Obesity exists at the complex intersection of a clinical condition and a cultural force. Clinically, it comes with a diagnosis and treatment plan. Culturally, it is influenced by beliefs, identity, and self-worth, making it deeply personal and often taboo. Families, healthcare providers, and experts tend to avoid the fraught “o-word,” opting for euphemisms instead. For families on Medicaid, these challenges are even more pronounced. Award-winning health-tech startup Clarity Pediatrics, together with designers from IDEO, IDEO.org, and with support from Rise Together Ventures, sought to uncover the obstacles to healthier lifestyles and create a free report for US pediatricians who want to bend the curve on the childhood obesity epidemic.

Research with kids and parents on Medicaid in Dallas, Texas, and California’s Bay Area, along with interviews with healthcare providers and experts across the country, uncovered stories of stigma and frustration. Parents spoke of the daily challenges of balancing multiple jobs, sourcing affordable healthy food, and finding time to make necessary lifestyle changes. They described rushed pediatric visits that left them with unclear next steps and feelings of blame. Provider conversations echoed these struggles, noting time constraints and limited follow-up options.  

Ultimately, food had become a daily torment for these families. Eating was unavoidable and also one of the few affordable indulgences low-income parents were able to provide. Once kids left their own homes, they were surrounded by unhealthy temptations, making it feel impossible for parents to maintain control. The popularity of costly new weight-loss medications and surgical procedures added another layer of complexity for families who had been underserved by—and therefore distrustful of—America’s healthcare system. With so much of the responsibility placed on parents to self-direct care, inequities deepened, adding to the burden of families already at a breaking point.

To design a path forward, IDEO and IDEO.org mapped a family’s needs before, during, and after pediatric visits. This work revealed critical parts of the journey where families needed more support: recognizing early signs of obesity, navigating provider conversations, and sustaining healthier habits at home.

These insights informed a theory of change framework that provides actionable guidance for stakeholders involved in obesity care. Grounded in three opportunity areas along the patient journey—building awareness, confidence, and capacity—the framework highlights how trust, dignity, and systemic support can lead to lasting outcomes.

IDEO and IDEO.org also developed 10 user-centered concepts spanning digital, physical, and service offerings to reduce stigma and empower families to sustain healthier lives. These ideas address dignified diagnoses and structural inequities, among other pressing issues. Complementing these concepts, IDEO created a short documentary of a mother discussing her family’s experience navigating childhood obesity to help pediatric providers—many of whom have had very different lived experiences from the families and patients they serve—better understand the realities of the daily struggles of many families on Medicaid.

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Designed for the public good, the interactive website and free downloadable report, Reimagining Childhood Obesity, contain research findings, design recommendations, and a theory of change framework. The goal: provide practical, actionable guidelines for pediatricians, educators, healthcare organizations, and innovators to meet families and kids where they are and support them as they move toward a healthier future.

21% of US children are obese. 40% of Latino youth are either overweight or obese.

26% of kids on Medicaid experience childhood obesity, compared with 11% on private insurance.

525,600 minutes: Total time per year parents spend caring for their children. 17 minutes: Average time a pediatrician spends with a child during their annual exam, a small window to address a complex chronic condition such as obesity.

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user-centered ideas to help pediatricians reduce the stigma of childhood obesity in an accessible report

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opportunity areas for building trust with young patients and providing family support

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With its reach, Acer saw an opportunity to power positive choices in the billions. ‍

But new products and services won’t succeed if consumers don’t want them, no matter how sustainable they are. A few years go, the Harvard Business Review’s report, "The Elusive Green Consumer," found that about two-thirds of those surveyed said they wanted to buy brands that advocated sustainability. But only a quarter actually did.

Meanwhile, the market for climate era products is only growing: In 2022, Forbes found that nearly 90 percent of the Gen X consumers they surveyed said they’d be willing to spend more on sustainable products, compared to just over a third two years before. The desire was only higher among Millennials and Gen Z; they just didn’t like what was on offer.

To drive sales and growth, and meet its sustainability commitments, Acer needed to capitalize on desirability, deepening the connection between Acer’s sustainable options and consumer needs, lowering the barrier to purchase. To that end, Acer and IDEO created the Acer Climate Lab, a cross-organizational team and initiative, to launch the company on a transformative journey to deepen the connection between Acer's conscious technology and the realities of people's lives and needs across four strategic areas.

Together, the combined team conducted extensive research to better understand consumer attitudes and behaviors toward sustainable products, and identified everyday areas where Acer’s conscious technology might be able to have the most significant impact: living, working, moving, and learning.

• Living: Envisions homes as hubs of energy efficiency and climate resilience, leveraging technology to optimize energy use, enhance air quality, and enable proactive climate management. These concepts include technologies like smart energy systems, adaptive air solutions, and integrated home management platforms explore how technology can support sustainable daily living.
  
  
• Working: Reimagines the workplace with flexible, sustainable technology solutions that prioritize resource optimization and circular practices. Concepts such as Acer Loop could provide a subscription-based model that ensures access to the latest technology, supports remote work, and reduces electronic waste through effective recycling and rehoming practices.
  
  
• Moving: Focuses on the transformation of urban mobility by integrating technology into systems that promote sustainable transportation. Concepts could include e-mobility hubs that highlight how urban spaces could offer seamless access to shared, low-emission travel options, reducing reliance on traditional carbon-heavy methods.
  
  
• Learning: Explores pathways to sustainable education by imagining environments where technology supports circularity and accessibility. This includes ideas like refurbished devices for students, repair and reuse programs, and educational spaces designed with climate-positive principles, nurturing eco-conscious habits in future generations.

Together with Red Peak and Sid Lee, the team launched the culmination of the work at COP28, the United Nations Climate Change Conference in Dubai, positioning Acer as a pioneer in climate positive technology. The exhibit included immersive experiences and interactive displays demonstrating how Acer's sustainable solutions seamlessly integrate into everyday life. Visitors could engage with scenarios depicting sustainable living, working, moving, and learning, emphasizing the practical benefits of Acer’s innovations.

Acer's journey through the Climate Lab project underscores a commitment to sustainability that goes beyond mere compliance. With this new cross-business team tackling the real-world barriers faced by consumers, Acer is paving the way for a more inclusive, sustainable future. This initiative not only aligns with global climate goals, but also sets a precedent for the tech industry, demonstrating that with the right approach, sustainability and innovation can go hand in hand.

In a survey, 65% of respondents said they want to buy brands that advocate sustainability, yet only about 26% actually do. 

Nearly one in two consumers say they either don’t know what information to trust, or that nothing can influence how much they trust a business’s commitment to sustainability.

1 cohesive strategy

for climate era products across 6 different fields

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With the introduction of generative AI, Ethiqly and IDEO saw a unique opportunity to help teachers, by cutting down the time it takes to provide each student with feedback on their writing assignments. But to get there, they had to learn from the experts themselves. To kick off the project, the team headed into the classroom to co-design with students and teachers.

One of the first problems they discovered? Traditional methods of grading essays are laborious and inefficient for high school teachers, who are already notoriously busy and overworked. What teachers really wanted was to spend time giving each student the personalized feedback that helps them grow. Meanwhile, students really struggled to get started on their writing assignments, overwhelmed by looking at a blank page.

Together, the team started to think about how it could harness AI to make personalized instruction more accessible for all students, helping teachers provide better feedback at scale, and giving students the support they need to not only get started on their writing assignments, but improve their work. 

With insights directly from students and teachers, the IDEO team built working prototypes, allowing them to beta test the product in schools, and demonstrate value to investors. They also developed a brand identity and style guide for launch, which came to life in a pitch deck, landing page, and other brand expressions.

The resulting product is a sophisticated blend of AI technology and user-friendly interfaces that empower teachers and inspire students. The goal isn’t just to get to a finished essay, but to assist students in developing critical thinking skills. Ethiqly's tools help students organize their thoughts and get writing by providing contextual prompts and suggestions—without doing the work for them. And the AI assistant supports teachers by suggesting comments based on evaluation criteria they have set, and teachers choose which feedback is relevant for their individual students. Students never see it without teacher approval.

As one teacher told the team, “With leveraging AI more in education, there’s this fear that it’s deprofessionalizing the field or it’s a direct replacement of a teacher in a classroom. I think it gives us meaningful data, so that we can actually teach the way that we want to in order to support our students.” Now, Ethiqly is in use in classrooms in 25 countries, positively impacting students across the globe.

Teachers know 1:1 interaction is key to student success, but an EdWeek survey found only 46% of teachers’ time is spent teaching, while 25 hours/week goes to other tasks like grading and making lesson plans.

25 countries…and growing

Ethiqly’s reach in classrooms around the world

Designing a piece of a city, like a park, doesn’t start with a blank slate. There are always traces of the past and the present, and the lived history of its residents.

To create a full picture of that story, the IDEO team built workshops for the community centered around questions about the unique experiences of living in Frisco. They invited them to reflect on the communities they grew up in, the city of today, and the public spaces that have played formative roles for them. 

From their answers, a common value emerged: heritage. Frisco is a rapidly growing city, with residents whose families have lived there for centuries living side-by-side with more recent neighbors from diverse cultures and ethnic groups. Participants shared a vision of Grand Park as a unifying, shared space, a backdrop where many families can form foundational memories in Frisco.

Next, IDEO brought in multisensory design prompts to help participants further conceptualize the park. How did they want it to feel, sound, and smell? In the built-up, suburban city of Frisco, residents imagined a space that was less planned, enabling guided wandering and exploration. They also hoped that the park would inspire loved ones and descendants to feel a sense of curiosity and wonder.

At the end of workshops and sessions with community groups, the IDEO team took Polaroids of participants, asking, “What’s one word you want to describe Grand Park in the future?” Those words informed the collective vision that IDEO delivered to the city of Frisco, which included spatial concepts, user journeys, and branding for the park, all designed to showcase its unique landscapes. In January 2024, Frisco City Council approved the vision statement, and officials expect to break ground in the second half of 2025.

The population of Frisco is growing rapidly; its population is up 516% since the year 2000.

At more than 1,000 acres, Grand Park in Frisco is even larger than Central Park in New York City.

Less than 1% of Blackland Prairie soil remains in the region, and some of it is in Grand Park.

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Frisco residents were engaged in the process, from City Council members to high school students

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respondents shared anonymous feedback on what they imagined the park should be

For a decade and a half, the group has built a global reputation for pulling stunts like the Grand Central Terminal freeze. If design is about the capture and channeling of attention, Improv Everywhere has a lesson for us in how to achieve that. We spoke to founder Charlie Todd to get some backstory on his benevolent guerrilla art troupe.

How did Improv Everywhere start?

Charlie Todd: I totally blundered into it. I was 22-years-old, and moved to New York to be an actor in improv comedy. I said to some friends, let’s go play a prank in a bar tonight. We did it for five years, and then when YouTube was created, I already had a library of content. A thing we did in Grand Central Station got 10 million views in the first week alone. I’ve spent the last eight years following that viral breakout.

What’s the audience meant to take away from such stunts?

When a load of people turn up at Coney Island in eveningwear and jump in the ocean, and people ask why, the answer is that there is no why. We’re all conditioned to assess for some extrinsic motivation, like the thing was for charity or a comment on global warming. It’s okay to just do a thing because it’s silly.

So, it’s simple whimsy with no purpose?

Well, I’d like to think that having that experience maybe alters people’s perception in some small way. We’re encouraging people to express themselves in a public space, in an unauthorized manner. In this post-9/11 security world we live in, we’re trying to make people realize that they don’t have to ask permission to express themselves creatively.

Is it also important to be connecting people?

I grew up in South Carolina, in a small city. I was used to people making eye contact and smiling. Moving to New York, everyone is busy and has a smartphone. It was like the only time you made eye contact was if something bad was going on: a train being delayed, or a crazy person shouting. People would unify around shiftiness. So we thought: can we create something that is positive in nature, something so unusual and joyful that you have a positive connection with someone?

Do you always get a positive reaction?

During one of the No-Pants pranks we had some police trouble. An officer stumbled across the event, and didn’t like it. Our people stayed in character and said they had forgotten their pants. The officer took the train out of service. But everything was eventually dismissed. It turns out that there’s no law against being in your underwear. When we did the event the next year, the police were there, to help escort us and make sure people had a good time.

What do you do when you’re not freaking people out on the streets of New York?

I get hired by brands to create surprise moments or spectacles, or brainstorm ideas for a brand campaign. I get to direct and produce TV. Last year I was the show-runner for a show on MTV. I’ve also been at the Upright Citizens Brigade for 15 years, as a performer and teacher.

Tell us about the teaching. Can you teach someone to be funny?

All you can teach is for people to learn how to be themselves—to be honest, and react in a truthful way. Everyone’s unique personality and viewpoint is funny. It’s counter-intuitive: when trying to be funny, people often try to be something that they’re not, by imitating stuff they’ve seen on television and so on. Instead of trying to be something you’re not, you need to be more authentically connected to what you are. That applies to creativity too: instead of reaching outside and trying too hard, focus in on what truly inspires you.

Photos courtesy of Improv Everywhere.

In the dead of winter, 2001, a woman riding the New York subway looked up from her book and saw a passenger wearing no pants. She was puzzled, but ignored him. At the next stop, another pantsless passenger joined him. And then more. By this time, she had put her book away. A hidden camera captured her reaction as it evolved from confusion to delight. She traded looks of amazement with the other passengers—a group called Improv Everywhere was responsible for breaking their routine.

1. A deeper understanding of 3D relationships

These puzzles teach how different shapes fit together in three-dimensional space. M. C. Escher would have no advantage: there is no cheating the puzzle, and all the rules of physics and gravity apply. In order to solve the puzzle, you have to understand how the shapes fit together. This is important for designers, especially when so much is being designed on a computer. If a product is being designed for the physical world, it needs to play nice with the rules of physics.

2. Forward and backward problem solving

Once you understand how the pieces are supposed to fit together, you actually have to make it happen. Often this involves both forward and backward problem solving. The internal monologue might go something like this: “So I am going to start with this piece because it is the biggest and is easiest to deal with, if I work around it. This smaller piece is probably the second half of the left side. And this piece has to be the last piece."

Sometimes you know the last step first. Sometimes you know step 1, 2, and 5 but then have to solve for steps 3 and 4. That can be scary in a linear world, but as designers that is sometimes the reality we face. It’s helpful to have the confidence that steps 3 and 4 will become clear, even if initially they are hard to see.

3. Hand-eye/Hand-brain problem solving

There is something very rich about holding a problem in your hand as you work with it. By holding the puzzle, you have a deeper understanding of the spatial relationships that must be solved. While it is possible to understand these things on a computer or on paper, being able to physically handle an object allows you to reach conclusions and iterate solutions in different ways. Fluency across mediums can only help us arrive at these solutions faster.

Others lessons might include balancing the details with the big picture, and reading context clues. But I found that I had an even deeper appreciation for these puzzles when I learned how to make some. I would encourage any interested designer with access to materials and tools to try making one for themselves.

For most of the puzzles, the pieces seem very simple. The simplicity is deceptive, however. Take the star puzzle: a configuration of six roughly rectangular identical pieces with two “triangular” notches cut out of each that slide together nicely (when you know how to do it.) But the pieces aren’t exactly rectangular. The notches are not simple triangles. In fact there are 12 faces, and only a handful of right angles. Plus, most commonly these pieces are only a few inches long—not safe to cut on most power tools without jigs—but which jigs? And to add to all that, they have to be precisely made in order to actually work, especially if you want them to look good. Again, there are simple solutions to all of these problems, but it takes some figuring to make it work. But that’s the point of a puzzle, right?

Maybe it’s their old school charm or the fond memories I have of solving them at Cracker Barrel, but I am a fan of wooden block puzzles. And after learning how to make them, from my wizard-like teacher at North Bennet Street School, I have come to appreciate the true elegance of these puzzles, and the lessons they have for designers.

Dix, a photojournalist, got on a plane for what he thought would be a 10-day trip. He ended up staying for four years, working at the United Nations to help find food and shelter for 300,000 displaced locals. It was during that time that Dix first came across Art Spiegelman’s Maus, the Pulitzer Prize-winning graphic novel charting Spiegelman’s father’s experience in the Holocaust as a Polish Jew.

Before Maus, Dix’s only exposure to comics came from reading Calvin and Hobbes and Asterix. But as he huddled in bunkers during air raids and artillery fire, Dix was struck by how simply and powerfully Spiegelman was able to render the complexities of identity, memory, and trauma in graphic form.

With violence between government and Tamil forces intensifying, the Sri Lankan government ordered the UN to evacuate the region in September 2008. Dix returned to London with post-traumatic stress disorder and a fierce determination to tell the stories of those he’d left behind.

He travelled to meet refugee families and record their experiences, and worked with illustrator Lindsay Pollock to conceptualize them into a graphic storyline. Dix also embarked on a Ph.D. in anthropology to systematically research the production of the comic. The result of all his work? The Vanni, a 200-page graphic novel about the conflict, told through one Sri Lankan family’s eyes, and an accompanying thesis on the methodology and ethics of producing such a complex piece of graphic literature.

Dix has since brought to life stories about crack-cocaine addicts in Guinea Bissau, a Nigerian woman trafficked to London (Abike's story, below), and the plight of African and Asian migrants in the Persian Gulf. At every stage, Dix works alongside his subjects to ensure he’s best reflecting their experiences, and their stories have become a powerful educational tool, illustrating complex, often abstract issues including migration, human trafficking, and drug addiction at the most human level.

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A chance meeting with an IDEO designer led Dix to our London studio, where we collaborated on a three-day long pro bono sprint to develop his stories into scalable, interactive teaching tools for classrooms. We designed and prototyped a WhatsApp-based multimedia story about Merha, an Eritrean refugee fleeing to London to escape persecution, as well as an app-based version of Merha’s story, including buttons and swipes on each frame of the story, so readers could learn more.

Dix’s next step is to secure funding to build out the app and develop lesson plans to roll out across schools internationally. But in the meantime, he’s not standing still. Dix is already testing a lo-fi version of the educational tool—an interactive PDF—in 300 schools across 26 countries including Brazil, Sri Lanka, Democratic Republic Of Congo, the UAE, and many others. His next comic? Capturing the story of the Yazidi community fleeing ISIS in Syria.

It was Boxing Day 2004 when Ben Dix, founder of British literary comic publisher PositiveNegatives, got the call. A university friend, stationed in the Tamil Tiger-held region of Vanni in northern Sri Lanka, was asking if he'd come and help. It was the day of the tsunami that killed 230,000 people, one of the deadliest natural disasters ever recorded.

It turned what would be a humdrum brand mark into one that was tongue-in-cheek and playful. Optimistically, I wondered if it helped lift the spirits of the Great Croft residents. I also started looking for more typographical serendipity.

There are plenty of examples of signage that has degraded to the point of being unreadable, but a beautiful accident is where the change looks intentional and, ideally, adds to the meaning and character of the neighborhood.

I saw my second example at Unity Kitchen Cafe in the new Olympic park in East London, where residents and Londoners further afield are drawn by attractions such as the children’s adventure playground, nature park, or velodrome. The cafe contained a diverse mix of nationalities, so it seemed rather fitting that this broken C was reminiscent of a cedilla (ç), a nod to any European visitors. Please don't fix the sign, I love it the way it is.

I became obsessed. Searching everywhere for more evidence of meaningful mistakes, even engaging my family in the hunt, and it was on one such hunt that I found the Pelican restaurant in Peckham, south London.

I’ve been wondering about how we might design for beautiful accidents: if wear and tear isn't a thing we can control, how we can make accidents appear elegant? At Wired magazine they call such intentional accidents Wrong Theory. Inspired by Edgar Degas’ painting, Jockeys Before the Race, in which the artist defied the conventional composition of his day by inserting a grey pole that bifurcates the scene, slicing right through one of the horses’ heads. The same could be said of Marcel Duchamp’s act of turning a urinal on its head, signing it R. Mutt, and deeming it art. Wrong Theory celebrates the act of breaking the rules.

But part of the beauty of Beautiful Accidents is that they are rare. If you find one, please share it with me! Check out my Instagram or tag your photos with #beautifulaccident.

I first spotted a beautiful accident when I saw the sign for the Great Croft housing estate in London. The A swinging down against the Akzidenz Grotesque type worked so well, in part aided by the horizontal seam in the concrete, that I had to think was that serendipity or intentional?

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.

Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.

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In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.

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The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.

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This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.

Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.

Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.

Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.