> “The health-care software industry is enormous, and it exists largely because it’s privatized, it’s not standardized,” says Stone. “There are a lot of free-ma

> “The health-care software industry is enormous, and it exists largely because it’s privatized, it’s not standardized,” says Stone. “There are a lot of free-market inefficiencies. And the country doesn’t have a public health infrastructure, so there isn’t any real drive to fix it.” > “You think about the industries that have been transformed by technology—someone said, How do we get a pizza to your house faster? That’s a competitive advantage,” he says. “That has not happened in American health care.” The pizza industry is not a exactly standardized industry with public infrastructure either... the failure of VAMS (and healthcare.gov before it, and the unemployment systems, etc) shows that single government solution is not a fix for broken procurement and project management.