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hockley

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They are optimizing for posts that generate revenue. Since users don’t pay, the news feed is optimized for advertisers and the user posts that lead to more advertiser engagement.

This is just a focus group of one, but I really want to see two problems solved in email:

1) Trusted identity assertion: I want to know with confidence (at a glance) that the sender is who I think they are.

2) Secure communication: I want the visual metaphor of email (private correspondence) to match the reality of email.

How great would it be if Mozilla lead the way to for email clients to adopt open standards to do easily do these things.

There were provisions that addressed cost containment (ACOs, Quality-Based reimbursement models for Medicare). In fact, medical cost inflation has come more in line with general inflation since about 2009/2010. But, you're right, the market based reforms like cost and quality transparency were left to fight another day. The ACA focused more on access to coverage than it did cost.

I would not put too much weight on conspiracy theories though. The healthcare system is massively complex. It will take multiple reforms to eat this elephant.

The ultimate reason behind hospitals attempting to charge exorbitant prices is that you have no choice but to pay.

Payors are healthcare wholesalers. They can buy health services from physicians and facilities at about a third to a tenth of the cost you can because: 1) It's not life or death for them; and 2) They can buy in bulk

This kind of proves the thesis. EV is a hobby for the legacy guys that competes with much more powerful (by revenue) business units in the company. It's like expecting Kodak to compete and win with their own digital camera.

Don't confuse being known with being trusted. One is a prerequisite for the other, but they are not the same thing. It's not so much who you know as it is who trusts you.

I think the large compensation helps the CEO act on what he/she feels is in the best interest of the company. When you make enough in one year to retire, you can make decisions with a lot more courage.

I think tough shit works for everything but healthcare. When even the private solution (health insurnce) is essentially needs based, it's pretty hard to escape some kind of policy-driven rationing.

This is not surprising given IBM developed the Consulting Industry Complex standard for blaming the client for failure: The Rational Unified Process.