This is so excellent thank you 🙏 I’m starting out on my newsletter which focuses on China’s health system (with some UK lenses) and this piece provides such great contrast and perspective.
Wholly shocking realizations. No one should have to lose their home in order to pay for cancer therapy. Apparently it’s only the poor that can afford to travel north to rip-off Canadian Healthcare.
Hey Joshua, I've followed HIMS since IPO but could never get comfortable with their moat being their brand, especially with Amazon now as a competitor. Their growth has been impressive though, and I think it's a great example of how big DTC digital health companies can grow as I mentioned in the article
This is a friggin documentary! Thank you for the time that you put into this
Holy moly this was an awesome article!
Thank you very much for not just stating the problems, but also stating well thought out solutions!
We need more builders and problems solvers!!
This is insanely good, definitely earned a new subscriber!
This is so excellent thank you 🙏 I’m starting out on my newsletter which focuses on China’s health system (with some UK lenses) and this piece provides such great contrast and perspective.
Hi Richard great article thank you. Where do you see Tempus AI positioned, if anywhere?
Wholly shocking realizations. No one should have to lose their home in order to pay for cancer therapy. Apparently it’s only the poor that can afford to travel north to rip-off Canadian Healthcare.
Always invest in crooked companies.
They do great!
Not for Everyone. But maybe for you and your patrons?
Dear Richard,
I hope this finds you in a rare pocket of stillness.
We hold deep respect for what you've built here—and for how.
We’ve just opened the door to something we’ve been quietly handcrafting for years.
Not for mass markets. Not for scale. But for memory and reflection.
Not designed to perform. Designed to endure.
It’s called The Silent Treasury.
A sanctuary where truth, judgment, and consciousness are kept like firewood—dry, sacred, and meant for long winters.
Where trust, vision, patience, and stewardship are treated as capital—more rare, perhaps, than liquidity itself.
The two inaugural pieces speak to a quiet truth we've long engaged with:
1. Why we quietly crave for signal from rare, niche sanctuaries—especially when judgment must be clear.
2. Why many modern investment ecosystems (PE, VC, Hedge, ALT, SPAC, rollups) fracture before they root.
These are not short, nor designed for virality.
They are multi-sensory, slow experiences—built to last.
If this speaks to something you've always felt but rarely seen expressed,
perhaps these works belong in your world.
Both publication links are enclosed, should you choose to enter.
https://tinyurl.com/The-Silent-Treasury-1
https://tinyurl.com/The-Silent-Treasury-2
Warmly,
The Silent Treasury
Sanctuary for strategy, judgment, and elevated consciousness.
How about Genentech?
https://open.substack.com/pub/nikhilkhandelwal/p/the-ultimate-guide-to-call-apply?r=1yg8z6&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true
Hey Joshua, I've followed HIMS since IPO but could never get comfortable with their moat being their brand, especially with Amazon now as a competitor. Their growth has been impressive though, and I think it's a great example of how big DTC digital health companies can grow as I mentioned in the article