It’s as if we we hit a wall: progress abruptly stopped in 1996. What the hell happened in 1996? I think what happened was the internet boom. Suddenly, for the first time ever, programmers could get rich quick. The smart ambitious people flooded into Silicon Valley. But you can’t do research at a startup (I have the scars from trying). New technology takes a long time and is very risky. The sound business plan is to lever up with VC money, throw it at elite programmers who can wrangle the crappy current tech, then cash out. There is no room for technology invention in startups.
Today only megacorps like Google/Facebook/Amazon/Microsoft have the money and time horizons to create new technology. But they only seem to be interested in solving their own problems in the least disruptive way possible.
I am worried about the stagnation in healthcare innovation too- especially because medicine is getting “industrialised”. The promise of personalised medicine means that every patient will have “specific interventions” based on their “genetic structure”. I don’t expect that to happen in your community hub where you might see your doctor. Only the “megacorps” will own the narrative (and they have enough money to pull this off).
We have one example of software- the innovation needs to be democratised!