Irving Wladawsky-Berger

The Current State and Future Trends of Enterprise Blockchain Technologies

“Blockchain is one of the major tech stories of the past decade,” said a December, 2022 McKinsey article, “What is Blockchain.” “Everyone seems to be talking about it — but beneath the surface chatter there’s not always a clear understanding of what blockchain is or how it works. Despite its reputation for impenetrability, the basic idea behind blockchain is pretty simple,” namely: “Blockchain is a technology that enables the secure sharing of information.”

That same month, a WSJ article, “Blockchain Fails to Gain Traction in the Enterprise,” noted that for years, blockchain “has been viewed by some companies as a way to drive industry-transforming projects, among them the tracking of assets through complex supply chains.” But, “So far, that hasn’t happened,” the article added.

I’ve been closely following the evolution of blockchain technologies for a number of years. Between 2016 and 2023, I’ve posted over 50 entries on blockchain and related technologies in my blog. For example, in 2017 I asked Is Blockchain the Major Next Step in the Evolution of the Internet?, based on the fact that the previous year, the World Economic Forum (WEF) had named The Blockchain as one of its Top 10 Emerging Technologies for 2016. In the blog I wrote that “Like the Internet, the blockchain is an open, global infrastructure upon which other technologies and applications can be built. And like the Internet, it allows people to bypass traditional intermediaries in their dealings with each other, thereby lowering or even eliminating transaction costs.”

The Coming AI Revolution

“The Coming AI Economic Revolution: Can Artificial Intelligence Reverse the Productivity Slowdown?” was recently published in Foreign Affairs by James Manyika and Michael Spence, two authors I’ve long admired. James Manyika is senior VP of research, technology and society at Google, after serving  as chairman and director of the McKinsey Global Institute from 2009 to 2022. Michael Spence, a co-recipient of the 2001 Nobel Prize in Economics, is professor in economics and business at NYU’s Stern School of Business, and was previously professor of management and dean of the Stanford Graduate School of Business.

“By the beginning of the next decade, the shift to AI could become a leading driver of global prosperity,” wrote the authors. “The prospective gains to the world economy derive from the rapid advances in AI — now further expanded by generative AI, or AI that can create new content, and its potential applications in just about every aspect of human and economic activity. If these innovations can be harnessed, AI could reverse the long-term declines in productivity growth that many advanced economies now face.”

“This economic revolution will not happen on its own,” they added. Unleashing an AI-powered economy will require a new policy framework that fosters AI’s most productive uses and enhance human potential and ingenuity. “These policies must promote technologies that augment human capabilities rather than simply replace them; encourage AI’s widest possible implementation, both within and across different sectors, especially in areas that tend to have lower productivity; and ensure that firms and sectors undergo necessary process and organizational changes and innovations to effectively capitalize on AI’s potential.”

Taking the Pulse of AI in Medicine

“AI explodes: Taking the Pulse of artificial intelligence in medicine,” is the title of the latest issue of the Stanford Medicine Magazine. The issue includes a number of articles that explore the promise of AI in medicine, ranging from What’s driving this tumor, — which discusses the efforts to stymie breast cancer through gene testing and AI, — to Adding ethics to the mix when developing health care AI, — which deals with the potential hazards posed by algorithms developed by AI experts with no formal training in the ethical standards for treating patients.

“Imagine a future where your doctor has an AI medical assistant by their side – distilling, in seconds, a world’s worth of medical research into a personalized treatment plan for you,” wrote Dr. Lloyd Minor, Dean of the Stanford University School of Medicine in the issue’s Letter from the Dean. “What if, at the click of a button, a researcher could design a custom molecule with the potential to treat a previously untreatable disease? With artificial intelligence’s rapid emergence, we are barreling toward this reality. Academic medical centers around the world, including Stanford Medicine, have begun investigating how AI, including large language models such as ChatGPT, can help us improve patient care, reduce clinician workload, better understand complex biological systems and accelerate drug discovery.”

As I discussed in a recent blog, “The Promise of Generative AI in Healthcare,” there’s a lot of excitement that AI might help us address our highly complex healthcare industry. Healthcare is a system of coupled systems, encompassing medical and pharmaceutical research; the delivery of healthcare to patients by a variety of practitioners, including hospitals, physicians, nurses, and pharmacists; and the insurance companies and governments that pay for healthcare.

According to Wikipedia, the healthcare industry comprises over 10% of the GDP of most developed countries. “The per capita expenditure on health and pharmaceuticals in OECD countries has steadily grown from a couple of hundred in the 1970s to an average of US$4'000 per year in current purchasing power parities.” In 2022, US healthcare spending “grew 4.1% to $4.5 trillion in 2022, or $13,493 per person, and accounted for 17.3% of Gross Domestic Product (GDP).”

In addition to its inherent complexity, healthcare has several attributes that make the successful deployment of new technologies significantly more challenging than in other industries. HIPPA, for example, protects the privacy of individuals in the US, but it also restricts the data sharing that’s essential to achieving many of the benefits of generative AI. And because the stakes in healthcare are too high to tolerate flaws that could harm patients, it’s harder to introduce new technologies and applications compared to most other industries.

The Case for an AI-Powered Productivity Boom

“Large language models such as ChatGPT are emerging as powerful tools that not only make workers more productive but also increase the rate of innovation, laying the foundation for a significant acceleration in economic growth,” wrote economists Martin Neal Bailey, Erik Brynjolfsson, and Anton Korinek in “Machines of mind: The case for an AI-powered productivity boom,” a Brookings Institutions report. “However, official statistics will only partially capture the boost in productivity because the output of knowledge workers is difficult to measure. The rapid advances can have great benefits but may also lead to significant risks, so it is crucial to ensure that we steer progress in a direction that benefits all of society.”

The authors noted that generative AI systems are machines of the mind, increasingly capable of generating coherent and contextually appropriate text, images, videos, and audio, in a wide range of information-based tasks. Millions of knowledge workers, — from doctors and lawyers to managers and sales people, — will experience ground-breaking improvements in their productivity within a few years.