Ignoring the bit about health care reform(I don't know anything about that). 1) Start with genius, this is a phrase used by Meredith Belbin in his advise about

Ignoring the bit about health care reform(I don't know anything about that). 1) Start with genius, this is a phrase used by Meredith Belbin in his advise about selecting a team. So, I am basically saying go where you will find the talent necessary to implement your start up. 2) Start in a place with lots of early adopters. That is, start where the people are known to try new stuff and be seen as cool if they are at the cutting edge with technology. Just a few places: Boston, Silicon Valley, London... There will be other places around the world with these characteristics.