Justin Fulcher and the Case for Entrepreneurs in Government
Justin Fulcher spent roughly a decade building a global telehealth platform and then spent six months advising the US Department of Defense. He does not treat those two experiences as separate careers. The tech entrepreneur has argued that the movement of builders between the private sector and government is not a detour but a structural need, and his own path reflects that conviction.
The RingMD Years
Fulcher co-founded RingMD in Singapore in 2012, building the platform from what he has described as an early-stage prototype with no pitch deck and no formal company behind it. Investors approached him once a working product existed. That sequence, product first and capital second, gave the platform a stable foundation before the pressures of growth arrived.
By the time Justin Fulcher stepped away from RingMD in January 2025, the platform operated across more than fifty countries. It held 1.5 million patient records and maintained a network of 10,000 active healthcare providers. The US Indian Health Service used the platform to reach approximately 2.6 million American-Indian and Alaska Native individuals across 37 states. India’s Digital India programme was another major client. RingMD held FedRAMP authorization and was compliant with FISMA and HIPAA requirements. Forbes included Fulcher on its 30 Under 30 Asia list in 2017.
After the Platform
Justin Fulcher joined the Department of Government Efficiency initiative in 2025, serving at the Department of Veterans Affairs before becoming DOGE Lead at the Department of Defense, where acquisition reform and IT systems modernization were his focus. He later became Senior Advisor to Defense Secretary Pete Hegseth. He departed in July 2025, framing the period as a completed tour of duty rather than an unexpected exit.
His argument for that kind of service is direct. Institutions benefit from people who have built things in the private sector. The private sector benefits when those same people carry institutional knowledge back with them. Fulcher is now pursuing a doctorate in International Relations at Johns Hopkins SAIS and advises on defense technology and national security, continuing to operate at the intersection he has inhabited throughout his career. Refer to this page to learn more.
Learn more about Justin Fulcher on https://x.com/JustinFulcher