I work in this field - IMO, your assessment is correct insofar as the absolute need for commercialization of research done. However, we haven't gotten to the super-human performance for medical images yet. We don't even have the ImageNet-equivalent, nor do we have any open source (or just source & weight available) models that Google and other big corp claim to be so wonderful. Most of people in the field, rightly so, then dismiss anything like Med-Palm M and other PR-like papers from these groups. Why base your career (both academically and product-wise) on this?