August 2024

Foreword to Creative Insecurity by Dean Kamen

Foreword to Creative Insecurity by Dean Kamen

Jim Sweeney and I met many years ago and, for a number of years, our careers crossed paths frequently due to our common interest in improving healthcare. During those years, we often saw eye-to-eye on the impact that emerging technologies could and should have on the healthcare system. When I was asked to write the foreword to Creative Insecurity, I agreed because of this history with Jim. However, as I started reading, it began to feel more like an obligation than something I was eager to do. I am a very slow reader and have little tolerance for the endless prattle that comes out of many business books these days.

I took a deep breath and sat down to at least skim the book. Eleven hours later I had read it straight through and found myself in strong agreement with many of the ideas in Creative Insecurity. There are so many memorable lines, and in fact, some I am sure I have said myself.

Embracing Failure

Like Jim, I am not afraid of failure. It isn’t my favorite thing, but I happen to be an expert on the topic. I believe that for every step backward, you should try all the harder to take two steps forward. As long as you embrace the failure and move past it faster than most, you can get three times the experience and still end up ahead. I would rather have either a spectacular failure or a spectacular success than die in the warm death of mediocrity.

Not only did I find this book to be personally interesting because I know so many of the people and companies mentioned, but also because it has a compelling vision. Each time I reached a place where I thought, “I wouldn’t necessarily agree with that,” a next paragraph would follow presenting another, more nuanced facet of the argument. It gives the right examples and delivers a balanced perspective.

I wrote this foreword to Creative Insecurity because I think many people will find this book insightful, especially anybody who has ever tried to start a business, or wondered whether they should start a business, and if so, when they should start a business.

Three books on a white background - Creative Insecurity: Unleash Your Inner Misfit

Creative Insecurity will encourage people to do something that matters instead of just making small, incremental improvements. This book will light a fire for anyone with a creative side, and I especially hope newly minted business school graduates will take the time to read it.

About Dean Kamen

Dean Kamen is the legendary entrepreneur best known for inventing the Segway. However, he is proudest of other world-changing breakthroughs, many in the medical field. These include the insulin pump he developed in his parents’ basement in 1973, a portable dialysis machine, a robotic arm for humans, the iBOT stair-climbing wheelchair, and a revolutionary machine that provides safe drinking water to developing countries. He is an icon in Manchester, New Hampshire and he also founded the non-profit FIRST®. This 501(c)(3) charity inspires youth from all nations through a robotics sport and celebrates science, technology, engineering, and mathematics (STEM) leadership and innovation.

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Creative Insecurity by James M. Sweeney - an entrepreneurship book - shows both the print and ebook covers on a wooden table

Upcoming Entrepreneurship Book: A Look at James M. Sweeney’s Successful Startups

While some entrepreneurship books are written by academics, James M. Sweeney is a serial entrepreneur who founded fourteen companies. He aimed to write a leadership book useful to both founders and restless young professionals. Creative Insecurity is an entrepreneurship book that will help anyone lean into the unknown, manage risk, and develop traits for success. It ranks among the best books for positive mindsets and business success. In this post, we share some of his street cred. 

logos for some of the companies founded by James M. Sweeney: Caremark, Coram, Cardionet, and Clarify Medical

High Praise for James M. Sweeney on Page One of the Wall Street Journal

First, his serial entrepreneurship was the subject of a laudatory, Page One Wall Street Journal article which cited his “strong track record,” “dogged persistence,” and “clairvoyance.” As a result, much of his repeated success has been attributed to vision. Sanford R. Robertson, chairman of Robertson Stephens and one of the original fundraisers for Kleiner Perkins, said, “Jim can see farther into the future than most people do, and he’s been able to take advantage of it. This vision is a key element explored in his entrepreneurship book, Creative Insecurity.

Photo of the Wall Street Journal's Page One Feature of James M. Sweeney

Founder of the high-tech home healthcare industry

James M. Sweeney founded Caremark, the pioneering leader of the multi-billion-dollar home infusion therapy industry, earning recognition as the industry’s founder.

Capital raised

In his first business, Caremark, Sweeney sought and received backing from the prestigious Silicon Valley venture capital firm, Kleiner, Perkins, Caufield, and Byers. In all, he successfully took four companies public, led a Leveraged Buyout Organization (LBO) resulting in a 650% return to investors and 77% IRR in less than four years, raised over $2 billion in financing for his various companies including $500 million in venture capital, $700 million in debt financing and $400 million in two IPOs. The $2 billion invested resulted in $30 billion exit value.

For decades, he has bought, sold, or taken public over 20 healthcare product and service companies. Consequently, his entrepreneurship book, Creative Insecurity, draws on these experiences to offer valuable insights into business success.

About Caremark, Inc./Home Health Care of America

James M. Sweeney founded Caremark in 1979 to offer home healthcare services. Caremark is the first company to bring complex intravenous therapies out of the hospital and into patients’ homes. This approach allowed patients who had been hospitalized for weeks or indefinitely to receive therapy safely and comfortably in their own environments—whether at home, on vacation, or away at school.

Caremark grew from a startup to a company with over $2 billion in revenues, serving hundreds of thousands of patients annually. According to an article in the New York Times, Sweeney founded Caremark (originally Home Health Care of America) after he “… realized that a considerable number of hospital patients requiring intravenous therapy and nutrition did not need to be hospitalized.” The company was profitable in six months and, within seven years, had opened 75 centers around the U.S. CVS ultimately acquired Caremark in 2007 for $24 billion.

CardioNet (BioTelemetry)

The first company to provide heartbeat-by-heartbeat monitoring, physician reporting and urgent response for patients as they went about their normal daily activities.  CardioNet technology, combined with service center support, allowed for quick diagnosis of patients with episodic, potentially life-threatening heart problems. This swift diagnosis enabled timely treatment for conditions that are otherwise difficult to detect. CardioNet ultimately sold to Philips in 2021 for $2.8 billion. Jim Sweeney started this company in 2000. 

CAPS

CAPS is a “just in time” IV medications preparation service for hospital pharmacies and clinical trials, allowing a high-technology, state-of-the-art level of quality control nationwide in preparing complex, high-risk intravenous medications, and nutritional formulations.

Coram Healthcare

James M. Sweeney was the Coram Healthcare venture starting in 1994.  It is a specialty home infusion services and tube feeding company created as a leveraged buyout (LBO). Later on, CVS purchased Coram in 2013 for $2.1 billion.

Clarify Medical

While Jim was not the founder of Clarify Medical, he rebranded it, raised venture capital and got the product to market. This was the first company to provide Narrow Band UVB therapy, used to treat chronic skin diseases such as psoriasis, vitiligo, and eczema through a “smart” patient handheld device, without the need for multiple weekly visits to the physician’s office. This is done while remaining supervised by the physician, linked through their smartphones. Recently, 7 Wire Ventures invested $18 million in the company, which was started in 2017

Kids Set Free

Kids Set Free, a 501(c)(3) foundation, actively supports agencies and organizations that combat Child Sexual Exploitation. Its objective is to raise capital to address identifiable bottlenecks that hamper investigating, arresting, and prosecuting perpetrators on a timely basis.  Its goal is to successfully provide capital and aftercare support throughout the United States on a city-by-city, region-by-region basis. 

Coaching and mentoring

In addition to his role as a founder and chief executive, Jim regularly mentors professionals and individuals for success. He helps people turn toxic insecurity into creative insecurity, to get out of their own way, and achieve bigger dreams than they ever thought possible. He volunteers through the Stephen Ministry and through The Church of St. Clement in El Paso, Texas. 

In closing, Creative Insecurity offers a wealth of positive mindsets and is a compelling entrepreneurship book. James M. Sweeney, a venerable startup entrepreneur with deep knowledge of business success, and his co-author Rhonda Lauritzen, wrote this upcoming bestselling entrepreneurship book.

James M. Sweeney and co-author Rhonda Lauritzen sitting on a patio outside wearing sunglasses

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Title, "5 books" next to a stack of vibrant books" on a neutral background

5 Books for a Positive Mindset

When I was a teenager, I started reading books for a positive mindset, and these books changed my life in profound ways. In this article, I share five of the best positive thinking books that shaped my work in Creative Insecurity.

First, a little backstory. Shortly after I turned 16, I got an after-school job making deliveries throughout a hospital in San Diego. As I made my rounds, I saw much that troubled me about hospitals. At the same time, I was walking around the hospital while repeating aphorisms in my mind. These came from the positive thinking books I was reading at home. The words in those self-help books helped change the trajectory of my life because they validated my belief in what I could do. Even at that young age, I already had a vision for my future. I knew I wanted to do something to fix what was wrong with hospitals. And that is precisely what I did. (You can read more about my journey starting healthcare companies here). 

At this blessed phase in my life, I wanted to write a book on success principles that would share what I have learned along my entrepreneurship journey of starting fourteen companies. It is my fondest hope that Creative Insecurity will help even one person find success by seeing what you are capable of in the same way that other authors did for me. 

James M. Sweeney sitting at an iron table with his hands clasped and chin on his hands

What are the best books for a positive mindset? Here are three favorites. 

1. The Power of Positive Thinking

As a young man, I devoured The Power of Positive Thinking by Norman Vincent Peale and latched onto his advice: “Shoot for the moon. Even if you miss, you’ll land among the stars.” That idea impacted me and made me have a positive mindset. They helped shape my philosophy that entrepreneurs should seek the biggest ideas possible. I now believe that “It takes as much time to do a big idea as a small one.” The Power of Positive Thinking helped plant that seed. Pick a goal worthy of your talents—shoot for the moon.

Cover image: The Power of Positive Thinking by Norman Vincent Peale

2. Think and Grow Rich

I also internalized principles from Think and Grow Rich by Napoleon Hill. He famously wrote, “Whatever the mind can conceive and believe, it can achieve.” Hill is among the foremost authors in the positive thinking space, and I am greatly indebted to him. When you start with a positive vision, you have a roadmap for where you want to go. Great leaders have this kind of positive vision. 

3. Grit, by Angela Duckworth

 A recent book added research behind my belief that successful people have “the no-quit gene.” That is a synonym for Grit. Here is one excerpt from our book, Creative Insecurity, which references Duckworth’s findings in her book Grit

“Since I was a teenager, I have maintained a lifelong practice of repeating aphorisms and positively visualizing an outcome. Cynical people may reject these ideas as trite, but empirical evidence shows it works. Angela Duckworth cites studies done on animals and meta-analyses of studies about human behavior. This research shows that people who believe they have control over their development try harder and are more persistent than those who see their traits as genetic. Her findings make sense. If you believe you may eventually find a solution, you’ll be motivated to keep looking. But if you think there is no point, you will almost certainly give up, guaranteeing you won’t find a way.” 

4. How Will You Measure Your Life

Harvard Business School professor Clayton Christensen is best known for his groundbreaking book, The Innovator’s Dilemma, which helps people understand the role of disruptive innovation across industries. That is an essential book for any leader or entrepreneur, but here I want to talk about Christensen’s success principles for life. He was a good friend of mine and one the best men I have ever known. He was extraordinarily intelligent but also the very embodiment of humility. His other book, How Will You Measure Your Life,challenges each of us to imagine the end of our time on Earth and then work backward from the outcome we want. When he passed away in 2020, I doubt Clayton had many regrets. He had lived an exemplary life that was an inspiration to me. I hope his book inspires you.

Cover image: How Will YourMeasure Your Life? By Clayton Christensen. Finding Lifelong fulfillment using lessons from some of the world's greatest businesses

5. The Cleveland Clinic Way

Another exceptional book is The Cleveland Clinic Way, written by Toby Cosgrove. He is the former CEO of the Cleveland Clinic. Cosgrove’s life is one of beating the odds as he overcame dyslexia and other setbacks to become a world-renowned heart surgeon. He also served as CEO of the second-most prestigious healthcare system in the world. It is an institution known for innovation. One quote says, “The enemies of innovation are powerful. One of the most insidious is an excessive reverence for tradition.” Under Cosgrove’s leadership, they did away with traditions such as physician parking and visiting hours, thus allowing families to visit when they can. He credits Cleveland Clinic for being an organization that has “a high tolerance for renegades.” 

I hope you get as much out of these positive mindset books as I have. 

P.S. It was hard to pick just five of my favorite books for this short post because my bibliography references more than eighty other books on success, leadership, and entrepreneurship. I am indebted to many authors for influencing my life and making my book better. 

By James M. Sweeney

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