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Why the tool is not the solution to healthcare access

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Why This Matters

The article argues that decades of digital health innovation—apps, algorithms, platforms—have failed to solve America's core healthcare access problem, suggesting the industry has misdiagnosed the issue as a technology gap rather than an infrastructure one. This matters because billions in health-tech investment may be misallocated if point solutions keep ignoring systemic barriers like provider shortages and fragmented care delivery.

Key Takeaways

The five layers of infrastructure that underlie the healthcare model of the future I have spent 26 years in healthcare. I have watched apps launch, algorithms deploy, platforms get funded, and payment models get reinvented, all in the name of fixing American healthcare. Yet, millions of Americans still cannot get a timely doctor’s appointment. Emergency rooms remain the default care setting for people with nowhere else to turn. Provider shortages are accelerating. The system is breaking under the weight of its own complexity.