Microsoft's triumph was driven by standards and economics. Corporate IT picked IBM and hence Microsoft. Clone competition drove costs down. Scale and platform effects made PCs and eventually Windows ubiquitous. The iPhone is driven by the consumers. No IT folks pushed iPhones. End users demanded it.
But, have I also lost something? Have I lost my ability to create a space of solitude while sitting on that Central Park bench, making restaurant reservations and ordering movie tickets? And have I lost something in my inability to get lost in the back lanes of Seville looking for that flamenco bar?
What do we need in health care? Fewer people who get ill in the first place. When they do, they should receive better care, tailored to who they are and the specifics of their disease, delivered at a lower cost. The challenges notwithstanding, we moved a step closer to this fantastic vision for health care in 2014.