I can't even write a simple comment about health tech without going on for multiple paragraphs. Truly, it is a wicked problem. Have said this before, but healt

I can't even write a simple comment about health tech without going on for multiple paragraphs. Truly, it is a wicked problem. Have said this before, but healthcare is the Afghanistan of tech where giant empires go in thinking they can solve it and leave beaten years later wondering what happened. We're still about 5 years before a viable tech gets traction that could be useful in that space, and interestingly imo, one of the YC 2021 batch is the most well positioned to do it because they are doing authorization as a service (warrant.dev), which could meet the basic delegation need which is the pattern the whole health world is predicated on. We do collaboration pretty well with tech and we're just starting to make headway on identity and access control, but we haven't figured out workflow delegation and designation in any meaningful and open federated way, which is the necessary condition of the basic physician/nurse, physician/specialist, physician/hygenist, physician/orderly etc. workflow pattern. What people don't get about healthcare is that it is not a vertical or a sector, it is a parallel planned economy of autonomous entities, not unlike higher education but more distributed. I have done a lot of consulting work in a very large single payer system over the years, and the reocurring pattern is that even government thinks it's an enterprise, or a collection of enterprises. It's really an archipeligo of federated diverse organizations that orbit doctors and other health care providers. When you think, "oh, I've got a document management system or search for health!" you don't unless it is document management or search for a hyper-federation (like a hypergraph). You don't build products for this, you build tools, and the "healthiness" of a given tech is about how it supports this complex and dynamic relationship pattern. If I were google developing technologies for health, I'd be solving the basic hyperfederation problems. I hate to say it, but from a technology perspesctive, it's very likely a blockchain problem, where the health ontology (HL7,FHIR, etc) gets distributed via the consensus, and individual records would be graphs over its elements. Unfortunately, HL7 suffers from the same architecture complexity problem, where complex standards and rules yield stupid behavior in the field. This is to say the problem is health information techs all fail for the same reason, which is the basic problem of imposing central or top down design models on a stubbornly bottom up economy full of non-technologists.