We help health and technology teams carry a principle all the way into the thing that researchers, patients, and clinicians use.
Most of that work happens in small decisions nobody is watching: what a form really asks, what a default setting assumes, who a system is built to optimize for. That's where we work.
Trusted by teams and initiatives at National Institutes of Health · Centers for Medicare & Medicaid Services · Moffitt Cancer Center · Mass General Brigham · Research Software Institute · Mozilla Foundation
Who gets a say in the systems that affect their health, and what meaningful participation actually looks like.
When AI should be trusted, when a person needs to step in, and what has to be true before it becomes part of patient care.
Who gets access, who gets left out, and how shared infrastructure shapes the science people can do.
Some questions get stuck within our own four walls when we are considering high-stakes problems. We bring together the different people who hold a piece of a hard decision, not to resolve them, but to ask better questions together.
A dinner about design and bioethics.
Come with a real question, tension, or decision from your own work.
Request a seat→Designers and bioethicists often shape the same outcomes without ever sitting at the same table. When values collide, who decides what gets built?
Come with a real question, tension, or decision from your own work.
Join the conversation →When thousands of researchers depend on the same shared tools, listening to them is one thing. Giving them a real say in how those tools are run is another.
For people building, funding, governing, or depending on research infrastructure.
Join the conversation →An AI model can work beautifully for one patient and still fail the community it enters. Testing well can't answer the harder question: when should a system be allowed to become part of someone's care?
Come with a real decision, experience, or tension from your work.
Join the conversation →You might be deciding whether an AI system is ready for patients, how much uncertainty to show a clinician, what consent should actually mean in a new product, who should have a say in how a biodata platform works, or whether something should be built at all.
We help you understand the tradeoffs, bring the right people into the decision, and carry the decision into the product.
Ongoing advice when hard product, technology, and ethics decisions keep showing up. We join the conversation before the decision gets made.
Focused work on one hard decision. We help you understand the tradeoffs, hear from the people affected, make the call, and translate it into what happens next.
We bring the people who hold different pieces of a decision into the same room and design the conversation so you can move forward.
Tell us what you're wrestling with. Start a conversation →
A product designer, researcher, and bioethicist who has spent fifteen years inside the places that decide how care and technology reach people: NIH's All of Us Research Program, federal health systems, cancer-care AI, and a fellowship at Harvard Medical School's Center for Bioethics.
The name is how we work: a technology can be genuinely useful and genuinely risky at once, and we don't force a choice between the two. We're also willing to say a question was framed wrong to begin with. Most of the real work happens in the decision everyone else wants to rush past, but that's where we stay.
Whether you've got a hard decision ahead, a question worth gathering people around, or just want to think out loud, get in touch.
Every so often, a note on what we are working on and an invite to a gathering.