Five migrations
Knowledge, Diagnosis, Treatment, Monitoring, and Interpretation are moving out of healthcare and into consumers’ hands.
Example: Women can now screen for cervical cancer at home with the Teal Wand, with no clinic visit.
Healthcare keynote speaker
Healthcare is getting better. And smaller.
AI, consumer technology, and prevention are moving care out of healthcare. I help your audience see what’s changing, why it’s happening, and what to do about it.
Speaker reel
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The thesis
Some care is moving to consumers. Some of it is disappearing.
Demand elimination
Prevention removes some need for care altogether.
Example: GLP-1 use rose 140% from 2022 to 2024; bariatric surgery fell 34%.
Consumers gain. The traditional healthcare system loses scope, authority, and revenue.
Explore the concepts →Selected audiences
I speak across healthcare, science, technology, and academia.
U.S. Department of Health and Human ServicesAmerican Hospital AssociationWorld Economic ForumHarvard UniversityMITStanford UniversityGoogleNovartisMerckOptumHIMSSRoyal Society of Medicine
What organizers say
Trusted on the main stage.
“One of the best board forum presentations we have had.”
Diane Maas
Chief Strategy and Digital Transformation Officer, Beacon Health System
“A terrific thought partner and engaging presenter.”
Stephen W. Kett
Chief Executive Officer, The Governance Institute
“Hands-down one of the best keynote speakers I have watched in my career.”
Carlos Garmendia
Associate Director, Biogen
Recent thinking
Thoughts
Notes: Hospitals Are Paying for Patients to Use ChatGPT to Disrupt Them
Advocate Health saw patient connections between MyChart and ChatGPT rise more than 7,000% in one month. Hospitals must pay to deliver the records while ChatGPT increasingly competes with them to interpret those records for patients.
Notes: Cervical Cancer Screening Without the Clinic
Teal Health raised $22 million for the Teal Wand, which lets women collect their own sample at home for HPV cervical cancer screening — no speculum, no clinic visit, no missing work. Starting in 2027, most private insurers have to cover it at no cost. Classic Diagnosis Migration, though a positive result still sends women back to the clinic for followup (which will also be covered by insurance).
When Medical Testing Becomes Free
As medical testing becomes software, new tests and interpretations can be bundled into phones, watches, and subscriptions. Big Tech can earn money by giving them away, putting pressure on healthcare companies that sell them. What will this mean for patients, labs, and healthcare orgs?
About me
Pediatrician → CDC epidemiologist → technology entrepreneur → healthcare futurist
I’ve treated patients, responded to epidemics, and built technology that was used in global health. I founded Magpi, a mobile data platform that was used in more than 170 countries, and have spoken at TED. That route shapes how I look at healthcare technology: less as a collection of new tools than as a force changing who produces care, where it happens, and how much of it we need.
More about me →