Bimanywaruhanga

Pharmacy owners in North America: If you feel overwhelmed by workflows and need a breather, I might be able to help out. DMs are open, or fill in the form below, and I will reach out! hourscript.com/demo/

@unusual_whales 14 months ago, someone would have guessed we wouldn’t get to this point:

Anthropic’s annualized revenue recently neared $45 billion, surpassing OpenAI's $25 billion, per the Information

I would like to know how the researchers of large world models are using LLMs. We might be really close to a breakthrough on that end of the world.

A couple of years ago, investors stayed way from AI startups because foundational models would wipe everyone out. They missed out on some great outcomes. Now the narrative is that some big company will outmuscle you in the agentic space. It’s all bets— Nobody knows.

The concept of healthcare being a private good creates incentives for PE to shrink access as a way of having a better bottom line.

@BrianRoemmele My belief is that we have severely under estimated how much compute we need to move forward as a society. We don’t have enough and we will run short!

MICROSOFT CANCELED CLAUDE CODE! IT COST TOO MUCH. Major tech companies are confronting the steep reality of AI inference costs as the era of heavy subsidies appears to be ending. Microsoft is canceling most internal licenses for Anthropic’s popular Claude Code tool by June 30, 2026 less than six months after rolling it out broadly to engineers primarily due to escalating token-based expenses, while shifting teams toward its own GitHub Copilot CLI. This mirrors broader pressures: Uber’s CTO revealed the company had already exhausted its entire 2026 AI budget in just four months thanks to heavy Claude usage among thousands of engineers (with individual monthly costs often hitting $500–$2,000), and GitHub is transitioning Copilot to usage-based billing with higher per-token rates starting June 1st. The reality is good enough AI will expand and constantly get better removing the oxygen of the most expensive.

We might see a great flattening of management structures in the AI era. Organizations had become bloated with middle management. We ought to rethink organizational structure.

The biggest stress on our healthcare system is burned out practitioners. Seems like PE prefers that though!

I went to a writers club yesterday and everyone had a PC where they typed. I had carried paper and pen 🖊️. I had the time of my life.

@thisisgrantlee In my first company I quit almost every night and woke up to come back again each morning. Did this for like 4 months. I am glad I kept coming back.

Every founder eventually learns this. Conviction isn't a feeling you have at the start and keep forever. It drains. Weekly. Sometimes daily. The founders who last are the ones who found a way to refill it. Phil Knight ran Nike for years while his father told him he was wasting his time. His bank called his loans. His supplier dropped him. He was personally guaranteeing debt on a company that had, at one point, no confirmed future. He wrote about this in Shoe Dog. He described it not as passion but as a compulsion. He couldn't stop. The problem felt too real. That's a different thing from motivation. Motivation responds to external signals. Conviction doesn't wait for any external thing. It’s something inside. Howard Schultz was rejected by 217 investors before he raised the money to buy Starbucks. 217!!. Most people treat 2-3 rejections as data about the quality of the idea. Schultz treated it as a filter for who was worth having around the table. He said in his memoir, "In times of adversity and change, we really discover who we are and what we're made of." The pattern in all of these is the same. The market was not ready. The feedback was negative. The external environment was not supportive. And the founder kept going anyway, because their conviction about the problem was stronger than their need for validation. The article below gets into this in detail. What Year 2 actually feels like. The role of the ego. How conviction and stubbornness are different things and why that distinction matters. The founders who survive long enough to be right almost always had conviction before the market gave them any reason to have it:

@bilalfarooqui What an odd number!

why do so many mental health providers not accept insurance? because they are in high demand and insurance doesn't pay well aetna just announced sessions over 53 minutes will be reimbursed at the same rate as sessions 37-52 mins yes, they count minutes

@haleymbryant @sama 🫶🏻

@sama i hope that my sister either finds a cure for hsb8, a rare disease associated with muscular distrophy, and in the meantime is able to live independently and comfortably through an ai-powered exoskeleton that let's her live, play and work on her own terms

what problem do you most hope AI will solve in the future? maybe we can help!

This is not financial advice; I would go long on companies that are hiring and not downsizing. They are building intrinsic value!

Bezos and Jensen are a breath of fresh air in how they communicate what AI will do to jobs. Other folks come off as heartless.

@hahnbeelee Vibes!

overheard in sf: does doordash have an mcp?

@haleymbryant Here now team are gems!

there are a lot of problems to solve that ai can't yet. i was reminded of this yesterday watching the head of clinical ops at here now health share her journey brittani kindle was 4 years old when she ended up in foster care. against the odds and through ptsd, she survived, thrived and went on to stanford. but when she hit a breaking point, she was confronted with a mental health system that wasn't built for her. unfortunately, her story is not rare. in fact, many kids in foster care end up in ERs because of the limited capacity of medicaid providers and lack of specialists trained to be a safe haven. unsolved, it's a huge problem for kids, their communities, and states faced with emergency care costs. michelle turner founded here now after her own experience as a 40x foster parent, knowing that there's a better way to meet children's needs while saving states time and money. and with 330,000 kids in the foster care system in the US today + 150,000 adopted annually who still need (and receive) benefits through age 25, they're solving a huge, overlooked problem.

Payers are increasingly becoming flexible in valuing add-on services from non-physician prescribers. This matters because the payers shape the healthcare experience of every person in America.

@DrNeilStone Hot take!

No increase in cancer risk following mRNA Covid vaccines in large data sets from Norway 🇳🇴 and Sweden 🇸🇪 They don't cause cancer It's a myth invented by anti vaxxers to scare you off vaccines

We believe we can make pharmacies urgent. You should be able to get some form of urgent care at your pharmacy!

What causes patients to experience an ugly UX at the pharmacy is the push to reduce OPEX at all costs. Managers have not figured out how to add more value for patients. That has to change.

@GergelyOrosz Part of the equation is to prop up its free cash flow.

Meta laying off 10% of staff when revenue is at an all-time high, revenue growth is a beast (33% YoY!!), profits at an all-time high: just depressing These layoffs are not because Meta needs to lay off, but because Zuck wanted to lay off for whatever reason