The US is wealthy enough to have the luxury of spending a lot on health. Vendors want to tap the US market and most of the western world free-rides on the innovation of vendors tapping into the us market.

But... what we don't see is the lost opportunity of the advancements that MIGHT (likely??) would have happened in a truly free market where health had to compete for customer dollars rather than pre-allocated spend.

Might we have had home dialysis a decade sooner? Might telehealth scaled more qu…

Re: "leaders who want to be successful will have to be able to contend with an environment in which the information flow cannot be managed by the elites."

When people think critically about information flow issues, they naturally tend to focus on supply-side "management"; for example, secrecy, censorship, "misinformation," and the like.

However, information filters/distortions on the supply side notwithstanding, every individual on the target/demand side must somehow "manage" a superabundance (of…