The missing implicit bits and technical conflations are probably what are throwing you. "Technology" really means technical understanding and resulting quality

The missing implicit bits and technical conflations are probably what are throwing you. "Technology" really means technical understanding and resulting quality as opposed to use. Even the crappy ones still use tech that they outsource but poorly. Losing out means in the context of matters of popularity. It is losing out in the same way Semmelweiss did in his lifetime over "doctors should wash their hands".