Dispatches from Discharge Hell

Telos

Telos (Greek: τέλος) — purpose, aim, end goal. This page is a public declaration of what I'm about, what I'm focused on, and where I'm headed. It will evolve over time.

Mission

To expose the hidden mechanics of catastrophic healthcare discharge, arm families with practical knowledge, and push for a system that doesn't abandon the most vulnerable patients at their moment of greatest need.

Problems I'm Focused On

  • The Information Asymmetry Problem: Families navigating catastrophic care have almost no access to the information insiders take for granted.
  • The Misaligned Incentives Problem: Hospitals, insurers, and post-acute providers are optimizing for metrics that don't align with patient outcomes.
  • The Invisible Patient Problem: Patients with complex, long-term needs disappear from the system's attention once the acute crisis passes.

What I Believe

  • The healthcare system isn't broken—it's working exactly as designed. The problem is the design.
  • Most people inside the system are trying to do the right thing within bad constraints.
  • Sunlight is the best disinfectant. Talking openly about system failures is the first step to fixing them.
  • Dark humor is a survival mechanism, not a sign of callousness.
  • Practical help beats righteous anger. Tell people what to actually do.

What I'm Building

Right now: this site. A body of writing that documents the reality of catastrophic care discharge and provides actionable guidance for families.

Eventually: more. Resources, tools, maybe a book. The shape will become clearer as I write.


Last updated: February 2026