Justin Fulcher on Building Systems That Work Under Pressure

There is a particular kind of entrepreneur who gravitates toward problems that resist easy solutions. Justin Fulcher is one of them. His career has been defined not by chasing fast-growing consumer markets, but by building durable infrastructure in sectors where failure is genuinely costly: healthcare and national defense.

Telemedicine When the Infrastructure Was Missing

Fulcher co-founded RingMD in Singapore in 2013, at a moment when telemedicine was still a novelty in most of Asia. The platform matched patients with physicians remotely, operating across multiple countries and building toward a vision of universal healthcare access. The engineering challenges were substantial. In parts of Asia, mobile connectivity was available while physical healthcare facilities were not. RingMD had to function with unreliable bandwidth, across disparate regulatory regimes, and in communities where patients had little prior experience with digital health tools. Fulcher reflected on the broader stakes of this work in a 2020 interview: “Healthcare is one of those things that affects everybody. Without the basic, fundamental healthcare access, it handicaps many parts of the world.” Forbes Asia recognized his efforts in 2017 with a spot on the 30 Under 30 list in the Healthcare and Science category.

Applying the Same Logic to Government Modernization

Justin Fulcher carried the lessons of regulated-market entrepreneurship into a role as Senior Advisor to the Secretary of Defense beginning in early 2025. The challenge inside the Pentagon was structurally familiar: a large institution with important goals, burdened by procurement processes that moved slowly and resisted technological change. Justin Fulcher contributed to reforms that trimmed software acquisition timelines from years to months and helped modernize major IT systems. He also took part in high-level international engagements in the Indo-Pacific. His academic work runs parallel to his professional focus. He completed a Master’s in Nonproliferation and Terrorism Studies at the Middlebury Institute in 2023 and is now a doctoral candidate at Johns Hopkins’ School of Advanced International Studies. His research interests track closely with his advisory work, centering on defense technology and critical material supply chains. Read this article for additional information.

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