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

Joined August 2015
Photos and videos
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.
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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.
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Sagan Schultz retweeted
23 Aug 2025
Surround yourself with friends who randomly spend their time thinking about how you could be more successful, and do the same for them.
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Sagan Schultz retweeted
8 May 2025
Replying to @cjc
@SaganSchultz's "shipping to beta" stance
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Sagan Schultz retweeted
15 Mar 2025
This write-up from Linear, IMO, is a masterclass in product mgmt: linear.app/blog/building-wha… 1. The PM has a POV. I often say that if you build purely on customer feedback, you will have a product w 100s of Settings 2. A great example of empathy by repeatedly asking “why” to get to the underlying motivation
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Sagan Schultz retweeted
6 Mar 2025
Introducing Sub-teams Align workflows across multiple teams with shared statuses, cycles, and labels.
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We launched Customer Requests to help teams understand user needs. I wanted to share a bit more about the story behind why we built it, so I wrote a blog. Check it out: linear.app/blog/building-wha…
4 Mar 2025
Steve Jobs famously said customers don't know what they want until you show it to them. Yet at Linear, we just built a feature specifically designed to collect customer requests. Here is why: linear.app/blog/building-wha…
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Sagan Schultz retweeted
Big alpha launch today: Pull Requests in @linear! Get notified, view, check review status, and discuss pull requests. Additionally anyone in Linear can see the PR discussion directly within Linear.
23 Jan 2025
PR reviews in Linear. Now in public alpha.
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Sagan Schultz retweeted
22 Jan 2025
Great talent deserves great tools. The best product teams build with Linear. And they are hiring. workwithlinear.com
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Sagan Schultz retweeted
Yesterday, @linear turned 6: - Team: 70 - 10K companies are planning and building with Linear - Enterprise ARR grew 2000% first Fortune 100 customer signed - Net Revenue Retention 140% - Net operating income grew by over 1400% (life negative burn & profitability continues)
@linear hit 5 years this month. Starting 2024 with: - Team: 50 (100% remote in 16 countries) - Linear runs product org for tens of thousands of companies, from startups to public companies - 66% of Forbes top 50 AI companies use Linear - $52M raised in total, still profitable, with a negative lifetime burn rate - We've spent a total of 0.5% of revenue on marketing - Our sales team consists of 4 people - Several billion-dollar companies are evaluating and setting up Linear this very month
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Sagan Schultz retweeted
Thrilled to have joined @RomainCascino, @SaganSchultz, and Guillaume Lachaud a few weeks ago and pushed it to the finish line. A big S/O to Daniel Smith, who laid all design foundations and explored so many directions. Give this new feature a try and let us know what you think!
9 Dec 2024
Introducing Customer Requests › Capture customer feedback › Understand user needs at scale › Build what customers actually want
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Sagan Schultz retweeted
9 Dec 2024
Introducing Customer Requests › Capture customer feedback › Understand user needs at scale › Build what customers actually want
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Sagan Schultz retweeted
9 Feb 2021
1/ I wish for a BETTER world for my kids. A world where they can *feel* offended but have no right to be protected from feeling offended or feeling uncomfortable if they are insulted for any reason or someone says or does something wrong, ignorant, misinformed, rude or uncivil
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Sagan Schultz retweeted
14 Jan 2021
MUST READ by @sequoia Mike Moritz diplomatic in disdain for those (his own partner) who ‘provided support to forces of darkness’ ‘Given the choice b/w appealing policies a DARK character objectionable policies a RESPECTABLE character its always safer to pick the latter’
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Sagan Schultz retweeted
Was on a call w/a 16-yr old talking career advice. The best advice i shared (& have not 100% followed) was: Don't email someone asking for a job. Start doing the job and email asking for feedback on what you built. (more👇🏾)
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