Focus

A Candid Message to MD Anderson

At this point, I believe our relationship deserves an honest conversation. My best work happens with organizations willing to challenge their own constraints, prioritize what truly matters, and foster real partnerships—not just transactional vendor interactions.

Frankly, my frustration has grown from being held at arm’s length and relegated to working within arbitrary rules, while observing questionable decisions—such as investing in IBM Watson’s underwhelming AI or choosing inefficient, manual methods for key projects like the Epic conversion.

I’m also tired of the bureaucratic obstacles that arise whenever I tried to have honest conversations. James Wang was the only person in your organization who would engage openly, but the “rules” made it difficult to even speak with him directly.

Honestly, the small amount you pay annually doesn’t make this a worthwhile relationship.

The question is simple:

Is MD Anderson capable of an open, authentic relationship, or are you fundamentally too constrained by internal culture and legacy practices to collaborate honestly?

If a genuine partnership isn’t possible, let’s be forthright and move on. I’m not interested in being just another checked box, nor in accepting “brand prestige” as a substitute for respect and real collaboration.

Going forward, I’m seeking transformative partnerships—fewer layers of complexity, and more radical transparency and adaptability. My clients enjoy direct access, clear communication, and a shared commitment to solving real problems—not just talking around them.

MD Anderson, if you’re ready to engage as a true partner and tackle constraints head-on, let’s rebuild this relationship. If not, it’s time to part ways. Your call.

Sometimes, it’s perfectly okay to show large brand-name clients the door. See Billing and Accenture/Verizon.