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Inside Anesthesia

Smart, slightly subversive writing on healthcare, leadership, strategy, and personal performance, anchored in the strange and instructive world of anesthesia.

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Substack
PricingOnly free issuesPublishesWeekly
Issues52Founded3 years agoLast Issue7 days ago
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Latest Issues

USAP, the FTC, and the End of an Era in Anesthesia

For most of the last decade, anesthesia consolidation was treated less like a risk and more like an inevitability.

Bigger was safer.
Bigger was stronger.
Bigger was more stable.

Thanks for reading Inside Anesthesia ! Subscribe for fre...

7 days ago
12
2

This Isn’t a Cycle

I have a confession to make.

For the last few years, I’ve casually used the word cycle to describe the anesthesia labor shortage. I talked about waiting for the swing back. Preparing for the correction.

Thanks for reading Inside Anesthesi...

21 days ago
12
6

The Anesthesia Group Death Spiral Explained

The collapse of a local or regional anesthesia group is rarely a sudden explosion. It is a slow-motion car crash that begins with a single “no” to a hospital administrator and ends with a $3 million locums bill.

I’ve been watching the same...

a month ago
26
7

Your Anesthesia Department Doesn’t Have a Staffing Problem

If you talk to enough anesthesia departments, you start hearing the same explanation for almost every operational problem.

“We just can’t find people.”

Thanks for reading Inside Anesthesia ! Subscribe for free to receive new posts and sup...

2 months ago
19
8

The Anesthesia Market Didn’t Break. The Business Model Did.

There was a time, not that long ago, when anesthesia economics felt almost… predictable.

  • Consolidate fragmented markets.

  • Negotiate aggressively.

  • Expand in commercially favorable geographies.

  • Let reimbursement tailwinds d...

2 months ago
16
5

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  • Inside Anesthesia

    Anesthesia Insider. Leadership strategist. Corporate truth-teller. I write about what’s really happening in healthcare, where strategy falters and leadership gets tested. Sharp insights, contrarian takes, and clarity from inside the system.

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