[hn_throwaway_99]

Perhaps this is too US-centric, but as someone who used to work in health fintech, I strongly disagree.

The US healthcare system is well and truly f'd, but I think 98% of these issue are government and society policy issues. If anything, I see so many companies trying to take advantage of the complete dysfunction in the US healthcare system to be yet another middlemen siphoning money from systemwide inefficiencies.

[nradov]

There's a lot more to healthcare than just fintech. I've been the field for decades and I've never seen such rapid progress before in areas like clinical and administrative interoperability, digital health, software as a medical device, telehealth, clinical decision support, cost transparency, etc. Despite the structural problems with incentives that create that make the financial side so dysfunctional, there has never been a better time to build.

[hn_throwaway_99]

I never said health was just fintech.

My primary point is that poor health outcomes in the US (fully admit my views are US-centric given my experience and knowledge) have nothing to do with a lack of technology and everything to do with structural systems issues rooted in government policies.

I'm a big fan of Dr. Jessica Knurick, who publishes at length about many of the systems that cause and contribute to population-wide poor health in the US. Here's one article taking about food systems and nutrition: https://open.substack.com/pub/drjessicaknurick/p/the-food-sy... .