The Proof Gap
Healthcare isn't short on good science. It's short on affordable ways to prove the science works.
MAR 31 · James Wang
MARCH 2026
Rig the Scoreboard
Why the companies who define how customers measure success are the hardest to replace.
MAR 24 · James Wang
The Efficiency Frontier
I'm lazy. Genuinely lazy. I've also spent real energy figuring out how to be lazy more effectively.
MAR 17 · James Wang
Superheroes Don't Scale
The thing that makes a founder great at five employees is the same thing that breaks them at fifty.
MAR 10 · James Wang
Healthy on Paper
Many startups don't die from obvious failure. They die from looking busy while nothing compounds.
MAR 3 · James Wang
FEBRUARY 2026
Who's Holding the Bag?
The engineer who joined after your round didn't see the term sheet. They just inherited the strike price.
FEB 24 · James Wang
The High-Valuation Trap
A high early valuation feels validating. It also quietly reduces every option you have later.
FEB 16 · James Wang
Boring Infrastructure
Boring is a feature, not a bug. Every platform that matters started as plumbing.
FEB 1 · James Wang
JANUARY 2026
Why I Write
Writing forces clarity. If an idea doesn’t survive being written down, it probably shouldn’t survive capital allocation either.
JAN 15 · James Wang
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