Another reason I find the comparison to twitter interesting is that both Healthcare.gov and Twitter have no intrinsic value; their innovation and value is that

Another reason I find the comparison to twitter interesting is that both Healthcare.gov and Twitter have no intrinsic value; their innovation and value is that they facilitate and mediate in ways that couldn't have gone before. The real value is provided by the parties with whom the connection is made; healthcare professionals and medicines in the case of h.g, other users and communicators in the case of t.c. Something else I should have mentioned before; it is also very tempting to look at the outward functionality of something and not see the mistaken paths that led to nowhere, the research and measurements and experimentation it took to arrive at a working destination. That's another area where I'd guess the two sites have costs.