[
  {
    "start": 0.06,
    "end": 7.3,
    "text": "This episode is provided by Thomas Allgeier and Franis, based on the most relevant LinkedIn posts on health tech in CW six-and-seven."
  },
  {
    "start": 8.1,
    "end": 14.06,
    "text": "Franus equips product and strategy teams with market and competitive intelligence to navigate the HealthTech landscape."
  },
  {
    "start": 15.06,
    "end": 16.2,
    "text": "Welcome back to The Deep Dive!"
  },
  {
    "start": 16.74,
    "end": 21.64,
    "text": "We are looking at the Health Tech Landscape for Weeks Six & Seven of twenty-twenty-six"
  },
  {
    "start": 22.06,
    "end": 26.9,
    "text": "And I have say going through sources this time...the feeling was Different"
  },
  {
    "start": 26.94,
    "end": 27.34,
    "text": "different how"
  },
  {
    "start": 27.8,
    "end": 27.92,
    "text": "well."
  },
  {
    "start": 28.04,
    "end": 33.9,
    "text": "usually there's a lot of you know science fiction Cool concepts that are maybe five ten years out right"
  },
  {
    "start": 34.08,
    "end": 35.52,
    "text": "the flying cars of health care"
  },
  {
    "start": 35.68,
    "end": 39.88,
    "text": "exactly, but this week It didn't feel like a science fair."
  },
  {
    "start": 39.98,
    "end": 41.62,
    "text": "If felt more like a construction site"
  },
  {
    "start": 42.02,
    "end": 42.94,
    "text": "That's a perfect way to put it."
  },
  {
    "start": 43.0,
    "end": 49.2,
    "text": "if there's one big takeaway is this The industry is moving from experimentation to scale the execution."
  },
  {
    "start": 49.34,
    "end": 50.72,
    "text": "The sandbox phase is over?"
  },
  {
    "start": 50.9,
    "end": 51.22,
    "text": "It is!"
  },
  {
    "start": 51.52,
    "end": 59.12,
    "text": "We're not just seeing cool pilots, we are seeing regulatory-grade platforms actual reimbursement industrial maturity...the plumbing has been laid down"
  },
  {
    "start": 59.3,
    "end": 63.4,
    "text": "And that's what were here to unpack..we've grouped updates into well four big themes."
  },
  {
    "start": 63.76,
    "end": 68.24,
    "text": "Were gonna talk about AI becoming agintic which was a term we definitely need to define."
  },
  {
    "start": 68.68,
    "end": 73.1,
    "text": "Then will get in some uh literal superpowers and imaging diagnostics"
  },
  {
    "start": 73.32,
    "end": 74.2,
    "text": "New wave robotics."
  },
  {
    "start": 74.4,
    "end": 80.1,
    "text": "then Big one The money question Digital therapeutics actually getting paid."
  },
  {
    "start": 80.22,
    "end": 82.12,
    "text": "It's a packed agenda, so let's get right into it."
  },
  {
    "start": 82.44,
    "end": 82.6,
    "text": "Let's"
  },
  {
    "start": 82.68,
    "end": 83.66,
    "text": "start with AI."
  },
  {
    "start": 83.86,
    "end": 86.68,
    "text": "I mean we say AI is changing health care all the time."
  },
  {
    "start": 86.72,
    "end": 87.48,
    "text": "That's almost a cliche"
  },
  {
    "start": 88.62,
    "end": 94.56,
    "text": "but opposed from Effie glow reporting from WA checks in Dubai She used to phrase that really stuck with me"
  },
  {
    "start": 95.08,
    "end": 95.36,
    "text": "was at."
  },
  {
    "start": 95.6,
    "end": 99.44,
    "text": "she said AI is graduating from a chatbot to a co-worker."
  },
  {
    "start": 99.72,
    "end": 102.54,
    "text": "And that is the critical shift, she was talking about agentic AI."
  },
  {
    "start": 102.86,
    "end": 108.0,
    "text": "right and for anyone listening this is a real leap forward from the generative AI we've all gotten used."
  },
  {
    "start": 108.12,
    "end": 110.04,
    "text": "so it's not just chat gpt for doctors."
  },
  {
    "start": 110.18,
    "end": 110.26,
    "text": "no"
  },
  {
    "start": 110.94,
    "end": 112.74,
    "text": "i mean generative ai is passive."
  },
  {
    "start": 112.8,
    "end": 114.58,
    "text": "you ask a question it gives you an answer?"
  },
  {
    "start": 114.7,
    "end": 115.2,
    "text": "It waits!"
  },
  {
    "start": 115.8,
    "end": 119.9,
    "text": "Agenic Ai has agency its designed to execute tasks"
  },
  {
    "start": 120.6,
    "end": 121.34,
    "text": "autonomously."
  },
  {
    "start": 121.52,
    "end": 123.2,
    "text": "So does it summarize meeting notes"
  },
  {
    "start": 123.64,
    "end": 126.38,
    "text": "It schedules the follow-up, it updates the patient file."
  },
  {
    "start": 126.56,
    "end": 130.72,
    "text": "It flags a prescription conflict all without you holding its"
  },
  {
    "start": 130.82,
    "end": 131.14,
    "text": "hand.\"."
  },
  {
    "start": 131.24,
    "end": 134.02,
    "text": "And she gave that example from the UAE Ministry of Health."
  },
  {
    "start": 134.64,
    "end": 138.1,
    "text": "they have projects where AI agents are handling what was it?"
  },
  {
    "start": 138.24,
    "end": 139.64,
    "text": "A third of the admin burden..."
  },
  {
    "start": 139.8,
    "end": 141.84,
    "text": "...a third and think about what that really means."
  },
  {
    "start": 141.9,
    "end": 144.98,
    "text": "this isn't a doctor checking the AI's work every few seconds."
  },
  {
    "start": 145.02,
    "end": 145.04,
    "text": "No!"
  },
  {
    "start": 145.18,
    "end": 148.96,
    "text": "This is AI doing triage AI doing scheduling, its"
  },
  {
    "start": 149.1,
    "end": 149.98,
    "text": "infrastructure."
  },
  {
    "start": 150.08,
    "end": 152.54,
    "text": "and Effie's point about geography was interesting too."
  },
  {
    "start": 152.9,
    "end": 154.18,
    "text": "The health care lab for this."
  },
  {
    "start": 155.66,
    "end": 157.0,
    "text": "It's not Silicon Valley anymore"
  },
  {
    "start": 157.16,
    "end": 159.74,
    "text": "No it's the GCC the Gulf region in China."
  },
  {
    "start": 159.9,
    "end": 162.66,
    "text": "They're just operationalizing this tech so much faster"
  },
  {
    "start": 162.7,
    "end": 163.72,
    "text": "which is a huge wake-up call."
  },
  {
    "start": 163.8,
    "end": 167.98,
    "text": "I mean if you're only building for Western regulatory speeds You might be building for yesterday"
  },
  {
    "start": 168.16,
    "end": 172.6,
    "text": "And speaking of the UAE Said Al Hasan shared an update on Amal the"
  },
  {
    "start": 172.68,
    "end": 174.4,
    "text": "first AI physician assistant."
  },
  {
    "start": 174.56,
    "end": 176.92,
    "text": "right And the language they use is key."
  },
  {
    "start": 177.22,
    "end": 179.22,
    "text": "It's to augment decision-making,"
  },
  {
    "start": 179.58,
    "end": 181.18,
    "text": "Augment not replace"
  },
  {
    "start": 181.26,
    "end": 181.68,
    "text": "exactly."
  },
  {
    "start": 181.74,
    "end": 186.36,
    "text": "it reduces the cognitive load But yeah and there's always a but when you move this fast"
  },
  {
    "start": 186.56,
    "end": 187.34,
    "text": "There are new risks"
  },
  {
    "start": 187.68,
    "end": 190.04,
    "text": "and This Is where we need To look at what's happening in Italy?"
  },
  {
    "start": 190.14,
    "end": 192.92,
    "text": "Chiara Galiz had A really sharp analysis on this."
  },
  {
    "start": 193.02,
    "end": 193.06,
    "text": "On"
  },
  {
    "start": 193.1,
    "end": 194.68,
    "text": "The MIA system right correct?"
  },
  {
    "start": 195.18,
    "end": 201.98,
    "text": "so Italy deployed this generative AI tool mia into fifteen hundred family doctors offices."
  },
  {
    "start": 202.16,
    "end": 203.7,
    "text": "Wow That is national scale."
  },
  {
    "start": 203.94,
    "end": 208.68,
    "text": "It is and it uses something called RAG, Retrieval Augmented Generation."
  },
  {
    "start": 208.92,
    "end": 210.08,
    "text": "Okay break that down for us."
  },
  {
    "start": 210.14,
    "end": 211.02,
    "text": "what does that mean here?"
  },
  {
    "start": 211.14,
    "end": 211.2,
    "text": "So"
  },
  {
    "start": 211.3,
    "end": 218.74,
    "text": "instead of the AI just you know making things up from the internet, ROGI forces to look at a specific trusted library first"
  },
  {
    "start": 218.84,
    "end": 220.42,
    "text": "Medical guidelines in this case Right!"
  },
  {
    "start": 220.88,
    "end": 224.52,
    "text": "It retrieves correct data then generates answer"
  },
  {
    "start": 224.62,
    "end": 225.76,
    "text": "Which sounds much safer"
  },
  {
    "start": 226.28,
    "end": 227.22,
    "text": "It is, in theory."
  },
  {
    "start": 227.72,
    "end": 231.68,
    "text": "But Chiara points out this very human problem... automation bias!"
  },
  {
    "start": 231.94,
    "end": 233.16,
    "text": "We trust the machine too much…"
  },
  {
    "start": 233.3,
    "end": 233.62,
    "text": "We do!"
  },
  {
    "start": 234.32,
    "end": 236.86,
    "text": "These systems sound so confident—perfect grammar."
  },
  {
    "start": 237.24,
    "end": 242.18,
    "text": "A busy doctor asks for a diagnostic frame The AI gives a coherent answer And"
  },
  {
    "start": 242.22,
    "end": 243.4,
    "text": "the Doctor just accepts it."
  },
  {
    "start": 243.54,
    "end": 246.72,
    "text": "and the AI becomes shadow co-author of that medical decision."
  },
  {
    "start": 246.94,
    "end": 247.96,
    "text": "That's the scary part."
  },
  {
    "start": 248.16,
    "end": 250.72,
    "text": "If the AI misses a nuance Who's responsible?"
  },
  {
    "start": 251.18,
    "end": 253.7,
    "text": "The doctor signed off but the shadow co author wrote"
  },
  {
    "start": 254.08,
    "end": 256.04,
    "text": "Confidence is not competence."
  },
  {
    "start": 257.079,
    "end": 260.579,
    "text": "And that's why Tim Ruchenbaum's update from Oracle was so relevant,"
  },
  {
    "start": 260.98,
    "end": 263.62,
    "text": "he was talking about their new AI data platform?"
  },
  {
    "start": 263.72,
    "end": 265.42,
    "text": "Yes and his point was at this."
  },
  {
    "start": 265.5,
    "end": 269.18,
    "text": "agentic intelligence needs deep clean clinical data."
  },
  {
    "start": 269.44,
    "end": 273.16,
    "text": "you can't just slap a smart bot on top of a messy system."
  },
  {
    "start": 273.26,
    "end": 273.34,
    "text": "it's"
  },
  {
    "start": 273.38,
    "end": 275.68,
    "text": "an infrastructure play Not Just An App."
  },
  {
    "start": 275.78,
    "end": 276.32,
    "text": "You Download"
  },
  {
    "start": 276.56,
    "end": 277.72,
    "text": "It The Plumbing Of The Hospital."
  },
  {
    "start": 278.38,
    "end": 278.5,
    "text": "Okay."
  },
  {
    "start": 278.58,
    "end": 279.34,
    "text": "So That'S the Back End."
  },
  {
    "start": 279.78,
    "end": 284.26,
    "text": "Let's Shift To The Front End The Eyes Of The Operation imaging and diagnostics."
  },
  {
    "start": 284.54,
    "end": 290.4,
    "text": "And looking at the posts from Ryan Fukushima, Dr Daniel Stromer it really does feel like we're getting superpowers!"
  },
  {
    "start": 290.72,
    "end": 292.44,
    "text": "Let's start with Ryan's insight on page."
  },
  {
    "start": 292.52,
    "end": 295.1,
    "text": "predict he used an analogy that just...it clicks"
  },
  {
    "start": 295.16,
    "end": 296.06,
    "text": "A compressed file."
  },
  {
    "start": 296.22,
    "end": 300.94,
    "text": "Yes so think of a standard pathology slide The pink-and-purple tissue sample for cancer diagnosis."
  },
  {
    "start": 301.5,
    "end": 302.62,
    "text": "Think if is as a compressed file."
  },
  {
    "start": 302.84,
    "end": 307.2,
    "text": "For one hundred years pathologists have looked at this slide seeing cell shapes Morphology."
  },
  {
    "start": 307.62,
    "end": 309.04,
    "text": "but the AI sees more."
  },
  {
    "start": 309.34,
    "end": 309.92,
    "text": "So much more!"
  },
  {
    "start": 310.28,
    "end": 314.74,
    "text": "It looks at that same slide and see's molecular data, it decompresses the file."
  },
  {
    "start": 314.8,
    "end": 319.78,
    "text": "He said AI can now predict a hundred twenty-three biomarkers across sixteen cancer types"
  },
  {
    "start": 320.22,
    "end": 321.58,
    "text": "From a single slide."
  },
  {
    "start": 321.74,
    "end": 321.86,
    "text": "That"
  },
  {
    "start": 321.92,
    "end": 322.72,
    "text": "is just wild."
  },
  {
    "start": 323.06,
    "end": 323.86,
    "text": "Usually you'd need what?"
  },
  {
    "start": 323.98,
    "end": 325.68,
    "text": "Expensive genetic sequencing for that"
  },
  {
    "start": 325.84,
    "end": 328.8,
    "text": "Exactly More tissue, more time A lot more money."
  },
  {
    "start": 329.48,
    "end": 333.54,
    "text": "This means You could get that same date Adjust by running code on an image you already have."
  },
  {
    "start": 333.78,
    "end": 335.64,
    "text": "It democratizes precision oncology."
  },
  {
    "start": 336.58,
    "end": 339.54,
    "text": "But speed is also a superpower, especially in the ER."
  },
  {
    "start": 339.88,
    "end": 342.46,
    "text": "And that brings us to The Photon Friday Case."
  },
  {
    "start": 342.74,
    "end": 343.38,
    "text": "Cheered by Dr."
  },
  {
    "start": 343.44,
    "end": 345.44,
    "text": "Daniel Strowmer This one really hits home."
  },
  {
    "start": 345.62,
    "end": 348.34,
    "text": "Chest pain, racing heart, emergency room... The"
  },
  {
    "start": 348.44,
    "end": 349.48,
    "text": "triple rule out!"
  },
  {
    "start": 350.0,
    "end": 355.82,
    "text": "This has huge leap into CT tech Usually scanning hearts beating fast as well."
  },
  {
    "start": 355.92,
    "end": 356.52,
    "text": "It's a nightmare."
  },
  {
    "start": 356.74,
    "end": 358.92,
    "text": "The image gets blurry Right…the"
  },
  {
    "start": 358.98,
    "end": 360.06,
    "text": "scanner like camera."
  },
  {
    "start": 360.44,
    "end": 362.36,
    "text": "If the heart is moving fast, the picture's useless."
  },
  {
    "start": 362.68,
    "end": 362.98,
    "text": "But Dr."
  },
  {
    "start": 363.04,
    "end": 368.76,
    "text": "Schromer was talking about the semen's naeotom alpha dot prime of photon counting CT Right"
  },
  {
    "start": 368.88,
    "end": 370.62,
    "text": "and without getting too deep into physics."
  },
  {
    "start": 371.02,
    "end": 372.8,
    "text": "these detectors are incredibly fast."
  },
  {
    "start": 372.84,
    "end": 375.42,
    "text": "They count individual photons so they can freeze motion"
  },
  {
    "start": 375.7,
    "end": 376.24,
    "text": "And results."
  },
  {
    "start": 376.3,
    "end": 376.78,
    "text": "in this case"
  },
  {
    "start": 377.14,
    "end": 379.8,
    "text": "One scan one breath hold and diagnosed."
  },
  {
    "start": 379.92,
    "end": 383.7,
    "text": "pulmonary embolism aortic dissection coronary artery disease"
  },
  {
    "start": 383.88,
    "end": 385.3,
    "text": "Three deadly conditions at once."
  },
  {
    "start": 385.62,
    "end": 387.9,
    "text": "That difference between innovation and execution."
  },
  {
    "start": 388.02,
    "end": 392.22,
    "text": "Execution We saved this person's life in five minutes and the ER."
  },
  {
    "start": 392.64,
    "end": 394.96,
    "text": "Incredible, but the tech is only half of battle."
  },
  {
    "start": 395.54,
    "end": 397.06,
    "text": "Andrei Hartung added another layer to it"
  },
  {
    "start": 397.38,
    "end": 398.44,
    "text": "The unified cockpit."
  },
  {
    "start": 398.96,
    "end": 400.24,
    "text": "This about human factor."
  },
  {
    "start": 400.3,
    "end": 402.56,
    "text": "we're drowning radiologists data."
  },
  {
    "start": 402.88,
    "end": 403.1,
    "text": "Right."
  },
  {
    "start": 403.18,
    "end": 406.26,
    "text": "if you give them better images with a harder workflow they burn out."
  },
  {
    "start": 406.84,
    "end": 412.08,
    "text": "Andre was talking how AI needs reduce scan times put all that data into one clean view"
  },
  {
    "start": 412.48,
    "end": 413.76,
    "text": "Producing cognitive load"
  },
  {
    "start": 413.96,
    "end": 416.22,
    "text": "Just as important image resolution."
  },
  {
    "start": 416.9,
    "end": 424.26,
    "text": "And Mark Stoffels from Phillips mentioned their acquisition of Spectrowave, which is about combining imaging and AI inside the veins."
  },
  {
    "start": 424.36,
    "end": 426.8,
    "text": "So you can decide guide-and-treat all in one."
  },
  {
    "start": 426.86,
    "end": 427.92,
    "text": "go closing The Loop?"
  },
  {
    "start": 428.16,
    "end": 428.76,
    "text": "Exactly!"
  },
  {
    "start": 429.32,
    "end": 434.26,
    "text": "Okay so speaking of closing A Loop let's talk about robotics when the code meets the physical"
  },
  {
    "start": 434.34,
    "end": 434.62,
    "text": "world."
  },
  {
    "start": 435.14,
    "end": 440.04,
    "text": "We have to start with this story shared by Dr Martha Buchenfeld About a man named Tucker"
  },
  {
    "start": 440.14,
    "end": 440.42,
    "text": "Moore."
  },
  {
    "start": 440.68,
    "end": 441.86,
    "text": "Such a powerful story."
  },
  {
    "start": 441.96,
    "end": 443.88,
    "text": "it grounds All This Tech In Reality."
  },
  {
    "start": 444.32,
    "end": 445.62,
    "text": "So Tucker's a marathon runner."
  },
  {
    "start": 445.72,
    "end": 450.28,
    "text": "He has a freak accident, falls downstairs loses a hand-prit sized piece of his skull"
  },
  {
    "start": 450.68,
    "end": 454.12,
    "text": "and suddenly His life is on hold wearing a helmet everywhere."
  },
  {
    "start": 454.28,
    "end": 455.28,
    "text": "And the standard solution?"
  },
  {
    "start": 455.68,
    "end": 459.12,
    "text": "A custom titanium implant costs what twenty thousand dollars or"
  },
  {
    "start": 459.32,
    "end": 459.56,
    "text": "more."
  },
  {
    "start": 459.96,
    "end": 461.56,
    "text": "for a lot Of people that's just out of reach."
  },
  {
    "start": 461.8,
    "end": 462.24,
    "text": "but dr."
  },
  {
    "start": 462.3,
    "end": 464.76,
    "text": "Bokenfeld highlighted The shift to three d printing."
  },
  {
    "start": 465.54,
    "end": 467.0,
    "text": "they used a peak implant."
  },
  {
    "start": 467.3,
    "end": 469.28,
    "text": "peak Is a high performance polymer."
  },
  {
    "start": 469.8,
    "end": 470.88,
    "text": "it's biocompatible."
  },
  {
    "start": 471.0,
    "end": 471.52,
    "text": "its light."
  },
  {
    "start": 472.48,
    "end": 473.26,
    "text": "This is the crucial part."
  },
  {
    "start": 473.62,
    "end": 475.46,
    "text": "It can be three d printed very cheaply."
  },
  {
    "start": 475.82,
    "end": 476.26,
    "text": "how cheaply"
  },
  {
    "start": 476.52,
    "end": 476.86,
    "text": "she said."
  },
  {
    "start": 476.9,
    "end": 479.68,
    "text": "in some pilots They're doing it for as low as six hundred dollars"
  },
  {
    "start": 479.74,
    "end": 481.2,
    "text": "from twenty thousand to six hundred."
  },
  {
    "start": 481.5,
    "end": 484.36,
    "text": "that Is democratization and The end of the story."
  },
  {
    "start": 485.22,
    "end": 488.22,
    "text": "Tucker ran the nyc marathon just months later."
  },
  {
    "start": 488.56,
    "end": 488.78,
    "text": "That's"
  },
  {
    "start": 488.82,
    "end": 490.26,
    "text": "what scaled execution looks like,"
  },
  {
    "start": 491.32,
    "end": 493.02,
    "text": "but the big players are moving here too."
  },
  {
    "start": 493.62,
    "end": 499.92,
    "text": "we saw updates From Medtronic Raji Kamal on the Hugo system, Jeff Martha on Stealth XIS."
  },
  {
    "start": 500.16,
    "end": 502.72,
    "text": "And the trend there seems to be ecosystem?"
  },
  {
    "start": 502.88,
    "end": 503.28,
    "text": "It is!"
  },
  {
    "start": 503.7,
    "end": 509.82,
    "text": "Medtronic isn't just selling a robot arm — they're unifying planning navigation and robotics into one workflow..."
  },
  {
    "start": 509.94,
    "end": 512.419,
    "text": "...and real-time data's coming in that work flow now too…."
  },
  {
    "start": 512.62,
    "end": 512.86,
    "text": "Yes"
  },
  {
    "start": 513.12,
    "end": 518.62,
    "text": "Alice Warden from GE Health Cow posted about integrating their ultrasound directly into robotic surgery"
  },
  {
    "start": 519.039,
    "end": 522.34,
    "text": "Which is huge because the surgeon is at a console ten feet away."
  },
  {
    "start": 522.72,
    "end": 523.84,
    "text": "They lose that sense of touch."
  },
  {
    "start": 524.12,
    "end": 529.22,
    "text": "They're flying by vision alone, but adding ultrasound lets you see inside the organ before you cut."
  },
  {
    "start": 529.7,
    "end": 532.06,
    "text": "it's like having x-ray vision during operation"
  },
  {
    "start": 532.36,
    "end": 533.06,
    "text": "and looking ahead."
  },
  {
    "start": 533.26,
    "end": 536.16,
    "text": "bird van mirrors from Phillips mentioned this seismic consortium."
  },
  {
    "start": 536.48,
    "end": 539.62,
    "text": "over twenty three million euros in EU funding."
  },
  {
    "start": 539.72,
    "end": 543.18,
    "text": "This is focused on the brain on minimally invasive treatments."
  },
  {
    "start": 543.68,
    "end": 545.7,
    "text": "It's the final frontier for this kind of tech."
  },
  {
    "start": 545.86,
    "end": 551.0,
    "text": "Okay so we have smart agents with supervision We have robots But none if matters If no one pays."
  },
  {
    "start": 551.48,
    "end": 555.1,
    "text": "which brings us to theme four, digital therapeutics and virtual care."
  },
  {
    "start": 555.62,
    "end": 557.84,
    "text": "And we have a major reimbursement milestone."
  },
  {
    "start": 559.16,
    "end": 562.2,
    "text": "Lucy Jones shared the news about OvevaDirect in Germany."
  },
  {
    "start": 562.38,
    "end": 565.04,
    "text": "This is huge, it's Germany first reimbursed."
  },
  {
    "start": 565.16,
    "end": 569.46,
    "text": "digital therapy a digae for both hypertension and weight management"
  },
  {
    "start": 569.56,
    "end": 571.26,
    "text": "Reimbursed that's the magic word"
  },
  {
    "start": 571.4,
    "end": 571.7,
    "text": "It is."
  },
  {
    "start": 571.76,
    "end": 580.06,
    "text": "there are thousands of wellness apps but oveva showed the data an eleven millimeter hg drop in systolic blood pressure over four percent weight loss."
  },
  {
    "start": 580.32,
    "end": 585.42,
    "text": "So because they have hard clinical data The German health system says okay we'll pay for this like a pill."
  },
  {
    "start": 585.76,
    "end": 588.24,
    "text": "Exactly, but the regulation around this is tricky."
  },
  {
    "start": 588.82,
    "end": 593.8,
    "text": "Asincon analyzed the FDA's twenty-twenty six guidance and it looks like they're opening a side door"
  },
  {
    "start": 594.06,
    "end": 595.82,
    "text": "for general wellness devices."
  },
  {
    "start": 596.02,
    "end": 601.38,
    "text": "right your smartwatches your rings Devices that measure BP's PO to glucose."
  },
  {
    "start": 601.62,
    "end": 602.42,
    "text": "So what does the shift?"
  },
  {
    "start": 602.62,
    "end": 612.24,
    "text": "The FDA saying if you stay in that wellness lane And you don't claim to diagnose or treat a disease You can bypass the strict five-ten K clearance."
  },
  {
    "start": 612.44,
    "end": 614.34,
    "text": "So faster market access for manufacturers?"
  },
  {
    "start": 614.62,
    "end": 620.24,
    "text": "Much faster, but they have to be so careful with marketing if they cross the line into diagnosis there in big trouble and"
  },
  {
    "start": 620.46,
    "end": 622.14,
    "text": "when you combine that with gamification."
  },
  {
    "start": 622.78,
    "end": 626.88,
    "text": "what Mengcha shared about loony health in Singapore is fascinating."
  },
  {
    "start": 627.18,
    "end": 632.42,
    "text": "my favorite example of prevention as infrastructure a partnership between Apple and the Singaporean government"
  },
  {
    "start": 632.56,
    "end": 633.7,
    "text": "And this wasn't a small pilot"
  },
  {
    "start": 633.86,
    "end": 633.9,
    "text": "no."
  },
  {
    "start": 637.22,
    "end": 641.9,
    "text": "and by gamifying, health-closing your rings or any points they saw sustained activity gains."
  },
  {
    "start": 642.14,
    "end": 644.2,
    "text": "Gains that could actually reduce mortality risk"
  },
  {
    "start": 644.28,
    "end": 645.68,
    "text": "By three to thirteen percent."
  },
  {
    "start": 645.94,
    "end": 646.34,
    "text": "it proves."
  },
  {
    "start": 646.48,
    "end": 650.96,
    "text": "if you design the incentives right at a national scale You can change the health profile of country"
  },
  {
    "start": 651.5,
    "end": 653.26,
    "text": "And its not just general wellness."
  },
  {
    "start": 654.2,
    "end": 659.24,
    "text": "Sina Esimiri reported on dental monitoring securing a hundred million dollars for"
  },
  {
    "start": 659.5,
    "end": 660.76,
    "text": "remote orthodontic care."
  },
  {
    "start": 660.84,
    "end": 661.9,
    "text": "It just proves the model works."
  },
  {
    "start": 661.94,
    "end": 665.46,
    "text": "You don't need to go to the dentist every two weeks if an AI can check your selfie video."
  },
  {
    "start": 665.64,
    "end": 665.86,
    "text": "Okay,"
  },
  {
    "start": 665.96,
    "end": 666.66,
    "text": "so let's zoom out."
  },
  {
    "start": 666.72,
    "end": 670.06,
    "text": "we have the tech We have the scanners we even have some reimbursement"
  },
  {
    "start": 670.24,
    "end": 671.7,
    "text": "but you have to play Dell's advocate."
  },
  {
    "start": 672.08,
    "end": 672.24,
    "text": "I do."
  },
  {
    "start": 673.02,
    "end": 676.36,
    "text": "If this stuff is so good Why isn't it everywhere?"
  },
  {
    "start": 676.76,
    "end": 678.6,
    "text": "why am i still faxing things to my doctor?"
  },
  {
    "start": 679.32,
    "end": 681.68,
    "text": "That's the multi-billion dollar question."
  },
  {
    "start": 682.22,
    "end": 685.44,
    "text": "And it brings us to our final theme, strategy and the."
  },
  {
    "start": 685.9,
    "end": 686.36,
    "text": "so what?"
  },
  {
    "start": 686.76,
    "end": 689.26,
    "text": "Vladislav Puzhankov had a brilliant take on this."
  },
  {
    "start": 689.88,
    "end": 693.08,
    "text": "Demand fulfillment versus demand creation."
  },
  {
    "start": 693.38,
    "end": 695.14,
    "text": "Every health tech founder needs to hear this."
  },
  {
    "start": 695.62,
    "end": 700.42,
    "text": "he argues that innovation fails if you just try to fulfill demand like answering a hospital's RFP"
  },
  {
    "start": 700.82,
    "end": 705.36,
    "text": "because The Hospital Just asked for A faster horse slightly better version of What they already have."
  },
  {
    "start": 705.52,
    "end": 708.96,
    "text": "precisely Puzonkov used intuitive surgical as an example."
  },
  {
    "start": 709.24,
    "end": 712.72,
    "text": "They didn't sell a robot, they created the category of robotic surgery."
  },
  {
    "start": 712.9,
    "end": 714.34,
    "text": "They had to build the demand from zero."
  },
  {
    "start": 714.74,
    "end": 718.18,
    "text": "If they'd waited for a tender or surgical robot then you would be gone."
  },
  {
    "start": 718.76,
    "end": 721.42,
    "text": "You have teach them why it needs your solution."
  },
  {
    "start": 721.7,
    "end": 724.78,
    "text": "But even when that demand is there Adoption is still uneven."
  },
  {
    "start": 725.56,
    "end": 730.64,
    "text": "That report Jan Beger shared on US hospitals was... A bit of reality check."
  },
  {
    "start": 730.8,
    "end": 732.0,
    "text": "It was only forty."
  },
  {
    "start": 732.1,
    "end": 735.84,
    "text": "nine percent use predictive AI Less than half."
  },
  {
    "start": 736.22,
    "end": 740.18,
    "text": "And it's clustered in wealthy urban areas with cold spots, in rural areas."
  },
  {
    "start": 740.26,
    "end": 743.42,
    "text": "So the places that need efficiency most are least likely to have it."
  },
  {
    "start": 743.7,
    "end": 745.62,
    "text": "The infrastructure gap is real"
  },
  {
    "start": 745.98,
    "end": 749.98,
    "text": "Which brings us a final point from Simon Philip Ross at GE Healthcare."
  },
  {
    "start": 750.48,
    "end": 752.98,
    "text": "He basically said... No!"
  },
  {
    "start": 754.16,
    "end": 755.82,
    "text": "The barrier is status quo."
  },
  {
    "start": 756.34,
    "end": 760.16,
    "text": "It's our willingness to redesign how we partner and govern these systems."
  },
  {
    "start": 760.42,
    "end": 761.52,
    "text": "We had to stop running Pylis"
  },
  {
    "start": 761.62,
    "end": 763.1,
    "text": "...and start redesigning this system."
  },
  {
    "start": 763.52,
    "end": 766.76,
    "text": "The tech is ready, the question is are we ready to change how we work?"
  },
  {
    "start": 766.9,
    "end": 767.9,
    "text": "To fit the technology."
  },
  {
    "start": 768.26,
    "end": 769.3,
    "text": "That's a challenge isn't it?"
  },
  {
    "start": 769.64,
    "end": 773.02,
    "text": "moving from the wow phase...to the How Phase and the How Is Messy!"
  },
  {
    "start": 773.52,
    "end": 782.24,
    "text": "It is but as we saw with the three-D printed skull or the triple rule out scan when We get the HOW RIGHT THE IMPACT IS IT'S IMMEDIATE IT'S PROFOUND"
  },
  {
    "start": 782.66,
    "end": 783.1,
    "text": "absolutely."
  },
  {
    "start": 783.34,
    "end": 785.48,
    "text": "the hard Work of Execution is just beginning."
  },
  {
    "start": 785.72,
    "end": 786.52,
    "text": "indeed if you"
  },
  {
    "start": 786.58,
    "end": 789.26,
    "text": "enjoyed this episode new episodes drop every two weeks."
  },
  {
    "start": 790.0,
    "end": 792.48,
    "text": "Also, check out our other editions on ICT and Tech Insights."
  },
  {
    "start": 792.84,
    "end": 799.82,
    "text": "DefenseTech Cloud Digital Products & Services Artificial Intelligence And Sustainability in Green ICT."
  },
  {
    "start": 800.36,
    "end": 801.0,
    "text": "Thanks for listening!"
  },
  {
    "start": 801.14,
    "end": 804.42,
    "text": "Don't forget to subscribe so you don't miss the next deep dive."
  },
  {
    "start": 804.62,
    "end": 805.46,
    "text": "See ya next time."
  }
]