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Some guesses:

* Barriers to entry not commonly seen in the web/mobile space (complex bureaucracy + entrenched players with opposing interests able to grease that bureaucracy, etc.).

* Lots of disparate stakeholders that all have to be coordinated and managed (healthcare: govt, taxpayers, patients, doctors/staff, insurance companies. Education: Parents & taxpayers, teachers unions, students, local+state+federal govt.)

* The market is not traditionally tech-savy and/or early-adopting. Users have to be actively convinced. Getting traction is even more of an uphill battle.

* Anywhere the risks to loss of investment are not transparent or clearly understood.

Maybe all markets are like this to an extent, but some moreso than others?



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