From the cited article:
Writing for Nature , NYU Professor Beth Simone Noveck cites OpenAPS as an instructive example of collective intelligence: the capacity of groups — including societies, companies, communities, and families — to make good decisions. In the case of the artificial pancreas, the online open-source community seems to have shown significantly greater collective intelligence than the combined conventional medical, economic, and regulatory institutions we built back in the pre-Internet era to solve these kinds of problems.
I am a beneficiary of this open-source project. My Loop system over the last 29 months has delivered better glucose control with half the effort. It’s reduced my glucose variability, total insulin usage, and dangerous hypos. Most importantly, I can confidently depend on it to keep my glucose in a safe and healthy range while sleeping.
I definitely see these patient-driven systems deriving from a “greater collective intelligence than the combined conventional medical, and regulatory institutions we built in the pre-internet era …” This is a disruptive force that the long-established stakeholders should best recognize and accept. They really have no choice. This is real patient-centered care, not merely the marketing feel-good terms used by various for-profit health care systems.