
Smart, slightly subversive writing on healthcare, leadership, strategy, and personal performance, anchored in the strange and instructive world of anesthesia.
| Platform | Pricing | Only free issues | Publishes | Weekly | |
|---|---|---|---|---|---|
| Issues | 52 | Founded | 3 years ago | Last Issue | 7 days ago |
| Active | |||||

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.
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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.
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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...
If you talk to enough anesthesia departments, you start hearing the same explanation for almost every operational problem.
“We just can’t find people.”
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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...
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The writers behind this newsletter.
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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