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Theranos Wellness Centers Aren’t Using “Nanotainers” at This Time

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91 points by oznathan 10 years ago · 92 comments

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SilasX 10 years ago

No knowledge of the biotech, but this is really shady. Above-board companies simply do not look like this.

1) Refusal to use the ground-breaking technology:

>Then I asked about what Theranos calls “nanotainers” or tiny vials that can give you test results with a single drop of blood.

>“Oh you have to order that separately,” she informed me. “We take those intravenously if you bundle a bunch of tests together.”

>[...]I then informed them I was a journalist and would like to take the test separately to test the technology. They told me I would still need to order it separately.

2) Sudden delays and bizarre excuses when you insist on using their ground-breaking technology and identify as a journalist:

> So I went to order it separately.

>That’s when things got weird. It took much longer to process this separate order at the counter. I was told it was because they had to manually type in my order on the other end.

>[...]I spoke with Chris, the Theranos manager, on the phone who informed me it was about supplies. Okay, but the people with the supplies to administer [the] test thought I could take it until management said they could not that day.

3) Extreme concern with following a central PR script when people ask questions:

>Then I walked myself back to the testing center and could overhear one of the women on the phone with management in a panicked voice telling them I was a journalist doing an investigative piece (I wasn’t, just curious as to how it worked).

4) Scouts that are instructed to alert central command whenever people start asking questions (edit: especially when that was during a patient consultation):

>I reached out to Theranos head of communications Brooke Buchanan for an explanation as well. She’d already been informed I was in the store today.

5) Insistence that you check only specific cases of their product:

> I was asked why I chose not to go to the Theranos main office in Palo Alto for a test instead [of the Walgreen's location the author went to].

Also -- just a personal observation -- the use of the phrase "at this time" strongly correlates with how badly someone wants you to stop asking questions (police officers citing you, HR employees with bad news, PR spokespeople in a bind, etc).

  • Animats 10 years ago

    "Scouts that are instructed to alert central command whenever people start asking questions, especially when that was during a patient consultation."

    That's a HIPPA violation.[1]

    The article author asks others to write to her about their experiences with Theranos "nanotainer" tests.

    [1] https://www.hipaa.com/the-reality-of-hipaa-violations-and-en...

    • drcode 10 years ago

      I agree it's shady, but it might not be a HIPAA violation- The lab company hierarchy has a valid "need to know" about lab tests being performed under their responsibility in order to do their jobs correctly.

      • SilasX 10 years ago

        The head of communications has a need to know the name, occupation, and tests requested by everyone who comes in?

        • icegreentea 10 years ago

          Man, obviously they didn't do that. The reporter talked to the remote manager of the site, and also openly told the manager that he was a reporter (or at least openly told the on-site employee who told the manager). Honestly, I fully expect press interactions to escalate pretty quickly, especially in a company in 'oh shit' PR mode.

          • SilasX 10 years ago

            Sorry, let me clarify.

            I'm not saying they were automatically relaying name/job/tests-requested of everyone coming in. I was just bringing that up as the level of "need to know" that the hierarchy would need to have in order to automatically have access to the key details in the story.

            Second, I agree that the conversation with the manager is fair game (or at least, not a HIPAA violation) to relay to the head of communications.

            Nevertheless, look what happened: the HoC (Buchanan) was pre-emptively given at least the information that Buhr went to the clinic (not simply that she spoke to a manager). That is itself borderline.

            But Buchanan was probably also informed that she asked about the specific test in question. That sounds very much like a HIPAA violation, just as it would be if you released to the Quest Labs head of PR that so-and-so asked for an HIV test.

  • icegreentea 10 years ago

    I think you're being a bit too harsh.. or at least your getting distracted by all the wrong stuff.

    None of this interaction really screams shady to me, just defensive actions by a company facing shitty PR. Some crap went down, and they're pulling back all their feelers and trying to maintain some degree of control.

    The REAL shady parts of Theranos is all their other shit with their dealings with the FDA, the questionable effectiveness of their testing, their insane board of directors, and the what not.

    All this piece shows is the Theranos is panicking (and panicking has nothing to do with how above board you are).

    • SilasX 10 years ago

      I agree that those other things are stronger evidence, but I think the stuff I cited is still a significant, independent strike against Theranos.

      Correct me if I'm wrong here, but in a negative PR storm, isn't it a godsend when people (especially journalists) are actually trying out your product for themselves rather than joining the bandwagon based on innuendo? Why would they be turning away people from trying the one technology they (still) hype the heck out of on their website?

      And why would the communications director be getting names of patients (point 4)? Passing private medical information over to a PR agent is really shady and an abuse of trust.

      • Pyxl101 10 years ago

        I agree with the GP on this one that most of those points are not shady. Point #1 is bogus: if you're already doing a venous draw then why do another separate test as well? That's just good sense.

        The other points don't especially surprise me either. They seem mostly like either just a cautious response to learning she's a reporter or even standard practice. Many above-board companies who are cautious about their press presence train their employees not to talk to reporters, or to be careful around them, and to report them to the company's PR team.

        Reporters don't get everything right, and some have an axe to grind and will twist details to suit their narrative. It's normal for companies to attempt to control their interaction with them.

        This strikes me as a cautious response and doesn't even seem especially paranoid to me, or only a little. They have taken really bad press recently and it's not unusual for their employees to have been told by this point to be careful around reporters and to notify headquarters.

        Unfortunately the piece does not include a detail that it would have been really useful to know, which is what happens if you walk in and order the one test that can be conducted with a finger prick - would they use their test or not? The difficulty ordering the test that occurred when she asked could have been affected by the fact that she had told him she was a reporter, and the employees freaked out a bit. Those were low level employees who had presumably not been trained on how to interact with the press, but knew about their company's bad situation. I would not recommend reading too much into it.

        Plus the reporter almost certainly got Theranos' hackles up by communicating with them and receiving an invitation to have a test done, and then going behind their back to do it anonymously at another center. I won't say that it's unethical for him to have done that, but it's definitely an aggressive action or will seem so to Theranos.

        • SilasX 10 years ago

          >Point #1 is bogus: if you're already doing a venous draw then why do another separate test as well? That's just good sense.

          Note what followed in point 2 (and what I should have added on 1 but for being too repetitive): when you do ask for just that test, suddenly it's not available!

          >Unfortunately the piece does not include a detail that it would have been really useful to know, which is what happens if you walk in and order the one test that can be conducted with a finger prick - would they use their test or not? The difficulty ordering the test that occurred when she asked could have been affected by the fact that she had told him she was a reporter,

          I think it's just as important to reveal that bit: that whether they use the top-secret tech might depend on whether you're a skeptic or otherwise not a sympathetic party.

          >Plus the reporter almost certainly got Theranos' hackles up by communicating with them and receiving an invitation to have a test done, and then going behind their back to do it anonymously at another center. I won't say that it's unethical for him to have done that, but it's definitely an aggressive action or will seem so to Theranos.

          In my book, "a company that is upset that you tested a sample offered to the general public rather than one they cherry-picked for you" is a shady company.

          • Pyxl101 10 years ago

            In asking for that specific test, she disclosed that she was a reporter conducting a surprise investigation into the company. That would reasonably freak out a company in Theranos' position, especially low level employees who might have heard they should be careful about reporters but don't know exactly what to do. It's hard to draw conclusions from the story. We'd have learned more if she had asked for that one test alone for which they use finger prick.

adevine 10 years ago

To me, one of the sad things about the Theranos debacle is that even if they DON'T have super whiz-bang nanotainer technology, the general model of having affordable, transparently priced tests where you can just walk into a Walgreen's and order them is pretty awesome in my opinion.

There are other companies that offer something somewhat similar (e.g. AnyLabTestNow), but the experience still sucks - locations/times are nowhere near as convenient as your local drug store, and the tests are expensive. I don't know how much Theranos' price reduction is dependent on its nanotainer tech, but if someone came in and offered an affordable service like CVS's minute clinics, but for tests, I'd use it, even if they had to do normal draws.

  • sandGorgon 10 years ago

    Is this something innovative? In india, i just paid 90$ and got 14 different tests including tumor markers tested for. The blood was collected at home (and then sent to a central testing facility).

    Unless, it is radically new technology... I'm curious on the value proposition here.

    • firasd 10 years ago

      Yes, the customer-friendly blood testing in India would be incredibly "disruptive" to American lab tests. Not only does the US have different costs and regulations but the medical industry is based on extracting money from insurance companies so every process is a bit occluded.

      That said, Theranos is still on the hook because a business model innovation would probably not justify their valuation and PR compared to a tech innovation.

      • adevine 10 years ago

        If it were just a business model innovation, Theranos would rightly be worth nothing, because they wouldn't bring anything to the table. CVS or Walgreen's have all the assets that would be worth anything in this situation.

    • pavel_lishin 10 years ago

      I wonder if it would be feasible to collect blood in the United States and ship it to India for testing.

    • TTPrograms 10 years ago

      The blood was collected at home? As in the patients draw vials of their own blood?

      • sandGorgon 10 years ago

        no - there's a dude who comes with this very interesting sealed testtube (with a rubber seal on top) and a kind of gel inside. He takes the blood out (labor is cheap in India!)

        You have to remember that Delhi easily exceeds 115 degrees fahrenheit in summer. this gel is supposed to stabilize the blood for upto 48 hours and it is shipped across the country to Mumbai where there is this massive test lab which does all the tests I have paid for.

  • icelancer 10 years ago

    Is there ANYTHING like this? Been searching casually for it but no luck. Would love any leads on this.

    • adevine 10 years ago

      https://www.anylabtestnow.com. Unfortunately, the tests are quite expensive. I believe they need to basically get a BS prescription for the tests, which adds to the expense. Theranos specifically lobbied Arizona to get the law changed so that consumers could order their own tests. I hope other states follow suit, and I hope the Theranos drama doesn't make other states think this is a bad idea.

      • dpim 10 years ago

        In a previous Theranos thread, someone made the comment that there are dangers to allowing consumers to access tests and test data without interpretation or prescription by a doctor. Results can be misleading without context and could lead to rash and adverse health decisions. Not sure if I agree 100%, but it seems like a valid concern.

        • beagle3 10 years ago

          There is no reason to speculate - just compare to countries that have these. in many countries, you can get almost any test you want without a doctor. There are very few tests that require a doctor or trained professional to give you the results (hiv, hep-c) - essentially those with prognosis (whether real or perceived) that has grim future. You CAN still do the tests on your own in these cases, but not directly get the results.

          It is all about the money, no other concern. The same as it is illegal to pump your own gas in New Jersey "because safety". It would be a valid concern unless every other place in the world had already shown it isn't one.

          For some reason, it is considered impolite in American politics to consider other places' experience.

          • DanBC 10 years ago

            In countries that allow self requested testing we see more people taking thyroid.

            Not a synthetic hormone, actual bits of ground up pig thyroid.

            Here's one UK doctor who rejects the current science around thyroid function:

            http://drmyhill.co.uk/wiki/Thyroid_-_the_correct_prescribing...

            And she mentions another doctor: Dr Kenneth Blanchard

            Neither of these doctors can work for the NHS. They have to work privately.

            So, explain how "it's all about money" here? Who makes money by preventing her from taking NHS patients and mis-prescribing them thyroxine?

            If you pooe around her site you see she'll happily point you toward providers of blood tests, and she'll interpret the results for you, and on the back of her interpretation she'll sell you some bullshit "miracle minerals mix" to cure anything.

            • firasd 10 years ago

              It doesn't make sense to me to restrict access to common diagnostic information based on the risk of people attempting treatments not approved by the NHS. The potential list is endless: Weighing machines, because some people are anorexic. Glucose monitors, because some people might not understand how to manage their blood sugar. Mirrors, because someone might misinterpret the discoloration of their tongue.

              I would suggest it is a basic civil liberty to be allowed to know about the nature of the blood pumping through your own veins.

            • beagle3 10 years ago

              It's all about the money. I want to get CBC and blood chemistry. Why do I need to have a doctor take 75-200 USD to make the request for me? When everything is fine, he has zero input. When something is off, I may know how to interpret myself, or I might go to the doctor.

              I don't understand your logic - it's equivalent, e.g. To making me convince a financial advisor about any transaction I want to make, and pay him for the privilege of sending the order to the broker instead of me. It will equally help some people who have no idea or business doing what they do - and is totally incompatible with western ideals and practices.

        • sandGorgon 10 years ago

          I'm sorry you feel that way, but we have this in India. It breaks the Pope-like power that doctors have to talk to god.

          BTW, It is a huge shock to me that I cannot buy contact lenses without a prescription in USA. Seriously ?

          • icelancer 10 years ago

            I buy my lenses from Canada, but yeah, it's ridiculous. Annual eye exams are mandatory here if you want corrective lenses! Can't do anything on your own, you know.

      • icelancer 10 years ago

        Yeah, these tests are way too expensive. Ugh.

    • firasd 10 years ago

      No personal experience but I've seen some things online: wellnessfx.com and directlabs.com

swingbridge 10 years ago

In general if a company is unfairly receiving bad press claiming its product is a sham, the usual response is to counteract that by being open and transparent and allowing independent assessment to disprove such claims. Want to pop in unannounced to test our product? Sure, no problem, let us show you how wonderful things are.

The fact that they keep acting all shady doesn't bode well for their efforts to claim that the current criticism against their product and leadership is inaccurate or unfair.

  • cat-dev-null 10 years ago

    It doesn't look like they're "acting shady," but that Walgreens + Theranos hasn't streamlined their bureaucracy and user experience which promotes the value-add of change instead of offering a lesser experience (like the much touted credit card chip, which takes longer and not as forgiving to user interaction as the ol' magstripe).

    Most of the time, the only lab work I trust Walgreens with is a cholesterol test and a flu shot... If they can actually deliver the former without some complicated extra option or cost, then it's a no-brainer that it should be the default, not some hidden option that almost no one knows about.

    Definitely an advertising / customer education epic fail.

    • wavefunction 10 years ago

      I agree with swingbridge, they're "acting all shady."

      Especially if you've seen their public press appearances.

      • randycupertino 10 years ago

        Totally agree, they are extremely shady. Especially when they started actively cultivating press this past spring, and a few months ago and suddenly they're shocked and pissed off that not all their press is glowing.

joshpadnick 10 years ago

I live in Phoenix, AZ and voluntarily sought out a Theranos test as part of an annual check-up last January. My PCP (primary care physician) ordered a bunch of blood tests, and I made the call to use a Theranos center at Walgreens.

I showed up and they already had the order. I was advised that my insurance probably would not be accepted, but the total cost for a CBC, Lipid Panel, and 2 other blood tests was $42 cash so no insurance coverage was STILL cheaper than my covered labs.

To draw the blood, a near-painless prick of my finger was used to fill I believe 2 nanotainers. A few days later, the results were sent to my PCP (though for some reason never to me).

The entire process was (nearly) painless, extremely affordable, and convenient.

I can't speak beyond my personal experience to the broader allegations, but I have to say that the vibe I got from the whole experience is that the innovation is real. Cheap tests I can order directly that are quicker to take and nearly pain-free? Yes, please!

But based on mixed signals in the media, there is now an open question on whether the test results are in fact accurate.

Also, although the company responded publicly to the allegations[1], for some reason the pitchforks haven't gone away. It also does seem like the transparency has left a little to be desired. Maybe this would spill key trade secrets?

Sadly, given all the media confusion, I don't feel I can trust the results of a Theranos test anymore, but that's mostly because of all the media noise, and nothing to do with my experience itself. Hopefully, they can find a way to restore confidence in the service. If it delivers on the promise, it would be transformative.

[1] https://www.theranos.com/news/posts/custom/theranos-facts

  • warrenmar 10 years ago

    There's a paper in the Clinical Chemistry and Laboratory Medicine journal titled, "Theranos phenomenon: promises and fallacies" [1]. It says most of the cost are related to overhead and personnel, not technology. Consumables are cheap. Also it is entirely possible that tests are being subsidized with VC money currently. I don't know what they would have to charge to be cash flow positive.

    [1] http://www.degruyter.com/view/j/cclm.2015.53.issue-7/cclm-20...

  • pavel_lishin 10 years ago

    > But based on mixed signals in the media, there is now an open question on whether the test results are in fact accurate.

    Were yours?

    • joshpadnick 10 years ago

      That's the problem. I have no way of knowing since I didn't also get the same blood tests from a conventional lab. So I have no baseline to compare them to.

codezero 10 years ago

There has been a lot of critical attention towards theranos. I have no opinion whether it is granted or not, in general I feel critical is always good, but the volume is so high, does anyone have any insight into the intense scrutiny theranos is receiving?

  • danso 10 years ago

    The origin story of Theranos is carved from pure Silicon Valley mythril: 19-year-old drops out of Stanford to build a massively disruptive startup and in short-order, receives hundreds of millions in funding and near-decaunicorn valuation. On top of that, the founder is a photogenic woman who dresses and speaks and acts as if she were Steve Jobs incarnate. And unlike Facebook and most other tech startups, Theranos was outright in its mission about achieving a meaningful and life-saving benefit for all of humanity.

    In the current debacle, you again have all the classic ingredients in force: pride goeth before a fall, the extreme secrecy, the aristocracy > meritocracy, venture capitalists all wearing the VC equivalent of beer-goggles, the ignorance and laziness of tech media exposed. You even have a co-inventor who committed suicide and, for no obvious reason, Henry Kissinger is just hanging out.

    The fact that Theranos aimed so high in its disruptive mission has come to bite it a bit...it's one thing to butt heads against government regulations when just making it easier for people to catch a ride or sleep on a couch. A lot different when you're allegedly subverting regulations explicitly constructed around human health.

    Basically, there's popcorn for everyone.

    • SilasX 10 years ago

      >You even have a co-inventor who committed suicide

      I had to look this up -- I guess you're referring to Ian Gibbons?

      >>In 2005, Ms. Holmes hired Ian Gibbons, a British biochemist who had researched systems to handle and process tiny quantities of fluids. His collaboration with other Theranos scientists produced 23 patents, according to records filed with the U.S. Patent and Trademark Office. Ms. Holmes is listed as a co-inventor on 19 of the patents.

      >>The patents show how Ms. Holmes’s original idea morphed into the company’s business model. But progress was slow. Dr. Gibbons “told me nothing was working,” says his widow, Rochelle.

      http://www.wsj.com/articles/theranos-has-struggled-with-bloo...

    • chillwaves 10 years ago

      This is the most legendary synopsis of our times. Seriously, the use of mythril? Brilliant and the rest is so on point. It's hard to believe this whole thing is real. I feel like we are living in a sitcom.

      • anon8418 10 years ago

        Lots of similar stories... Check out UBeam. It's basically Theranos-lite: outspoken female founder (also light on the technical credentials), revolutionary vision/product-promises (wireless charging), and tier one VCs (~$30mm raised from a16z, Marissa Mayer, Mark Cuban, etc).

        Like Theranos, the story is coming apart at the seams... I haven't seen this discussed here but UBeam is quietly raising another round via some Israeli equity crowdfunding site. Crazy!!! This after raising Series A from a16z!

        Will be interesting to see how many of these unicorn type startups are around this time next year.

    • codezero 10 years ago

      What does this have to do with the photogenicness of the founder? What exactly did Theranos do wrong here as a company? How does she dress? It didn't even seem like a favor. Does she wear black turtlenecks and jeans? I'm really confused about your comment. Does it address what I asked at all? Can you elaborate?

      • danso 10 years ago

        Yes, she wore black turtlenecks...according to reports, every day since the company was started. Why does being photogenic matter? Because you're more likely to have a massive photo spread/cover devoted to you. Steve Jobs himself was very photogenic. But Theranos is much more affected by Holmes as the face of the company. Because the company never talked about its tech in detail, there wasn't much else to focus on except the youth and passion of its founder.

      • Nutmog 10 years ago

        Those were reasons why the media and public are interested in it. Yes she does wear black turtlenecks. I'm sure the way she dresses is part of why people are so interested in the stories. It's probably largely schadenfreude, the kind the celebrities are usually subject to when they put on weight or get arrested.

        • joezydeco 10 years ago

          I don't agree that this is schadenfreude.

          Here was a company that popped up, literally out of nowhere, claiming to have a handle on microfluidic diagnostic assays...something that the major players in the industry haven't been able to get off the ground since ELISA came along in the 1960s.

          The skeptics were quiet at first. I mean shit, they landed Walgreen's and Kroeger! It must work, right?

          Now we discover a little more of the truth and it's a lot safer to say "put up or shut up".

          • kzhahou 10 years ago

            It's absolutely schadenfreude! Company appears to have led VCs, investors, and the public, and is actually getting called out for it. Lots of people (myself included) thought the whole thing smelled funny a while back.

  • Pyxl101 10 years ago

    It's a company with a high valuation, that's raised a lot of money and has been in the industry for 11 years (if I recall correctly) by now. Investigative journalism raised concerns that the company is a sham, which the company exacerbated by reacting in a secretive and defensive way - unorthodox approach for a company working in a field where scientific testing and results are the norm, and where breakthroughs are patented and (eventually) shared somewhat openly.

    Imagine if a search company like Google had been founded 11 years ago, and claims to have revolutionized web search, but then a reporter exposed that they don't actually use any of their own search technology at all (!), and instead they pay to license Microsoft's search technology Bing instead (!). And a major industry regulator has claimed they're operating outside regulation (FDA in this case for Theranos). When challenged about whether their technology works, they respond with what amounts to hot air and empty claims. That's where Theranos is right now.

    I was inclined to side with Theranos initially, since I've seen my own share of reporting hit-pieces where my insider knowledge made it clear the reporting was highly biased and essentially nothing but an all-out attack on the company. However, my opinion of them has been turning toward skepticism since I've seen them respond to criticism in a secretive way and by failing to substantiate their claims about their product. The cynical part of me is beginning to believe that Theranos is refusing to share real details because the data doesn't look good for them.

    If Theranos has not developed any commercially viable breakthrough technology for fingertip blood draws, and will continue to operate indefinitely by conducting regular venous draws using other firms' equipment, then their investment value cannot be sustained, because that's a substantially weaker business model, and different than what was claimed. Selling fingertip testing on breakthrough technology would make them highly differentiated (unique, only ones to do it), whereas reselling other firms' venous draw technology is minimally differentiated (they'd just be a lab, same as any other).

    Hacker News is a forum of entrepreneurial and hacker-minded folks, and I think we're all worried about what it means for that sector of the industry, or the tech industry as a whole, if the company turns out to have been a sham. It would not be good for Silicon Valley if Theranos turns out to be anything close to a Ponzi scheme. If in the end it's discovered that Theranos' technology does not work, that's how they may be viewed. It's an interesting story that concerns people.

    • w1ntermute 10 years ago

      > Hacker News is a forum of entrepreneurial and hacker-minded folks, and I think we're all worried about what it means for that sector of the industry, or the tech industry as a whole, if the company turns out to have been a sham.

      Theranos has nothing to do with the tech industry. Recent concerns in the tech industry regarding valuations have to do with the viability of business models, not the viability of technology. No one's questioning whether Uber's technology is feasible - they're interested in things like the unit economics and other factors that impact long-term profitability.

      > It would not be good for Silicon Valley if Theranos turns out to be anything close to a Ponzi scheme.

      Ponzi schemes are a specific type of fraud involving unsustainable recursive financing. If there's any impropriety at Theranos, that would probably be (another type of) fraud.

    • codezero 10 years ago

      Fair assessment. Thanks this is what I'm looking to hear, it really helps.

  • Dr_tldr 10 years ago

    So your question isn't "what's going on here?" but "why do so many people want to know what's going on here?"

    Is Theranos holding open tryouts for their PR department or something?

    • codezero 10 years ago

      Nope. It's definitely what's going on here. Sorry I'm not very good at enunciating that. It sounds like Theranos is providing a really useful service but there are a lot of hurdles and they are either not doing anything new, or they are and it's not better than what already exists, but it is hard for a casual observer which is all I am to know which it is.

      • Dr_tldr 10 years ago

        Yeah, I just re-read your original post and realized you're probably not a native speaker of english (or were writing in a hurry on a phone), my apologies!

        Theranos is catching a lot of flak right now because they claim to be a company founded on this awesome new technology, but they seem to be use existing technologies for all the services they currently offer, they won't show people their wonder-device, and the story of the way the company was initially funded and valued keeps getting sketchier.

        • codezero 10 years ago

          The use of existing technologies seems like an unimportant factor. Uber uses cars, more to the point they started using private limo contractors and still do. They nonetheless provided a service above and beyond what you could get before.

          Is Theranos using existing technologies and still not providing value above the incumbents? This is what I really want to know. I just don't know.

          • Pyxl101 10 years ago

            No, I think that their use of existing technology is exactly the heart of the issue. They claim to have made a breakthrough in how blood tests are conducted that allows them to run a large set of blood tests on a tiny fingerprick blood sample. An investigative journalist then reported that they're not using this technology at all, and all the tests they sell commercially are regular venous blood draws run through testing machines purchased from other companies.

            If Theranos is not using their fingerprick blood testing technology, then they are not using their technology commercially at all. So if this is true, then they're a company that's been in business 11 years, has a massive valuation, and has not developed a commercially viable technology yet. It's as if a web search company like Google had been around 11 years, was worth >$1 billion, and then was found to be exclusively using and rebranding Microsoft's search technology instead. It's a scandal.

            Theranos' valuation cannot be sustained anywhere near its current value simply by selling blood tests conducted on equipment manufactured by other firms. Theranos' claim to fame is a breakthrough in fingertip-prick blood testing technology, and they have no way to differentiate themselves in the market without this breakthrough technology - their investment value cannot be sustained simply by reselling technology made by other firms.

          • mattmanser 10 years ago

            Unimportant factor?

            A better comparison would be if Uber had claimed they had self-driving car before they'd even entered the market, had started doing rides, and then it turned out Lyft drivers were surreptitiously hidden inside the front of the car and were actually driving instead of the mystical self-driving computer.

            That's how it looks at the moment with the way Theranos is behaving.

            • Dr_tldr 10 years ago

              ...I think you just came up with an amazing new startup. All we need now are some Iron Man halloween costumes and some disgruntled Lyft drivers.

            • nradov 10 years ago

              The funny thing is that this is exactly what some lean startup advocates would propose as a "concierge MVP" to test the viability of the self-driving car market before spending money on actually developing the technology.

            • codezero 10 years ago

              How, and to whom did Theranos over-promise?

          • ascorbic 10 years ago

            This is more like if Uber claimed to be using self-driving cars, but actually had a guy sitting in the trunk doing all the driving. Or maybe a chess machine with a person inside it. Sure it works, but it's a little less interesting.

          • adevine 10 years ago

            In the beginning, the secret sauce of Uber was still its technology - being able to order a car on your phone, seeing where the nearby drivers are, not having to pull out cash or a credit card at the end. This made the experience much better than ordering a cab.

            • codezero 10 years ago

              Yes I get this. I am wondering how Theranos is failing to take advantage of other technologies, despite using existing ones, just like Uber did. What exactly has Theranos failed to deliver?

              • adevine 10 years ago

                Their "nanotainer". Theranos claimed they could do all sorts of blood tests with just a finger prick and a few drops of blood. The original WSJ article found they were doing normal venous draws, performing the tests on other companies' machines.

                • codezero 10 years ago

                  OK, did they deliver the results that were expected of the tests? Is the main issue that they said, finger prick, but, it didn't take a finger prick? That's a serious main issue, but I'm just trying to determine if that is the main point of contention. Also, that doing such a draw is exactly what incumbents do. Thanks for clearing this up.

                  • Frondo 10 years ago

                    It really does seem like you're trolling here, but I'll give you the benefit of the doubt:

                    Theranos, the company, has claimed to be building an amazing new testing system. They're not just about getting blood test centers set up in grocery stores, they're very specifically all about a new technology that gives consumers access to a lot of tests all at once, from a pin-prick blood sample. Not an old-style blood sample from a vein, and not this piecemeal "we mostly use the current equipment, but then we can also use our own" weirdness.

                    The business was "fancy new tech, disrupting health care," not "we'll take blood from your vein in a grocery store".

                    If you're going to try and say, well, ok, but maybe they're just pivoting to using standard equipment but now it's in a grocery store, I guess you could say that...

        • codezero 10 years ago

          Writing in a hurry on a phone after a few beers and a hockey game. :)

  • Aleman360 10 years ago

    I suspect it's because medical stuff deserves more scrutiny than the average tech startup.

  • randycupertino 10 years ago

    It's because Theranos with it's pretty blonde Stanford dropout founder was an absolute media darling for 7 months to a year, could do no wrong, had heaps of fawning puff piece press. Now that their questionable tech has come to light, the press feels burned and is vengeful of being caught giving them a blowjob without due diligence. So now the media swings the opposite way and lashes out at Theranos to overcompensate.

    • codezero 10 years ago

      again, why does the attractiveness and hair color of the founder have anything to do with this discussion?

      • randycupertino 10 years ago

        Because they used it as a way to cultivate attention to their company. She was a Glamour "Woman of the Year" http://fortune.com/2015/10/29/theranos-founder-ceo-elizabeth...

        Her pedigree, looks, family $$, being a Stanford dropout, blonde haircut, blue eyes, Steve Jobs drag and surfer voice (she took vocal coaching to deepen her voice to sound more like a leader) all combined as tantalizing catnip to the press. Theranos knew this and purposely stirred up a media storm focusing singularly on Holmes, NOT on the technology. Almost like it was constructed like a sleight of hand so everyone would be distracted by the cult of personality around the pretty blonde founder and ignore their lack of peer reviewed research that their testing methods actually worked.

      • DanBC 10 years ago

        Her looks are mentioned here because her looks were mentioned in all the early promotional coverage. Her looks are not relevant here, but the fact that every media place that spoke about theranos also mentioned her looks is on topic in threads about theranos.

      • eruditely 10 years ago

        Your vigilance is cringe inducing. please stop.

        • codezero 10 years ago

          You're welcome not to answer questions I ask. I'm not breaking any rules in asking them here in a community where I often get extremely insightful answers to questions. I'm happy to admit ignorance about a lot of the startup drama I read here. I'm sorry this rubs you the wrong way.

      • anon8418 10 years ago

        Because it was an influencing factor in the initial media infatuation with Theranos.

        If u goto their website a lot of the media and copy is very founder-specific. Almost like they are trying to build some cult of personality around her.

  • discodave 10 years ago

    1. Multi billion dollar valuation.

    2. In the health space, being trustworthy is kinda important.

    • codezero 10 years ago

      Are the incumbents really trustworthy? I don't think so, but I guess it's becaus the entire industry is so nebulous.

      • bigchewy 10 years ago

        yes, by and large the incumbents comply with regulations, use industry standard equipment that has been tested and approved as being accurate for its intended use, etc.

        • codezero 10 years ago

          Ok so if Theranos is using the same equipment and tests, what are they doing wrong?

          • empressplay 10 years ago

            Theranos' initial value proposition was to provide a blood test that didn't require intravenous draw, which most people don't like because it's painful and off-putting. They proposed technology that could do most common blood tests from a drop of blood, collected from a pin-prick.

            Their initial value proposition was not that they would simply open blood collection sites in pharmacies or supermarkets. That could have been a serviceable proposition had it been theirs, but it wouldn't have justified their huge valuation. Their valuation is based on the idea that they would be able to do most blood tests from a drop of blood, collected from a pinprick. They have failed to accomplish this.

            I hope that clears things up for you.

          • pkaye 10 years ago

            It would be like Tesla promising an all electric car but instead having it running on a gasoline engine.

          • danso 10 years ago

            Not being forthright about the scope of their technological progress and innovation, which is ostensibly the basis of its $9 billion valuation.

            • codezero 10 years ago

              Who must they be forthright to? I mean, I agree, obviously, but if they aren't forthright and their investors are still paying, the investors suffer, how is the consumer suffering here?

              Are they promising a product that they aren't delivering?

              Sorry, I know I'm being difficult here, I would really love to chat with someone who is very invested either for or against, or both, this approach, so that I can understand better.

              Seriously, if you, or you know anyone who has time to chat about this, send me an email. I don't intend to be as contrarian as I know I appear to be (and probably am being) here.

              I really care, and just for purely reasons of curiosity. Anyways, ping me if we can chat.

              • anon8418 10 years ago

                Well they should at least be forthright with customers/patients. There are lots of anecdotal blog posts (one by former Apple vp of engineering) about the accuracy of their tests for example. Remember this is about people's health, so you can imagine the sensitivity here compared to your usual consumer type of startup.

                In regards to the rest of your comment (as well as your other posts littering this thread), your not being difficult as so much as lazy :P

                A quick Google search and 15 mins of reading will catch you up to speed about Theranos and all the (negative) attention they are currently receiving in the press. Start with the series of recent WSJ articles about Theranos.

empressplay 10 years ago

Some commenters are making me wonder if Theranos' new narrative is that their value proposition is opening blood collection facilities in drug stores / supermarkets.

If it is, and Theranos feels this "new" value proposition is enough to justify their valuation, I'm not sure what they're smoking, but I would sure like some!

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