Thought Leaders in Healthcare IT: CareJourney CEO and President Obama’s CTO Aneesh Chopra (Part 6)

Sramana Mitra: I’m going to switch gear again to the open problems. What is your analysis of the whole gene editing and the CRISPR world? What is possible? What problems can be solved in the short, medium, and long term?

Aneesh Chopra: This is an area that will go in three directions. We’re still in R&D moving to D phase. What will we learn? The first round of applications is about cures in really low-volume but high-cost challenging areas of the healthcare sectors such as cancers. The first round of gene editing was meant to be higher cost for society to absorb on a smaller available population. We’ll see more of that unit price expense but smaller community groups for benefit.

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Best of Bootstrapping: Bootstrapped Get Real Health Using Services

If you haven’t already, please study our free Bootstrapping course and the Investor Introductions page.

When we spoke in 2014, Get Real Health Founder Robin Wiener had built an excellent company with large, international clients in the healthcare domain and had used the bootstrapping using services technique that we espouse in 1Mby1M.

Sramana Mitra: Let’s go to the beginning of your story. Where are you from? Where were you born and raised, and in what kind of circumstances?

Robin Wiener: I’m from Connecticut. I was born in Bristol, the home of ESPN. I went to the University of Connecticut for college. Early on, I had a major speech problem. I couldn’t really pronounce things. Along with that, I had a major learning disability. I had two sisters and a brother. The teachers told my parents that I just wasn’t as smart as my brothers and sisters. Maybe I could get married and that would be a good thing for me to do.

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Thought Leaders in Healthcare IT: CareJourney CEO and President Obama’s CTO Aneesh Chopra (Part 5)

Sramana Mitra: In this use case that you mentioned, what are they doing with that information?

Aneesh Chopra: Establishing contracts. Physicians negotiate contracts with insurance companies on a fee-for-service basis. If I see a patient, will you pay me $100? In parallel, there is a related network function to say, “I’m not as interested in what your unit price will be when I see a patient. What I’d rather do is take responsibility for the full expected spend on that patient for the year or three years.”

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Catching Up On Readings: Tech Layoffs

This feature from Crunchbase covers the tech layoffs in 2022 and 2023. Over 58,000 people in U.S.-based tech companies have been laid off in mass job cuts so far in 2023 compared to 140,000 in 2022. For this week’s posts, click on the paragraph links.

Thought Leaders in Healthcare IT: CareJourney CEO and President Obama’s CTO Aneesh Chopra (Part 4)

Sramana Mitra: I want to close this segment of our discussion with a question. What, in your mind, are some of the open problems that you would like startups to go solve?

Aneesh Chopra: Let’s go through the healthcare discussion we’ve had and identify a few examples along the way. In my dream world, there should be a series of entrepreneurs competing on the development of a digital health advisor or what I call a health information fiduciary.

Thought Leaders in Healthcare IT: CareJourney CEO and President Obama’s CTO Aneesh Chopra (Part 3)

Sramana Mitra: What is your analysis of their potential to weave them into society?

Aneesh Chopra: We are going to continue down the curve on the cost side. Early in the Obama administration, it cost roughly $2,000 to sequence a genome. We set a goal to get that profitably delivered for under $100 and we’re well on the way to democratizing gene sequencing.

Best of Bootstrapping: Duda Co-founders Bootstrapped with Paychecks

If you haven’t already, please study our free Bootstrapping course and the Investor Introductions page.

Itai Sadan is the Co-founder and CEO of Duda, a company that turns desktop websites into mobile sites. When we spoke in 2013, Itai had over 10 years of experience in business development, partner management, program management, and development. Prior to founding Duda (formerly DudaMobile), Itai was a director at SAP, where he managed the SAP Discovery System program and was in charge of relationships with IBM, HP, and Fujitsu.

Sramana: Itai, let’s start with the beginning of your personal journey. What is the story that paved the way for your entrepreneurial journey?

Itai Sadan: I was born and raised in Tel Aviv, Israel. I did have a six-year stint in South Africa, where our family lived for a while. I went to high school in Tel Aviv and met the person who is the co-founder and CTO of DudaMobile during my high school years. After high school I went to the army and served in the anti-terrorist school. After I completed my three-year army service, I traveled the world a little bit.

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Thought Leaders in Healthcare IT: CareJourney CEO and President Obama’s CTO Aneesh Chopra (Part 2)

Sramana Mitra: The innovation engine of the country also applies to the middle layer, right?

Aneesh Chopra: Now it will be. Earlier in the Obama administration, we launched an initiative called Startup America. You could imagine that you’re building Startup Global is to drive more entrepreneurs into the economy.

As we know, startups have been the engine of net new job creation. When we explore what makes the entrepreneur story work in America, a researcher at Stanford provided the much needed clarity that when the rules of the road of a particular industry change, it’s the entrepreneur who can get there faster because there’s an economic return on a new way.