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vgr's profile
Venkatesh Rao
Venkatesh Rao
Venkatesh Rao
@vgr

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Venkatesh Rao

@vgr

Conversational account. For work follow @ribbonfarm, @breaking_smart, @artofgig. Tweets are 90% vacuous views, apathetically held. Mediocritopian. IKEA builder.

Los Angeles, CA
venkateshrao.com
Joined August 2007

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    1. Venkatesh Rao‏ @vgr 12 Mar 2018
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      6/ Blockbuster drugs (with no value judgments on whether they are for HIV, ED, or heart disease) and super-advanced surgery with augmented reality are not "good" or "bad" outside of a societal health condition and simple possibility.

      1 reply 0 retweets 1 like
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    2. Venkatesh Rao‏ @vgr 12 Mar 2018
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      7/ But the kinds of leading-edge innovation delivered by the US "advanced" system tells you where the frontier is: in biochemistry labs and extremely advanced treatment facilities (for people with weird and rare kinds of cancer for example). This was not always the case.

      1 reply 1 retweet 0 likes
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    3. Venkatesh Rao‏ @vgr 12 Mar 2018
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      8/ Healthcare innovation used to depend on learning rate delivered by number/variety of care episodes so care correlated with advances. The frontier, in other words, used to coincide with the world of care delivery. Public health WAS the field laboratory.

      1 reply 1 retweet 8 likes
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    4. Venkatesh Rao‏ @vgr 12 Mar 2018
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      9/ Today, public health and epidemiology connect a healthcare "market" to a healthcare "innovation" sector via a set of prioritization choices that reflect profit-making potential rather than incidence rates. Again, just an observation, not a judgment.

      2 replies 4 retweets 12 likes
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    5. Venkatesh Rao‏ @vgr 12 Mar 2018
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      10/ Ie, the health conditions that get prioritized are efficiently privatizable ones. Healthcare evolves by corporations deciding for instance that "diabetes" is a better market, and more worth privatizing, than some other condition which offers weaker margins.

      1 reply 2 retweets 4 likes
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    6. Venkatesh Rao‏ @vgr 12 Mar 2018
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      11/ Goes without saying that the efficiently privatizable conditions may not be the ones that represent the greatest societal burden. Social and moral of course, but in the US, we mean primarily economic burden.

      1 reply 1 retweet 4 likes
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    7. Venkatesh Rao‏ @vgr 12 Mar 2018
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      12/ Condition A that represents say a -1% drag on the GDP (ie fixing it would add 1% to growth) goes unaddressed because there is no way to privately make a sweet profit off it.

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    8. Venkatesh Rao‏ @vgr 12 Mar 2018
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      13/ While Condition B, that is a 10th place rounding error in GDP terms gets a huge amount of attention/resources because it has efficient private market development potential. Call these "charismatic diseases."

      1 reply 0 retweets 6 likes
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    9. Venkatesh Rao‏ @vgr 12 Mar 2018
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      14/ A charismatic disease/condition is 3 things: a) Easy to market (strong "brands" in symptom terms) b) Easy to dramatize via relateable life narratives ("the American dream, but with diabetes") c) Most importantly: good for drive-by interventions instead of open-ended care

      3 replies 2 retweets 14 likes
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    10. Edwin den Boer‏ @edbwt 12 Mar 2018
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      Replying to @vgr

      Isn't open-ended care more profitable? E.g. patients using statins or antidepressants for years.

      3 replies 0 retweets 0 likes
      Venkatesh Rao‏ @vgr 12 Mar 2018
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      Replying to @edbwt

      Status and anti-depressants are the opposite of open-ended. They’re narrow and close-ended. They just go on for a long time.

      5:10 PM - 12 Mar 2018
      0 replies 0 retweets 0 likes

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