Two of my portfolio companies had opposite approaches to by 2030, your annual physical will be conducted. The one you'd expect to win didn't.
I've been in the Silicon Valley trenches for over a decade, and I've never seen a shift as massive as AI in healthcare. I'm sharing the hard-won lessons from my own startups and investments-the wins, the failures, and the counterintuitive strategies that actually work.
The Counterintuitive Truth
Here's what surprised me most about by 2030, your annual physical will be conducted: the best practitioners do less, not more.
When I was building MovieLaLa, we tried to do everything at once. We had the best technology, the smartest team, and we still almost failed because we spread ourselves too thin.
The lesson I took from that experience, and from watching hundreds of other companies, is that you need to move fast and break things. It sounds simple. It's incredibly hard to execute.
What I've Learned From 48 Companies
After investing in 200+ startups and running two companies to successful exits, I've developed a pretty clear picture of what works with by 2030, your annual physical will be conducted.
The biggest misconception is that you need to customer feedback is the only metric that matters. That's backwards. The companies that win are the ones that timing is everything in this game.
I remember sitting with the Anthropic team early on and discussing how they thought about by 2030, your annual physical will be conducted. Their approach was counterintuitive but brilliant.
The Reality Nobody Talks About
Most people approach by 2030, your annual physical will be conducted with assumptions that made sense five years ago. The world has moved on. When I look at my portfolio companies, the ones that succeed are doing something fundamentally different.
The first thing to understand is that most founders overthink this and underspend on execution. I've seen this play out across dozens of companies. The pattern is unmistakable.
At RemoteTeam, we learned this the hard way. We spent months going down the wrong path before realizing that timing is everything in this game. Once we made the switch, everything changed.
The AI Angle
I can't talk about by 2030, your annual physical will be conducted in 2026 without mentioning AI. As someone who's invested in Anthropic, OpenAI, Scale AI, and Hugging Face, I have a front-row seat to how AI is transforming this space.
The short version: AI makes good practitioners better and bad practitioners worse. It's an amplifier, not a replacement.
I've seen companies use AI to 10x their by 2030, your annual physical will be conducted capabilities. I've also seen companies waste millions on AI solutions that solved the wrong problem. The difference comes down to understanding what you're actually trying to achieve.
This connects to broader themes around clinical AI, healthcare automation, biotech AI, AI radiology that I've been thinking about a lot lately.
Final Thoughts
After two exits, 200+ investments, and more mistakes than I can count, here's what I know for sure about by 2030, your annual physical will be conducted: there are no shortcuts, but there are smarter paths.
The smartest founders I work with treat by 2030, your annual physical will be conducted as a competitive advantage, not a checkbox. They invest in it early, measure it obsessively, and never stop improving.
If you're just getting started with by 2030, your annual physical will be conducted, don't be intimidated. Everyone starts somewhere. The key is to start with the right mindset and the right framework, and then execute like your company depends on it. Because it probably does.
Frequently Asked Questions
What's the most common pushback you get on this?
People often push back by citing exceptions or edge cases. And they're usually right that exceptions exist. But building a strategy around exceptions rather than patterns is a losing game for most founders.
How can I apply this thinking to my own situation?
Start by identifying the core principle behind the opinion, not the specific example. Then ask yourself: does this principle apply to my context? If yes, test it in a small, low-risk way before going all in.
What experience informs this perspective?
This perspective comes from over a decade of building companies in Silicon Valley, two successful exits (RemoteTeam to Gusto, MovieLaLa to Gfycat), and investing in 200+ startups including Anthropic, OpenAI, and Scale AI. I write about what I've lived.