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Home Health

War — and Health Care — on the Cheap – The Health Care Blog

by News Hot Off The Press
September 26, 2023
in Health
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War — and Health Care — on the Cheap – The Health Care Blog
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By KIM BELLARD

Like a lot of you, I’m watching the conflict in Ukraine with nice curiosity and far assist. For all of the fuss about costly weapons — like F-16 fighters, Abrams tanks, Stryker and Bradley armored combating automobiles, Patriot missile protection techniques, Javelin anti-tank missiles, Himars lengthy vary missiles, and numerous sorts of excessive tech drones — what I’m most fascinated with is how Ukraine is utilizing cheap, virtually selfmade drones as a key weapon.

It’s a brand new approach of waging conflict. And after I say “waging conflict,” I can’t assist but in addition suppose “offering well being care.” It’s not a lot that I believe drones are going to revamp well being care, but when very costly weapons could, in actual fact, not be the way forward for warfare, perhaps very costly therapies aren’t essentially the way forward for healthcare both.

Simply inside the final two weeks, for instance, The New York Instances headlined Funds Drones Show Their Worth in a Billion-Greenback Conflict, AP stated Utilizing duct tape and bombs, Ukraine’s drone pilots wage conflict with low-cost, improvised weapons, ABC Information experiences: Inside Ukraine’s efforts to convey an ‘military of drones’ to conflict towards Russia, and Protection Information describes how Cardboard drone vendor retools software program primarily based on Ukraine conflict hacks.

This isn’t the U.S. military-industrial complicated’s “shock-and-awe” type of warfare; that is the guy-in-his-garage-building-his-own-weapons type of warfare.

Ukraine’s minister for digital transformation, Mykhailo Federov, says the federal government is dedicated to constructing a state-of-the-art “military of drones.” He guarantees: “A brand new stage of the conflict will quickly start.”

NYT detailed:

Drones product of plastic foam or plastic are more durable to search out on radar, reconnaissance groups stated. Ukraine buys them from industrial suppliers who additionally promote to aerial photographers or hobbyists all over the world, together with components comparable to radios, cameras, antennas and motors. The drone items combine and match components till they discover mixtures that may fly previous subtle Russian air defenses.

“The doctrine of conflict is altering,” one Ukrainian commander stated. “Drones that price tons of of {dollars} are destroying machines costing thousands and thousands of {dollars}.” The AP discusses how an elite drone unit – “a ragtag group of engineers, company managers and filmmakers” — “assembled with simply $700,000, has destroyed $80 million price of enemy gear.”

Dmytro Kovalchuk, CEO of drone producer Warbird, informed ABC Information: “In Ukraine, not a single state enterprise is producing drones. It’s all personal enterprises, generally partnerships…It [the drone] prices $1,000 and may destroy a tank that prices $500,000.”

And it isn’t simply attacking tanks or simply from the air; Simply final month, Ukraine used a sea drone to break an costly Russian warship. 

One of many many causes the conflict in Ukraine is vital is as a result of China is watching carefully to see what may occur if it had been to invade Taiwan, and I’m hoping Taiwan and its allies, together with the U.S., are paying shut consideration to the significance of drones. NYT is skeptical, charging: “A brand new era of cheaper and extra versatile vessels could possibly be very important in any battle with China, however the Navy stays lashed to massive shipbuilding packages pushed by custom, political affect and jobs.”

“The U.S. Navy is conceited,” stated retired admiral Lorin Selby, who used to go the Workplace of Naval Analysis. “We now have a conceit about, we’ve obtained these plane carriers, we’ve obtained these superb submarines. We don’t know anything. And that’s simply incorrect.” One other former officer agreed: “Proper now, they’re nonetheless constructing a largely Twentieth-century Navy.”

“We are attempting to enhance Navy energy, however we have to do greater than that: We have to reimagine Navy energy,” he additionally stated. “We’re type of at a pivotal level in historical past. It’s vital that we throw off outdated conventions.”

It’s not that the Navy is unaware of the potential of drones; as NYT acknowledged, it has been testing integrating “drone boats, unmanned submersible vessels and aerial automobiles able to monitoring and intercepting threats over tons of of miles.” It’s extra that it isn’t a precedence; the finances dedicated to it, one officer lamented, is “the mud particle on the pocket lint of the finances.”

The Wall Avenue Journal was extra optimistic, reporting on particulars of a latest speech from Kathleen Hicks, the deputy secretary of protection. She vowed that DoD “plans to spend tons of of thousands and thousands of {dollars} to provide an array of hundreds of air-, land- and sea-based artificial-intelligence techniques which are meant to be ‘small, good, low cost’”

In fact, when fighter planes now can price $135 million every, plane carriers price $13b apiece, and the general DoD finances is closing in on $1 trillion yearly, spending “tons of of thousands and thousands” on different weapons does type of sound like pocket lint. The Pentagon admits that China is “displaying rising numbers of autonomous and teaming techniques,” together with “a considerable quantity of growth displaying efforts to provide swarming functionality for operational purposes.” They’re taking this severely.

“The tons of of thousands and thousands of {dollars} vary, whereas a terrific begin, would solely present tons of of the really succesful ocean drones we have to set up true deterrence to China and different adversaries,” Kevin Decker, chief govt of Ocean Aero, informed WSJ. “They’ve obtained to start out someplace, and so they’ve obtained to start out now.”

“Fairly frankly, business is effectively forward of us,” Marine Lt. Gen. Karsten Heckl, deputy commandant for fight admitted. “So we’re making an attempt to catch up however [there is] a variety of promise.”

Because the Ukrainian commander stated, the doctrine of conflict is altering.  Weapons techniques began within the 1990’s (F-35 fighter) or early 2000’s (the Gerald Ford plane service) are simply going into service and are already outdated.  Admiral Selby has it proper: “It’s vital that we throw off outdated conventions.”

———–

So it’s with healthcare. Capital sinks like hospitals are healthcare’s plane carriers – as soon as important, however now vastly costly and vastly susceptible. Prescribed drugs that may price tons of of hundreds, if not thousands and thousands, of {dollars} yearly are 20th century pricing in a world of AI drug growth, CRISPR, and 3D printing, to call just a few improvements. Including facility charges to even telehealth visits is (silly) 20th century considering. Medical insurance premiums which are unaffordable even to center class clients replicate 20th approaches.

Equally, I’m not nervous that healthcare gained’t discover many makes use of for AI; quite, I’m nervous that it’ll co-opt AI into making present price buildings even larger, quite than utilizing it to make healthcare develop into “small, good, and low cost.”

The doctrine of healthcare should change.  The place is its ragtag staff of engineers, laptop scientists, physicians, and entrepreneurs making it sooner, smaller, smarter, cheaper, extra private, and positively simpler?

Kim is a former emarketing exec at a significant Blues plan, editor of the late & lamented Tincture.io, and a daily THCB contributor.



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