Funding issues aside I'm mostly concerned about the incentive mechanisms driving the industry. With MRSA why is there not more research funded for novel antibiotics?
1) In the software security domain corporations fund bug bounties where freelancers are compensated for finding vulnerabilities in a product, effectively crowdsourcing developer efforts. These bug bounties are a great way for students to develop skills and deliver a supplemental source of income.
2) In software design the feature release modality relies on a small group of power users who volunteer for early access to receive minimally tested new releases in exchange for their feedback on the feature, resulting in a robust network for quality assured features that are then just released to all users after any fixes are applied.
I propose that incorporating the bug bounty funding model and pushing R&D "to the right" into the customer domain has a role in solving the following issues in the medical industry...
- fee-for-service moved practitioners from a partner relationship to an oppositional relationship
- Corporations shunting R&D as profit-loss to educational institutions where they can contractually restrict data disclosures while avoiding liability resulting in a reproducibility crisis from unqualified staff
- no balance of powers resulting in opiate overprescription from pure sales force of will 4
- insulin overpricing with impunity and no-countervailing entity short of congress to push back
- supply chain brittleness where manufacturing is concentrated into a single producer caused by lobbying and private interests establishing excessive quality requirements driving out competition
- patient and practitioner collusion with pill pushing doctors resulting in burdensome checks and balances vested in PCP visitations for ADHD meds cripples patients who are unstable in home, location, time and support; exactly the patients that need the most help
- reputational and licensing bullying stifled practitioner ethics of first do no harm into affirmation of self-diagnosing mental health issues.
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