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Great comments everyone.

Thanks

Stanley Feld M.D.,FACP,MACE

Stanley - I couldn't agree more. This is the reason why the kernel of my startups architecture is opening a rich communication channel between physician and the individual (most of us don't think of ourselves as "patients"). I was fortunate to have founded Microsoft's health business many moons ago and play a role in the shift from mainframe to client-server based systems. However, this shift is not only a big architectural shift but the fundamental healthcare delivery model must shift as well. The biggest driver, for better or worse, is the shift that is happening from the "do more, bill more" reimbursement model to one that is focused on value and outcomes.

I can't think of a more exciting time to be in the field. There is a wave of disruptive innovation that isn't fully recognized right now -- Gibson's quote ("the future is here...it's just unevenly distributed") is apropos. One great example is Direct Primary Care -- see http://www.delicious.com/chasedave/DPCArticles for more. There's more where that came from.

Great to see experienced MDs blogging like this, btw!

I really enjoy this post. I totally agree with this statement:
"Software developers in the medical space do not know who their customers are. Their customers are patients and physicians and the patient/physician relationship. "

This is why I started Umbie Health and we are launching Umbie DentalCare. I think the key is making the patient/physician relations easier will help improve healthcare.

Thanks again for the post!!!

Outstanding blog post dad. And I think your punchline is completely correct - the healthcare software innovators should focus 100% of their energy on the patient and the physician (their customer). That would quickly transform everything in the healthcare supply chain.

Can you imagine what would happen if the government subsidized Borders and Barnes & Noble? Yup - pretty easy to see that they'd be doing fine and "bookstores would be classified as a public good." What nonsense.

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