I haven’t met Esther Dyson, but I’d sure like to after reading this article!  She does a masterful job of getting to the root of the health issues facing our country and the best ways to solve them.  By spending more energy on preventing people from becoming patients rather than treating them once they are patients, it will dramatically reduce the number of patients who need treatment in the first place.  To do so, we need to provide people tools to access their health data and remove the friction from using them, we need to help them make sense of their data and gain ‘actionable intelligence’ so they can drive ongoing improvements, and we need to incorporate game mechanics into these systems to make improving these metrics more fun.  Sound familiar?