The New Physician · The work of Sonny Saggar, MD

Sonny Saggar, MD

Professional Problem Solver

I help businesses, professionals, and organizations analyze difficult problems, sort the relevant facts from distraction, understand what is going wrong, and decide what to do next.

Discuss a Problem See How I Think

Difficult problems. Evidence. Judgment. Useful action.

Medicine · AI · Business · Commercial Real Estate · Systems

How I Work

Bring me the problem nobody can quite explain.

The most expensive failures often happen between specialties.

Your lawyer sees the legal problem. Your accountant sees the financial problem. Your operators see the workflow. Your technology team sees the systems.

I look at the whole thing.

I reconstruct what is happening, identify contradictions and hidden dependencies, test assumptions, find the failure points nobody owns, and help leadership determine what deserves attention next.

Discuss a Problem

You probably already have specialists.

What you may not have is one person responsible for whether the whole system makes sense.

I work alongside existing lawyers, accountants, operators, technical teams, and other specialists. I look for the gaps, contradictions, and failure modes that can disappear between professional silos.

I am most useful when several smart people are looking at the same problem from different directions, and nobody is responsible for putting the whole picture together.

First engagement

Rapid Systems Integrity Diagnostic

For situations where something important is going wrong, but the explanation is incomplete, disputed, or fragmented.

Useful when several explanations are competing, information is scattered, specialists see only their part, or leadership is unsure what needs attention first.

You leave with: a clear picture of the system, priority risks and failure points, important unresolved questions, and a written plan for what to address next.

Discuss a Diagnostic →

Ongoing engagement

Ongoing Systems Integrity Engagement

Some difficult problems evolve too quickly or cross too many boundaries for a one-time review.

Some problems do not stay still. I can stay involved, follow what changes, test assumptions, and help you decide what needs attention next.

What are we missing?
What doesn’t fit?
What will break next?
What do we do about it?

Discuss an Ongoing Problem →

Where I Work on Difficult Problems

The subject changes. The method does not.

Medicine & Healthcare

Clinical, organizational, regulatory, and evidence problems where the facts, incentives, and process do not line up cleanly.

Explore Medicine & Healthcare

AI

Reliability, retrieval, automation, decision support, information architecture, and situations where powerful systems produce confident but unreliable results.

Explore AI & Trust

Business

Distress, operating problems, capital constraints, conflicting priorities, and situations where the apparent problem may not be the real one.

Explore Business Problems

Commercial Real Estate

Acquisition, financing, valuation, tenancy, operating, and deal-structure problems where several interests and constraints have to be reconciled.

Discuss a Real Estate Problem →

Systems

Workflows, rules, technology, and organizational structures producing outcomes nobody intended.

Explore Systems

These are starting points, not boundaries. A medical problem can become legal; a regulatory problem can become operational; a business problem can become personal. The most difficult problems are usually the ones that cross categories, and that is where I am most useful.

Systems Integrity Analysis

Different problems. A common discipline.

Emergency medicine taught me a particular way of thinking.

What matters first?

What can wait?

What evidence is reliable?

What is reversible?

What happens if we do nothing?

What changes when the facts change?

It also taught an order of operations: stop deterioration, relieve the immediate burden, stabilize, understand what is driving the problem, prevent recurrence. Perfect certainty is rarely available at the beginning. The first responsibility is to prevent avoidable harm and create enough stability for better decisions.

That discipline now informs how I approach difficult problems across medicine, AI, business, commercial real estate, systems, and institutions.

Today’s Difficult Problem

Help Vaccine Hesitant Parents: Trust, Listen, Recommend, Make It Easy

One difficult problem at a time. Medicine, AI, business, systems, and beyond.

Help Vaccine Hesitant Parents: Trust, Listen, Recommend, Make It Easy

August 11, 2026

Listen to Today’s Episode →

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Prefer video? Watch on YouTube →

Read: Written Version & Sources →

Recent Difficult Problems

Explore all Difficult Problems →

Research & Scholarship

A growing body of independent scholarship examining what happens when rules, professional judgment, institutional incentives, technology, and individual rights come into conflict.

The Objectivity Premium in Generative Retrieval: How Factual Copy Outranks Promotional Copy When AI Systems Choose What to Cite

SSRN Abstract 7115058 · Technology & Trust

Examines whether factual, structured copy is more likely than promotional copy to be selected by generative retrieval systems.

Knowingly and Willfully: How Federal Healthcare Fraud Enforcement Abandoned Its Own Statutory Standard

SSRN Abstract 6561881 · Law & Medicine

Examines arguments about how federal enforcement agencies apply intent standards in healthcare billing audits.

Restoring the Question: Fairness, Proportionality, and Individualized Review in Private Professional Certification After Loper Bright

SSRN Abstract 6553338 · Systemic Reform

Examines what Loper Bright may imply for fairness and individualized review in private professional certification.

No One Can Own the Language of Medicine: The Legal and Economic Case for an Open, AI-native Standard

SSRN Abstract 6845420 · Technology & Trust

Proposes an open AI-native coding standard intended to address administrative complexity and billing errors.

Explore research papers → SSRN Author Page →

Books

Books & Writing

Published

GROUND

Buy on Amazon

Published

The Road

Buy on Amazon

Forthcoming

Circle

Forthcoming

In Development

The Adaptive Couple

Coming Soon

View all books →

Architecture & Experiments

Building alternatives

Sometimes analysis leads to a recommendation. Sometimes it shows that the inherited architecture itself is the problem. Each of these projects began as the same question, asked of something we had stopped questioning: the static document, the search ranking, the registry, the workflow.

Universal Document™

The Open Standard

A structured alternative to static documents, designed so information can be read, verified, and understood by both people and machines.

universaldocument.org →

The Hive

The Engine Network

An experimental network of small, autonomous software engines that power Universal Document and related tools.

hive.baby →

XEO System

Discovery Engine

Tools that measure how easily search engines and AI systems find, understand, and cite your work.

xeosystem.com →

Omni

Global Portal Node

An open registry for classifying and identifying things across systems, from biological taxa to medical codes.

omni.universaldocument.org →

Bring me the difficult problem.

If you are reviewing records or evidence, confronting an institutional problem, trying to stabilize a distressed business, or believe there may be another reason to work together, describe the situation briefly.

Discuss a Problem