives that leverage AWS Direct Connect
1.5 Define routing policies for hybrid IT architectures
Domain 2.0: Design and implement AWS networks
2.1 Apply AWS networking concepts
2.2 Given customer requirements, define network architectures on AWS
2.3 Propose optimized designs based on the evaluation of an existing implementation
2.4 Determine network requirements for a specialized workload
2.5 Derive an appropriate architecture based on customer and application requirements
2.6 Evaluate and optimize cost allocations given a network design and application data flow
Domain 3.0: Automate AWS tasks
3.1 Evaluate automation alternatives within AWS for network deployments
3.2 Evaluate tool-based alternatives within AWS for network operations and management
Domain 4.0: Configure network integration with application services
4.1 Leverage the capabilities of Route 53
4.2 Evaluate DNS solutions in a hybrid IT architecture
4.3 Determine the appropriate configuration of DHCP within AWS
4.4 Given a scenario, determine an appropriate load balancing strategy within the AWS ecosystem
4.5 Determine a content distribution strategy to optimize for performance
4.6 Reconcile AWS service requirements with network requirements
Domain 5.0: Design and implement for security and compliance
5.1 Evaluate design requirements for alignment with security and compliance objectives
5.2 Evaluate monitoring strategies in support of security and compliance objectives
5.3 Evaluate AWS security features for managing network traffic
5.4 Utilize encryption technologies to secure network communications
Domain 6.0: Manage, optimize, and troubleshoot the network
6.1 Given a scenario, troubleshoot and resolve a network issue

AWS Certified Advanced Networking Specialty (ANS-C00)
Amazon Networking health
Killexams : Amazon Networking health - BingNews Search results Killexams : Amazon Networking health - BingNews Killexams : How Amazon’s tech and logistics prowess may disrupt healthcare — and spark concern
One Medical offers tech-enabled healthcare. (One Medical Image)

As Amazon makes bigger moves into healthcare and turns its efficiency machine on medicine, some experts say the industry could change in big ways.

“It’s the start of Amazon climbing a mountain,” said Derek Streat, a health technology veteran and CEO of Seattle healthcare software startup DexCare.

That mountain is certainly steep. Amazon has already spent years investing heavily in healthcare, with mixed results. The company last year ended its Haven joint venture with Berkshire Hathaway and JP Morgan Chase. It recently announced plans to shut down its virtual-first service Amazon Care.

But Amazon signaled its continued interest in healthcare this summer when it announced a $3.9 billion acquisition of primary care group One Medical. The deal, which would be Amazon’s third-largest acquisition ever, is still being reviewed by regulators.

Given the size, complexity and potential for technology to further transform the healthcare market, the sector has emerged as one of the most likely industries where Amazon could find a fourth pillar of its business, alongside its existing three: Amazon Web Services, Amazon Prime, and Amazon Marketplace.

We spoke with healthcare industry leaders to learn more about how the tech giant might use its tech and data prowess to disrupt yet another market.

Amazon has a broad set of offerings that it can build on and scale

Amazon already partners with health companies through Amazon Web Services for Health, supporting everything from finance and operations to medical research and patient-clinician interactions. AWS provides tools to mine health data, collect revenue, power virtual care, and more.

The company is likely to expand on each of these efforts, scale them, and link them to devices like its Halo View health band, its e-commerce marketplace, and its online pharmacy, said Streat.

Amazon’s planned acquisition of One Medical — which would be its third-largest acquisition ever — is similar to how Facebook (now Meta) scooped up Instagram for $1 billion in 2012, said Streat, whose startup spun out of Providence’s digital innovation group.

“‘We can take this little thing and put it into our engine, and it will be amazing,’” said Streat of Facebook’s thinking. “And I think this is the same. If you’re Amazon, you think at that scale.”

Amazon’s logistics expertise may be useful for healthcare

The industry is plagued by inefficiencies, from delays in care, multiple follow-ups for tests, fragmented data systems and supply chain issues. Experts said Amazon could partner across multiple health systems to strip out inefficiency and help deliver supplies and services.

“Amazon’s extraordinary supply chain management and consumer e-commerce platform could be unparalleled assets for selling and delivering goods where they are needed,” said physician Ken Mandl, director of the Computational Health Informatics Program at Boston Children’s Hospital.

Lee Schwamm, a physician and vice president of digital patient experience and virtual care at Mass General Brigham, said Amazon could be a “single supplier” and find a way to generate substantial revenue “in a way that it knows how to do.” 

Amazon, which acquired online pharmacy startup PillPack in 2018 and later launched Amazon Pharmacy in 2020, could also further blur the distinctions between at-home care and care at a hospital or clinic. “It’s probably going to lead with diagnostics tied to asynchronous care delivery for certain specialty areas that you could transition to 100% virtualized care,” said Streat, who previously co-founded C-SATS, a Seattle startup that used technology to grade surgeons and was acquired by Johnson & Johnson in 2018.

One example would be diabetes management through home diagnostics, said Streat. “They can virtualize entire service lines,” he said. In the future, people may spend less time recovering in the hospital from illness and surgery and more time at home.

Health systems could benefit from Amazon’s data expertise

Amazon’s Halo View health band and Halo Rise sleep tracker. (Amazon Images)

Amazon has the potential to help health systems manage their data, understand patient outcomes, and provide real time feedback to clinicians. With enough data, Amazon could help catch signs of illness early, predict patient outcomes, and even guide people to medical care or healthier consumer choices.

“Healthcare suffers from a lack of coordination resulting in long diagnostic odysseys, unnecessary and duplicate testing, and medical errors,” said Mandl. “One Medical could deliver AWS healthcare data integration and machine learning solutions a role in managing medical records and providing decision support to clinicians and patients.”

Amazon already has access to huge datasets on consumer habits through its marketplace. And while health data is protected by federal privacy regulations, the company could find a way to combine it with consumer data such as by offering incentives or discounts, said Mandl. It could also augment its datasets with at-home connected services.

The result could be a lot of information on each patient. 

“That data fed into their data science technologies and teams will make them incredibly effective on the predictive side of the [health] equation,” Streat said.

There are barriers to effectively using data to predict and effect health outcomes. Consumer health data is a thicket, often siloed in different health groups and beset with jargon that obscures meaning. Previous tech efforts to Boost healthcare through data have fallen flat, such as Google’s consumer effort Google Health and IBM’s Watson Health.

But Amazon may ultimately overcome some of these difficulties as software tools Boost and its access to data broadens. The company could ultimately even Boost electronic medical record systems, widely viewed as onerous, time consuming, and technologically inflexible, said Streat.

Cause for concern

Amazon will need to overcome concerns over data privacy — both from regulators and business partners.

On the same day Amazon announced the One Medical deal, Sen. Amy Klobuchar (D-Minn.) wrote a letter to the Federal Trade Commission.

“I also ask that the FTC consider the role of data, including as a potential barrier to entry, given that this proposed deal could result in the accumulation of highly sensitive personal health data in the hands of an already data-intensive company,” wrote Klobuchar, who chairs the Senate Judiciary Subcommittee on Competition Policy, Antitrust, and Consumer Rights.

Amazon also needs to be careful about how it collects and uses data to gain patient and physician trust, a key factor in healthcare, said Shantanu Nundy, chief medical officer of healthcare company Accolade. “Medicine moves at the speed of trust,” he said.

The acquisition of One Medical presents other potential issues for Amazon as it dives deeper into healthcare.

One Medical is a primary healthcare service, and bumps patients to other providers for specialty care.

But academic medical centers like Mass General Brigham make their margins by building up a large primary case patient base that in turn supports specialty care. Amazon could potentially use its data to skim off the wealthiest and healthiest patients, leaving hospitals to serve as a safety net for the poorest, said Schamm. That could leave hospitals in financial jeopardy, added Streat, who notes that rural health systems are particularly vulnerable.

Schwamm also worries about Amazon funneling specialty care through One Medical. Amazon could reserve “slots” with specialists, granting expedited access to its patients and skewing access to patients outside its system.

Schwamm said that under certain scenarios, everyone wins in the long term: Amazon, existing healthcare groups, and patients. Under a single-payer health system, for instance, Amazon would contract with the government and hospitals would stay afloat — though that’s not a likely scenario and one Amazon would probably resist, said Schwamm.

Health systems should start thinking now about how they are going to adapt to the entry of Amazon and other big tech players into healthcare, said Schwamm. He asks: “Do we find a way to collaborate and basically transform academic health systems into tertiary care networks, which is really what they ought to be, and let primary care evolve into something more fluid?”

“My prediction is no one’s going to get it right on the first pass,” said Schwamm. “But there’s going to be a lot of learning that goes on.”

Wed, 05 Oct 2022 08:12:00 -0500 Charlotte Schubert en-US text/html
Killexams : Amazon Prime Day is ‘risking warehouse workers’ health’, union leader says

Amazon Hiring Freeze (AP)

Derrick Palmer, one of the founders of the Amazon Labour Union, has said that he expects at least 20 Amazon warehouses to unionise within a year, and that founder Jeff Bezos will return to head the company.

He also told The Independent that warehouse workers are under great pressure to fulfil Prime Day demands with lacklustre rewards, speaking after an online rally of Amazon workers in the UK and US.

The rally followed walkouts in Bristol and Tilbury and prospective industrial action in Coventry.

“The biggest challenge is getting Amazon to negotiate the contract. Getting other workers involved, hosting these national calls, getting other facilities to organise, building that power, and then ultimately to strike”, Mr Palmer said.

“It could take a year to get to a general strike. In the US and the UK, it’s going to take a while. But we already have [Amazon warehouse] ALB1 in Albany, their vote starts tomorrow, and ONC8. Before the end of next year, I’m predicting 20 buildings at least.”

Mr Palmer continued that the reason more Amazon workers were joining unions was because the rising cost of living crisis was finally showing workers that there were no other options. In the UK, nearly half of people aged 16 to 25 are concerned they will not be able to afford food. Another third believed they would not be able to afford putting the heating on – and living situations are similar in the United States.

“The fact that they’re giving these peanuts in terms of raises. You deliver workers in New York and Staten Island a 2-cent raise – you think they’re just going to be happy with that? Clearly, workers that were on the fence … they’re going to lean towards getting more involved, because now the message that we’ve been trying to relate to them for a year, it’s starting to make sense to them.

“Ultimately, [Amazon doesn’t] want workers to be empowered. They don’t want workers to feel like if they speak out, they can get what they want. They’re stingy with their money. [We’re demanding] a decent pay increase – inflation rate – better benefits, and job security. These are basic demands, but if they can’t even do that, then we’re going to ultimately walk out and strike.”

Since 2015, Amazon has been encouraging customers to purchase more goods by making its Prime Day – and the shopping giant is likely to increase that to twice a year with what it calls ‘Prime Fall’. Working in an Amazon warehouse is a stressful experience on a normal day, and Mr Palmer says that is only exacerbated during this huge shopping drive.

“The pressure is definitely on. When you walk into an Amazon facility there’s a lot going on, it’s a busy company, but on Prime Day, they remind you … you’re working an extra day, and instead of working 10 hours, you’re working 11 hours. Do you go from working 40 hours, which is already tough, to working 55 hours, on top of them telling you that you need to go faster”

Mr Palmer said that Amazon tries to motivate workers with Amazon hoodies, TVs, and Amazon Fire TV Sticks. “Obviously, everything [is] Amazon … there’s no real ultimate prize for going faster, risking your health, which is what workers are already doing on a normal basis.”

Derrick Palmer attends the 2022 TIME100 Gala (Getty Images for TIME)

Mr Palmer also said that he believed there was little risk that automation, from Amazon robots like Proteus that the company announced a few months ago. “I don’t know which facility actually has robots [but] there are a million workers at Amazon – you meant to tell me that you’re going to replace all of them?”, he said.

Amazon is struggling to find workers in the United States, according to internal research performed by Amazon. “If we continue business as usual, Amazon will deplete the available labor supply in the US network by 2024,” the report stated.

While many of Amazon’s labour issues rose under the leadership of Jeff Bezos, the once richest man in the world has taken a step away from the day-to-day of the shopping behemoth – although this is something Mr Palmer believes is only temporary.

“I think he’s going to go back into the CEO role, and he’s just playing it cool right now because of the unionisation efforts [and the] controversy that has been going on at Amazon”, Mr Palmer told The Independent.

“I don’t know for sure, but the timing … it seems like that’s when he decided to step down and just be on the executive board”.

Amazon workers have been offered a 35p per hour increase at Tilbury, with workers at the facility earning a minimum of £11.10 an hour. Many workers have said that they are unhappy with what they see as an inadequate increase; workers in the North East of England have also criticised Amazon for what they describe as a “shameful” 50p per hour increase.

“I shouldn’t have to come home after work and wear a jumper in the house, and be told by the government that we’ll have to tighten our belts … 50p doesn’t cut it. I don’t want [Jeff Bezos’s] rocket. I don’t want his boat. I just want a healthy-looking bank balance, so I can pay for my kids at Christmas”, one anonymous worker said at the rally.

In solidarity with the employees, Senator Bernie Sanders said that “working people are falling further and further behind” in the global economy while “working people are pulling further and further behind.”

He continued: “You can’t negotiate with Jeff Bezos. He’s much too powerful. But you can negotiate when you have a union. I wish you all the best of luck in your struggles, and understand that what you’re doing in the UK is important to us all.”

The shopping giant’s labour issues have also been rising in the United States. The company suspended at least 50 warehouse employees who refused to work their shifts following a trash compactor fire at one of its New York facilities, according to union organizers.

Workers were concerned that the air in the facility would be unsafe to breathe. Approximately 100 workers held a sit-down protest at the facility’s main office, demanding to be sent home with pay.

“While the vast majority of employees reported to their workstations, a small group refused to return to work and remained in the building without permission,” Amazon spokesperson Paul Flaningan said. The suspensions are in effect indefinitely as the company investigates.

“Workers are fed up with a culture that squeezes them like a sponge while paying them too little to heat their homes”, said Cori Crider, a director of Foxglove, a legal non-profit which supports Amazon workers.

"These folks bust their backsides every day to ship us our parcels, and the crushing workload on days like today’s Prime Day risks their lives. But Jeff Bezos prefers to splash his cash on spacecraft and superyachts - he’s too cheap to pay his people a decent wage.”

In a statement, Amazon said: “We appreciate the great work our teams do throughout the year and are proud to offer competitive pay. This starts at a minimum of between £10.50 and £11.45 per hour, depending on location, and represents a 29 per cent increase in the minimum hourly wage paid to Amazon associates since 2018. Employees are also offered comprehensive benefits that are worth thousands more—including private medical insurance, life assurance, subsidised meals and an employee discount, to name a few

“On top of this, we’re pleased to have announced that every full-time, part-time and seasonal Operations associate will receive an additional one-time special payment of up to £500 as an extra thank you.”

Wed, 12 Oct 2022 03:49:00 -0500 en-US text/html
Killexams : Why Amazon Is Down 27% This Year

Amazon (NASDAQ: AMZN) has rewarded investors over time. The company has increased profit, revenue, and free cash flow over most of the past decade. As a result, the shares climbed more than 1,000% through early this year.

But Amazon's share performance hasn't been as bright this year. The shares have lost 27% so far, underperforming the S&P 500 Index. This isn't catastrophic when you consider Amazon's long-term gains. But it still isn't much fun for those investors who bought Amazon shares more recently. Let's take a look at why Amazon is in the doldrums this year -- and what this means for you.

Two high-growth industries

Amazon operates in two high-growth industries: E-commerce and cloud computing. In fact, it's a leader in both of these areas. Over the past year, various elements have been weighing on the e-commerce business. Higher inflation has increased Amazon's transport and logistics costs, for example. Supply chain difficulties have been another problem.

And, finally, Amazon's own growth added to the challenges. Due to enormous demand during the earlier stages of the pandemic, Amazon expanded its fulfillment network. It actually doubled the size of the network in just two years. As a result, Amazon found itself with excess capacity.

All of these elements together have weighed on earnings. As of the third quarter of last year, operating cash flow and operating income have decreased. By last year's fourth quarter, free cash flow shifted to an outflow of $9.1 billion for the trailing 12 months. And the outflow has continued.

Chart showing Amazon's free cash flow dropping since early 2021. © Provided by The Motley Fool Chart showing Amazon's free cash flow dropping since early 2021.

AMZN Free Cash Flow data by YCharts

Return on invested capital, which has climbed over the years, has also been on the decline.

Chart showing overall rise in Amazon's return on invested capital from 2014 to 2021, with drop after that. © Provided by The Motley Fool Chart showing overall rise in Amazon's return on invested capital from 2014 to 2021, with drop after that.

AMZN Return on Invested Capital data by YCharts

At the same time, investors have shied away from stocks that depend on consumer spending. That's because higher inflation is also hurting people's buying power. All of this means Amazon hasn't exactly been at the top of every investor's buy list. And that's why the stock has suffered so far this year.

Why Amazon is a buy today

But the story doesn't end here. Now, let's look at why Amazon actually is a great buy today -- and offers investors a promising future.

As mentioned above, today's economic environment is difficult for the e-commerce business. But it's important to remember that these troubled times are temporary. And Amazon has what it takes to manage them. For example, Amazon said in its most latest earnings report that it's progressing in cutting the costs it can control and improving productivity across its fulfillment network.

Global retail e-commerce is forecast to grow 56% to $8.1 trillion by 2026, according to Statista. Amazon, as a leader, will surely benefit once the economic situation improves.

We haven't yet talked about Amazon's big profit driver. And that's Amazon Web Services (AWS), the global market leader in cloud computing services. AWS is still delivering double-digit growth in revenue and operating income, even during these difficult economic times.

And AWS continues to expand in locations across the world -- and win new contracts. Last year, AWS accounted for more than 70% of Amazon's total operating income. So, the health of AWS is a huge green flag for Amazon.

Amazon also generates revenue through sales of its subscription services and through sales of advertising. Revenue in both of these areas climbed in the double digits in the most latest quarter.

A bargain today

So, what does this mean for investors? If you haven't yet bought shares of Amazon, today, they represent a bargain considering growth prospects. The stock is trading at 2.5 times sales. That's down from more than four late last year.

And if you're already a shareholder, there's no need to worry about Amazon's future. Earnings troubles may not be over in the near term. The shares may not recover overnight. But over time, Amazon's dominance in two enormous businesses should result in earnings growth. And that should translate into share gains -- a great reward for investors who plan to stick with Amazon over the long haul.


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John Mackey, CEO of Whole Foods Market, an Amazon subsidiary, is a member of The Motley Fool's board of directors. Adria Cimino has positions in Amazon. The Motley Fool has positions in and recommends Amazon. The Motley Fool has a disclosure policy.

Fri, 07 Oct 2022 22:00:00 -0500 en-US text/html
Killexams : Amazon, CVS, Walmart Are Playing Healthcare’s Long Game

In latest months, three of the nation’s largest retailers have stirred up a frenzy on Wall Street with a string of high-profile healthcare deals.

Amazon bought primary-care company One Medical in early August for $3.9 billion. That was a month before CVS spent $8 billion to acquire Signify Health and its network of 10,000 clinicians who make home visits (both virtually and IRL). A day later, Walmart inked a 10-year agreement with the world’s largest health insurer, UnitedHealth Group.

But these big deals have come with heavy skepticism. Critics point to past failures as proof that these companies cannot accomplish in healthcare what they’ve done so successfully in retail.

“Is four times a charm for Walmart (Health)?” snarked a headline in the Journal Of Urgent Care Management after Walmart’s “three previous failures to penetrate any significant share of even its own stores with a retail clinic model.” Others in the industry have taken hard jabs at Amazon’s recent efforts in medicine, citing the fact that Haven (a nonprofit healthcare venture) and Amazon Care (a telehealth offering) both folded within three years.

Big business, big picture

The skepticism is understandable, but these negative analyses ignore the credentials of the companies in question. After all, you don’t become the largest pharmacy company (CVS), largest online retailer (Amazon), largest health insurer (UHG) or largest company, period, (Walmart) by chance or luck.

I’ve spent most my career in the business and medical arenas, occupying both spaces. Though I have no insider information about these three retailers, I believe they’re all on similar, strategic paths in their quest for total healthcare domination.

The short game: find the missing pieces

There are two ways to look at CVS’ $8 billion purchase of Signify. One is to assume CVS just placed an overly expensive bet on the “return of the house call” (per The New York Times). Another way is to see Signify as one part of a long-term strategy.

To CVS, the Signify purchase isn’t a wager on home health. It’s a missing piece—an investment in becoming a dominant player across the entire $4.1 trillion healthcare industry. In that context, $8 billion is a small price to pay.

Unlike most new entrants in healthcare (primarily middlemen who offer point solutions for the industry’s existing problems), corporate giants like CVS, Amazon and Walmart aren’t entering the healthcare market for short-term profit. They want it all.

To dominate all of healthcare, they can’t be reliant on (or held hostage by) any of the legacy players. Instead, they want their own pharmacies, health insurance plans, clinics and physicians. So, how are they doing so far?

Pharmacy: check. Already, CVS claims 10,000 pharmacy locations. Walmart has 5,100 of its own. Amazon, meanwhile, has parleyed its 2018 acquisition of PillPack into its own pharmacy offering in all 50 states.

As for insurance, Walmart now has a partnership with UnitedHealth. CVS acquired Aetna in 2017. Using the physician networks of these insurers, the two retailers can now provide medical care and attract new patients.

Amazon, however, is just getting into the game. That’s why its acquisition of One Medical—with its 800,000 subscribers and 188 clinics across 25 metro areas—is an important step. Here are three reasons this move makes good short- and long-term sense.

  1. One Medical is expansion mode. And growth, as Amazon knows well, is expensive but essential. In healthcare, expansion involves acquiring buildings and hiring staff, all before the organization receives any revenue.
  2. Amazon is thinking ahead. For a company like Amazon, with $60 billion in cash reserves, One Medical’s $250 million loss last year is like a rounding error, particularly given the retailer’s long-term vision. Looking ahead, if Amazon can capture even 10% of the U.S. healthcare market, the company would add $400 billion dollars a year in revenue, nearly doubling its annual topline.
  3. There’s power in members. One Medical’s unique membership model has the potential to attract not only millions of new patients, but also thousands of excellent physicians; many of whom are dissatisfied with the treadmill pace of medicine. Currently, most primary care doctors have to care for 2,500 patients to earn $220,000 (the average income). But with One Medical’s $200 a year membership fee, a physician who cares for only 1,500 earns $300,000 (even before seeing a single patient). This means One Medical physicians can spend significantly more time with each patient, which is shown to Boost care.

The middle game: master capitation

Once these companies have assembled the care-delivery, insurance and pharmacy pieces, I believe they’ll pivot toward making medical care more effective and efficient. Why? Because that’s where the money will be.

They recognize that healthcare is headed toward a fiscal cliff. U.S. businesses and government payers can’t keep funding ever-higher insurance costs. So, instead of looking for ways to raise already high prices, the retail giants will generate healthcare profits by eliminating inefficiencies. There’s plenty of opportunity to do so. Researchers estimate 25-30% of U.S. healthcare spending is wasted.

But to understand this middle-game strategy, you first need to understand how healthcare is paid for today.

The most common reimbursement model in the United States is called “fee for service,” whereby doctors receive a payment for every test and treatment—even when these services add no value. This pay-for-volume approach incentivizes physicians and hospitals to over-test and overt-treat and, as a result, drive up costs. This explains why healthcare inflation has risen nearly twice as fast as general inflation for decades.

The alternative to fee for service is capitation, a prepaid approach to medical care.

In simplest terms, capitation involves paying clinicians (in a medical group or health system) a fixed, annual, up-front sum to provide all the care their patients need. With capitation, physicians are prepaid based on the age and known diseases of their patients. And because doctors receive a fixed annual amount, they do best financially when they address medical problems before they become severe.

Unlike fee-for-service, capitation creates incentives to avoid medical errors and prevent illness (heart attacks, strokes, cancer) while making the process of care delivery more efficient and effective.

Right now, the best opportunity for these retail giants to take advantage of capitation is through Medicare Advantage (MA). This program—a private-sector alternative to traditional Medicare—is fully capitated and growing rapidly (on pace to receive $665 billion in federal spending by decade’s end).

In 2023, the largest private insurers will be rolling out MA plans in more than 200 new counties. But they’re not the only ones who see an opportunity. All three mega retailers have made acquisitions that deliver them an on-ramp to Medicare Advantage.

Amazon’s entry comes via One Medical’s subsidiary, Iora Health, a primary care organization designed for patients 65 and older. For CVS, it’s Caravan Health, a Signify subsidiary that’s already a major player in Medicare Advantage. Meanwhile, UHG brings Walmart 10 million MA subscribers and 53,000 directly employed physicians.

These large corporations recognize that making Medicare Advantage even 15% more efficient and effective would generate $100 billion for the taking. And they know that with 10,000 Baby Boomers turning age 65 each day, MA will continue to be a high-growth market in the future.

The long game: dominate the market

In the long run, these corporate giants know that the winner will be whichever company achieves the greatest economies of scale. That’s the path to market dominance in every high-profit industry: more customers, more revenue, more resources, lower cost, more profit, lower cost, more members, more revenue. Healthcare will be no exception.

To win in the long game, CVS, Amazon and Walmart/United can’t be niche players in a narrow part of the healthcare ecosystem. Having mastered capitation through Medicare Advantage, they’ll look to expand, offering capitated products to self-funded businesses, their employees and, ultimately, everyone.

Once the companies have their own insurance products, pharmacies and physician networks, they’ll go for the jugular.

They’ll select and hire their own medical specialists. They’ll progressively internalize specialty care. And when they have to contract out for specific services, their massive size will allow them to purchase care (hospital or outpatient) at far lower costs.

For large retailers, the latest acquisitions and partnerships aren’t ends in themselves. They’re opening moves in a long game that will play out over a decade or longer. Though many bumps and barriers could derail their progress, it would be foolish to bet that none of these behemoths will succeed, especially given what they’ve accomplished in retail.

Sun, 09 Oct 2022 20:00:00 -0500 Robert Pearl, M.D. en text/html
Killexams : Smile Digital Health Expands Work on AWS

The MarketWatch News Department was not involved in the creation of this content.

TORONTO, Oct 12, 2022 (GLOBE NEWSWIRE via COMTEX) -- TORONTO, Oct. 12, 2022 (GLOBE NEWSWIRE) -- Smile CDR Inc. (doing business as Smile Digital Health), a leading health data and integration company, today announced it has passed an Amazon Web Services (AWS) Foundational Technical Review (FTR) and has achieved Amazon HealthLake (AHL) Connector partner status in the AWS Partner Network (APN). Healthcare organizations can expect Smile Digital Health running on AWS to provide a best-in-class data fabric platform along with the confidence that it is meeting various regulatory and compliance requirements in the U.S. and the EU when storing and sharing their sensitive health data via the platform. Smile Digital Health first announced its work with AWS in March, and this expansion represents the continual growth of that relationship.

"Our ongoing work with AWS demonstrates the deep collaboration between our companies, delivering the many benefits of the Smile Digital Health data fabric platform running in a world-class hyperscale environment. Having partner status provides our customers with substantial benefits including additional security, dependability and operational excellence," said Duncan Weatherston, Chief Executive Officer, Smile Digital Health. "Healthcare organizations -- and in turn their patients -- are well served by access to our scalable, high-performing, resilient and efficient data fabric platform on the leading cloud infrastructure."

The expansion and scope of work includes two key elements:

  • Becoming an Amazon HealthLake (AHL) Connector Partner, demonstrating the company's ability to help transform existing healthcare data in real time into the required format, including standard Fast Healthcare Interoperability Resources (FHIR(R)) format, so the data can be used across AHL applications and services.
  • Passing the AWS Foundational Technical Review (FTR),which helps identify and mitigate technical risks in solutions built by independent software vendors (ISVs). Smile Digital Health's solutions were evaluated by a subset of AWS Well-Architected best practices. As part of the review, Smile Digital Health's reference architecture was approved to be deployed on Amazon Elastic Kubernetes Services (Amazon EKS), a managed container service to run and scale Kubernetes applications in the cloud or on-premises, and Amazon Aurora and Amazon Relational Database Service (Amazon RDS) for PostgreSQL to ensure a performant, cost-effective, secure and scalable solution.

"Our customers can expect Smile Digital Health to continuously meet and often exceed regulatory and compliance requirements when storing and sharing their sensitive health data via our data fabric platform. In that sense, we continue to certain the highest security and compliance standards," said James Agnew, Chief Technology Officer, Smile Digital Health.

Smile Digital Health's work on AWS continues to simplify the interoperability process between various data platforms, allowing for better health journey outcomes between patients, providers and health systems, and reducing information technology barriers.

About Smile Digital Health

Smile Digital Health is a health information technology company focused on delivering better global health through open standards. Our enterprise-grade, health data fabric and exchange platform fuels healthcare's digital transformation and accelerates value creation across all patient journeys at scale. Powered by our HL7(R) FHIR(R) standard-based clinical data repository (#SmileInside), our platform enables collaboration and allows organizations to ingest, transform, store, enrich, analyze, aggregate, and meaningfully share health information to power digital transformation. We prepare healthcare providers, payers, researchers, and life sciences organizations for a connected future beyond legacy systems, adding new value through intelligent use of information and ultimately delivering better patient outcomes. We help healthcare organizations confidently #ChooseOpenStandards with the goal of #BetterGlobalHealth. For more information, visit

Contact Information:
Lucy Railton
Director of Marketing
(800) 683-1318

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Wed, 12 Oct 2022 01:00:00 -0500 en-US text/html
Killexams : Tour Amazon’s dream home, where every appliance is also a spy © DAQ for The Washington Post

You may not realize all the ways Amazon is watching you.

No other Big Tech company reaches deeper into domestic life. Two-thirds of Americans who shop on Amazon own at least one of its smart gadgets, according to Consumer Intelligence Research Partners. Amazon now makes (or has acquired) more than two dozen types of domestic devices and services, from the garage to the bathroom.

All devices generate data. But from years of reviewing technology, I’ve learned Amazon collects more data than almost any other company. Amazon says all that personal information helps power an “ambient intelligence” to make your home smart. It’s the Jetsons dream.

© DAQ for The Washington Post

But it’s also a surveillance nightmare. Many of Amazon’s products contribute to its detailed profile of you, helping it know you better than you know yourself.

Amazon says it doesn’t “sell” our data, but there aren’t many U.S. laws to restrict how it uses the information. Data that seems useless today could look different tomorrow after it gets reanalyzed, stolen or handed to a government. (Amazon founder Jeff Bezos owns The Washington Post.)

We each have to decide how much of our lives we’re comfortable with one company tracking. Scroll below to see what Amazon’s products and services could reveal about you.

© DAQ for The Washington Post

Echo speaker

Among the best-selling speakers in history, Echos respond to the wake word “Alexa” to summon the voice assistant to play music, answer questions, shop and control other devices.

What it knows: Collects audio recordings through an always-on microphone; keeps voice IDs to differentiate users; detects coughs, barks, snores and other sounds; logs music and news consumption; logs smart-home device activity and temperature; detects presence of people though ultrasound.

Why that matters: It counts snores? Yes, if you turn that on. Alexa can hear more than you might realize.

Amazon touts privacy controls like a physical microphone mute button, but when I downloaded my Alexa voice history, I found the Echo had recorded many sensitive conversations after its microphone activated unintentionally. (Amazon says its systems now double check whether you intended to say the wake word and label accidental recordings.)

Only after years of criticism did Amazon add a setting to not keep any audio recordings.

“Providing customers with transparency and control over their information has always been incredibly important to Amazon, and we believe we’ve been very good stewards of peoples’ data,” says spokeswoman Kristy Schmidt.

© DAQ for The Washington Post

Ring doorbell

Acquired by Amazon in 2018, Ring doorbells have tiny cameras inside that let you live-stream, record and interact with whomever is at your doorstep — even if you’re not home.

What it knows: Live and recorded video, audio and photos of the outside of your house; when people come and go and you receive packages; status of linked devices like lights.

Why that matters: You’re not the only one who wants to peer through your doorbell. Police have made tens of thousands of requests for Ring video clips, and Amazon has handed footage to police without owners’ permission at least 11 times this year. (Amazon says it reserves the right to respond to emergency police requests when they relate to matters of life and death.)

Ring brought surveillance cameras to millions of more homes, igniting a privacy debate about recording neighbors without permission.

© DAQ for The Washington Post

Fire TV or Omni TV set

The streaming devices allow you to watch video from Amazon and other services on any TV. The dedicated Omni TV set also contains microphones to talk to Alexa, displays information, and even springs to life when someone enters the room.

What it knows: What and when you stream on Prime Video; when you open or close third-party streaming apps; records audio for Alexa queries; the Omni TV also records information about what specific programs you watch using an over-the-air antenna.

Why that matters: It can reveal your interests, politics, joys and embarrassments — and it’s easy to forget Amazon is helping your TV watch back.

© DAQ for The Washington Post

Kindle or Fire Tablet

They are Amazon’s answer to Apple’s iPad for memorizing books, using apps or streaming entertainment.

What it knows: What and when you read and watch entertainment and news; when you open, close and how long you use third-party apps; your location.

Why that matters: Amazon knows exactly how fast you read and how far you actually got through your last novel. Kindles and Fire Tablets are another way Amazon gets to know your tastes, which helps it sell you things.

© DAQ for The Washington Post

Smart lights, switches or shades integrated with Alexa

Connecting these devices to Alexa allows you to control and automate your home, such as making lights turn off on a schedule, operate by voice or activate automatically when triggered by another sensor or device. Amazon says Alexa can interoperate with over 140,000 products.

What it knows: When and where in your house you turn lights on or off; energy use.

Why that matters: These devices add to a body of seemingly meaningless data that could help Amazon make inferences about daily rituals, power use and more. Amazon says it doesn’t use this data for advertising.

Unlike the privacy settings for Alexa voice recordings, Amazon offers no way to tell it to stop storing data from connected smart-home devices. (You can only set it to auto-delete after 3 or 18 months.) When I downloaded the data Amazon had collected about the third party Alexa-connected devices in my house, it contained more than 600,000 data points since 2019.

“Data enables, improves, and personalizes the features and experiences our customers enjoy,” says Schmidt, the Amazon spokeswoman.

© DAQ for The Washington Post

Halo band

A health-tracking bracelet with a microphone and an app that tells you everything that’s wrong with you.

What it knows: Your activity and movement; heart rate; weight; sleep patterns; your voice (for tone analysis); images of your body for estimating body fat; food consumption, preferences and shopping lists.

Why that matters: Amazon wants to be your artificial-intelligence doctor, or, at least, life coach. But the Halo band can be invasive. Amazon says it doesn’t sell your body data, share it without your permission or use it to target you with sales pitches — but that still leaves plenty of other ways for the company to mine your information.

© DAQ for The Washington Post

Echo Show

An Alexa smart speaker with a camera and screen for video calls, recipes and sharing family information.

What it knows: Collects most of the data from standard microphone-equipped Echo speakers, along with facial recognition maps for individual users (stored and processed locally); records video of areas in view of the camera; logs how you interact with on-screen widgets and skills; detects smoke alarms, glass-breaking or other activities.

Why that matters: The addition of a camera gives Amazon another view into your home. On some Echo Show models, the camera is always passively scanning for movement or faces, and Amazon could retain records about the faces it sees.

Echo devices also use your life to feed advertising. Researchers recently discovered Amazon uses data from how you interact with Alexa to target ads you see on Amazon and other sites where Amazon places ads. (You can opt out of Amazon ad profiling at this link if you log in,)

“We don’t sell customer data to third parties or use customer data for purposes that haven’t been disclosed to customers,” Schmidt says.

© DAQ for The Washington Post

Echo Auto

A small speaker that brings Alexa to the car by tethering to your smartphone for a data connection.

What it knows: Collects most of the data from standard microphone-equipped Echo speakers, along with the location of your car; whom you call with Alexa.

Why that matters: Cars can reveal a lot about their owners, such as where they work, play and shop, and how they drive. Echo Auto gives Amazon the ability to record your car’s location while you’re on the road, and Amazon wouldn’t say how much of that data it keeps.

© DAQ for The Washington Post

Garage door with Alexa or Amazon Key integration

The system allows you to open and close your garage door over the internet and share access for package deliveries through Amazon’s Key service.

What it knows: When you open and close the garage door; when you get deliveries.

Why that matters: You’re basically giving Amazon a key to your house and allowing it to know when you come and go.

© DAQ for The Washington Post

Eero WiFi router

Another Amazon acquisition, Eero is a mesh-router system that can help ensure coverage gets to every corner of your house.

What it knows: Information about devices connected to your home network; statistics about data usage; performance statistics, including network speeds and internet service provider.

Why that matters: Eero started out as a less-invasive product, but questions linger about how Amazon could make use of information about the devices on your network.

© DAQ for The Washington Post

Roomba vacuum cleaner

A vacuum cleaner that automatically roams around your house to clean, which Amazon is acquiring in a still-pending deal for $1.7 billion.

What it knows: Camera identifies obstacles and layout of rooms and furniture; when, how often and where you clean.

Why that matters: When the deal was announced, some Roomba owners balked at the idea that Amazon might gain access to maps of their home, created by the robots to help them clean. Even the vacuum data adds to Amazon’s inferences about your cleaning — and mess. Amazon declined to comment on the Roomba’s data practices because the acquisition has not closed.

© DAQ for The Washington Post

Toilet with Alexa integration

The system allows you to create personalized settings for your toilet, including a preferred temperature and ambiance. You can even flush it with your voice.

What it knows: When you flush, or activate a cleansing spray or heated seat.

Why that matters: You can’t get much more intimate than your bathroom time.

© DAQ for The Washington Post

Ring camera and spotlight

Online security cameras, some with motion-activated lights.

What it knows: Live and recorded video, audio and photos of outside or inside your house; radar to detect and identify activity; status of linked devices, like lights.

Why that matters: Ring video isn’t just staying inside the home. Amazon recently turned Ring clips into a reality TV comedy show, which frames surveillance as fun.

Ring also keeps records of some of what it learns from your cameras. When I downloaded my Ring data (use this link to get yours), it included more than 25,000 entries for each time its cameras noticed motion outside my home. Ring wouldn’t delete those records without deactivating the entire account.

© DAQ for The Washington Post

Ring security system

A network of alarms and sensors that work with Ring cameras and can be connected to a monitoring service to request help from police or other emergency services.

What it knows: When you are home or away; when motion, window and door sensors are activated; your location; status of linked devices, like lights.

Why that matters: For greater security, Ring wants you to collect even more data about your home and its inhabitants. But it offers one nod to privacy: The Ring Alarm Pro version gives you the ability to store and process Ring video locally instead of in Amazon’s remote systems, making it harder for others (including law enforcement) to access the records.

© DAQ for The Washington Post

Echo Frames

These glasses, with built-in speakers and a microphone, take voice commands any time, anywhere.

What it knows: Collects most of the data from standard microphone-equipped Echo speakers, collected directly from your face.

Why that matters: Smart glasses raise surveillance concerns, because it isn’t necessarily clear to those around you that the device could be recording them. Amazon says Frames are designed to respond only to queries initiated by the voice of their owner.

© DAQ for The Washington Post

Ring Always Home Cam drone

A quadcopter with a camera that flies around the inside of your house to show you what’s going on when you’re not around.

What it knows: Live and recorded video along trained flight paths; layout of house for flight patterns; works with Ring Security System to know when there’s movement inside the house.

Why that matters: A drone brings Ring surveillance inside the home and leaves almost no corner unobserved. Could this device also be a gateway for Amazon to get people more comfortable with the idea of its delivery agents or workers coming inside homes?

Amazon said it would have more information about how its drone works when it launches.

© DAQ for The Washington Post

Halo Rise

A bedside lamp that helps people track their sleep cycles and wake up gently with light.

What it knows: Radar reports on the nocturnal activity of the person sleeping closest to it; when you go to bed and wake up; able to interact with other Alexa-operated smart-home devices.

Why that matters: This device doesn’t use a camera or sensor on your body, but it still gathers lots of data about your breathing and movement, and it generates inferences about your wellness from them. Amazon says it doesn’t share this intimate data without your explicit permission, and its employees cannot identify the customers associated with Halo data.

© DAQ for The Washington Post

Smart Soap Dispenser

A bottle that automatically dispenses soap, lights up a 20-second timer and can direct an Echo speaker to begin playing songs or jokes while you wash.

What it knows: When you wash your hands through a motion detector.

Why that matters: We don’t know what Amazon could do with data about your personal hygiene. Amazon says it needs the hand-washing data to help provide functionality.

© DAQ for The Washington Post

One Medical membership or Amazon Pharmacy

One Medical is a nationwide subscription-based primary care provider that leans into technology for in-person, digital, and virtual care services. It is being acquired by Amazon in a still-pending deal. Amazon Pharmacy allows prescriptions to be shipped to your house, built out of an online pharmacy called PillPack.

What it knows: The services know your medical history, medications and body measurements. Amazon Pharmacy knows when and how often you order drugs.

Why that matters: Your body is the latest frontier for Amazon’s data ambitions. “As required by law, Amazon will never share One Medical customers’ personal health information outside of One Medical for advertising or marketing purposes of other Amazon products and services without clear permission from the customer,” said the company when it announced the acquisition. While your health information is covered by a federal privacy law, tech companies like Amazon are experts at getting around its limitations by convincing people to share their personal data for purposes that aren’t covered by the law.

© DAQ for The Washington Post

Dash Smart Shelf

This shelf fits into your pantry and monitors when you’re running low on a particular product, so Amazon can automatically reorder.

What it knows: What products are on your shelf; when you’re running low or completely out of the product; when you’ve bought more.

Why that matters: This is one device where it’s clear why Amazon wants to have the data: to sell you more stuff from Amazon.

© DAQ for The Washington Post

Whole Foods

Amazon bought the grocery chain in 2017 for more than $13.7 billion and offers Prime members home grocery delivery.

What it knows: What you purchase and eat, if you enter a Prime membership discount code at checkout; the details of your hand used for palm payment verification in some stores.

Why that matters: Your grocery purchases deliver Amazon insight into your lifestyle, which Amazon says it uses to make product recommendations.

© DAQ for The Washington Post

Smart Air Quality monitor

The system measures five key areas of air quality and can automatically turn on a nearby fan or a purifier if the air quality drops.

What it knows: Sensor readings about particulate matter, volatile organic compounds, carbon monoxide, humidity and temperature stored for 30 days.

Why that matters: Amazon even knows about the air that you breathe, although it says it doesn’t use that data for advertising.

© DAQ for The Washington Post

Basics Microwave

It’s a microwave that connects to WiFi, so you can heat up your food by asking Alexa to do it with the right settings.

What it knows: What and how long you’re cooking, if it’s operated through Alexa; how much popcorn you eat with an automatic reorder service.

Why that matters: The upside: You don’t have to look up how long to cook a potato. The downside: Amazon will now have a record of every time a family with this microwave cooks a potato.

© DAQ for The Washington Post

Smart Thermostat

The device allows you to set up programs to optimize energy use and control your heater or air conditioner from afar.

What it knows: Home temperature; “hunches” about when you’re home, away or asleep; energy use.

Why that matters: The small data points can look meaningless, but they add up to a picture of your daily routines.

© DAQ for The Washington Post

Astro robot

A domestic robot that uses cameras and other sensors to navigate your house (but doesn’t vacuum).

What it knows: Live and recorded video inside your house through a periscope camera on autonomous and directed patrols; layout of house; sound triggers, such as glass breaking or smoke alarms; presence and faces of people (through a visual ID processed on device); audio recordings of Alexa queries.

Why that matters: Robots look cute, but Astro is the culmination of Amazon’s surveillance capabilities. Astro recently gained the ability to be controlled by remote security guards for monitoring and even responding to situations. Nobody ever thought of Rosie the robot on Jetsons as a security guard, but so far, that’s Amazon’s most persuasive use for a domestic robot.

About this story

Editing by Yun-Hee Kim and Karly Domb Sadof. Additional editing by Laura Stevens and Junne Alcantara. Design and development by Emma Kumer. Illustrations by DAQ for The Washington Post.

Tue, 11 Oct 2022 22:15:19 -0500 en-US text/html
Killexams : Joliet Amazon workers walkout in protest

Amazon warehouse workers staged a walkout Tuesday at the Joliet facility.

The southwest suburban location is central to Amazon’s regional distribution network.

Union workers are demanding increased pay — a base rate of $25 an hour — along with stronger health and safety policies.


"We value employee feedback and are always listening. We’re investing $1 billion over the next year to permanently raise hourly pay for frontline employees and we’ll continue looking for ways to Boost their experience," an Amazon spokesperson said in a statement.

The walkout comes on the same day Amazon launched its second Prime Day sale of the year.

Tue, 11 Oct 2022 15:24:00 -0500 en text/html
Killexams : This is how to donate to charity every time you shop at Amazon

Sometimes it can be hard to think of how to help other people when we are also not having the easiest time of it.

With the cost of living crisis starting to bite, charities - particularly smaller, grassroots organisations - are feeling the pressure more than ever. People are turning to them desperately needing their help, but they too are wrestling with huge overheads, and donations are falling.

But, if you shop on Amazon, their Smile programme offers a way to donate to the causes close to your heart every time you make a purchase online or through the app.

This is an example of how Amazon Smile shows how you have supported a charity through shopping on the website and app © Emma Gritt This is an example of how Amazon Smile shows how you have supported a charity through shopping on the website and app

To date, Amazon has donated nearly £17,000,000 to thousands of local and national charitable organisations, at no extra cost to customers.

Through the Smile program, Amazon donates 0.5% of the price of your eligible purchases to a charity of your choice, and once you’ve signed up and picked who you want to benefit, it all happens automatically - you don’t need to do anything differently.

With Prime Day events, Black Friday and Cyber Monday on the horizon, there’s plenty of potential opportunity to benefit the UK’s unsung heroes who do vital work supporting, protecting and caring for the vulnerable people, animals and natural eco-systems who need us the most.

Firstly you need to be a member of Amazon Prime, and if you aren't already, you can sign up here.

Then, go to and follow the instructions to search for the charity you want to support, and start shopping!

Mon, 10 Oct 2022 04:28:57 -0500 en-GB text/html
Killexams : Amazon File Cache Now Generally Available

Amazon recently announced the general availability of File Cache, a managed high-speed cache for processing file data stored in disparate locations. The new service can be linked to multiple sources including on premises network file systems and managed AWS services like Amazon FSx or S3.

First unveiled at the AWS Storage Day 2022 last summer, Amazon File Cache is designed to provide low latency and high throughput for hybrid cloud workloads. The new service serves as a temporary, high-performance storage location for data stored in on-premises file servers or in cloud file systems and object stores. Sébastien Stormacq, principal developer advocate at AWS, explains:

Imagine you have a large data set on on-premises storage infrastructure, and your end-of-month reporting typically takes two to three days to run. You want to move that occasional workload to the cloud to run it on larger machines with more CPU and memory to reduce the processing time. But you’re not ready to move the data set to the cloud yet.


Among the bursting and hybrid use cases for File Cache, the cloud provider suggests media and entertainment, financial services, health and life sciences, microprocessor design, manufacturing, weather forecasting, and energy. Matt Gillard, technical principal at Contino, tweets:

Being able to mount multiple s3 buckets (and other sources) via NFS from on-prem or in the cloud opens many possibilities.

Stormacq adds:

Imagine another scenario where you have access to a large data set on Amazon Simple Storage Service (Amazon S3), spread across multiple Regions. Your application that wants to exploit this data set is coded for traditional (POSIX) file system access and uses command line tools like awk, sed, pipes, and so on. Your application requires file access with sub-millisecond latencies. You cannot update the source code to use the S3 API.

Customers are billed for the provisioned cache storage capacity and metadata storage capacity. In addition to File Cache costs, S3 requests, AWS Direct Connect charges, and data transfer fees apply. Andrew Guenther, principal software engineer at Orbital Sidekick, questions:

I saw the announcement and was hoping for a managed storage gateway. We use AWS Storage Gateway as an NFS interface for S3 with a 10TB cache and it costs ~$1k/month. That same cache is $13k on File Cache. What?! (...) Storage Gateway is way more flexible if you don't need the throughput of File Cache.

Corey Quinn adds in his newsletter:

I was panic when this was announced about what it would do to data transfer charges. If it automatically populates itself with files, couldn't it make decisions that were suboptimal, from a customer economics standpoint? I needn't have worried; AWS launched the service with a per-GB month price ($1.33!) that's so high that you won't notice or care about the usually-expensive AWS data transfer portion of the bill.

The announcement of the new service and the pricing model suggest that it is better suited for temporary high throughput workloads. Amazon File Cache is available in a subset of regions, including Ohio, Northern Virginia, Ireland and London.

Sat, 08 Oct 2022 04:08:47 -0500 en text/html
Killexams : Build a rank-and-file defense campaign for the reinstatement of Staten Island Amazon workers who refused to risk their health for profit!

Send your statement of support for the victimized Amazon workers at JFK8! Fill out the form below and we will publish your statement on the World Socialist Web Site. All submissions will be kept anonymous.

Amazon's JFK 8 facility on New York City's Staten Island on the evening of October 4, 2022 [Photo: WSWS]

The International Amazon Workers Voice denounces the retaliatory unpaid suspensions of as many as 80 workers who protested when Amazon management tried to make them return to work after a fire at the JFK8 warehouse in Staten Island. We demand their immediate reinstatement with full back pay, and we call on all Amazon workers worldwide to demand their reinstatement and an end to retaliation against workers for exercising their rights.

The victimized Staten Island workers refused to risk inhaling potentially toxic fumes after a fire broke out in the warehouse on October 3. The fire broke out in a trash compactor inside the JFK8 warehouse on Staten Island during the day shift, as documented contemporaneously by numerous workers on social media. Management said, “Stay at your stations while we investigate.”

The day shift workers were eventually permitted to evacuate, but not using the fire exits. Instead, management told workers to “badge out” using the turnstiles. Two hours after the night shift arrived, management told the night shift workers it was safe to go to work, despite the warehouse reportedly still reeking of smoke and other unknown substances.

Despite a number of workers reporting trouble breathing, management insisted that workers return to work. In response, workers organized one of the largest workplace demonstrations at Amazon to date in the United States. At least 100 workers, including a number of leaders of the Amazon Labor Union (ALU), marched to the management office to demand to be sent home with pay.

While Amazon warehouses are packed with dazzling hi-tech robotics, they are trying to turn back the clock on working conditions more than a hundred years. The fire in Staten Island recalls the horrific Triangle Shirtwaist Factory fire of 1911, in which 146 workers, 122 of them women and children, either burned or fell to their deaths after management locked them inside the eighth and ninth floors of a garment factory.