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by iamelgringo 5520 days ago
Poppycock.

Health care's problems in the United States are not technical. Health Care's problems are regulatory, and systemic. (My day job is in health care for the last 20 years in 35 hospitals in 5 states.) Health care's problems in poor countries are primarily due to a lack of hygine and clean water. Most of the rest of their problems can be helped with decent tropical disease vaccine research. That’s not an interest or willingness issue, that’s a funding and economics issue.

There are massive amounts of funding for clean/green tech right now. Those innovations are going to be hard, and come slowly, but we do have a lot of brilliant minds working on those problems.

I dare say I have a front seat at the innovation table by hosting the largest group of garage stage startups at Hackers & Founders Silicon Valley. I see a lot of amazingly cool stuff months before it hits event the startup press.

Here's what I see:

Founders building social media startups are rare. Precious few founders think about monetizing via ads, unless they are building a search engine. Funding for ad based, or social media startups are hard to come by unless they show tons of traction before funding.

The coolest apps I'm seeing built are hardware peripherals to mobile phones or mobile devices: An ultrasound probe attached to an iPhone that can serve as a fetal heart monitor. Motion tracking devices that can be attached to your head and ankle so you can control a racing game on your iPad while excdcising on your bike.

There’s a ton of innovation happening around the food space, creating new markets for food producers and consumers.

There are also companies like Genomera.com, which is building a system for crowd sourced clinical trials. Factual.com is building an open source model around big data.

BioCurious is a very cool hacker space/community around DIY bio that’s getting organized. As the costs of bio hacking come down, there’s going to be a ton of innovation there.

There’s tons of innovation surrounding the Kinect. I talked with the CEO of Health 2.0 a few weeks ago, and a Neurologist and a programmer got together at one of their hackathons, and in a weekend, built a pediatric gait abnormality monitor. Wait until the official SDK comes out, and drivers are included in Windows 8, and you’re going to see some really cool things.

The very fabric and character of Silicon Valley is changing because of innovation in how companies are funded (Angel List). Hundreds, and soon thousands of two to four person startups are going to be funded. I believe what’s going to happen is because of that, the rate of innovation in Silicon Valley and around the globe is going to accelerate dramatically.

You complain that there's no innovation because everybody is just building gadgets. Gadgets like cell phones are revolutionizing 3rd world economies, and mobile payments via cell phones are creating truly disruptive innovation like electronic banking and electronic money transfer. I visited my brother doing economic development in Honduras, and most everyone carries a cell phone, even if they live in a house with a dirt floor.

Have you looked at the innovations that are happening in robotics? My nephew is studying at a community college in rural Minnesota right now, and he’s in a robotics competition. He’s programming a robot that can crawl around and check to see if a seedling tree is dead or not. If it’s dead, the robot pulls the seedling. If not, it keeps driving.

Open your eyes. Stop reading Tech Crunch. Go to Maker Faire. Awesome things are happening and you don’t even realize it.

And, if you're sick of the lack of innovation... then create something. Complaining about it online does nothing.

3 comments

I don't think it's a blanket article, despite the blanket language. It is addressing a very select group of people, the ones trying to make money rather than meaning.

There are a lot of very talented people doing innovative things, but this might be my ignorance, but I'd say they are minority. That's probably because I just haven't heard about them, a lot of real innovation tends to go unnoticed. I find the smartest people I know don't like talking but prefer working anyway.

But something about the article resonates. My heart broke a little bit when I found out that multiple social networks for knitting enthusiasts, have gotten venture funded.

Awesome post, thanks a lot! I saw the headline and the first thing that popped into my mind was "Tesla Motors".

My country has spent millions over decades and decades to make German car builders to innovate electric cars. Now those companies bought shares from Tesla because they think those guys are to far ahead to close the gap otherwise.

Heck, if America lacks meaningful inovation, then where else will you find it on this planet?

the elephant in the room for healthcare is and always has been that the majority of healthcare is bullshit. or, in more technical terms, has no effect on health outcomes.
Even assuming what you say is true, that "minority" of non-bullshit healthcare is very important.

Chemotherapy is a crude and harmful way to eliminate cancer, but I know several people alive today because of it.

Without insulin injections, mortality of type one, childhood-onset diabetes would be dramatically higher.

Viagra.

Vaccines for numerous diseases are still incredibly effective and one of the most successful innovations of the 20th century.

And innovations continue. Fifteen years ago, a patient diagnosed with Macular Degeneration would be told eventual blindness was certain and the possibility of ever finding a cure was very low. Google macular degeneration stem cells to see how that has changed.

Yes, there's a lot of healthcare focused on controlling risk factors like high cholesterol and we don't really know how much that's helping, but I'm not sure I'd marginalize everything else by calling it an "elephant in the room."

Citation? Obviously healthcare works on some level, else life expectancy wouldn't be going up.
Really? You could make life expectancy go up in much of the world with nothing more than clean water. But is that healthcare?
Maybe, but you'd also be ignoring other basic staples of western healthcare like vaccinations.

http://www.ncbi.nlm.nih.gov/books/NBK2284/

Life expectancy is going up due to a variety of factors: better trauma care, better vaccination regimes, better sanitation, better nutrition, some better treatments (some amazingly so).

Nevertheless, a large fraction of medical screens and procedures does not improve average life expectancy when people actually try to measure their impact. Intensive end-of-life care does not improve life expectancy when similarly measured.

In terms of citations, see http://papers.ssrn.com/sol3/papers.cfm?abstract_id=161308 at least for the end-of-life effects. Also see http://www.theatlantic.com/magazine/archive/2010/11/lies-dam... and http://www.nejm.org/doi/full/10.1056/NEJMoa1000678 and http://www.overcomingbias.com/2010/06/beware-active-placebos... and http://papers.nber.org/papers/W16011 and the RAND health insurance study. For a start, at least.

not just life expectancy in toto which you would rightly expect to have a huge number of variables that interact in unknown ways. many medical procedures have proven to be directly detrimental to health in double blind studies yet remain standard procedure.

read this to become completely disillusioned with medicine. http://www.overcomingbias.com/2010/07/catheter-infection-law...