I never mentioned medical records. Wrong thread?

I don't have an answer for you regarding a blockchain / smart contract based system that solves the problems I described; the solution being developed doesn't use a traditional blockchain or smart contracts. It does involve using a distributed ledger and digital assets ("crypto") to facilitate micropayments paid in predictable, fixed USD fees, so IMO it falls under the Web3 umbrella.

I don't blame you for being skeptical, but I know what my colleagues and I are working on isn't fraudulent, and I'm personally proud of it, so I thought I'd stand up for myself and add some nuance to your blanket statement.

I believe Distributed Ledgers have valid use cases. One Web3 use case I'm involved with going live in 2024: web3-based auditable carbon markets.

Right now the sustainability market contains plenty of fraud itself (difficulty in verifying accuracy of underlying data and metrics, lack of price transparency, some reporting being based on subjective estimates rather than real data, etc).

The overall Web3 does contain plenty of fraud and ponzi schemes right now, and those of us who see value in Distributed Ledger technology want those illegitimate projects weeded out as much as anyone else does (possibly more so).

Geocities didn't die because of the internet being a useless concept.

I believe 'art / collectible' NFTs will die the same way Geocities died, but NFTs aren't going away.

A token economy representing real world assets is developing, and I believe the importance of guaranteeing authenticity will drive entire industries and sectors of the economy to become tokenized over time.

I attended the event this afternoon, and overall found it to be interesting, particularly the Q&A session. Gates' response to a question concerning Microsoft potentially collaborating with Google was entertaining. :)

Other moments of note:

A short starring Bill Gates and Jon Heder (of Napolean Dynamite) was shown, which I found to be surprisingly hilarious..
"Where do you want to go today?"
"Wherever I feel like going, gosh..."

XBOX 360s were on-hand, but should have been demoed by a gamer rather than Bill himself; seeing him attempt to fumble through and explain the menu systems was more painful than informative, and seeing him try to take a corner successfully in Project Gotham Racing 3 was humorous, to say the least. :)