Load Google Translate John Sculley has had a diverse career by any measure--he has served as president of PepsiCo, CEO of Apple (where he famously championed the tablet computer in the 1980s), and more recently, chairman of Watermark Medical, a medical products company that has developed an in-home sleep apnea diagnostic device). Sculley is also working with Audax Health Solutions, a startup that has developed a personal health management platform with a gamification layer that allows users to compete with friends and collect points and badges.
We caught up with Sculley at this year'sBody Computing Conference--an event that brings together doctors, designers, programmers, entrepreneurs, journalists, and members of the entertainment industry to preview the future of high-tech health care--to learn more about his thoughts on the future of health care technology.
Why are you interested in the high-tech health sector now?
I've been in high-tech now almost 30 years and I watched the health care industry miss the personal computer revolution and miss the Internet revolution. It's quite clear that the government and special interests aren't going to solve our health care costs to the economy and that [the sector] is ripe for innovation and disruptive approaches to shift the accountability more towards the patient, and to shift over time from reimbursements to outcomes. It's not going to happen by any one company, but I think there's enough opportunity to change the world of health care that it's attracting a lot of talent.
Why do you think health care missed out on the technology revolutions of the past and what are the factors coming together now to help it catch up?
I think first of all that it missed out on the PC and commercialized Internet revolutions because doctors are notorious for being late adopters to any kind of technology. The medical health care system is so complex and so institutionalized and there so many special interests that we now have the combination of a really aggregated problem that is touching the entire economy.
I think that a lot of credit has to be given to Apple, because previously when technologists were trying to address the health care industry with technology, they had to start from scratch and try to build unique devices. Well, Apple in less than two years with the iPad has revolutionized many industries, from media to music to games to all kinds of things and we're finding that doctors as well as patients feel very comfortable with the iPad as a platform technology. So the intimidation of technology is no longer the issue now that it was just a few years ago. The size of the problem is an order of magnitude larger than it was a decade ago. You combine those conditions and it creates an opportunity for entrepreneurs to come in and find disruptive solutions.
He couldn't be more wrong. I've been in the biohealth field for 30 years, and rode the PC & Internet revolution with it. HC has always been in the cutting edge but what was and remains archaic was the medical records system, that was it. Nearly every facet of bioengineering, from implants to materials, require the latest and best. Testing is on par with MILSPEC but there is no formal specification except FDA regulation in the USA. Scully as CEO of Apple was marked by Apple's decline as a player and he is known as one of the worst CEO in history.
From Wikipedia:
The "Sculley Era" at Apple was characterized by market division and further subdivision, with a large number of models covering what critics called a too-finely subdivided range. Each production model was marketed under different names in each of several primary markets — home, education, and business; with time, each of these models generated upgrades and variations, which created unforeseen incompatibilities: keeping the operating system (The Macintosh System Software) compatible with all Macintosh models was a never-ending task. This strategy backfired, as it resulted in high engineering, manufacturing, and marketing costs, as well as market confusion. Buyers would look at similar machines in a store, each conceived for a particular market but usable elsewhere, and with comparable performance specifications, and become confused as to which product to buy. Too many products with similar specifications led to decreased profits, despite high gross margins.[citation needed]
Given his apparent inability to effectively manage Apple's product line, Apple's board ultimately forced Sculley out. He was replaced by Michael Spindler, who had been Chief Operating Officer.[18]
Another side effect of Sculley's tenure was the destruction of Apple's engineering department. As the company grew, mid- and low-level managers within the company found it fairly easy to gain funding for practically any project. Apple became filled with these projects, many of which had little commercial potential. When money tightened in the early 1990s, this resulted in a sweeping round of empire building, in which mid-level managers attempted to take over as many projects as possible in order to make their projects more difficult to discontinue. Between 1990 and 1995, very few products were successful, with the exception of Mac OS updates, while massive projects such as QuickDraw GX and PowerTalk were released in essentially unusable forms.[citation needed]
In the early 1990s, at enormous expense, Sculley led Apple to port its operating system to run on a new microprocessor, the PowerPC. Sculley later acknowledged this was his greatest mistake, indicating that he should instead have targeted the dominant Intel architecture.[19]
Although Sculley asserted Apple's most important goal was to crack the business PC market, during his ten years at the helm, Apple failed to address the key complaint of business buyers about the Macintosh operating system: poor system stability caused by a lack of memory protection and pre-emptive multitasking.[citation needed]
In 1987, Sculley made several famous predictions in a Playboy interview.[20] He predicted that the Soviet Union would land a man on Mars within the next 20 years and claimed that optical storage media such as the CD-ROM would revolutionize the use of personal computers. Some of his ideas for the Knowledge Navigator would eventually be fulfilled, not by Apple itself, but by the Internet and the World Wide Web during the 1990s.
Condé Nast Portfolio ranked Sculley as the 14th worst American CEO of all time.[21]
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