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Chris Hemphill
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Chris Hemphill
@luketrailrunner
['data science', 'health tech', 'running', 'synthesizers'] not funny enough for twitter, but too edgy for linkedin. opinions are my own. (they/them)
Atlanta, GA Beigetreten Kasım 2009
910 Folgt707 Follower
Chris Hemphill retweetet
Chris Hemphill retweetet
Chris Hemphill retweetet

I want to reflect on the broken culture of innovation in U.S. healthcare delivery—and its nefarious impact on the system.
We declare success prematurely.
We obscure failure.
And we move on without inquiry.
Within the delivery system, the same organizations whose basic and clinical researchers perform rigorous, thoughtfully designed controlled trials of medicines will tout the success of delivery and financing innovation without requisite evaluation.
In the broader innovation ecosystem, we too casually equate funding, valuations, and transactions with success—and we too often elevate and declare success without applying appropriate skepticism.
Many believe this culture of salesmanship and hucksterism is harmless.
But on the other side of it are patients whose care is not getting better and an industry with misplaced conviction about progress when there is none.
I’ve seen this firsthand throughout my career.
To make this less abstract, I’ll focus on my own area of work over the last decade: leading and operating Medicare Advantage plans and care delivery organizations.
It is a sector that has birthed many venture capital darlings.
But with the benefit of hindsight, many of those companies had clinical outcomes that were, at best, thin—
And whose primary innovation was exploiting arbitrage opportunities in risk adjustment.
And yet, in retrospect, these “innovators” were platformed.
They were celebrated on the stages of major national forums.
And while Medicare Advantage is now a space where some of these behaviors are more widely understood, it is not unique to Medicare Advantage.
Rather, some of the distortions we see there are a window into a broader cultural problem.
One that, in a different form, was on display in the case of Elizabeth Holmes and Theranos.
We might like to believe that was an exceptional story in exceptional circumstances.
I don’t.
I think we have many Theranoses among us—just less visible, and more socially accepted.
Why?
I believe there are two root cause.
First, expert and funding bias.
We believe that startups revered and validated by experts are worthy of celebration.
And if they are richly funded, we assume they have been appropriately vetted.
Commercial success—often driven by relationships and the favor economy—is prematurely equated to clinical success.
Second, optimism bias.
We have such a strong desire to believe that things are getting better that the first hint of progress is met with celebration—rather than the skepticism we typically reserve for results that seem too good to be true.
This is how many of us have convinced ourselves that American healthcare delivery is improving—while most consumers, patients, and clinicians tell us otherwise every single day.
So how do we move forward?
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@GaryMarcus I've long thought that instead of bubbles bursting, they fart these days. 2001 & 2008 trained us to adopt monetary policy that is adept at kicking the crash further down the road.
I was bearish in 2011, and that cost me big.
Still bearish but now in a bull costume (long sp500)
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@ylecun @Noahpinion p(doom) = .25
p(doom | do(Person In Charge of Things=whichever_ceo_is_talking)) = 0
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@Noahpinion Most "leading AI figures" think this p(doom) estimates are complete bullshit and the existential risk is essentially zero.
But most of them are silent.
The doomers attract a disproportionate amount of attention, of course.
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Hmm. But leading AI figures give pretty high p(doom) numbers. Dario says he thinks AI has a 25% chance of causing human extinction or something similar.

Sriram Krishnan@sriramk
I think the doomers need to take a serious look at what they have helped incite and not just rely on “we condemn this and have said this is not the rational response”. This is the logical outcome of “If we build it everyone dies”.
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@ImLunaHey cmux. I like how it helps me organize workspaces and tabs
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@madisonmmain @dimitrilovemail I know other classic shows like I Love Lucy, but anything beyond Gilligan’s awesome theme song is lost on me
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@dimitrilovemail Do yall really not know Gilligan’s Island 😭
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@pcshipp Honestly, VS Code, Copilot, Claude
Heavy on data sci & causal modeling, so notebooks are a must for prototyping. AI is semi-useful help
It’s more useful when it’s time to create API endpoints, and it’s great for data viz (esp d3)
Terminal mode only to relax on low risk work
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Chris Hemphill retweetet

@Kurosami934652 @catalystcomett I love we didn't see the build-up. You hit at the wrong time (deep in a high pressure shift, rationality long thrown out the window) & that pressure cooker explodes
We've only seen these characters for 1.93 shifts, less than 2 working days. The build-up coulda been for 10 months
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@catalystcomett I hate that there was no build up to this. If anything, it should have been another scene of langdon and Santos, but nooo.
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my honest belief is that this scene is just poorly written and doesn’t work and would have been cut from the episode if they weren’t already down to a shockingly low 41 minute run time bc they fired supriya and and cut mohan’s storyline instead
mea 🦵 pitt spoilers!!@kneesantos
what is this argument 😭 #pittspoilers
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@yogurtttyyg @Pedroleko It will age like milk if, because of scenes like this, people change the training to include women's bodies and reduce the stigma.
Otherwise, it's needed medical commentary. Look up "women less likely to get cpr"
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@Pedroleko I keep saying the one thing that’s gonna age this show like milk is the hamfisted social commentary
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@sydcarmyholic But if you look at these 2 cherry picked stills from the show, you can see that she is clearly interested /s
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I’m glad Perlah confirmed that vivi was not at all interested in duke and is engaged bc idk how ppl saw this as anything other than a nurse probably acc interested in lessons but mostly just playing along with their patient bc ain’t no way y’all thought she acc wanted that man 😭
ash 🌙@LoonieLunas
like mind you nurse vivi is EXACTLY where she wants to be with that old biker man 😭
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Chris Hemphill retweetet

It’s funny. Now that I’m opening my own clinic, I’ve never wanted to practice medicine more! No more hospital administrator looking over my shoulder. No more dealing with insurance. I get to make all of the decisions, and I’m barely going to have to touch a keyboard or a mouse.
I just get to take care of patients which is my fundamental calling.
It’s unreal, and I can’t tell you how excited I am to finally practice medicine on my own terms!

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Chris Hemphill retweetet

@ClementDelangue @abidlabs Please? It would be especially helpful for health tech apps.
If there’s an open security standard hospital/health plan CIOs can trust, that could go a long way to help them evaluate helpful innovations
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Chris Hemphill retweetet

@deepakterra @ijustine Are they supposed to pretend ICE doesn’t haunt the halls of hospitals?
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