
VP AI Product at @advocatehealth. Previously @ribbonhealth, @sourcehealth, @ro, @yodle. Healthcare + tech. Tweets/posts are my own.
New York, NY
Joined May 2015
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This actually would be a surprise because half the time they are worse than the last model but we don’t talk about those ones
Now the personal AI agents, trying to drive engagement, are sending me more messages and creating more work. This is interesting.
The first version of this that a lot of people are contending with is job applications.
Cold applying for jobs was never a great option, but now I’d argue it’s not even worth the effort. Need to find ways to connect with people at the company, because that entire channel has been entirely destroyed by AI.
Takes like this are prevalent right now given peak AI hysteria, but I suspect they're wildly wrong.
Music, like all forms of art/media, is as much a social experience as an auditory one. People listen to music that is relevant in their culture, with their friends, and for their life. It's not, and never has been, about the music just sounding good in isolation.
Movies and TV shows are no different. We watch them because they're entertaining, but also because we talk to other people who watch them. We read about them on the news, or talk to a friend about them at work.
I'm bearish on this take not because "humans make better music," but because humans are still, quite fundamentally, a social species and will continue to crave experiences over which to connect. Perhaps even moreso as AI reduces connection in other parts of our lives.
If this comes true, economic concerns aside, a lot of people will have a real crisis of purpose
BREAKING: Zuckerberg just described the near-future of computing, and it has nothing to do with screens.
His call: within 5 years, every person on Earth has a personal AI that knows their life, understands their goals, and does the work for them.
Not a chatbot. Not a search box.
An agent that is deeply, intimately embedded in how you live.
When the person building the social layer for 3 billion people says this is where we're going, it's not a prediction.
It's a roadmap.
Is the personal AI agent the most valuable product anyone can build right now?
Health systems must increasingly become builders of their own experience instead of takers of vendor experiences, if they still want the front door of healthcare
True, although VCs are setting expectations that every founder is clearly within this group. Which then creates pressure for founders to be in this group, and severe anxiety when they realize they're not in this group.
This is likely to continue (and worsen) until the market stabilizes.
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Stop the Slop ™️
We instituted an official AI Writing Policy at @Clay.
Massive thanks to @sophiebits on our engineering team who wrote this.
Originally this was just for eng, but other teams found it so helpful we expanded it company-wide.
Here are the four guiding principles:
1. You must stand behind every idea and sentence
It is your responsibility to make sure that the entire document is representative of your own thoughts before you share it.
2. Writing is thinking
Spending time on the writing process teaches you more about your topic. If you circumvent this process, you will walk away with a poorer understanding of the subject matter.
3. More time should be spent writing a document than consuming it
If you generate a document from a short prompt then ask your readers to go through the longer output, you are disrespecting their time. They can talk to ChatGPT themselves if they want to.
4. Longer is not better
AI makes it easy to generate long docs, and it loves padding them with sentences that say nothing. If you're producing docs from a short prompt, consider just sharing the prompt.
You can read (and borrow) the full policy below. Hopefully we all communicate a bit more clearly now :)
Colin Morelli retweeted
the moat is literally just caring about your work and being proud of your output and holy shit it does not seem to apply to 99% of people
It's still funny to me when Codex tells me something will take 1-2 days.
Nah. You're going to do it, and it'll take ~8 minutes.
Seeing this sentiment more and more.
Also directly seeing both profoundly positive and incredibly destructive contributions by AI. It's very clear that "humans endlessly pressing enter for 12 hours a day" is not the answer. It's less clear what is.
I am done with this shit. It is over. The state of engineering right now is horrible. It has been half a month since I started a new role at a big company. Nobody knows anything here. The specs, code, tests, PRDs, tickets, resolution of those tickets, reports, etc., everything is made by Claude Code. Nobody on my team likes this. They are being forced to ship as much as they can. I have heard multiple times from higher management that pushing code is not a bottleneck, so why are we slow? People are working 12 to 13 hours a day just to press enter. Nobody is reading anything. Humans in corporate are doing nothing on their own. Everyone, literally everyone, from an L1 to an L7 engineer here is doing the same thing. Talk to Claude. There is no sense of victory. Nobody is resolving bugs. In reality, nobody is thinking anymore. Everything is done by LLMs. It is so soul-sucking. I would not mind it, to be honest, if we were at least given the time to check out the code and see what is going where. But no, the goal is to just ship. No matter what happens.
Insurers have an opportunity to create AI that actually improves patient experience by transforming utilization management and lowering costs...
...which is why you can be sure it'll be used to fight more claims instead.
So many people I meet building apps that are clearly not value add to the organization, just because they can now.
AI has dramatically reduced the amount of time required to build something, but it doesn’t change the imperative to focus on things that add value to your customer or your company.
Highlights one of the widely reported differences in how OpenAI and Anthropic book their partner served revenue. And why you probably can’t compare the headline numbers directly.
Not including an objective contractual revenue share in margin calculations is a choice!


















