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Creative Destruction

Carter Williams

Harnessing the forces of Creative Destruction. How business, finance, and technology industries drive prosperity and improve the human condition.

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Substack
PricingFreemiumPublishesWeekly
Issues176Founded6 years agoLast Issuea month ago
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Latest Issues

The Rent-Seeker’s Regulation

In July 2025, Replimune’s melanoma drug RP1 got its first rejection from the FDA. The stock fell 77 percent in a single day. About $3 billion in market cap vanished.

Nine months later, on April 15, 2026, the agency rejected it again. The s...

a month ago
1

You Can Buy Lilly's Next Obesity Drug Today for $25

The 40 Amino Acid Line

You can buy Eli Lilly’s next obesity drug online today. Retatrutide is not approved. Lilly is suing FDA over how to classify it. A compounding pharmacy in Florida or a research chemical site in Shenzhen will ship...

a month ago
3
2

Breaking 4%: The Organizational Architecture of Abundance

Jack Dorsey fired 4,000 people and published a manifesto explaining why.

The popular reading is that AI replaces middle managers. That is the least interesting interpretation of what happened. Dorsey just made the first large-scale public...

2 months ago
7
1

The Most Effective WMD Isn’t Nuclear. It’s Famine

Presidents are ephemeral. Food, energy, and finance are not

Every few years, Americans get trapped in the wrong frame. They watch a president, a strike, a headline, a tweet, and assume history has suddenly lurched off course. It has no...

2 months ago
2
3

What I learned this Week: March 14, 2026

Lessons of the Week

Over Christmas break I finally dug in and started using AI coding tools. Since then, the tools have dominated my thinking of what is possible. Good, bad, and complex. Tools to remove friction. Rethinking markets.

C...

2 months ago
1

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  • Carter Williams

    Helping cut healthcare costs from poor nutrition. Sharing insights to drive innovation in Ag, Food, and Health. MD at iSelect, backing 70+ "Food is Health" firms. Ex-Boeing Phantom Works, IoT pioneer (Gridlogix), MIT Sloan, F/A-18 E/F engineer.

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