TJ Parker⚡️
@tjparker
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entrepreneur / investor / enthusiast
Park City ⛷ & Malibu 🏄♂️
Joined December 2018
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@michellehuang42
Missed the best one!
Elevators: press once to select floor, press again to unselect.
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Warehouse, our car storage and social club concept in Park City is almost open for business..
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Find yourself a cofounder you can start a billion dollar business with. And then sell it. And then go to Alaska together. Every year. For like a month. Xoxo
@elliotcohen
.
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I’m not really the type to weigh in on the current thing or geopolitics, generally.
But I’ve been sitting here for a couple weeks stunned by the amount of ill-informed support for hamas / palestine at best, antisemitism at worst, that’s been rampant across US cities,…
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Yesterday morning we lost our beautiful dog Quinn. She quietly let herself out, walked into the woods, laid down and passed away under some trees next to the creek. We’re heartbroken but glad she lived such a great life and went so peacefully.
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For folks interested in what the market was like 2013-2018.. pillpack rounds:
500k on 3M (13)
3M on 10M (13)
9M on 30M (14)
50M on 250M (15)
50M on 330M (17)
20M note w kicker to bridge m&a (18)
B acquisition (18)
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We used to talk about “omotenashi” when designing experiences at pillpack. This is the best example I’ve seen.
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Probably the single best decision I ever made running PillPack and Amazon Pharmacy was to completely opt out of dispensing CII's (opioids, stimulants, etc).
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For as long as I can remember, I’ve always wanted to make my own clothes. Been working on this with a couple friends for the last year or so and this week the first pieces started showing up. Full line available at Lazy Sun, soon.
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Living in a ski town is the best. Awesome day with fresh snow, friends and family, food and drinks, sauna, and playoff football
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The two things I’ve found the most enjoyable and rewarding in life so far are having kids and running a startup. It’s odd to me that most of the dialogue online about these things is how hard they are vs how fun they are.
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Meanwhile,
@DavidSacks
looking like he wrote the first amendment
.
@DavidSacks
highlights that Elon Musk's two most controversial positions are defending the First Amendment and advocating for peace.
@elonmusk
: "It feels like we are living in the opposite world or something."
@DavidSacks
: "There's an article in today's New Yorker calling you…
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My simple rubric for how to self select into the best tech career for you..
Skip class as often as possible: founder
Sit in the back of the class: startup employee
Sit in the front of the class: big tech employee
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There should be a list of the 30 under 30 winners that make it to 40 without an indictment. "Free over Forty" or something.
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In all seriousness, I hope SVB is able to sort this out. They were incredibly good partners to us at pillpack over the years. From a loan to buy our first pillpack machine 3 months in to bridging us during the m&a process.
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I had a paper route when I was 7 years old.. out by myself 5-6a every morning. Left on my bike the second I had free time on afternoons & weekends. Was both very enjoyable as a kid and I attribute much of my success to it. Bring back free range kids.
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How do we normalize picking up the phone and calling >> scheduling calls?
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The first thing you should do in any hotel room is turn the air conditioning down to 60
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While we’re at it, let’s return to 1:1 conversations being default phone vs default zoom.
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I have zero regrets. It worked out very well for everyone involved (founders, employees, investors). Cap table ended up ~60/20/20 (investors, founders, employees). Just build.
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It would really be great if people (especially smart people) could stop quoting list prices for brand drugs. They don’t mean a damn thing. The net price is at least <50% of the quoted price and will keep falling as new competitors enter the market.
The large Wegovy trial for⬇️cardiovascular events: an absolute reduction of only 1.5 per 100 people in a very high-risk cohort, taking the drug > 3 years, at a very high price ($1,349/month), is not something to write home about
Reviewed in the new Ground Truths (link in profile)
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I wish there was sliders for the algorithm on here..
humor <—————————x->
optimism <—————————x->
politics <-x—————————>
etc
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You can build a great consumer brand, with a great outcome, without raising very much money. All it takes is 40 years.
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Looking to hire hungriest MD you know. Ideal candidate is highly clinically competent with top tier education, actively looking to join a startup in the earliest stages. Needs to be a doer / builder. Early in career is fine. Well funded deeply ambitious company and team.
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The only tenable way to re-create real privacy at this point is for someone to build individual AI's that spew enormous amounts of fake data (content, browsing, etc) on your behalf such that's it's impossible for systems to parse what is real vs. fake.
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Formal meetings, especially on zoom, are about the worst possible format imaginable for making complicated, nuanced decisions.
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My wife is very good at Halloween costumes. Some of my favorites from the last few years..
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Prescriptions shouldn’t have X refills. There should be start orders that are good in perpetuity and stop orders that cancel the rx. Would save an enormous amount of administrative overhead and result in better medicine.
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My $0.02: clever consumer healthcare companies that focus on applying AI and automation to create novel / better customer experiences will create compelling companies with real durability.
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Can someone explain to me why they don't offer LTE in MacBooks?
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Ex-Optum Ventures principal now patriots head coach wasn’t on my bingo card
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I can’t remember bringing homework home once as a kid. But I did have 3 jobs simultaneously as a 16yo. There are more ways to learn grit and how to work hard than doing fake work.
@micsolana
Every successful person I have ever met was committed to homework (or the equivalent( by their parents *extraordinarily early* in their life. My Mom taught my algebra in third grade and insisted I read every night in addition to all of the assigned work.
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I distinctly remember when my anxieties flipped from worrying about getting fired by my board to realizing there was no way I could quit if I wanted to.
This interview with Ben Horowitz is over a decade old but feels especially relevant to what’s happening in tech today where many previously high-flying startups are now struggling.
“[As CEO] I felt like I could die but I couldn’t quit.”
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This does remind me of the time that CVS trained their entire national staff of pharmacists to lie to our pharmacists to try to avoid transferring rx’s. That was a cool move.
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Definitely the most unexpected thing for me post selling a company is how much intrinsic motivation I have to keep doing stuff
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How has no one come up with a financial instrument that allows you to sell your mortgage with your house?
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The best story about
@elliotcohen
and I is that we had run pillpack together for ~3 years or so before we ski’d together. We both assumed the other sucked at skiing so kept making excuses to not have to ski together.
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Starting a petition to disqualify teslas from being eligible for Uber black
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The telltale sign of getting old is assuming the new version of something is worse than the old version, rather than the other way around.
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Everyone saying non-competes are irrelevant anyway has clearly never had to hire real execs.
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Thank god all these VC’s are weighing in on US drug pricing. So insightful.
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Roughly zero scaled HC services businesses were built based on driving better health outcomes. Yet, for some reason, most startups think this is the key to adoption / distribution and worth spending energy on. Maybe instead, just offer something more convenient at lower costs.
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It’s clear the folks making AI necklaces have never been in discovery
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I know this is going to sound insane but these near death experiences are actually the most fond memories for me now. Hang in there, all.
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Can you believe these DTC companies are pushing drugs that help people lose weight and reduce the risk of heart attack and stroke. Just terrible. What are they even thinking?
BREAKING: The drug semaglutide, made by 🇩🇰 Denmark's Novo Nordisk, is found to cut risk of heart attacks and strokes by 20%, possibly making it one of first drugs to have effect of both reducing cardiovascular events and helping with weight loss.
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The entire startup ecosystem just got to sort of feel what it’s like to get a termination letter from a major payer as a healthcare startup. This happened to me 4 times in one year (representing roughly 90% of our revenue in totality). Joy joy joy.
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Let’s do some quick fact checking here..
Price for sildenafil for one year from amazon pharmacy with telemed visit from amazon clinic: $90 (lower if you use insurance)
Price for sildenafil for one year including telemedicine visit on HIMS: $264
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I have a hard time listening to podcasts but no issue recording them.
Really enjoyed the first public conversation I’ve had in years, with
@HarryStebbings
.
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On the first day I was working at amazon I noticed a list of “meeting rules” on each conference room table that expressly forbade jokes and humor in meetings. And I’d like to publicly say, fuck that.
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Everyone likes to joke about VC’s wearing vests but can we talk about all the middle aged men wearing clothes 2 sizes too small for them instead? Far more problematic.
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My 5yo just shifted from plain to everything bagels and I couldn’t be more proud
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Something I learned at amazon -- never include the words "I think" or "I believe" in a document, email, etc. Weak language.
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Things we built:
‘B2C’ biz (pillpack) 0 to a few hundred M rev in <5 years
‘B2B’ biz: well beyond that scale in half the time
Amazon pharmacy: both and will be biggest, fastest.
Same principles apply. Doesn’t matter if b2c or b2b.
Best experience at the lowest price wins.
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Launched ecomm today for Lazy Sun, my shop in Park City. Please buy something so I don’t have to take money from those damn VC’s!
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Yes, let’s make people spend hundreds of dollars and get on a zoom / make an in person appointment to get an rx for birth control. That’ll really propel healthcare forward. 🙄
Amazon is now offering chat medical visits (not even video) with physicians and NPs for $35 cash if you think you have COVID. Or a yeast infection. Or need birth control. How is this even considered healthcare? And why is it less expensive than my copay for my $700/mo BCBS PPO?
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Living in places with great weather is a cheat code for happiness
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Fun fact of the day: HIPAA does not apply if you don’t bill insurance. Go wild.
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Managed to take the winter off to ski the same winter that Park City has officially received the most snow in recorded history. Sometimes things really do work out.
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Remembering the time last summer that we took out a 250LM and 911R at 4am on the highways of Tokyo
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