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Alphabet is spending billions to become a force in health care

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Re: Alphabet is spending billions to become a force in health care

#161
post #55

Earlier quoted context omitted.

Microsoft spent almost the same on nuance: https://news.ycombinator.com/item?id=26778780

hah - nuance freakin deserves it though. their tech is good for its time, but they _nailed_ distribution

What was their distribution strategy?

Re: Alphabet is spending billions to become a force in health care

#162

Earlier quoted context omitted.

Healthcare is not expensive for lack of huge government-entangled corporations monopolizing and commercializing patient personal information. At least not in USA, where healthcare legislation is written by and for the industry (e.g., https://www.theguardian.com/commentisfree/2012/dec/05/obamac... ), and total healthcare expenditure is somewhere around double that of most other first world countries with more universa…

>total healthcare expenditure is somewhere around double that of most other first world countries >the standard of care in America is probably second to none if you can pay for it How sure are we that these two things are unrelated?

I'm not sure. I've heard people handwave about this before, but if health industry corporations and their congressmen and senators are going to argue that, it should be explained and funded and voted on explicitly, rather than the alleged massive indirect subsidies via overpriced medicare and medicaid government expenditure if they're going to claim that's somehow the way health corporations fund their cutting edge R&D and high end treatments and clinics.

Re: Alphabet is spending billions to become a force in health care

#163

This is nothing new. MSFT, Alphabet, AMZN, Oracle have all been making plays for years trying to get into the healthcare industry. It's a huge, bloated industry

This is also an heavily regulated industry in terms of patient data protection, software quality, part availability, etc. It will be interesting to see how big tech will deal with having an overbearing regulator breathing down their neck.

How so in terms of software quality?

Re: Alphabet is spending billions to become a force in health care

#164

I don’t understand these drives. The US is the only developed country without state control of healthcare. How is Google hoping to grow their market outside the US when it’s such a difficult space to navigate?

Medicare, which is under state control, is larger than many other developed country's state-run medical systems. Before criticizing the US system, make a strong attempt to understand the underlying structure.

Re: Alphabet is spending billions to become a force in health care

#165

Earlier quoted context omitted.

Checkout their last Google Io. They know how they make their money and don't hide it. But they make you as an individual disappear. It's a much better compromise than from any other company and they drive this topic for years.

you dont disappear. you become embedded. they are metaphorically assigning you a number and stripping you of an identity. It is dehumanizing. At the end of the day, it's just you by a different name. Instead of owning it and claiming "we have this information on Gehlitio" they say things like "We have these generalizations about anybody who happens to use HN, speaks in English, bought X Y and Z, subscribes to A, "

All statistics are dehumanizing. I'm no data scientist but I'd imagine including the whole human when doing statistics would produce a pretty low signal to noise ratio.

Re: Alphabet is spending billions to become a force in health care

#167

I don’t understand these drives. The US is the only developed country without state control of healthcare. How is Google hoping to grow their market outside the US when it’s such a difficult space to navigate?

The US is a big outlier in not having universal healthcare but in terms of government control it's really pretty typical with countries like the UK where the government runs health provision directly rather than just regulating and paying for it are the exception rather than the rule. I've worked for a company selling robots to French hospitals and that really isn't any different than selling to US hospitals.

Re: Alphabet is spending billions to become a force in health care

#168
post #157

Earlier quoted context omitted.

Vermont did try it. https://en.wikipedia.org/wiki/Vermont_health_care_reform It does not work for the reasons tptacek wrote. With freedom of movement, eventually net benefit recipients will move in, and net payers into the system will move out.

Vermont (a tiny state) would suffer much more from that than would California.

If I was a politician in any other state, I would propose exporting high cost patients to California by buying or subsidizing their housing.

It is always the same story with any broad high cost universal benefit offered within a taxing jurisdiction that does not have immigration control. Homelessness (land costs), mental healthcare (legal and labor costs), and healthcare. Even subsidized higher education is not universal, it is restricted to residents.

That is why we do not see these offered anywhere, and why it has to be a federal move.

Re: Alphabet is spending billions to become a force in health care

#169
I'm in the UK so that somewhat limits relevance but there are efforts to make available my data to companies, I opted out of data sharing from my GP.

Link is here if you want

https://www.nhs.uk/using-the-nhs/about-the-nhs/sharing-your-...

A few points:

I'm not against data mining at all, just handing it out to agencies without my say so. I'd be happy for it to be used for this purpose entirely within the NHS but that's not what was assured.

I don't like the approach that you have to opt out, not opt in.

I others may have different tradeoffs, that's fine. This is my view and urge people not to follow what I've done but to decide for themselves. It's your data, if you're in the UK, you can make a choice (not making a choice IS making a choice: for it to be shared).

Edit: and please don't respond with "just you wait..." or "it's going to happen anyway" defeatist juvenile posts.

Re: Alphabet is spending billions to become a force in health care

#170

I really wish Google would just accept it's a dumb advertising company and forget about these moonshots. It's just to stroke the founders ego. They are big enough. Pay out a huge dividend or something.

"dumb advertising company" is trivialising the amazing tech and products Google has. Google has very justified bad reputation around product shutdowns and privacy, but I don't think being dumb is one of them.

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