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  THE FRIDAY LETTER 

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 | http://www.gilder.com/ | Issue 254.0/July 7, 2006

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HEADLINES:

The Week / Now is the Time to Invest in PLDs
Book of the Month / The End of Medicine, by Andy Kessler
Friday Blogger Bonus / Q&A with Kessler: The Disruption of Doctors
Readings /

 

The Week / Now is the Time to Invest in PLDs
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Gilder Tech Analyst Charlie Burger (06/28/06):  Now is the time to invest in programmable logic devices (PLDs), and there’s no better way to do that than through Altera (ALTR) and Xilinx (XLNX).

In contrast to ordinary chips with designs permanently fixed in manufacture, PLDs are customized in the field by the users, who interconnect or program a mesh of logic circuits by blowing or retaining fuses between prefabricated “gates.” Users thus bypass the complex and costly upfront procedures used to make and test application-specific integrated circuits (ASICs).

 

The downside of programmability, however, has always been increased chip size and exponentially higher costs. Larger chips are more likely to be defective and fewer of them fit on the wafer. A 10% increase in size, for example, might double a chip’s cost. To lower these costs, customers often design prototypes using PLDs, particularly field-programmable gate arrays (FPGAs), that can be programmed in their sockets, and then transfer the design to an ASIC for volume production.

 

As shown by the downward swoon of ASIC sales, this pattern is now breaking down. As Moore’s law doubles the number of transistors on a chip every 18 months, the up-front costs rise for design, verification, and masks for ASICs. While becoming larger and targeted for more specialized niches, ASICs need ever-larger volumes to make them economical.

 

Meanwhile, the same Moore’s law trend improves the cost, speed, and capability of FPGAs that can be programmed after production for thousands of different customers. This means ASICs will be marginalized to the highest volume products or to bleeding-edge applications where performance is more important than cost.  FPGAs ultimately take over. As we said last month, the industry could end up making just one Altera or Xilinx chip with nearly infinite volume and make it available nearly free. You can pay for the software that programs it . . .

(Excerpted from the July 2006 issue of the Gilder Technology Report.)
 
To read the complete list of SIX REASONS WHY NOW IS THE TIME TO INVEST IN PROGRAMMABLE LOGIC DEVICES, visit
www.Gildertech.com and log on with your subscriber ID.


Gilder/Forbes TELECOSM Conference
October 4 – October 6, 2006
The Resort at Squaw Creek | Lake Tahoe

Don’t miss:
- STEVE FORBES, Editor in Chief, Forbes magazine
- GEORGE GILDER, Editor in Chief, Gilder Technology Report
- PETER HUBER,
Senior Fellow, Manhattan Institute
- ANDY KESSLER, Wall St. Meat, Running Money, The End of Medicine
- MICHAEL MILKEN,
Chairman, Milken Institute; Chairman, FasterCures
-
ROBERT MUNDELL, Nobel Laureate & International Economist
- JOHN RUTLEDGE,
Global Economist, Rutledge Capital
- PLUS the
top thought leaders and business executives from the

  world's leading technology and communications companies.

Register BEFORE JULY 31 to SAVE OVER ½- OFF
the Forbes.com Telecosm ’06 Registration Rate


Book of the Month
/ The End of Medicine, by Andy Kessler
‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
You get sick; you go to your doctor. Too bad. Because medicine isn't an industry, it's practically witchcraft. Despite the growth of big pharma, HMOs, and hospital chains, medicine remains the isolated work of individual doctors -- and the system is going broke fast.

 

So why is Andy Kessler -- the man who told you outrageous stories of Wall Street analysts gone bad in Wall Street Meat and tales from inside a hedge fund in Running Money -- poking around medicine for the next big wave of technology?

 

It's because he smells change coming. Heart attacks, strokes, and cancer are a huge chunk of medical spending, yet there's surprisingly little effort to detect disease before it's life threatening. How lame is that -- especially since the technology exists today to create computer-generated maps of your heart and colon?

 

Because it's too expensive -- for now. But Silicon Valley has turned computing, telecom, finance, music, and media upside down by taking expensive new technologies and making them ridiculously cheap. So why not the $1.8 trillion health care business, where the easiest way to save money is to stop folks from getting sick in the first place?

 

Join Kessler's bizarre search for the next big breakthrough as he tries to keep from passing out while following cardiologists around, cracks jokes while reading mammograms, and watches twitching mice get injected with radioactive probes. Looking for a breakthrough, Kessler even selflessly pokes, scans, and prods himself.

 

CT scans of your heart will identify problems before you have a heart attack or stroke; a nanochip will search your blood for cancer cells--five years before they grow uncontrollably and kill you; and baby boomers can breathe a little easier because it's all starting to happen now.

 

Your doctor can't be certain what's going on inside your body, but technology will. Embedding the knowledge of doctors in silicon will bring a breakout technology to health care, and we will soon see an end of medicine as we know it.

The End of Medicine: How Silicon Valley (and Naked Mice) Will Reboot Your Doctor, Available Now on Amazon.com:
http://www.amazon.com/exec/obidos/ASIN/006113029X/gilderpublish-20  

Related Reading from the Gildertech Blog:
http://blog.gildertech.com/index.php?/archives/14-The-Notoriously-Schizophrenic-Stock-Market.html

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Friday Blogger Bonus / Q&A with Kessler: The Disruption of Doctors
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Excerpted from Michael Urlocker’s On Disruption (07/05/06).

Question:
Andy, what got you interested in looking at the medical business and what got you to thinking that it is ripe for disruption?

 

Reply: I’ve spent over 20 years tracking the technology business for Wall Street, as an analyst and then as an investor.

 

The only thing I really learned was to find the silicon. Once you find a market that is attacked by silicon, you only have to wait for big markets to come into being from nothing. Silicon gets cheaper every year by 30%, it halves in price every two years. If you find something that works today, but is too expensive, then wait a bit and the fireworks start.

 

I was bored looking at traditional markets, computing, telecom, wireless, even music and video. I drifted around for a while, sniffing at other interesting things when I learned that a friend was diagnosed with cancer, by accident, as he had banged his head skiing and an X-Ray and CT scan showed a tumor on top of his neck. A brother-in-law had a heart attack. I wondered if silicon could be found in medicine to be able to detect disease much earlier. I was astounded by what I found.

 

Ripe for disruption is an understatement. $2 trillion a year is spent on healthcare in the U.S. and it is quickly on its way to $3 trillion. Doctors drive medicine and are a large component of costs which rise by double digits each year. If silicon can make its way into diagnosis, perhaps costs could stop rising and at the same time provide better care.

Question: Are doctors to become the bank tellers of their industry, to be replaced by better, smarter, automated processes or online procedures that customers would prefer to deal with.

 

Reply: Think about what happened to telephone operators. Switches came along and performed their function better and cheaper. Eventually, switching happened so quickly, telephone calls could become cheap and ubiquitous. A machine embedded the intelligence of the operator.

Same for bank tellers. A slightly more complicated task, ATMs embed the intelligence of the teller into silicon and software and lower the cost of transactions.

Same for auto mechanics. They fix the problem, but silicon diagnoses what is wrong with autos today, embedding the intelligence of the mechanic into the system. At $60-75 per hour charged by service stations for labor, the payback for an automated diagnosis system is quick.

 

The same thing happened to stock traders…So why not doctors. I went for a physical and my doctor took my blood pressure, looked into my ears and the took out a rubber hammer and banged my knee. $440 for nothing. Was I going to have a heart-attack?

 

Read the complete interview:
http://www.ondisruption.com/my_weblog/2006/07/qa_with_andy_ke.html

 

A N N O U N C I N G :  The Gildertech Blog
Logon to
http://blog.gildertech.com/ to see what’s new.

 

Readings /
‾‾‾‾‾‾‾‾‾‾‾‾

What Broadband Problem?
http://www.aei-brookings.org/policy/page.php?id=259


The Internet Knows What You’ll Do Next
http://www.nytimes.com/2006/07/05/business/05leonhardt.html?_r=1&pagewanted=print&oref=slogin

Screen Refresh
http://www.reed-electronics.com/eb-mag/article/CA6348058.html?nid=2067


Life After DFM
http://www.reed-electronics.com/eb-mag/article/CA6348061.html?nid=2067

 

Clearwire Nixes IPO Plans After $900M Investment
http://www.reed-electronics.com/electronicnews/article/CA6349975?nid=2019&rid=2052959400

 

AMD Slashes 2Q Sales Outlook
http://www.eet.com/news/latest/showArticle.jhtml;jsessionid=L3QCD4X1OL1M2QSNDLRSKHSCJUNN2JVN?articleID=190300859

 

Malpass: Inflation Remains The Key Variable
http://article.nationalreview.com/?q=Y2IxOGZlNGUwNGRlNjcyZWE3YTQ5Nzk2ZGFkMWI1N2U=

 

Tamny: Investors Have A Message For The Fed
http://article.nationalreview.com/?q=Y2IxOGZlNGUwNGRlNjcyZWE3YTQ5Nzk2ZGFkMWI1N2U=

 

Bowyer: Hate To Burst Your (Housing) Bubble
http://article.nationalreview.com/?q=MWY4YTc0OWNhNTU4NDY1NjI0NGZkN2EyOGUwZWMxYzM

Karlgaard: Why Gold Prices Matter
http://blogs.forbes.com/digitalrules/

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Editor: Mary Collins / mcollins@gilder.com

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