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Real Time Tranparency, Greatest Opportunity, TSM

Arthur Hanson

Well-known member
The greatest opportunity for tech sector is US medical with its staggering cost and low quality that literally is the greatest threat to our nation with our aging population depending on Medicare and much of the population depending on government funded care and companies of all types bleeding from increasingly untenable medical costs. Real time transparency is perhaps one of the greatest tools the tech sector has created and applied to almost any challenge. Real time transparency is becoming the ultimate tool to use in almost everything we touch and the tech sector and especially the semi sector are making this possible. The semi sector itself has made use of real time transparency and use of information internally to create a knowledge and its application machine of unrivaled creativity and power. It has enabled collaboration and creativity on a scale of previously unimaginable scope and size improving at an ever accelerating rate. It's time for the semi/tech sector to take not only their products to the rest of the world, but their processes. No other firm I know of has mastered this to the degree of TSM and I feel this could be a whole new product line for them. US medical would be the place to start for there is literally a trillion dollar opportunity world wide. TSM has not only created the leading fab, but an amazing business process as amazing as the semis they produce. Even the most efficient medical systems still have great room for improvement and could benefit from the speed and efficiencies that the semi/nanotech sector have taken to an art form. This is literally a chance to people in the sector to become true heroes offering more benefit to mankind than any other professions. Saving the US, from its gravest threat, would be of tremendous benefit to the world as a whole. The Constitution and Bill of Rights are the greatest documents ever written in terms of benefit to the world and eliminating what is perhaps the greatest threat to this country could set an example that could be applied to almost everything, everywhere.

 
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That is, unfortunately, a pipe dream. The USA wastes half a trillion on just administration, about the same as the medical staff. We have about 50% higher expenses as fraction of GDP as any other first world economy, many of which have significantly better outcomes than us. That waste is almost the same as all of our income taxes (the wasted part, not the total). You are not going to fix that with some good system practices, because a monster as big and fat as that is a vested interest. It has lobbyists, it has access to public opinion, it has greed. And it has legal inertia, with tens of thousands of pages of law which are restrictive practices tailored to fit the incumbents. It sure makes a great target for innovators to go after but to believe you fix it by tweaking the practices is trying to remove a monster by cleaning up its slime.
 
That is, unfortunately, a pipe dream. The USA wastes half a trillion on just administration, about the same as the medical staff. We have about 50% higher expenses as fraction of GDP as any other first world economy, many of which have significantly better outcomes than us. That waste is almost the same as all of our income taxes (the wasted part, not the total). You are not going to fix that with some good system practices, because a monster as big and fat as that is a vested interest. It has lobbyists, it has access to public opinion, it has greed. And it has legal inertia, with tens of thousands of pages of law which are restrictive practices tailored to fit the incumbents. It sure makes a great target for innovators to go after but to believe you fix it by tweaking the practices is trying to remove a monster by cleaning up its slime.

Sadly, I have to agree with you to a large extent, the outright corruption and greed in medical puts all other criminal cartels to shame and makes them look like rank amateurs' when it comes to making excess money. Lobbying and special interests have totally gotten out of hand and as one who specializes in finance, our government is on the path to self destruction by the fact we waste a bigger percentage of our wealth every year on health care, military, and useless prohibitions driving a staggering police state with one of the world's biggest prison populations. I feel transparency and low cost education made possible by the tech sector in many ways is our only hope. Sadly the government more and more every year represents itself and the special interests that now dominate. Delivering value is the key to a safe, stable economy. Sadly economic education, macro and micro isn't even a consideration in our schools and should be started in the first grade. Economic ignorance now rules. The tech sector has given us the ability to have real time, wide spread transparency which could become one of the greatest tools in enabling the advance of mankind.
 
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