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Pharma without Patents

Frontier AI has a patent cliff problem. It just doesn’t have the patent. Early in my career I was a McKinsey consultant serving pharmaceutical companies, and many projects sat in the shadow of the patent cliff:… Read more
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The Jagged Frontier of Medical AI
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AI can reason faster than medicine can prove an answer right. A framework for understanding where medical AI can act independently, where it needs supervision, and why biology keeps its own clock. Read more
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An Audience of One
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AI makes it possible to build the tool no company would make for you. On personal software, the judgment only its maker can supply, and why an audience of one is worth building for. Read more
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The Hyphen Is the Story

My parents crossed an ocean to give me more choices. Walking away from the future they imagined taught me something unexpected about their courage, my own path, and the inheritance that connects them. Read more
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The Patient Will See You Now
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Patients have spent years becoming better informed. AI is beginning to help some of them make the first move in their own care. What changes when a patient arrives with a draft plan, and who gets that chance? Read more
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AI Jevons Paradox: Why AI May Create More Work, Not Less
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When AI makes a task cheaper, the work around it may grow. What software developers and medical scribes reveal about shrinking roles, expanding responsibilities, and the conditions that give human work a lasting place. Read more
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LumiHealth: What Building a National Health Game Taught Me About Behavior Change

I helped build a health game with Apple and Singapore. Looking back at LumiHealth, I reflect on the people, product choices, and public-health philosophy behind it, and what those lessons can teach us about changing daily habits. Read more
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The Blinking Cursor Returns: Finding My Childhood in the AI Agent Era
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A blinking cursor has brought back the feeling of my first computer. Building with AI agents reminds me why I loved the command line, and raises a harder question about bringing that freedom into healthcare. Read more
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The Humbling Math of Health AI: Why ChatGPT Can’t Grade Your Heart Yet
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Years of Apple Watch data can look like a complete picture of your health. Making sense of it is another matter. What the work behind narrowly validated health features can teach us about the limits of a fluent AI answer. Read more
