Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Part I: The report card theory of giant companies: how every school subject and survival need gets its LLM moment, who gets paid when it does, and what the order means for healthcare through 2046
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Part I: The report card theory of giant companies: how every school subject and survival need gets its LLM moment, who gets paid when it does, and what the order means for healthcare through 2046

The inventor of the transistor didn’t collect most of the value it created. The inventor of the transformer didn’t either. The money went to whoever owned the scarce thing next door once the primitive got cheap.

This is the report card theory: the biggest companies get built when a basic building block of human life (a school subject or a survival need) becomes something machines can do for near zero cost.

Language went first. Arithmetic went decades earlier. Biology’s reading layer (genome sequencing) is basically done. GLP-1s cracked appetite. Shelter failed because the constraint was zoning, not physics.

Four tests sort the order: does the corpus exist, can the machine grade its own work, where does the margin migrate when cost collapses, and who controls the permission layer. Healthcare fails the permission test hardest of all.

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