The U.S. health economy is little changed since then –- it is still organized as inputs for niche impacts, not outcomes from a coherent whole. We are governed by the logic of market fragmentation. At an individual level, the story is everyone doing the “right thing” to protect and grow their businesses, brands and shareholders. At a system level, the story is collapse, a function of the design flaw in the orientation of the economics. The center of gravity is value extraction for shareholder benefit, not value creation for stakeholder benefit. America is flailing to reshape healthcare because a $4 trillion market is on a cliche treadmill.https://www.bluespoonconsulting.com/blog/the-strategy-that-didnt-fix-healthcare-cxcgj
The title of this blog post by John G. Singer of Blue Spoon Consulting is The Strategy That Didn't Fix Healthcare. The same could also describe the state of advanced telecommunications infrastructure in the United States over the past 30 years and the nation’s highly fragmented approach to its modernization. As with health care, value extraction for shareholder benefit in a market-based paradigm of selling “broadband bandwidth” is most highly valued.
Households, businesses, institutions and state and regional economies are key stakeholders in having the legacy metallic telephone and cable infrastructure timely updated to fiber for the 21st century – and which should have reached most every American address by 2010. But their legitimate interest as stakeholders has been subordinated by public policymakers to that of the shareholders of these legacy companies that has delayed progress and produced slogans such as “Internet for All” and “Closing the Digital Divide.”
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