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Comment by dylan604 | Hacker News Reader

So we're waiting for the Apple of the medical world to take a bunch of preexisting things to be applied together in a way that makes the whole much more valuable than the pieces. Or we need all of the individual lions to come together to make the Voltron?

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I think realistically we're waiting for someone in the top 10-20 richest people in the world to get cancer (or a close relative etc) who will then throw billions at research to try and fix the problem.

We spend upwards of $15B a year globally on cancer research. About half of that is funded by government and charities, half by pharmaceutical companies.

If spending billions was the main trick, we’d know it already.

Do we actually spend it, or do we raise that much money while only a fraction of it goes to research? <looksAtPinkRibbons>

Usually it takes about a decade for most medical inventions to work their way through medical bureaucracy[0], so I'd say that 10 years ago we were at the stage of watching Matthew Broderick war-dialling with an acoustic coupler and reading Usborne Books telling us that criminals of the future would work from home, and today we're in the exciting early days of dialup, AltaVista, and GeoCities[1].

[0] The covid vaccines collectively were faster only due to the fact that when money is no object you can parallelise a lot of options and can pipeline the testing stages rather than waiting for full review and another funding round before progressing to the next stage

[1] Where they-don't-tile-but-we-did-it-anyway animated gif backgrounds are the metaphor for home kits to make random things bioluminescent: https://www.the-odin.com/gfp-bacteria/

So according to your timeline, we're ~10 years from medical research becoming enshitified?

Depends where in the history of the web you count it as such. For me it was more like the late 2010s when that happened, so 20 years. And of course vanity surgery is already a thing, so it may have already happened to an extent with medicine?

10-20 years for an Alastair Reynolds' style Indoctrinal Virus? I hope not, but I can totally see it happening eventually.

We already had this. It was called Theranos.

I'm not sure what this comment is trying to say. Theranos was a company build from the ground up on fraud. Apple, for all its faults, is provably at the forefront of technology used in personal computing devices.

Apple is first and foremost an affordable luxury brand that makes sleek hardware.

And theranos did that too? Theranos, a medical company, was an affordable luxury (??) brand that makes sleek hardware? In fact the hardware was not sleek at all, since it didn't function.

I think you've captured exactly what they are trying to say

This doesn't exactly make it clearer. I can think of two things it can imply. Neither make a lick of sense:

- Theranos was at the forefront of medical technology

- Apple is a fraudulent company to the core

I don't know if we "had" something called Theranos. In fact, I believe that was the subject of a couple of lawsuit because we didn't.

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