Seth Godin writes: "A new divide has opened up, one that is based far more on choice than on circumstance. Several million people (and the number is growing, daily) have chosen to become the haves of the Internet, and at the same time that their number is growing, so are their skills."

[via Richard MacManus] Gordon Gould writes:

Where is medical web 2.0 for our wetware?

Nowhere really, it seems.

Sure there are sites like WebMD and its ilk, but they are basically just interactive encyclopedias for the most part. Also, they tend to be VERY web 1.0: monolithic, closed, and mostly just about info-retrieval w/some limited additional functionality. Maybe some of these guys will upgrade, but I think that the most interesting web 2.0 services will be greenfield start-ups, just as they have been in the more conventional consumer internet.

Personalized medicine is the future of healthcare and it promises longer, healthier lives for all of us. To realize this promise, we need accurate, flexible, and personalized medical information services that empower us as consumers to monitor, manage, and maintain our health.

Medical information services are a major area of opportunity and successful companies in this space could both make a lot of money and improve/save a lot of lives. That is very exciting. So I hope the web 2.0 crowd remembers that everyone has a body, needs medical care at some point, and realizes that this is an area worth paying attention to.

Dan Farber discusses a Nick Carr article:

Carr argues that the shift from IT as a fragmented capital asset to a centralized utility service will create far more upheaval than the introduction of the PC and the Internet did in past decades. I think that’s a bit of an overstatement, unless he is talking about the impact over time on companies that deliver IT solutions today. Broadband connectivity anytime, anyplace is a good example of a rudimentary utilty model in action, and, as Carr writes, it will be driven by continued innovations in virtualization, grid, Web services and other technologies: "Most of the broadly used components, from computers to operating systems to complex ‘enterprise applications’ that automate common business processes, will likely be purchased as cheap, generic commodities."

Carr suggests that IT utilities will pose a problem for companies such as Dell, Microsoft, SAP and Oracle, which thrive on selling direct to multitudes of corporate customers. The winners will come from the full-service vendors like IBM, HP and Sun; established hosting providers like VeriCenter in Houston; the Web utilities like Google, Yahoo and Amazon that have expertise in building large-scale infrastructure; and as yet unknown start-ups.

As Carr notes, "the biggest impediment to utility computing will not be technological but attitudinal." The first wave will come from the symbiosis between the early utility hardware providers and the early utility software-as-a-service providers. Carr pointed to Achieve, a provider of software for the healthcare industry, which uses a VeriCenter data center as its infrastructure for its solution.