For too long, we’ve confused the status quo for stasis in healthcare. We’ve accepted certain things as true, things we believed to be immutable, intractable, or at the very least, extremely hard to change—like that it takes years to develop a vaccine, or that virtual medicine will never scale for doctors or patients, or that the regulatory system can’t adapt to innovation quickly enough to support lasting change. But then came 2020.

1. Patient data moves beyond the EHR.
2. Health insurance gets unbundled.
3. Virtual care becomes a first-class citizen…
4. …with its own operating system.
5. The home becomes a primary site of care (again).
6. Mental health gets engineered.
7. Value-based care comes for Rx.
8. Illumina for X.
9. Infectious diseases attract investment again.
10. Clinical trials (finally) go digital
11. Personal genomics finally goes clinical.
12. Working on rare diseases gets more common.
13. Biotech reaches the industrial age.
14. Targeted delivery of complex therapies.
15. Biotech R&D goes more virtual.
16. The bright line between life sciences and care delivery blurs.

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