
Healthcare Still Not a Market, Tech to Deflate Costs
Is healthcare actually a market? According to Chris Klomp, RFK's No. 2 at HHS, the answer is: Not yet. I sat down with Chris and Jon Gordon to discuss how we turn technology into a "deflationary force" instead of a cost-adder. The Vision: * End Data Blocking: Million-dollar penalties for gatekeepers. * Reward Outcomes: Move past the "industrial complex" of coding. * Tour of Duty: Recruiting tech talent into government for 6–24 months. Full interview linked below. "Not everyone is going to win as we modernize healthcare," says Chris. "But we have to start wrestling with this."
ER Doctor Recounts Bizarre Case of 9‑year‑old Bullet
Emergency physician Graham Walker, MD shares the most bizarre story from his 20 years in the ER. The mystery? A 9-year-old bullet. This week on Lifers with @chrissyfarr

EHRs Will Become Records; AI-Driven Action Layers Rise
Sharp take here from healthcare VC Sam Toole on the future of EHRs in an AI world. Do they become systems of record, and entrepreneurs can build systems of action that sit on top? Link to read the full piece...
ChatGPT Health Excels on Textbook Cases, Fails Real Emergencies
Is "textbook performance" enough for medical AI? The first independent stress test of ChatGPT Health is out in @NatureMedicine. The Good: Near-perfect triage for textbook stroke and anaphylaxis. The Bad: A 51.6% under-triage rate for true emergencies. But there’s a massive elephant in the...
Physician Burnout Stems From Lost Authority and Opacity
This week on Lifers, Graham Walker is “sounding the alarm” for physicians. * 50% of medical students already plan to quit before they finish school. * Doctors are becoming "factory employees," losing their authority to care for patients. * Tech focuses on the...
AI Solves Proofs; Humans Create Theorems
I pulled Peter Lee (@Microsoft President of Science) aside at Lake Nona to ask the $1T question: Which jobs are actually safe from AI? His answer: "AI is for proofs. Humans are for theorems." Here’s why that distinction changes everything:
TALK Commands ~3× Revenue Multiple, Outpacing Digital Health
This is actually good news for health-tech. TALK’s takeout multiple of ~3.0x revenues actually represents a fairly healthy premium to the recent digital health average (recall ACCD was taken out at ~1x). https://t.co/4FyXzAiny4
AI's Evolution Will Revolutionize Healthcare Delivery
On the latest episode of Lifers, I’m joined by @MSFTResearch President @peteratmsr. We dive into the evolution of AI and his bold predictions for the future of healthcare. Timestamps: (00:00) Preview (01:23) Intro (02:54) Evolution from deep neural nets to modern AI (04:30) Demystifying model...
We Skip Embargoes, Prioritizing Insight Over Speed
PSA: We don't hold embargoes at Second Opinion. It's a massive hassle and I'm not finding any correlation between audience growth and our publication adhering to companies' enforced timing. Bottom line... I care more about us being smart than first.

Medicare Chief Outlines Flat MA Rates, AI Integration
For Second Opinion, we had a long sit-down with Medicare chief Chris Klomp. We covered: -- MA rates staying flat -- Steps to thwart info blocking -- Bringing AI into healthcare outside of the fee schedule -- The ACCESS model & more https://t.co/dZEzyUtWbz https://t.co/PGO80SlZ9T
Align Boards, Embrace Simplicity: Surviving Three Health Pivots
This week on Lifers, I interviewed @othman about how he navigated @color through three massive pivots—from cancer genetics to national COVID infrastructure and now a virtual cancer clinic. Timestamps: (00:00) Preview (00:58) Intro (01:03) Lessons from Figma and betting on the tortoise over the...
Study Finds Inconsistent Patient Safety in ChatGPT Health
An important study just came out that is the first to evaluate patient safety when it comes to ChatGPT Health. Millions of people are using LLMs every week to triage health conditions, but this new study has found concerning inconsistencies. https://t.co/etjthA2olM
AI Will Replace Most Knowledge Workers; Healthcare Stays Last
SaaS may be in its bloodbath moment but as @Bob_Wachter says: When AI replaces doctors it means we are all out of jobs. Doctors, writers, lawyers, consultants, knowledge workers, etc. Healthcare is highest regulation, liability, risk. It’ll be one of the...
Healthcare Confuses PE with VC; Transparency Needed
I've noticed that PE and VC are getting lumped together by healthcare industry folks that I know as if they're the same thing. I'm not sure how we solve this problem but I suspect having more transparent conversations about it...
Social Meals, Sustainable Diets,
This week on Lifers, Dr. Zeke Emanuel thinks you can eat the ice cream. Timestamps: (00:00) Preview (00:59) Intro (02:25) The inspiration behind the book (04:20) The importance of socialization and shared meals (07:33) Sustainability versus the short-term hustle (08:30) The truth about supplements and regulation (12:04) Sponsor:...