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The last three times I've contacted Kaiser (In California) to get a doctors appointment, (Once, when I had stabbing chest pains and my left arm had gone completely numb - I seriously thought I was having a heart attack) - their expert system (staffed by a human, still - but that will change) - asked me a series of questions, and came to the conclusion that I didn't really need to see a doctor. "Drink some tea with honey for a cough", "Stretch your arm, and take breaks from the keyboard" for the numb arm. Oh, and "Stress Pains"

So - some significant number of doctors are already starting to be replaced by the experts systems at Kaiser right now.



Kaiser is a rare gem in the u.s. healthcare system, and the reason is that they are integrated system: they integrate insurance with treatment.

Since Kaiser if payed a fixed sum and not a fee for service it has motivation to reduce costs, hence the expert system.

Patients at Kaiser also stay for the long haul(who wants to switch doctors?), so it makes sense for Kaiser to invest in prevention, and they do.

Finally, Kaiser is an NGO, which i'm sure helps to keep they're priorities straight.

Maybe Kaiser is a good target for startups ?




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