A working notebook.
I publish when I have something to say. Topics cluster around enterprise AI, healthcare, leadership, and stewardship. A book is also forthcoming from Routledge: Saving Rural Hospitals: The Transformation Playbook.
Featured
The Cost of Free
May 21, 2026 | Artificial Intelligence · Leadership · Enterprise AI · Vendor Lock-In · Agentic AI
Every major AI vendor is competing on stickiness, not capability. The move that keeps your optionality is to rent the intelligence and own the execution.
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Recent essays.
June 11, 2026 | Artificial Intelligence · Future of Work · Innovation · Leadership · Stewardship
The Prescription
Abundance is built, not distributed. The scramble for AI dominance is becoming a fight over how to divide the spoils between the most fortunate. That is the wrong fight. What we build the machine to do is the point, and that is still a choice.
June 5, 2026 | Artificial Intelligence · Future of Work · Leadership · Economy · Disruptive Innovation
The Reckoning
Every earlier wave of automation left workers a way up. This is the first to reach for the high ground itself. Structural unemployment is coming, and only its magnitude remains a choice.
June 4, 2026 | Artificial Intelligence · Disruptive Innovation · Leadership · Future of Work · Board Governance
The Incumbent's Calm
The best-positioned companies are the calmest about AI, and the calm is the trap. Most are layering it onto the old way of working. The few pulling away are building a new one.
May 19, 2026 | Leadership · Healthcare · AI
The Stillness That Wins
The pause before the cut, and what the best leaders are borrowing from it. Stillness is not slowness. It is the moment before the right move.
May 12, 2026 | AI · Healthcare · Leadership
The Workforce Equation
Why community and rural hospitals cannot hire their way out, and what the AI dividend actually changes.
What I write about.
I write about the work I am inside: the bets boards and CEOs are making on AI, the operating-model reshapes that compound or quietly burn the next four quarters, the rural-hospital revenue-recovery work my company is doing, and the leadership disciplines that outlast cycles. Occasional, not frequent. Practical, not theoretical.
- AI
- Healthcare
- Leadership
- Stewardship
An occasional dispatch.
When I have something to say.