5 Comments
User's avatar
Adam Resnick's avatar

Amazing content, thank you for the piece Brendan

Expand full comment
Adam Carewe MD's avatar

This was legit Sunday reading

Expand full comment
Vickram Pradhan's avatar

Unreal article, very well done.

Expand full comment
Brendan Stec's avatar

Great article and loved the connection to other industries

Expand full comment
Dan Munro's avatar

... and speaking of Meaningful Use (unique to healthcare in your examples), it's important to remember exactly HOW the $30 billion was spent:

Dr. Bob Wachter: "I asked Brailer an unfair question: Given his well-known skepticism about too muscular a federal role, if he had still been ONC director in 2008, would he have turned down the $30 billion?"

Dr. David Brailer: "No, but I would have spent the money on standards, interoperability, a ‘Geek Squad’ to help with training and implementation, and creating a cloud-based ‘medical Internet.’ I never would have spent money on direct subsidies to providers. We’ve built the Frankenstein I was most afraid of."

We could have/should have spent the $30 billion more wisely. We didn't.

Footnote: FWIW I wrote a few articles on interop back in the day. They're dated now but the plot lines are still relevant today: https://dan-munro.com/portfolio/interop/

Expand full comment