Clinical decision support, provider-facing analysis, and bedside-relevant reporting.
The Viva Voce - The prescription was right. The pharmacy refused to fill it.
Rite Aid is gone. CVS absorbed it. Three chains now sit between every prescription and the patient.
The Briefing — Cheap, essential, irreplaceable, and vanishing all at once — that combination is the tell.
The Signal - Obstetric medication shortages · rolling stockouts · the drugs that keep women alive
Viva Voce - At sixteen weeks with a stable subchorionic bleed, the management plan I am offering my patient is essentially the same one a clinician would have offered her in 1965.
Installment 6 of Labora Collective's Painful Bladder Syndrome Series - A Journey to Validation and Relief.
The Blueprint: Innovation for patient-centered medicine, powering the future of reproductive justice and evidence-based care.
Upholding Our Ethical Obligations to Ensure Healthcare Equity for All Patients
Exploring the systemic devaluation of Black lives within the medical profession and its implications for patient care
Exploring the Impact of Racial and Socioeconomic Classifications on Patient Care in Labor and Delivery Units
Separating Evidence-Based Knowledge from Persistent Cultural Myths
Three corporate boards. Roughly forty-two percent of all U.S. prescription dispensing revenue. The dispensing decisions of the American retail pharmacy system are being made for legal exposure, not clinical need.
The only federal program dedicated to contraception and cancer screening for four million low-income women is being defunded administratively — without a Congressional vote. The new evidence, the clinical cost, and the 16-day countdown.
Conscience clauses, pharmacy refusals, and the federal backstop that was quietly removed in January 2026. The last mile of medical care is now controlled by someone who never examined the patient.
Cards link to the original — every piece is published either on The Labora Collective Substack or one of our Labora Collective sites. Older work is in the Substack archive.