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It seems there’s always another vendor, another app, another AI tool, another point solution. Another wire... Many of them are good. Many solve real problems. But too often they’re just another workaround added to an already tangled system. When I look at companies, I find myself asking questions. Are you another wire, or are you the electrician? Are you helping us work around the mess, or are you redesigning the system to make it simpler, safer, and better for patients? Hea

Some moments in medicine stay with you—not because of a diagnosis, but because of a story. Nearly five years ago, we surprised one of our patients, Esther, with a small birthday party. Nothing extravagant—just cake, ice cream, and a room full of people who cared. Afterward, she looked up and said something I’ll never forget: “Nobody has ever thrown a party for me before.” I assumed she meant as an adult. She didn’t. She told me she had never had a birthday celebration. Not as

If healthcare ran like Chick-fil-A, a lot would look different. Not perfect. But different in ways that make you think. Here’s the contrast: 1. The Mission Is Clear vs. Conflicted Chick-fil-A: Serve the customer well. Every time. No confusion. Healthcare: Serve the patient unless it conflicts with billing rules, network contracts, prior auths, productivity metrics, or “the way we’ve always done it.” 👉 One system optimizes for experience. 👉 The other negotiates with it. 2. C