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The American healthcare system is one of the most innovative in the world. But it’s also riddled with complex challenges, such as access to affordable medications, inefficiency and administrative burdens, and communication barriers between providers. There’s clearly a better way—and at Surescripts, we have a unique sightline into what that may be. In this series, host Melanie Marcus, Chief Marketing Officer of Surescripts, sits down with today’s most inspiring and innovative leaders in healt ...
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Unfiltered insights on microservices myths, cloud cost reality, and pragmatic technical leadership
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Two veteran CTOs tear down today's tech hype with brutal honesty and hard-won experience. Raz Schweiger-Shuty shares his controversial approach to technical leadership at auxmoney, where he stopped a microservices rewrite and focused on business outcomes over engineering trends.
From his early days as a QA engineer to running 80-person engineering organizations, Raz demonstrates why sometimes the best technical decision is the boring one that actually works. This conversation offers a masterclass in pragmatic technical leadership for an age obsessed with the latest frameworks and architectures.
Key insights for technical leaders: • 🏗️ Domain-driven design as prerequisite for any architectural decision • 💰 FinOps strategies that connect engineering decisions to business metrics • 🔄 Modular monolith patterns for teams of 40+ engineers • 📊 Why velocity metrics are vanity and DORA metrics matter • 🚫 Avoiding Kubernetes complexity when elasticity isn't needed • 👥 Conway's Law applied to value stream organization • 🔧 Platform engineering pitfalls and centralization nightmares
TIMESTAMPS: [00:01:00] Show premise: Two CTO Dinosaurs vs. Today's Tech Hype [00:03:56] Raz's unconventional path: QA to CTO via pragmatic learning [00:08:31] Junior vs senior engineers in the AI era [00:11:01] auxmoney: 17 years without a CTO, then Raz arrives [00:13:45] Stopping the microservices migration: building trust through disagreement [00:15:08] Language choices: PHP works, Rust creates hiring problems [00:19:35] Modular monolith strategy using domain-driven design [00:21:56] Value stream teams and Conway's Law alignment [00:22:26] Kubernetes reality check: elasticity vs complexity overhead [00:29:53] FinOps deep dive: €120k to €85k AWS cost reduction [00:32:13] Cost-per-transaction metrics for engineering accountability [00:35:00] Platform engineering centralization dangers [00:40:22] Velocity metrics are broken: focus on DORA instead [00:43:54] Meantime to recovery as team health indicator [00:48:34] Bottom-up AI adoption: Cursor rollout strategy [00:54:16] Fintech security: ISO 27001 and AI supply chain risks [00:56:59] Leadership lessons: building trust through authentic communication
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