Ideas
Notes on technology, leadership and people.
Essays on enterprise AI, healthcare and the way people lead. Explore an idea, follow its sources and bring your own perspective.

Featured essay
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.
Recent essays.
- The PrescriptionAbundance 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.
- The ReckoningEvery 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.
- The Incumbent's CalmThe 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.
- The Stillness That WinsThe 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.
- The Workforce EquationWhy 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, healthcare intelligence for rural and community hospitals, and the leadership disciplines that outlast cycles. Occasional, not frequent. Practical, not theoretical.
- AI
- Healthcare
- Leadership
- Stewardship
Start with a question.
The World We Could Make
Keep thinking with me.
Essays on AI, leadership and the choices shaping our future. Subscribe free on Substack to receive new essays by email.
Subscribe free on Substack