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Disappearing FDA Specialists, Hinge Health Acquires Cylinder, and Meta's Legal Woes

A DOGE hangover, a cautionary tale for early stage investors, and a shopping list for teen mental health

This Week In HealthTech - August 11, 2026

Many people are asking me how I achieve the glowing skin you see on display in episodes of TWIHT. The secret is I film these on Sunday nights when they turn the A/C off at the office. I am literally cooking in these videos. On a related note, if anyone knows how to avoid having your Sony SV1 camera overheat every five minutes, please call me.

Anyways, on to our stories for this week…


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  • 💊 The Master Of None Inspectorate

    • This week, the FDA announced plans to move forward on its “Simple Reform” initiative

    • A lot of Simple Reform is unobjectionable, focusing primarily on creating shared services across functional areas like IT and finance across the agency

    • But the Simple Reform initiative buries in it a highly controversial move to “generalize” the FDA inspector force

    • While FDA leadership is signaling this is a strategic choice in service of talent development, it’s clear that this is a reaction to the haphazard reductions in force executed in the name of DOGE last year. As the FDA has lost specialist talent, the only recourse is to generalize the remaining bench

    • This work would unwind several years of specialization and likely means more friction for industry stakeholders that interface with the FDA’s inspectors

  • 🤝🏼 Hinge Health acquires Cylinder

    • Hinge Health announced a $105mm deal to acquire Cylinder, a GI-focused digital health company

    • Cylinder’s fundamentals actually look compelling - 100 clients, 2mm lives contracted, and $20-25mm of revenue. On paper, this is clearly one of the rare breakout digital health companies that has achieved real scale

    • However, the veneer on this deal fades when you add in the fundraising context. Raising $40-50mm to achieve a ~$100mm exit means the outcomes for shareholders are just not that compelling, a travesty given the scarcity of digital health assets that reach “Cylinder scale”

    • This deal is a great reminder that mispricing early deals can jeopardize long-term outcomes for investors and founders, which is why investors who actually sell companies tend to exhibit more price discipline in early rounds than investors who don’t

  • 💵 Meta vs. New Mexico

    • A judgement in New Mexico orders Meta to cough up $567mm into a fund to provide resources for teen mental health as restitution for the damage the Company’s products have unleashed

    • The judgement outlines several areas from screening to treatment with specific carve outs, forming something of a shopping list for mental health tech and services

    • Settlements like these might be a meaningful source of catalytic energy for companies building in and around teen mental health

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This content is being made available for educational purposes only and should not be used for any other purpose. The information contained herein does not constitute and should not be construed as investment advice, an offering of advisory services, or an offer to sell or solicitation to buy any securities or related financial instruments in any jurisdiction. Certain information contained herein concerning economic trends and performance is based on or derived from information provided by independent third-party sources. The author believes that the sources from which such information has been obtained are reliable; however, the author cannot guarantee the accuracy of such information and has not independently verified the accuracy or completeness of such information or the assumptions on which such information is based.

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