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The anti-Dimitriy!

Certain people have accused Health 2.0 of being a bubble. Others of us have responded that it’s not. I don’t think either side in that argument has claimed that health care needs a bubble. But Forbes columnist Sramana Mitra thinks that a tech bubble in health care would be a great thing. In particular it would produce many more AthenaHealths and PatientsLikeMes

Certainly a provocative read!

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healtJohn M. Grohol, PsyDMatthew HoltMargalit Gur-ArieWendell Murray Recent comment authors
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healt
Guest

Thanks. I do see a lot healt Women of interesting and innovative tools entering the marketspace in “Health 2.0,” like health-focused search engines and health social networks. But I either see few people using them (compared to alternatives), or if lots of people are using them, they have absolutely zero business plan.

John M. Grohol, PsyD
Guest

I was there during the last e-Health bubble and a part of one of the companies of the time, drkoop.com, in 1999. For the record, this is looking a lot like those times. Back then it was the EMR. Now it’s the PHR. Back then it was about turning page views. Today it’s the same. Back then, the valuations on these companies was insane. I don’t see the difference today. I do see a lot of interesting and innovative tools entering the marketspace in “Health 2.0,” like health-focused search engines and health social networks. But I either see few people… Read more »

Dmitriy Kruglyak
Guest

@Matthew: Puuuhlese! It is pretty clear who you are referring to. I have not promised anything to you and the things happening under the radar are none of your business.

Matthew Holt
Guest

Why does Dmitriy think I was referring to him when I was clearly referring to Dimitriy? What an ego! But we await great things from Dmitriy this year…as promised last year! Ha, ha

Margalit Gur-Arie
Guest

The logic here escapes me. We have a convoluted, wasteful healthcare system, where doctors cannot get paid properly and patients cannot get proper care. So what do we do? We build new companies to help doctors and patients navigate the broken system. Wouldn’t it make more sense to fix the system so that a patient can get proper care without a Health 2.0 fancy navigation system and doctors can get paid without having to go through a series of ever more complex hoops? Everybody is now talking about the need for Healthcare IT in physician offices and hospitals. How about… Read more »

Dmitriy Kruglyak
Guest

Wendell, thanks for your comments. I agree with everything you said as well. If you want to dig deeper into the real story behind “Health 2.0” and what are the REAL dynamics and outlook for this space I recommend reviewing the posts from my blog over from now back to the original post re: Revolution:
http://trusted.md/blog/hippocrates
IMHO, what I published on my blog requires no further elaboration. I view my mission educating people about bubbles largely completed and ready to focus on different projects this year.

Wendell Murray
Guest

Верный Дмитрий: Thanks for the reference to your note. Skimmed it and tend to agree, certainly in regard to Revolution Health. An aside regarding that is that Steve Case is the epitome of a consumer goods huckster who randomly happened to latch onto AOL and rode it to frightening bubbledom by pure luck of the draw. Smart, money-oriented individual, but consumer huckster at heart. His foray into healthcare was well-intentioned – based on frustration of seeking treatment for a terminally-ill brother – but based on the nonsense that brought him his fortune. Much like AOL’s combination with Time-Warner that has… Read more »

Dmitriy Kruglyak
Guest

Wendell, Months ago I wrote a post, explaining what Health 2.0 REALLY is and proposed my own defintion: Revolution Health: Heralding the Demise of “Health 2.0”?. This should tell you everything you need to know. Health 2.0 is an artificial construct that has no meaning in the real world. Just like Athena is just a debt collection agency, most other “Health 2.0” companies can be boiled down to simple meat-and-potatoes terms, but that would leave nothing useful to contribute for people like Mr. Holt, would it? No I am not False Dmitriy, I am True Dmitriy. LOL. Yes, I am… Read more »

Wendell Murray
Guest

I think Mr. Holt provides a good service with this web site, but I do not understand what Health 2.0 is even having read the Health 2.0 FAQ. What is it?
Dmitriy: Вы русскйи? Вы Лжедмитрий?
Don’t know the history of this disagreement. AthenaHealth is effectively a debt collection agency. What is new and improved about that? Nothing wrong with what it does, but that is it.

Dmitriy Kruglyak
Guest

@Brian Klepper: I think it is pretty clear that Health 2.0 bubble is in the earliest stages of bursting. Revolution Health is the most spectacular flameout, but we are already seeing the next tier of disappointing outcomes (DailyStrength, Xoova, etc). A lot more are struggling with cash balance running low and no revenue coming in – time will clear them out. In 2009 the term “Web 2.0” is becoming toxic in technology community and “Health 2.0” will follow soon. You are right there is lots of opportunity in rejiggering the $2.6 trillion healthcare system. However this has nothing to do… Read more »

Punit Patel
Guest
Punit Patel

Bubbles emerge in markets when the underlying technology cannot sustain the marketing hype. This might be the case if Health 2.0 were to consist only of simple collaboration technologies like blogs and wikis, however, a whole new wave of social technologies (like connotea.org and jumpernetworks.com) are emerging that will expand the reach of Health 2.0 collaboration to actually begin to meet some of the hype.

Ravi Sohal
Guest

I think that we are on the cusp of a wave healthcare innovation. However, entrepreneurs in the healthcare consumer space do still face legal and regulatory hurdles that will limit the size and scope of their businesses. So we may not see the bubble-like activity Sramana Mitra advocates. I do agree with Brian that there is a “blue ocean” sized opportunity in helping the healthcare system become more efficient. When web services start connecting the dots between doctors, hospitals and insurance companies and build successful businesses we’ll see acquisitions, mergers and perhaps even a few IPOs. Plug: feel free to… Read more »

Belinda Shale
Guest

Hi Brian
Quite agree
I think we are only scratching the surface of what will be done
We run a site called the icarecafe which provides a space for patients and caregivers to share information and ideas
http://www.icarecafe.com
It seems to be working really well so far
Best wishes
Belinda

Brian Klepper
Guest

The ventures described by Ms. Mitra are bubbles only if it is a foregone conclusion that they’ll burst. But there is no reason to believe that, in an industry as rich in market vacuums as health care is, these are flash-in-the-pan opportunities. As a class, I’ll admit that I’m less optimistic about ventures that are social in nature because they typically must find funding streams that are not from the users. Not impossible, as , like PatientsLikeMe and Sermo have shown, but often difficult. On the other hand, in an industry where half or more of all cost – $2.6… Read more »

Dmitriy Kruglyak
Guest

RULE #1: Learn to spell my name right RULE #2: If you want to use terms like “anti-Dimitriy”, understand the historic context: http://en.wikipedia.org/wiki/False_Dmitriy RULE #3: When are you people going to learn? Bubbles lead to net destruction of wealth and are great mostly for assorted scam artists who use irrational exuberance to cover up the lack of the tangible value actually created. What is the net $$$ value generated from Health 2.0? No, Athena does not count, it was started before your fad. Seems like Health 2.0 conference is the only successful business in this space – congrats on milking… Read more »