Healthcare Challenges in the Public and Private Sectors
summary
Government-led convening produces a concrete tool: Blue Button is implemented for the VA and launched within 90 days, with over a million veterans downloading records and private insurers like Aetna pledging to follow. The argument tests two claims: consumer-mediated data exchange scales, and APIs as standardized interfaces let millions of external developers extend government services (analogy: 3,000 Facebook employees vs 30,000 developer jobs). Result: measurable uptake and cross-sector spillover to Green Button and similar efforts.
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