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                             Source: Industry and Market Structures      85

              have been perfectly capable of handling this—in fact, it has all along
              been a computer pioneer. In its view of the market, however, and of the
              user, Bell System saw the computer as something totally different and
              far away. While it designed and actually introduced a computer-type
              PBX, it never pushed it. As a result, a total newcomer has become a
              major competitor. In fact, ROLM, started by four young engineers, was
              founded to build a small computer for fighter aircraft, and only stumbled
              by accident into the telephone business. The Bell System now has not
              much more than one-third of that market, despite its technical leader-
              ship.
                 4. An  industry  is  ripe  for  basic  structural  change  if  the  way  in
              which it does business is changing rapidly.
                 Thirty years ago, the overwhelming majority of American physi-
              cians practiced on their own. By 1980, only 60 percent were doing so.
              Now, 40 percent (and 75 percent of the younger ones) practice in a
              group,  either  in  a  partnership  or  as  employees  of  a  Health
              Maintenance Organization or a hospital. A few people who saw what
              was  happening  early  on,  around  1970,  realized  that  it  offered  an
              opportunity  for  innovation.  A  service  company  could  design  the
              group’s office, tell the physicians what equipment they needed, and
              either manage their group practice for them or train their managers.

                 Innovations that exploit changes in industry structure are particu-
              larly efFective if the industry and its markets are dominated by one
              very large manufacturer or supplier, or by a very few. Even if there is
              no  true  monopoly,  these  large,  dominant  producers  and  suppliers,
              having been successful and unchallenged for many years, tend to be
              arrogant. At  first  they  dismiss  the  newcomer  as  insignificant  and,
              indeed, amateurish. But even when the newcomer takes a larger and
              larger share of their business, they find it hard to mobilize themselves
              for counteraction. It took the Bell System almost ten years before it
              first responded to the long-distance discounters and to the challenge
              from the PBX manufacturers.
                 Equally sluggish, however, was the response of the American pro-
              ducers of aspirin when the “non-aspirin aspirins”—Tylenol and Datril—
              first appeared (on this see also Chapter 17). Again, the innovators diag-
              nosed an opportunity because of an impending change in industry struc-
              ture, based very largely on rapid growth. There was no reason whatever
              why the existing aspirin manufacturers, a very small number of very
              large  companies,  could  not  have  brought  out  “non-aspirin  aspi
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