Substack Articles
This article argues that DAOs should move beyond their current fixation on decentralization metrics and voting participation, instead optimizing for information integrity and bottom-up coordination systems that genuinely preserve individual self-governance rather than imposing artificial uniformity.

It examines the evolutionary transition from aggregate to clonal multicellularity as a biological model for understanding how sophisticated coordination can emerge while enhancing rather than constraining individual agency, revealing that shared, uncorrupted protocols—not permanent decentralization—enable functional complexity in coordinated systems.


Beyond Decentralization: What DAOs Can Learn from Biology About Functional Coordination by Paola Raska

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This analysis argues that precision medicine companies face a fundamental mathematical incompatibility with centralized healthcare systems, which must optimize for population outcomes rather than individual patients.

The piece examines how regulatory frameworks, clinical protocols, and institutional incentives systematically prevent the individualized approaches that precision medicine requires to be effective.


Precision Medicine: Why Success Demands Patient Empowerment Over Provider Control by Paola Raska

A Strategic Analysis

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This piece argues that healthcare systems can become antifragile—gaining strength from stress rather than breaking under it—by preserving "discrete variation," which maintains distinct, non-homogenized elements within the system rather than forcing standardization.

It examines how AI and blockchain technologies could enable decentralized healthcare models that preserve complexity while facilitating knowledge transfer, drawing from Frank Herbert's political philosophy and Nassim Taleb's antifragility framework.


Antifragile Healthcare: Harnessing Discrete Variation for a Decentralized Future by Paola Raska

What Frank Herbert and Nassim Taleb Got Right About Complexity—and What Elon Musk, Vivek Ramaswamy and the MAGA Movement Really Don't Get...

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This analysis argues that current medical approaches to metabolic conditions like insulin resistance and inflammation are limited by reductionist frameworks that treat isolated symptoms rather than understanding complex system interactions.

The piece proposes that patients can generate more relevant health insights by collecting and analyzing their own continuous monitoring data through real-world research that studies multiple interconnected variables simultaneously.


Community Empowerment through Health Information by Paola Raska

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This writing argues that breast cancer patients experience unnecessary delays and fragmented care because healthcare systems prioritize institutional convenience over patient access to their own health information.

CEtHI proposes a patient-led healthcare model where individuals own and control their complete health data through blockchain-based electronic health records and AI tools, fundamentally shifting decision-making authority from providers to patients.


Community Empowerment through Health Information ​ by Paola Raska

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Patient Empowerment. Patient Dignity. Patient Flourishing.
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