KEYNOTE ADDRESS: SOME THESES ON DECENTRALIZATION, PLATFORMS AND CRYPTOECONOMICS IN HEALTHCARE

The blockchain arena is dominated by the call for radical decentralization of technologies and business models or services. Much of this is driven by the underlying politics that led to the original innovation of Bitcoin. In healthcare we need to take a more circumspect approach and ask what is decentralized and for whom? The great public secret of health IT is that the dominant companies in the ecosystem are founded on centralized business models of data capture. The major platforms in our economy are coming under criticism for being too powerful and represent a danger to our privacy and security. Meanwhile, 2017 saw the growth in ICOs that have been represented as a means to democratize financing. In reality, the current models, based on flawed understandings of tokenization and cryptoeconomics, do little to build sustainable, patient-driven new business models. This keynote will raise these issues as problems the healthcare and blockchain community must confront in moving the field forward in the coming years.

Jody Ranck, DrPH, CEO, Krysalis Labs & Executive Vice President of Strategy, Ram Group