My Thoughts
I write about marketing, branding, business strategy, artificial intelligence, the things happening in life that matter to me, television worth watching, and whatever else I can't stop thinking about long enough to not write down.
Patients are suing three health systems over ambient AI scribes that recorded them without consent. The same category of product reaches senior care in October 2026, captured through a staff member’s phone. HIPAA permits it. State eavesdropping law is what makes it a crime.
Cadence broke ground in 2020. Cogir bought them in 2022. Harbor Retirement Associates came in during 2025. Nobody explained any of it to the families living inside.
An intern on a physical therapy table told me about her summer job. That sent me to a census income map and a question about where you sell summer when summer is scarce.
I founded Sentinel Silver, so I have a commercial interest in this argument and I am putting that on the table first. Now, what the Spring Arbor story says about the metric senior living still is not measuring.
The industry says marketing liaisons gather intelligence, then sends them out with a quota and a trunk full of brochures. Here is what actual tradecraft would look like in this job.
The home care liaison arrives full of energy and is gone twelve months later. The industry calls this a hiring problem. It is not a hiring problem.
Everyone reported Solera’s fall numbers. Almost nobody noticed the bet underneath them. The operator is quietly becoming the integration layer, and the unit economics are worth a closer look.
You climbed into a black 2012 Hyundai Elantra parked outside our Gaithersburg home and took a few things. I want to tell you what you actually took.
We eat after funerals in Western Maryland. Fried chicken, cold cuts, casseroles, and somebody always brings ham. There is never any ice cream, and I think we have that backwards.
Someone at a Chamber B.A.S.H. asked whether Hagerstown could support a rage room. I went home and ran the numbers, and the answer is more complicated than yes or no.
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