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paulg's profile
Paul Graham
Paul Graham
Paul Graham
Verified account
@paulg

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Paul GrahamVerified account

@paulg

paulgraham.com
Joined August 2010

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    1. Randall Bennett‏ @randallb 3 May 2019

      Randall Bennett Retweeted Paul Graham

      I've thought deeply about trying to "fix" healthcare to make it less expensive through open source software and vertically integrated healthcare. (Kaiser + Software). For me, It would have to be a b-corp, not a non-profit for this reason.https://twitter.com/paulg/status/1124254508232663040 …

      Randall Bennett added,

      Paul GrahamVerified account @paulg
      The most surprising thing I've learned from being involved with nonprofits is that they are a magnet for sociopaths. One's naive reaction is "Why would nonprofits attract them? Nonprofits do good!" But the defining quality of nonprofits is to make no profit, not to do good.
      Show this thread
      6 replies 0 retweets 24 likes
      Paul Graham‏Verified account @paulg 3 May 2019
      Replying to @randallb

      The interesting question here is where to bite off a small enough subset of the problem that you can have something working quickly. If you have a solution to that, you're halfway there. If you have any ideas about it by all means email me.

      6:27 AM - 3 May 2019
      • 19 Likes
      • Farooq Yusuf Umac John Forstmeier Ben Nelson Katelyn Gleason yohannes Devin Elliot Felix Pomerantz
      7 replies 0 retweets 19 likes
        1.  🤖 Paul Katsen‏ @pavtalk 3 May 2019
          Replying to @paulg @randallb

          If you like open source and HC, you'll love this https://motherboard.vice.com/amp/en_us/article/xwjd4w/im-possibly-alive-because-it-exists-why-sleep-apnea-patients-rely-on-a-cpap-machine-hacker?__twitter_impression=true …

          0 replies 0 retweets 0 likes
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        1. tommy‏ @tommyrva 3 May 2019
          Replying to @paulg @randallb

          Do conceptually what JPM and Amazon are doing but with YC companies

          0 replies 0 retweets 0 likes
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        1. New conversation
        2. Vasja Bocko‏ @vasko_dagama 3 May 2019
          Replying to @paulg @randallb

          The issue of software in HC is that it is still monolithic. In order to break in, your software needs to do everything that the incumbent does (and better). There are no Slack like (bottom-up) opportunities and then integrations with APIs and webhooks.

          1 reply 0 retweets 0 likes
        3. Vasja Bocko‏ @vasko_dagama 3 May 2019
          Replying to @vasko_dagama @paulg @randallb

          Part of the problem is, of course, lack of standards. Much harder to homogenise healthcare data (much of which is inherently unstructured text, also due to outdated ways of working) than spreadsheets with casflows.

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. Paul Graham‏Verified account @paulg 3 May 2019
          Replying to @paulg @randallb

          Incidentally, Kate Gleason might have insights about that.

          0 replies 0 retweets 0 likes
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        2. Randall Bennett‏ @randallb 3 May 2019
          Replying to @paulg

          I do... I think you could start with a private practice / small clinic and not accept private insurance in a big enough city, and basically serve underinsured people with a "health maintenance" plan where you get x doctor visits per year.

          1 reply 0 retweets 0 likes
        3. Randall Bennett‏ @randallb 3 May 2019
          Replying to @randallb @paulg

          Every time I think about starting this startup I get excited, but then I am like *ugh this would be... a real slog.* and I get schlep blindness.

          1 reply 0 retweets 2 likes
        4. Show replies
        1. Devin Elliot‏ @devinjelliot 3 May 2019
          Replying to @paulg @randallb

          To democratize access to information, we needed to first create public access points and public protocols before hosting the content and then creating applications from it. I think there are some key steps around protocols that need to occur in healthcare before $ making apps

          0 replies 0 retweets 0 likes
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        1. Katelyn Gleason‏ @katgleason 3 May 2019
          Replying to @paulg @randallb

          that's the perfect way to think about it and exactly what we did with healthcare eligibility

          0 replies 0 retweets 3 likes
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