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The frameworks the best operators use, pressure-tested across 150+ real healthcare companies. You're not getting one person's opinion. You're getting the synthesis.

Doug Hayes · Marblehead

Twenty years selling and raising in healthcare, as an investor, a founder, and inside a health system. Pattern recognition across 150+ companies and 60+ health systems.

Frameworks drawn from the work of

The idea · 2 min

If you wouldn't start it today, why are you still doing it?

The fastest strategic move is to look at everything you're doing and judge it from today, not from the choice you made a year ago. Anything you wouldn't start again is quietly costing you. The only question left is how to get out, and how fast.

"Knowing what I now know, is there anything I'm doing that I wouldn't start again today if I had the choice?"If the answer is yes, the next question is: how do I get out, and how fast?

Decide from today, not yesterday

Sunk cost is not a reason to continue. What you'd start again, keep. The rest is up for review.

Find the one constraint

Between you and any big goal there's usually a single bottleneck that sets the speed of everything.

Simplify to make room

Eliminate, delegate, or automate the rest, so your time goes to the few things that move the goal.

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Apply it to your work

Audit, find the constraint, simplify

The question Andy Grove used at Intel: if the board brought in a new CEO, what would they do? It took Intel out of memory chips.

Part 1 of 3

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How this works — what to do, and why

Judge everything from today, not the choice you made a year ago. Anything you wouldn't start again is quietly costing you. Audit your commitments, name the one constraint, then simplify by eliminating, delegating, or automating.

Your one move

Your one next move

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This is the two-minute version. The full version is what we do together, applied to your live deals.

Want help breaking your one constraint?

Naming it is half the work. Sequencing the fix is the other half. A short call, no pitch.

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