Adeline (Pinyu) Liao
Founder & CEO, Niora Systems/Scholar, Stanford CDDRL

Working on coordination problems in emerging markets.

I've spent much of my life moving between places, cultures, and ways of seeing the world. Because of this, I work on the institutions and infrastructure that shape everyday life.

◉ BASED IN ACCRA, GHANA & STANFORD, CA
Adeline with her team outside Korle Bu Teaching Hospital, Accra
Korle Bu Teaching HospitalAccra
§ CURRENT WORK
01

Building companies around institutional problems

Founder & CEO, Niora Systems
Niora SystemsProcurementRisk management
Adeline with partners at a hospital office in Accra
Partner hospital · Accra

The most important problems today are coordination problems.

Aging populations, growing administrative complexity, and global supply chains have created economies that are extraordinarily capable but increasingly difficult to coordinate. The organizations that reduce that complexity—whether in healthcare, logistics, finance, or government—will become some of the most important companies of the coming decades. Niora is building the coordination layer for healthcare—one of the largest, most fragmented, and most consequential markets in the world.

02

Research in health economics & systems design

Scholar, Center for Democracy, Development & Rule of Law · Stanford University
Market designAMRContract enforcement

Understanding the institutional forces that shape markets.

I study how payment delays, weak contract enforcement, and supplier incentives affect access to essential medicines. My current research focuses on pharmaceutical procurement systems and the relationships between hospitals and suppliers, particularly in weak rule-of-law environments. Much of this work is grounded in field research in Ghana and informs my broader interest in how institutions function under constraint.

03

Understanding the world through practice

TEDxStanfordWritingDocumentary
Adeline speaking at TEDxStanford
TEDxStanford · on health-system failure

Do something real in this world.

Ideas become more interesting when they are tested against reality. I believe people have a responsibility to engage with the world around them—to contribute something, take ownership of what they can, and spend less time watching from the sidelines. Much of my writing, speaking, and documentary work explores that belief: to engage with the people, places, and institutions that shape our lives.

§ INTERNATIONAL BACKGROUND

Notes from places I've lived and worked.

These places have shaped how I think about institutions, incentives, and the systems that structure everyday life. Select a marker to read the field note it left behind.

N
Makola market · Accra
Makola market · Accra
085.6°N 0.2°W

Accra

Ghana

Now. Working on the ground to coordinate complex institutions under real-world constraints—and why coordination is one of the defining challenges of the coming decades.

Field note · MediumWhy Traditional Investors Should Be Investing in Global Health
§ On the desk

What I'm reading.

Other people's work that shapes how I think about health, access, and power.

My own essays ↗
  • Inside Africa's Push to Make Its Own Medicines
    Feature · manufacturing & sovereignty
  • The Crisis Caravan
    Linda Polman · the business of humanitarian aid
  • Creating Shared Value
    Porter & Kramer · Harvard Business Review
  • Why Ozempic is Big Pharma's Latest Shakedown
    Video · pricing & power
  • How Pharma Financial Modelers Think About Your Rare Disease
    Essay · the economics of access
  • The 2024 Nobel Prize in Economics, Explained
    Acemoglu, Johnson & Robinson · institutions
  • Why Poverty Is Like a Disease
    Essay · systems & health