Essays

The Thesis

Healthcare does not have a technology problem. It has an infrastructure failure with a specific shape: every system is built around the episode, not the patient. The fix is not another layer. It is a different foundation.

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.