DMN: As a growing health care technology company, what other problems are you trying to solve in health care?

JB: The list here is long but I will be brief.
*In every other aspect of our lives we have so much choice that allows a reflection of humanity. That's not the case in health care, and we need to change that. We need to inject shopping into health care for caregivers and patients.

*Transparency. Transparency into pricing. Transparency into care.
*Care coordination needs to be... coordinated. Health care is going horizontal, away from vertical, and so coordinating care will be the only way the right care is delivered at the right time in the right place at the right price.
*Data. As a cloud-based service we have visibility into so much of how care is delivered, when, and for how much. During the recent government shutdown, we stepped in for the furloughed staff at the CDC to keep tabs on disease trends across the country. The right use of data can make us smarter in how we apply the massive resources of care this nation is capable of providing.

DMN: What excites you most about the future of health care?

JB: What excites me most is what scares me most. What excites me is the imminent implosion of most of the health care establishment. What scares me is if we then prop that establishment back up and make it even harder to knock down the second time. To me, the current establishment, through no fault of its own, in fact, through its incredible success at its original intent, has rendered health care unchangeable and is reinforcing my belief that you should "be the one to change the thing". It's almost impossible to be the one to change the thing, even for yourself, in health care today. As you can tell by the length of my answer, this question excites me.

But if the tree falls to the ground and all the worms of health care delivery ideas eat off of it, they will generate a beautiful wildflower garden of choices. We are a society perfectly inclined to health care, health care giving. We are wealthy. We are strong. We have had the luxury of becoming extremely compassionate as a society as evidenced by the size of our welfare state, the amount of money we give to the rest of the world, the amount of protection we provide to those unable to protect themselves. We are perfectly inclined to health care but we must be allowed to shop for it, and must be allowed to provide it outside the walls of today's establishment or we'll never really find it rewarding as caregivers or care receivers.

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