The big picture to take away from the speech itself is this: a very possible future where technology is quite disposable, and sensors everywhere influencing our behavior. The speech itself shows real examples of current trends that already have this paradigm, and where it could lead. Let's discuss this.
The idea is pretty sound, and also a bit scary. First of all, those paranoid conspiracy theorists that talk about world domination through social engineering would be partially right. Only, it's not the government, but corporations competing for mindset and dollars. I'm not so sure of a few examples he gave, but certainly business would want to have a say in people's behavior.
The points and rewards programs work. I've seen this personally; most of the clientele at my workplace are repeat customers with reward cards, and the more they spend, the better the rewards (easy enough to understand). Better yet, the casino just added a higher tier customer (giving us 4) with even more extras (the list is really long, even getting their own exclusive clothing line). Seeing this applied everywhere business happens is no surprise, as any advantage one corporation gets, the others have to follow or fall far behind.
For some situations (namely, the insurance example), this might not be so bad. It might really work in your favor if you already live a healthy lifestyle. Personally, I don't need anyone to tell me how to live (unless my behavior is endangering me), but don't mind the idea of incentives. I am already under surveillance for many of my waking hours, so that isn't really new to me (what's unsettling is when people know who you are, and you don't even know what they look like).
All in all, it's good to at least consider the possibilities, as nobody really knows what the future holds.