Essays

The Thesis

The patient is the unit, not the episode. The concept behind the manifesto: a three-layer architecture for continuous care, the constitution that makes it trustworthy, and direct answers to the six hardest objections.

The Thesis

Healthcare doesn't have a digital problem. It has an infrastructure problem. Continuity of care is a data-architecture problem before it is anything else — and the people positioned to solve it are the ones inside the system. Healthcare 2.0: a manifesto for the infrastructure of continuous care.

The Thesis

Healthcare infrastructure has a builder problem — a shortage of builders who operate inside the system they are building. Seven principles from building clinical infrastructure while running the clinics it serves.

The Long Arc

From servicing recycled smartphones to running data and operations across a national deployment. The most formative decade of my career — not because everything worked, but because enough broke in the right ways.

The Long Arc

In 2014, we built a wearable for autism. The technology was primitive. The clinical insight was not. Twelve years later, the architecture we sketched is what the largest health platforms in the world are racing to build.