IT being a cost center at a modern information/product company is similar to doctors being a cost center for a hospital. Only a deranged accountant thinks the

IT being a cost center at a modern information/product company is similar to doctors being a cost center for a hospital. Only a deranged accountant thinks the cost center is the scarce talent that delivers outsize customer value, and that the profit center is the back-office filled with billers who "monetize" a relationship that wouldn't otherwise exist. In tech, this flipped around in 2004-2008, I think. From 2001-2004, people thought IT was "over". Now, they realize software is "eating the world". I am hopeful a similar realization will eventually come to medicine. Doctors deserve Google-style work perks and competition for their scarce talent. Insurance, back-office, and billing deserve to be turned into the AWS of medicine -- outsourced commodity.