Money is a key driving force. I think it always has been. This is less of a problem when there is competition. However, for reasons I described in the post, there is limited competition in developing technology. The benefits accrue to the few. On top of that, Governments intervene to support the development of technology that aligns with their agenda. Overall, the benefits to the majority are dwindling.
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Third world countries are far behind when it comes to technological advancement, so yeah I also agree that there are no competition in this regard. It's also very saddening because there are areas that requires the intervention of modern technology, especially in areas with incurable ailments, but yes. Governments only wants to fund what benefits their agendas.