Health tech legend Matthew Holt joins host Shannon Lantzy to unpack the tangled evolution of healthcare technology, from paper records to AI, patient activism to regulatory standoffs.
Known for launching The Health Care Blog and co-founding the Health 2.0 conference, Matthew has spent over two decades critiquing, convening, and catalyzing the digital health ecosystem. He’s not here to sugarcoat progress, or the lack of it.
From the early days of medical computing to today’s explosive debate over data access and AI regulation, Matthew offers rare behind-the-scenes stories and no-BS takes on where we’ve been, and where we’re headed.
00:00 – Introduction to Matthew Holt
04:30 – British boarding schools, Marxism, and clueless career starts
11:45 – From London to Stanford: a detour that changed everything
17:30 – Discovering health tech through Japanese health systems
24:00 – From EMRs to Health 2.0: how a contrarian became a convenor
30:50 – SMACK vs. digital health: what the terminology misses
35:20 – The rise (and crash) of EHR adoption in the U.S.
42:00 – Patient portals, “MyChart,” and why consumer tech still lags
49:40 – Epic vs. Particle: a legal battle over who owns health data
56:00 – Should AI tools access all patient data—or be limited by design?
01:04:00 – Remote monitoring, real-world evidence, and research at scale
01:13:20 – Advice for founders: simplify, specify, and clarify
01:21:15 – Future gazing: what MedTech should fix next
Matthew Holt: LinkedIn |The Health Care Blog
