Doughnut economics provides a new framework for sustainable development, by balancing the ecological boundaries of the planet with the social boundaries of humanity. The framework provides a valuable opportunity for the healthcare industry to transition to a sustainable way of working – and for policy makers and health technology assessment to drive the healthcare industry towards this future. This article discusses what doughnut economics and the circular economy system can mean for the healthcare industry, policy makers, and health technology assessment, and the role that medical writers and communicators can play in the change to a sustainable future.