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Thoughts on innovation, technology strategy, and the longevity economy.
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The patients who stopped asking permission
Five patients who walked their own path to a diagnosis, a second opinion, or a treatment the system missed. Against Gallup's 1-in-4 figure and a three-month Big Tech health-AI launch window, the self-navigator is no longer an exception, she has infrastructure.
The doctor that never forgets you
We've given healthcare AI the most powerful memory technology ever built, then asked it to forget everything at the end of each appointment. Three major acquisitions in January 2026 suggest the industry is finally asking the right question.
Exponential Kodak
Why companies not experimenting with generative AI have two to three years. A personal story of automation from 25 years ago, applied to today's AI moment.
From concierge to commodity: The 15-year timeline for democratic health optimization
Solar panels dropped 99% in price over five decades. LED bulbs fell 95% in 14 years.
You're already training your replacement
DoorDash pays gig workers to film themselves training AI replacements. Healthcare clinicians do the same thing invisibly every day. As a hospital CEO calls for replacing radiologists, BCG data shows AI will reshape 50-55% of jobs, not eliminate them. The real question is who controls the reshaping.
What happened to longevity while you weren't looking
Q1 2026 marked a convergence in longevity: $3.74B raised, 173 AI-discovered drugs in trials, the first FDA-approved mitochondrial therapy, and a 71% jump in global events. The sector's bottleneck is no longer discovery; it's whether clinical practice can absorb what's coming.
The smartest AI never phones home
Healthcare has the most to gain from AI and the most to lose from sharing the data that feeds it. Google's TurboQuant algorithm and a wave of on-device wearables are breaking the privacy-vs-capability tradeoff, moving intelligence to the edge where patient data never has to leave the building.
The conductor problem
You opened the terminal windows to delegate. Two hours later your brain was fried; not from doing the work, but from overseeing it. The conductor problem reframes AI orchestration as a new cognitive job that arrived quietly alongside the tools, with nobody asking whether the human at the centre had the bandwidth for it. The healthcare parallel is uncomfortable: clinicians managing AI-assisted diagnostics face the same position, with higher stakes.
Everyone showed up except the diagnosis
In Q1 2026, ten of the world's largest tech companies launched healthcare AI products within 72 days. Every launch prioritises admin support; not one claims to diagnose. The pattern reveals that the real barrier isn't technology but liability, and the trillion-dollar question is who blinks first on clinical AI.
The invention layer
Healthcare AI has been stuck in automation mode, speeding up existing workflows. But the emergence of the "clinician developer", doctors building their own AI tools via vibe coding, signals a deeper shift. The invention layer, where domain experts create what was structurally impossible before, is where the real value lives.
The empty layer
AI agents are stripping away the coordination task layer in healthcare management, exposing which roles were load-bearing leadership and which were simply compensating for a system that couldn't coordinate itself. The organisations that ask the structural question now will be better positioned than those that wait for the answer to arrive uninvited.
Your Next Medicine Was Designed by a Swarm
An AI system designed a drug from scratch that just hit Phase 1 trials. The real story isn't the molecule — it's the swarm of agents that built it.
No Going Back
My AI system went down for thirty seconds. That's when I realised my brain no longer works the same way it did before AI. There's no going back.
What a rogue AI project reveals about healthcare adoption
A viral AI project changed its name three times in two weeks while people happily handed it access to their entire machines. The adoption patterns are identical to what we see in health tech.
Be Brutally Honest: A Four-Word Rebellion
AI-generated praise is eroding critical thinking. Why four words might be the most radical prompt you'll ever write.
It's Magic
Why vibe-coding in healthcare matters. Live demo of building an app in 6 minutes, and what this means for giving agency back to frontline workers.
Your Next App is Built for an Audience of One
How software is transforming from products you buy to tools you grow. From mass-market applications to N=1 software built for personal use. And what this means for health.
The GitHub playbook healthcare won't touch, but should
Developers have been collaborating on code for over a decade using version control, branching, and pull requests. Meanwhile, healthcare still faxes medical records.I've been thinking about what GitHub's explosive growth (30 million to 100 million developers in five years) might teach us about building collaboration infrastructure for health.
Uruguay’s mutualistas: a design brief, not a fairy tale
We talk endlessly about “disrupting healthcare”, yet almost never touch the one thing that shapes everything else: how we pay for it. This piece looks at Uruguay’s mutualista model as a living prototype for turning gyms, wellness apps, employers and hospitals into one coherent “health metro”, where prevention and intervention finally run on the same line.
Hospital lobbies as nightlife venues
What if hospital lobbies, not nightclubs, become tomorrow’s social hotspots? This blogpost explores how unused spaces in healthcare and retail could host the next wave of wellness-driven gatherings, and what it means for organisations navigating the future of urban social life.
You're being robbed ... and you're applauding
Now athletes are claiming ownership of the metrics their bodies generate, and building new economies around that data. LeBron invests €1,4 million annually in his performance.
The Healthcare Data Paradox: Building Tomorrow's Digital Immune System
Healthcare data breaches hit 275 million records in 2025. As wearables and AI diagnostics expand the attack surface, a new 'digital immune system' is emerging to fight back.
The valet parking problem: Why hospitals must embrace AI concierge medicine now
Hospitals have a valet parking problem. They're forcing patients through the main entrance when AI could offer immediate access, personalised routing, and frictionless care.
The €50 billion bet on your body
The wearables industry just shifted from counting steps to predicting strokes. While most organisations debate digital transformation, tech giants are quietly building the infrastructure to turn your biological data into the next platform economy.
When Humans Become the Premium Service in Healthcare
As AI handles technical diagnosis, human healthcare professionals transform into premium experience curators. Six words from a healthcare worker reveal where expertise is heading.
When help feels like a threat: the nursing paradox that's reshaping healthcare
When an entire profession protests the very technology designed to save it, something fascinating is happening. I watched nurses demonstrate against AI tools while facing the worst staffing crisis in healthcare history.
The Bioeconomy Black Market: How AI Surveillance Will Birth Tomorrow's Most Profitable Rebellion
Remember when people strapped phones to dogs to fake their daily steps? That ingenuity was just the warm-up act. As we move toward health-conditional universal basic income systems, we're not just designing new social policies — we're accidentally creating the blueprint for tomorrow's most lucrative underground economy.
When Your Health App Becomes Your Worst Playlist
Ever wondered why you keep hearing the same song on every Spotify playlist? Now imagine that same algorithmic manipulation deciding your medical treatment.
The great healthcare investment shift
The same consumers who won't pay €18/month for digital therapeutics just spent €267 on an Oura ring. Meanwhile, traditional digital health funding has dropped 75% since 2021, while wellness companies secured €6.5 billion across 318 startups.There's a story hidden in these numbers about why some healthcare innovations thrive while others struggle to survive.
Incumbent Providers Don't Stand a Chance
Your electronic health record system is a Nokia, and the iPhone just launched. Why Shopify's approach to AI shows healthcare's transformation opportunity.
The Accidental Experiment
How drowning in curiosity led to my weekly newsletter laboratory — and what it taught me about turning information overwhelm into innovation advantage.
Last night a chatbot saved my life
The melody might be familiar, but the lyrics have changed. As 58% of young adults swap Google searches for ChatGPT conversations about their health, we're witnessing more than a technological shift: we're seeing the birth of an entirely new healthcare ecosystem.
Trusting the treatment you can’t explain
Healthcare stands at a fascinating crossroads: AI systems now pass medical exams and offer clinical insights that sometimes surpass human understanding. Yet we're still debating transcription tools while missing the bigger picture.
Bring the reward closer
What can a 1950s toothpaste campaign teach us about the future of health?More than you might think. Before we had Oura rings and meditation apps, Crest discovered a timeless secret about human motivation: the power of an immediate reward.This insight is key to unlocking the next wave of health innovation.
From Shadow AI to Sanctioned Innovation
Why Chief AI Officers fail and how forward-looking organisations use agile acceleration squads to rapidly prototype and scale AI solutions in healthcare.
The model that eats its makers
Is the AI you're using actually using you? This latest exploration unpacks the subtle shift from creators to "ghost workers," where feedback, not attention, is the new currency.
Why stop at only virtualising the doctor?
Doctors creating digital twins to offer 24/7 personalised care could revolutionise healthcare delivery. ➡️ But why stop there?
The future of streaming might just be coding competitions
Ever wondered why millions tune in to watch gaming streams but not coding competitions? With generative AI reshaping how we build software, competitive coding might just become your next favourite spectator event.
Software 2.0 and the doctor fallacy
What happens when software stops being something we install and becomes something that simply 'appears', adapting to our needs in real time, then dissolving once the task is done? As AI redefines industries, healthcare is next in line.
Are you a 5 percenter?
AI is transforming industries by mastering the "95%"—the predictable, repeatable tasks that once defined many jobs. But what about the final 5%?
Healthcart is hard
From fintech revolutionizing money to AI transforming retail, why is filling our cart with healthy food still so challenging? An inspiring dive into the future of smart shopping and how technology might finally make healthy choices the easy choice.
GenAI, The Super-Analogy
How GenAI combines the effects of the printing press, telegraph, electrification, and personal computer in one simultaneous transformation.
60+ is the new 25
What if hitting 60 felt like being 25 again? 💪 Explore how modern life is rewriting the rules of age and vitality.
1000x Hackathon
Explore the fascinating concept of a 1000x Hackathon, where ambitious ideas take shape to solve real-world problems on a massive scale. A thought-provoking read on pushing boundaries and redefining innovation.
Healthy streams: How streaming formats can inspire healthy living
The streaming industry has been evolving at a rapid pace, with YouTube overtaking Disney in market share, Netflix collaborating with…
Beyond GLP-1
In the rapidly evolving landscape of healthcare and business, a new class of drugs is making waves that extend far beyond the…
Sickcare Operating System (SOS)
The problem: Sickcare OS
Build Your N=1 Health Coach
Creating an app has become remarkably easy. I recently saw a demo where a company developed an app just by conversing with a system, which then produced a working app based on that conversation.
Flywheels of unhealthiness
The rise of GLP-1 drugs (Ozempic, Mounjaro, Zepbound, etc.) is inadvertently boosting the stock prices of fast food chains. This paradox…
Too Much Data for a Human
I've been collecting a lot of health data via wearables but realised I had so much data that I couldn't make sense of it. Enter the PLLM — a Personal Large Language Model for health coaching, evolving into a multi-agent system.
5 Functional Beverages for Gut Health, Energy and Recovery
Probiotics, adaptogens, collagen, yerba mate, whey protein: the 5 science-backed functional beverage ingredients for gut health, energy and recovery.
The Pocket Doctor Revolution: A Fermi Perspective
Imagine a device, perhaps a sleek clip-on, a smart patch, a pair of glasses, or an advanced smartphone, that continuously measures vitals, offers round-the-clock availability, and provides empathetic guidance.
The Journey Beyond Traditional Wellness & Fitness
As an avid trail runner with a passion for innovation, I have experimented extensively with various wearables, patches, and screenings, diligently recording the outcomes alongside my personal diaries.
