Get in the room. Run it. Change what happens when you leave. That's the work I do with senior leaders moving standards from concept to institutional adoption. My work has been featured in The New York Times, TIME, The Lancet, and Foreign Policy. Each Saturday, one short note on making it easy to move decisions that matter—three minutes to read, used in next week's meeting.
Never start from zero
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Run the Room
Get in the room. Run it. Change what happens when you leave. That's the work I do with senior leaders moving standards from concept to institutional adoption. My work has been featured in The New York Times, TIME, The Lancet, and Foreign Policy. Each Saturday, one short note on making it easy to move decisions that matter—three minutes to read, used in next week's meeting.
Run the Room The Big Lever Behind the Bloom ↓ Most years, the floor of Death Valley is gravel. Known as the hottest, lowest, and driest place in North America, the desert holds the record for the hottest air ever measured on Earth. But this spring, it went yellow. Fields of gold appeared along Badwater Road in the biggest bloom the park had seen for a decade. The best part? The seeds had been sitting in the gravel the whole time. They were waiting for a condition: a storm heavy enough to...
Run the Room Can it really not be done? ↓ In 2000, a year of antiretroviral therapy cost about $10,000 per patient. Health ministries across Africa built treatment plans underneath that number and reached the same conclusion: treating everyone was unaffordable. That was a reasonable conclusion. Then in February 2001, the Indian generics manufacturer Cipla offered governments and NGOs a three-drug combination for $350 a year. Nine months later, the Doha Declaration confirmed that the generic...
Run the Room What if you’re not risk-averse, but leverage-blind? ↓ There's a lot of hullabaloo about the billions of dollars now flowing into philanthropy from the AI boom. And while there's plenty of speculation about where it will go, there's also an emerging consensus: a lot of it (a lot!) will go toward "GiveWell"-style giving: interventions with strong evidence, measurable outcomes, and a reasonably clear answer to the question, “What did this dollar buy?” And this prompts a much larger...