Sagan Schultz

Building in health tech, ex-product @linear, ex-McKinsey, MD/MBA

[Sagan Schultz @SaganSchultz]

@linear agent is a PM's dream. Did walk through of entire app while voice noting ~20 copy changes into Linear issue → Linear Agent → PR with preview link, in the right repo, in like 5 minutes. Just works.

[Sagan Schultz @SaganSchultz]

https://t.co/xohESkVxjO

[Sagan Schultz @SaganSchultz]

A patient chose a podcast over her physician, a gray market peptide over her statin. Unfortunately, nobody should be surprised.

Her statin has been studied in 170,000+ people. A 2026 Lancet study of 124,000 patients just confirmed most reported side effects don't exist. The peptide she replaced it with has been studied in fewer than 30 humans total. She orders it from a website labeled "for research use only."

His diagnosis is right. Trust in evidence has inverted. Nor is his prescription wrong. Trust is rebuilt in relationships, in real conversations between physicians and the people they care for.

But it's not sufficient. Not at the scale this problem demands.

I've spent part of my career building products. You learn pretty quickly that if every user is hitting the same wall, it's not a user problem. It's a design problem. You don't ask your support team to work harder. You fix the product.

This patient didn't leave because she's irrational. She left because the people she trusted most gave her time, answers, and validation. The system gave her 12 minutes and a prescription.

RFK Jr. just signaled ~14 restricted peptides are headed back to legal compounding. More access is coming. The trust question is about to get a lot more urgent.

Physicians know what good care looks like. They need a system that lets them deliver it.

[Sagan Schultz @SaganSchultz]

The consumer health industry created a new type of patient.

Companies sell you hundreds of biomarkers, sleep scores, readiness metrics, and genetic tests. Market it like they're giving you answers. Then leave you with a dashboard and a disclaimer.

They did all of this because nobody else was. The system never anticipated what they needed. And when they bring it to a 12-minute appointment, the healthcare system has no idea what to do with it. The system wasn't designed for prevention. It was designed for throughput.

I worked in NYC hospitality for a decade. We treated a wrong glass of wine like a crisis. Healthcare doesn't just miss the details. It hands you the menu, the kitchen, and the bill, and tells you to figure it out. In any other service industry, this would be a failure. In healthcare, it's normal.

The physician wants to help, but they're limited by 12-minute appointments, documentation requirements, and a system that rewards volume over time spent with patients.

So patients become their own project managers. Coordinating specialists who don't talk to each other. Pasting labs into ChatGPT. Cross-referencing biomarkers against PubMed. Building spreadsheets to track trends nobody asked about.

Most patients aren't trained to interpret any of this. They know that. But they're grasping because nothing else is available. It's exhausting. Not just logistically. Emotionally.

People are ready for prevention and personalization. Physicians want to deliver it. The science supports it. The system isn't set up for any of them.

[Sagan Schultz @SaganSchultz]

@JayRughani 🎯

[Sagan Schultz @SaganSchultz]

@emmettshine 💯

[Sagan Schultz @SaganSchultz]

@bnj @variantui Me pls!

[Sagan Schultz @SaganSchultz]

@lizwessel FWIW this is also 100% true from the founder perspective of deciding who you want on your board and cap table.

[Sagan Schultz @SaganSchultz]

@eddiejiao_obj @cmmnknwledge Please. I beg.

[Sagan Schultz @SaganSchultz]

@thedanigrant @OpenAI You are made for this 👏

[Sagan Schultz @SaganSchultz]

@GergelyOrosz The follow up quote from Nan is 🎯 https://t.co/AHkoujDyf3

[Nan Yu @thenanyu]

This quote from Teller (of P&T) lives in my head rent-free:
"Sometimes, magic is just someone spending more time on something than anyone else might reasonably expect."

[Sagan Schultz @SaganSchultz]

@moondrencht Wilson

[Sagan Schultz @SaganSchultz]

@almostcmb @InspiredCap Congrats!

[Sagan Schultz @SaganSchultz]

@nikunj 💯💯💯

[Jack Altman @jaltma]

Surround yourself with friends who randomly spend their time thinking about how you could be more successful, and do the same for them.

[Sagan Schultz @SaganSchultz]

@TarunAmasa @OpenAI Invite please. Ready to pay!

[Sagan Schultz @SaganSchultz]

@nicochristie Trying to pay you since release day. Pleaaaase.

[Sagan Schultz @SaganSchultz]

@nicochristie Please. I beg.

[Sagan Schultz @SaganSchultz]

@nicochristie About to rebuild a few models, would love to see how it handles the process

[Sagan Schultz @SaganSchultz]

@jeff_weinstein @atlas Was a breeze 👏🏻