The Watson Will See You Now

Trumpcare was DOA. Congress isn’t going to fix Obamacare. The only prescription for better (and cheaper) health care: ‘Take two apps and call me in the morning’

- Kevin Maney

Now, startups are applying artificial intelligence (AI), floods of data and automation in ways that promise to dramatically drive down the costs of health care while increasing effectiveness. If this profound trend plays out, within five to 10 years, Congress won’t have to fight about the exploding costs of Medicaid and insurance. Instead, it might battle over what to do with a massive windfall. Today’s debate over the repeal of Obamacare would come to seem as backward as a discussion about the merits of leeching.

Hard to believe? One proof point is in the maelstrom of activity around diabetes, the most expensive disease in the world. In the U.S., nearly 10 percent of the population has diabetes, around 30 million people. Within a decade, some experts say, the number of diabetics in China will outnumber the entire U.S. population. Most people who suffer from the disease spend $5,000 to $10,000 a year on medication, and diabetics with complications can spend hundreds of thousands of dollars on doctor and hospital bills. That and the lost wages of diabetics cost the U.S. alone more than $245 billion a year, according to the Centers for Disease Control and Prevention.

That’s an enormous problem to solve—and a pile of potential cash and customers to be won— which is why diabetes is attracting entrepreneurs like ants to a dropped ice cream cone. One of those entrepreneurs is Sami Inkinen. He was a co-founder of the real estate site Trulia and has long been an endurance athlete, competing seriously in triathlons and Ironman events. In 2014, he and his wife rowed from California to Hawaii. None of this fits the typical profile of a diabetic, yet in 2011, soon after yet another triathlon, Inkinen was diagnosed with Type 2 diabetes. And like many driven, super-smart data geeks, he dove into research to understand everything about his condition.