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The Unbearable Lightness of Being

April 7, 2025

Signals for what’s next – and what matters

Health ⎪ Innovation ⎪ Society

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Hey Reader,

For most of history, the world has been too heavy.

Too heavy with institutions.

Too heavy with gatekeepers.

Too heavy with bureaucracy, friction, and tradition.

We were born into a world of concrete, hierarchy, and legacy systems—slow to change, difficult to move, and nearly impossible to question.

Now we have a world moving faster and more disruptive than ever – too light.

People are struggling with the unbearable lightness of being. Institutions, mores, and gatekeepers fading away, leaving people to chart their own course.

Ozempic for Society

The world isn’t perfectly frictionless of course. No would be want it to be. There is still some weight to be found.

But Doc Brown and Marty were wrong in Back to the Future (though that movie got pretty much everything else right).

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Things aren’t heavy in the future. They are light.

The world is going towards on demand, one touch, instantaneous – light.

And the institutions that are still heavy – government, healthcare, airline – are garnering more and more public anger.

Previously, the cost of action was high. The cost of ownership – or censorship- even higher.

Starting a business? Heavy.

Getting a platform? Heavy.

Challenging a system? Nearly impossible.

But that world is melting and we’re shifting from a heavy world to a light one.

Currently:

Code is weightless capital.

AI replaces entire structures of management

Networks beat hierarchies.

Leverage, not labor, determines impact.

Medicine, in particular, promised security, status and stability after years of heavy work. Now we are being displaced, in part, by platforms that emphasize convenience and speed.

The New Playbook

The heavy world rewarded obedience.

The light world rewards obstreperousness.

This transition is dizzying.

The old world was hard to move—but easy to understand.

The new world moves fast—but is hard to make sense of.

That’s why so many people feel lost. They’re still using heavy frameworks in a light reality.

They’re trying to apply industrial rules to a digital economy.

Trying to build long careers in a gig world.

Trying to manage institutions in an age of decentralized chaos.

To survive—and thrive—doctors, founders, professionals, citizens must shift from:

Ownership of things → Ownership of attention, code, ideas

Time-for-money → Scaled impact through tech & systems

Security through institutions → Resilience through adaptability

Slow prestige (degrees, tenure, hierarchy) → Fast trust (audience, proof-of-work, collaboration)

No Gravity

The world was too heavy.

Now, it’s becoming too light.

Your job isn’t to fight gravity or chase clouds.

It’s to build a framework for movement, meaning, and mastery in a world where the old rules no longer apply.

Knowledge is now free and careers are fluid.

The future belongs to those who know how to navigate weightlessness (or liminality).

Tomorrow Can’t Weight (get it?)

Rusha Modi MD MPH

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The Tomorrow List by Rusha Modi, MD is where cutting-edge ideas in health, business, and technology converge. Designed for thinkers, innovators, and leaders, we explore the forces shaping the future of medicine, longevity, and human performance—while decoding how they intersect with economics, policy, and culture. Expect sharp insights, deep dives into emerging trends, and unconventional wisdom you won’t find in mainstream discourse. If you’re building, leading, or rethinking the future of health and society, welcome to your next strategic advantage.
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