https://nathaliahyland.com/writing/ Essays about how decisions get made in healthcare. en https://nathaliahyland.com/writing/ai-scribe-promise/ https://nathaliahyland.com/writing/ai-scribe-promise/ Sun, 06 Sep 2026 00:00:00 +0000 Health systems buy relief from documentation burden. Patients are promised a better conversation. The evidence is much stronger for the first claim. https://nathaliahyland.com/writing/afford-to-get-wrong/ https://nathaliahyland.com/writing/afford-to-get-wrong/ Sun, 06 Sep 2026 00:00:00 +0000 Technology is becoming harder for independent practices to avoid and harder for them to choose badly. https://nathaliahyland.com/writing/health-warning-demand/ https://nathaliahyland.com/writing/health-warning-demand/ Sun, 06 Sep 2026 00:00:00 +0000 The estradiol patch access problem shows why risk communication cannot be separated from the system expected to respond. https://nathaliahyland.com/writing/ai-second-algorithm/ https://nathaliahyland.com/writing/ai-second-algorithm/ Sun, 06 Sep 2026 00:00:00 +0000 Prospective patients may increasingly encounter a physician’s reputation through two layers of algorithmic mediation before they ever meet the physician. https://nathaliahyland.com/writing/blood-test-before-the-scan/ https://nathaliahyland.com/writing/blood-test-before-the-scan/ Sun, 06 Sep 2026 00:00:00 +0000 FDA’s camizestrant approval creates a new decision point before radiographic progression. The communication pathway now has to move with it. https://nathaliahyland.com/writing/human-relationship-premium-tier/ https://nathaliahyland.com/writing/human-relationship-premium-tier/ Sun, 06 Sep 2026 00:00:00 +0000 If AI makes routine medical care cheaper and more scalable, the next question is not only what machines can do. It is who will still get a person. https://nathaliahyland.com/writing/one-less-vendor/ https://nathaliahyland.com/writing/one-less-vendor/ Sun, 06 Sep 2026 00:00:00 +0000 Healthtech companies compete feature by feature. Independent practices experience something else: the cumulative cost of the entire stack. https://nathaliahyland.com/writing/technology-was-visible/ https://nathaliahyland.com/writing/technology-was-visible/ Sun, 06 Sep 2026 00:00:00 +0000 As AI becomes part of everyday medicine, patient trust may depend less on whether physicians use technology and more on whether patients understand what the physician brings to the decision. https://nathaliahyland.com/writing/subscription-medicine/ https://nathaliahyland.com/writing/subscription-medicine/ Sun, 06 Sep 2026 00:00:00 +0000 When patients are paying directly for an ongoing relationship with a physician, the decision is no longer only whether they need care. It is whether this particular model, and this particular doctor, are worth choosing. https://nathaliahyland.com/writing/how-patients-choose/ https://nathaliahyland.com/writing/how-patients-choose/ Mon, 17 Aug 2026 00:00:00 +0000 There is a way of talking about warmth in medicine that treats it as the garnish. https://nathaliahyland.com/writing/meet-and-greet/ https://nathaliahyland.com/writing/meet-and-greet/ Mon, 10 Aug 2026 00:00:00 +0000 Too much advice about the DPC meet-and-greet treats it as the moment of conversion, the step where an interested person becomes a paying member, the place where you seal the decision. That framing does quiet damage. It turns a conversation that should feel like two people figuring out whether they fit into a performance with a target attached, and patients can feel the difference in the room. https://nathaliahyland.com/writing/who-was-i-to-do-this/ https://nathaliahyland.com/writing/who-was-i-to-do-this/ Mon, 03 Aug 2026 00:00:00 +0000 The doubt that follows physicians who bet on themselves, and what the ones who have done it say about it. https://nathaliahyland.com/writing/liked-you-never-signed-up/ https://nathaliahyland.com/writing/liked-you-never-signed-up/ Mon, 27 Jul 2026 00:00:00 +0000 Ask a Direct Primary Care physician about the meet-and-greet that got away and most of them have one. https://nathaliahyland.com/writing/cheap-bottle-of-wine/ https://nathaliahyland.com/writing/cheap-bottle-of-wine/ Mon, 20 Jul 2026 00:00:00 +0000 Why so many Direct Primary Care physicians underprice, and what it quietly costs them. https://nathaliahyland.com/writing/insurance-is-not-a-doctor/ https://nathaliahyland.com/writing/insurance-is-not-a-doctor/ Mon, 13 Jul 2026 00:00:00 +0000 The real answer to “Why would I pay for DPC when I already have insurance?” https://nathaliahyland.com/writing/referrals-bring-fit/ https://nathaliahyland.com/writing/referrals-bring-fit/ Mon, 06 Jul 2026 00:00:00 +0000 Most of the time, word-of-mouth gets praised for the wrong reason. People talk about it as the cheap channel, the one that fills a practice without an ad budget, the reward you get for being good enough that patients do your marketing for you. All of that is true, and all of it undersells the actual gift. https://nathaliahyland.com/writing/dpc-data-problem/ https://nathaliahyland.com/writing/dpc-data-problem/ Sat, 27 Jun 2026 00:00:00 +0000 At My DPC Story, where I run marketing, we just closed this year's voting on the Battle of the Support Stack, our annual community vote.