Thinking from the frontline of inclusion intelligence

The visit schedule nobody designed for you

On the silence after a launch, what the data really says, and three conversations coming in June

What surprised me about our own research

1,204 community members. The two biggest barriers are structural. Neither is about trust.

1,200 people told us the truth. The industry won't like it.

Diversity and inclusion is becoming a dirty phrase. That is exactly why I won't stop saying it.

The comfortable framing is the expensive one

On why the wrong framing keeps winning, what conviction actually costs, and the first results from the field.

When the industry backs off, we lean forward

On third places, what the floor revealed, and why I lean forward when the industry backs off.

The conversation the industry keeps avoiding

On patient advisory boards, portfolio-level thinking, and the argument I'm taking to Boston.

The window of opportunity is shorter than you think

On regulatory trajectories, why GDPR is actually an advantage, and what I'm bringing to Boston this week

The Uncle that only comes for Christmas

On follow-through failures, algorithmic assumptions, and what a patient summit reminded me this work is really about

Your patient advisory board is not community engagement

Why the distinction matters, what real infrastructure looks like, and a white paper for the people designing protocols right now.

Health equity is not a communications problem

Why the industry has been solving the wrong problem for decades — and what it would take to solve the right one.

2,000 people joined our platform in 6 weeks. Here’s what worked.

This week at Unwritten Health: data gaps, Europe, and what comes next

Chapter one of 2026 is complete. Now the real work begins.

When community engagement becomes recruitment, everyone loses