Jonathan Bush is a colorful, interesting personality. Rants or not most of his views are on-target but we can't compare healthcare to internet economy or companies. Internet economy came out of technology industry which is used to devour their own. Technology companies destroy each other with quantum leaps and sometime their own products are cannibalized to make room for next invention. There no vested interest in technology economy except a burning desire to out innovate the next guy/gal. We can only wish but cannot and should not compare healthcare to interest economy.
Healthcare has lot in common with education, energy and few other industries. There is a huge investment in infrastructures of these economies and with hundreds of billions of dollars on-the-line preserving status quo is critical. Simple truth is that vest interests are there to make money in all of these industries and any effort to change will meet a stiff resistance and may be blamed for destroying the noble services they provide. I am not the one to blame any one of these vested interest, they are doing what aligns with their goal of making good living. If someone wants to change it he or she has to find a way to change it.
When it comes to governments, less one says better it is. ONC spent over $250 million for Beacon projects nationally to create local exchanges. A startup like our have achieved it with less than 1/100th of it. May be ONC should use their influence to lobby and counter vested interest or get existing laws tweaked to level the playing field as not everyone has political connections like Jonathan Bush.