On one hand, the current healthcare delivery system in the US, with many obvious and visible opportunities for improvement.
On the other hand, the tantalizing power of newer technologies: cloud, big data, mobility, etc.
Historically, many people like me have looked at the situation, and tried to figure out why supply and demand weren't getting properly connected.
The technology is there -- why isn't being consumed?
In a nutshell, my opinion is that the industry wasn't organized for success. There were inherent structural barriers that inhibited the widespread adoption of the newer technologies and approaches.
But, with the recent rise of ACOs (accountable care organizations) and their brethren, a few of us are extremely optimistic that the next few years will be very different than the past.