Perspectives

Notes from inside the work.

Occasional long-form pieces on where healthcare software is heading — and how the work of building it is changing. Written from inside hospitals and inside the build, not above either. No fluff, no latest-thing chasing.

Strategy paper
When Building Becomes Free

A new operating model for the healthcare software company in the AI coding era.

For thirty years the constraint on every healthcare software company was the same: engineering capacity was scarce and expensive. AI coding has removed it. A founder's plan for how the company should be staffed, organized, and run once producing software is no longer the bottleneck.
David Higginson · June 2026 · 22 min read Read the paper →

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Bluefish automates the tedious, manual work hospitals run on — and builds it from inside the building. Have a question, or want to see what that produces?

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Notes from inside the work.

When Building Becomes Free

Built by the team that thinks this way.