Vinod Khosla是知名企業昇陽電腦的創辦人，目前是頂級矽谷創投創始人Khosla Venture，想更深入了解他，可以看這其在史丹佛商學院的訪問影片。
My view is that doctors should be involved in the most human elements of care. A very large percentage of what doctors do can be done with technology, which would free the doctor to do other things. No doctor spends enough time with the typical patient
One other fundamental thing is that medicine almost always has been based on symptoms. I feel something, I report that, then you doctors go on a detective chase and you mostly come up with the right answers. This pains me. There are, perhaps, a few hundred sensors in the typical car and none in the body. A single ad shown to you on Facebook has way more computing power applied to it than a $10,000 medical decision you have to make. It blows my mind.
No large change comes from an organization that is at the center of the system, for two reasons: First, they tend to think linearly; and second, they really don’t have an incentive to cause disruption because “disruption" sounds like a great word but it is painful for some people. If you have been disrupted, it is not fun.
Walmart didn’t change retail; Amazon did and it made it pretty damn uncomfortable for all other retailers. Boeing and Lockheed didn’t change space; SpaceX did. General Motors and Volkswagen didn’t change electric cars or self-driving cars; it was Waymo and Tesla. NBC and CBS didn’t change media; it was Twitter, Facebook, and YouTube. I am hard-pressed to find one large change that came from an institutional source in that area. If you do find one, tell me.
Why should healthcare be different?
One of the things about large change is that it is very hard to predict. I was directionally right but really embarrassingly wrong on the specifics. I suspect that I will be the same with healthcare.