Epic's relentless march towards dominance of all healthcare organizations continues unabated. While the last article (and many organizations) focus the impact that Showroom, Vendor Services, Toolbox, and Workshop have on the competitive landscape, the launch of varied Health Grid products (Epic Payer Platform, Aura, Discovery, and more) aims to overturn dozens of competitors and push Epic's boundaries into new customers types with strong network effects.

@StuartBlitz Get off Netflix, go birds

@xprunie go birds

"Fake news" and misinformation feel like a new phenomenon and modern crisis. But deception and the spread of false information have been present throughout human history. - In ancient Rome, Octavian weaponized the earliest form of viral marketing, minting coins and monuments with pithy slogans that painted Mark Antony as a drunken puppet of Cleopatra. - Medieval Europe's information networks - pilgrims, merchants, and travelers - carried rumors and falsehoods across continents, shaping perceptions and inciting action. - The printing press, while democratizing knowledge, also industrialized misinformation. During the witch hunts, pamphlets spread lurid tales of supernatural evil, turning neighbors against each other. - By the 1890s, "yellow journalism" emerged as a business model. Hearst's newspapers manufactured public outrage with sensationalized stories, ultimately helping precipitate the Spanish-American War. The only variable that has changed over this time is the speed and scale at which false information can spread through digital networks and social media, through increasingly sophisticated and interconnected distribution techniques. The perception of increased misinformation is just a function of a social and technological aperture that is 100x our ancestors limited by distribution boundaries. In a world where humans inevitably gravitate towards confirmation bias, ideas and thoughts that would have suffocated and collapsed on themselves for lack of corroboration in previous eras now find enough traction and affirmation to persist. We face three immutable realities: we cannot reverse the interconnectedness of our world, we cannot reprogram human nature's bias toward confirmation, and we cannot stop the democratization of content creation as AI makes it increasingly frictionless. There's not a panacea. There's no putting the interconnectedness back into the bottle and the modes and methods of communication continue to multiply, so the distribution ship has sailed. Confirmation bias is inherently human. And the cost of creation is plummeting in a world of AI. So the only answer is in the act of creation. Produce better ideas on the cognitive, ethical, and moral fronts that outcompete and drown out the ideas we think are wrong. Scientific thinking didn't push superstition to the margins through censorship but by offering superior explanations of reality. Our challenge is to do the same, to craft ideas so powerful and engaging that they naturally displace misinformation through their own merit. We must become better creators, not just better critics. Like any other age in history, if we are silent, our ideas wither and die.

@VitalikButerin Monopolies bad definitely not a 2013 take. Current era far more dialed into that

half right

Quite a few posts about Trump admin indefinitely suspending meetings of HHS' health IT advisory committee (HITAC), so a few comments there. The Cures Act (specifically Section 4003(e)) amended the Public Health Service Act to establish HITAC. The goal was streamlining and consolidating: the HITECH Act of 2009 made two separate committees: - The HIT Policy Committee for policy recommendations for the development/adoption of health IT. - The HIT Standards Committee for standards, implementation specifications, and certification criteria recommendations. People are pointing out that HITAC is not a regulatory feature, but a statutory requirement that ONC had to implement, so dissolving it would be illegal/ASTP would be foregoing a Congressional mandate. This would be true (if they dissolve it) There's a lot of swirl that it means: - New admin/DOGE signaling less regulation of EHRs/health (people seem to be gravitating towards this) - New admin/DOGE generally wary of groups like that and wants more centralized decision making - New admin/DOGE pausing as they think about restructuring ASTP/CMS/health tech regulators in general All could be true, but at a base level, Occam's Razor here is that it's less nefarious/conspiratorial than that. Across the board, career employees are following the order to cease communication with outside parties. Convening and communicating with the HITAC committee is communicating with outside parties.

@NickParkerPrint Would need a competent domestic ship building industry which we have never even remotely had. Might incentivize it demand side with this but lots of structural problems aside from simple demand

@jstclair1 @Sideology Cyclical 😂

@Sideology Everything is cyclical, we've hit the ceiling of SUV, minivan is the only logical choice

Proposed Sur-Reply:

@TurkiyeJim @JoshCMandel Lexisnexis not in play here. They are not IAL2

@JoshCMandel It's supported. They loosened the matching logic for IAS to accommodate their providers. Happy to chat through it sometime

Audio and AI generated transcript here: