Concepts

The working vocabulary.

Terms I use across the essays, defined in one place. Each page holds the canonical definition and links to where the idea gets worked out.

The Aperture Problem

Nearly everything in healthcare passes through one narrow opening. Whatever cannot fit is refused, and refused demand lands on families.

Absorb vs. Streamline

Every prior wave of health technology made the existing channel faster. Absorbing the work is a different thing entirely.

Divergence over Thresholds

The same reading means different things on different trajectories. Alert on departure from the expected path, not a population cutoff.

The Orchestration Layer

The connective layer between capable models and useful care. Almost everything below it already exists; almost none of it does.

Metered Adoption

Diffusion is not paced by model capability. Three gates meter it, and all three open on the harness rather than the model.

The Scissors

Three supply-and-demand curves closing at once, on a schedule already set by demography.

The Trajectory Record

What the medical record becomes when it stops being static. Not a digital twin, not a risk score.

The Coordination Record

What is open right now, who owns it, and what is overdue. The faster record healthcare does not keep — and the reason coordination lands on families.

Member Co-Authorship

Participation on a gradient, from passive to active — because attention is not evenly distributed.

The Companion Layer

A surface that lives where people live, rather than one they have to visit.