The Futures Strategy Group, LLC

The Futures Strategy Group (FSG) is a management consultancy specializing in scenario planning and strategic decision support in times of rapid change and high uncertainty. FSG principals have worked together for nearly 20 years, first at The Futures Group and later in the Strategy & Operations practice of Deloitte Consulting. With a multidisciplinary skill set that includes Finance, Economics, Ma

rketing, Policy Studies and Global Affairs, FSG has provided strategic and operational support to some of the leading corporate and governmental institutions in the world. Specialties:

Scenario-Based Strategic Planning, Strategic Options, Strategic Decision Support Workshops, Scenario and Futures Training, Scenario Analysis & Modeling

What will society require physicians to be in the future? And how will they be educated and trained? These are complicat...
09/01/2026

What will society require physicians to be in the future? And how will they be educated and trained? These are complicated questions we've been exploring in our scenario planning work for more than a decade.

This post considers how educators can prepare students for a future health care system we cannot yet definitively describe.

AI in health care could be a powerful force for good – or a threat to trusting relationships between care providers and ...
07/14/2026

AI in health care could be a powerful force for good – or a threat to trusting relationships between care providers and patients. Which will it be?

This blog explores innovative approaches to the challenges presented by AI to strategic planning in health care

We're just posted our second blog essay in a series on strategic planning in health care. This month we examine the blur...
06/16/2026

We're just posted our second blog essay in a series on strategic planning in health care. This month we examine the blurring boundaries in professional care, physician roles, institutional identities and how the US public sees itself – as patients or as consumers? Our scenario planning approach can help get out ahead of the changes we're living through in health care and medicine.

Strategic planning in health care requires rigorous foresight to get out ahead of the fog that surrounds challenging planning decisions

This month's blog kicks off an FSG series on strategic planning in health care – specifically, how to get a handle on th...
05/20/2026

This month's blog kicks off an FSG series on strategic planning in health care – specifically, how to get a handle on the intimidating uncertainty that surrounds it. Check out this thoughtful essay by FSG principal Kevin McDermott and senior advisor Charles ("Tom") Thomas.

Strategic planning in health care requires anticipation of how forces for change could plausibly come together in alternative future scenario environments.

FSG's Kevin McDermott considers the value of prediction markets in strategic planning. Prediction markets can provide us...
04/08/2026

FSG's Kevin McDermott considers the value of prediction markets in strategic planning. Prediction markets can provide useful insights – but do they obviate the need for corporate strategy? Read on.

Prediction markets are not strategy, although they can help inform strategic decisions. Scenarios are a more reliable window into the future.

Demographics is not destiny but the prospect of actual population decline in the US is certainly salient. In our current...
03/10/2026

Demographics is not destiny but the prospect of actual population decline in the US is certainly salient. In our current blog we examine a range of plausible impacts of the "baby bust" now underway.

This baby bust scenarios essay describes what happens when there are fewer children. We examine the impacts across politics, economy and society.

Does AI have a role to play in enhancing scenario imagination and rigor?  We think so, but with some important caveats a...
02/04/2026

Does AI have a role to play in enhancing scenario imagination and rigor? We think so, but with some important caveats and warnings.

AI in scenario planning is a positive development and can augment research and creative functions, but not without skilled human involvement.

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