Writing
Writing
Where I think out loud — essays in Doctor AI on Substack, editions of Architecting Future Health on LinkedIn, and the papers that started it all. On medicine, money, and the future of American health.
Read Architecting Future Health on LinkedIn
Browse published articles & papers
Latest essays
There Is a Plan for Health — An Answer to Bill Gates
August 28, 2026
The Night the Hospital Gave Daniel Back
August 5, 2026
The Person Who Saved Clara Never Met Her
August 3, 2026
Endotype: The End of the Diagnosis
July 31, 2026
The Series
Cutting the Knot — an ongoing series on how medicine is finally moving upstream: GLP-1s, metabolic surgery, and the decisive, less-invasive treatments remaking chronic disease. New essays land on Substack; companion editions in Architecting Future Health on LinkedIn.
The Robin Blackstone writing collected here moves between the clinic and the ledger: why American medicine waits for the crash instead of bending the curve, what GLP-1s and metabolic surgery reveal about treating disease at its root, how the economics of illness became a business model, and what it would take to rebuild trust between people and the system that is supposed to protect them. The dispatches are shorter — field notes from the places where culture, environment, and health intersect — and the papers underneath them lay out the full Health 4.0 architecture, from Health Trajectory Engineering to the constitutional case for a right to health.
The Books
The American Health series — Who Gets Paid and the forthcoming Cutting the Knot of Chronic Disease — alongside Doctor AI: Reimagining Healthcare, Rebuilding Trust. See the books →