My First Million
The best business ideas come from noticing what's working and doing it better, faster, or for a different audience.
Healthcare remains fundamentally unsolved with massive opportunities for disruption
The Reasoning
Knee surgery costs $40,000 in US vs $20,000 in France with better results. 20x higher maternal mortality for Black women vs Sweden. These aren't inherent limitations but structural inefficiencies.
What Needs to Be True
- Healthcare costs continue rising faster than inflation
- Quality outcomes lag other developed countries
- Technology adoption remains slow in healthcare
- Regulatory barriers create monopolistic behavior
Counterargument
Healthcare complexity requires regulation. Some cost differences reflect different systems and demographics. Innovation is happening but takes time due to safety requirements.
What Would Change This View
Healthcare costs stabilizing, quality outcomes matching international standards, regulatory barriers significantly reduced.
Implications for Builders
Focus on prevention rather than treatment
Target structural inefficiencies in healthcare delivery
Build solutions for underserved populations
Work within regulatory framework rather than against it
Example Application
“Build assisted fertility companies targeting the growing IVF market, or develop technology to reduce maternal mortality disparities.”
Related Knowledge
The 10-Year Trend Betting Framework
A strategic approach to business building that focuses exclusively on trends and opportunities that will play out over 10+ years rather than immediate market gaps.
The Ryan Studio Model
A systematic approach to creating multiple companies by combining deep industry research, patient capital, and specialist CEO recruitment rather than trying to be CEO of everything yourself.
The Dollar-Into-Two-Dollar Machine Framework
A mental model for evaluating whether to raise capital and invest in growth by determining if you can reliably convert investment into higher returns.
Systematically understand a new industry well enough to identify billion-dollar opportunities
A 50-page document identifying 3-5 major pain points, key players, industry structure, and specific product opportunitie
Scale across multiple companies by being an effective chairman rather than trying to be CEO of everything
CEOs who proactively reach out for guidance, successful financing rounds, strategic decisions made efficiently, and comp
Think of Yourself as Coach, Not Player
When building multiple companies, your role is to assemble and guide talented teams rather than trying to be the best at every functional skill yourself.