Ideas
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 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, 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