
Andrew Lockhart
4K posts

Andrew Lockhart
@andrewlockhart
founder @fathom



Here is a clean look at the 7 teamer In a 3+ team trade, 2 teams have to touch each other with compensation

General Matter is enriching uranium for the US. We will revive nuclear fuel production in America. We chose to do this not because it’s easy, and not because it’s hard, but because it needs doing. Nothing gets made if fuel isn’t made. America’s ambitions, from manufacturing to AI, all require nuclear. It’s the only source of energy that is reliable, scalable, and clean. It’s not only our future but our present, powering almost half of our clean energy and roughly 20% of our grid today. But the US is forced to look abroad for our nuclear fuel. Despite pioneering the technology, we’ve since outsourced enrichment to allies, competitors, and even adversaries. We didn’t just give up the lead. We’re no longer even in the game. It’s time to enrich. For the past year, General Matter has been incubated within Founders Fund, with a team from SpaceX, Tesla, Anduril, national labs, and the DOD. We are undertaking an engineering challenge which, if successful, will fundamentally improve the trajectory of our nation. The raw material is embedded in the bedrock beneath our feet. America’s future is written in stone. We are turning our potential into power, and exceptional talent is needed. Join us.




My contribution to the "tiny teams" discourse: Start-ups used to brag about their funding and headcount, but the hottest flex in Silicon Valley right now is the most revenue w/ the fewest people






Yeah, didn’t see any April fools jokes today, glad everyone’s locked in. Ain’t shit funny

I saw my first CarePod at a maritime museum. Well, not a CarePod exactly. A ship's medicine chest from the 18th century. Imagine you're a British Navy sailor aboard a Man-of-War in the Napoleonic Wars. When you inevitably encounter scurvy, dysentery, or a regrettable run-in with a cannonball, you've got the benefit of a ship's surgeon and a supporting medical team to treat you. Not much the doctors can do about the rat situation, but nobody's perfect. But what if you're on a small merchant ship that can't justify or afford a dedicated doctor? Who helps the sick? That's where the ship's medicine chest comes in. The chest carries medicines, surgical tools, preventive care remedies like lime juice for vitamin C, as well as manuals written in plain language to help guide the non-medical crew on the ship on how to use the contents of the chest to treat sailors. The beauty of the medicine chest is that it's a product, not a service. Surgeons, doctors, and apothecaries back on shore designed the contents of the chest and the language of the texts, improving it as time went on and medical knowledge advanced, and iterating on it in response to feedback on how it performed at sea. One talented doctor designing and developing a medicine chest could effectively help many thousands of sailors. If you couldn't get the benefit of a doctor's mind and hands aboard your ship, the chest was the next best thing. Sadly for us, today we are all in some sense living on a merchant ship without a doctor. In the U.S. alone, we're consuming 20% of GDP every year to get substandard medical care, and on track to face a shortage of 100,000 physicians. More than 70% of U.S. adults say the healthcare system fails them in some way. The story only gets worse in countries with fewer resources. There's been no meaningful improvement in American healthcare in decades, despite costs being on a furious tear upwards. If you were to walk into an American hospital today, you'd get roughly the exact same care you would have gotten 20 years ago, but at over double the price. The core problem is certainly not doctors, who are some of the most talented, ethical, empathetic, hard-working, and dedicated people in our society. The core problem is what we ask those doctors to do and how we incentivize them to do it. At the heart of it, a typical doctor in America today is a person who works for a hospital, not for you. And you are not your hospital's customer. Your health insurance company is. The insurance billing codes that form the pulsing lifeblood of this system drive the hospital in one very clear direction: to figure out what they can do to wring the most lucrative billing codes out of you. As a patient, you're a bit like a piñata, relentlessly battered by a determined child with an anger problem, in the hopes that maybe a high-value insurance code will pop out because you need orthopedic surgery, and the hospital will get to bill your insurance for $80,000. Keeping you alive and healthy does not factor into this profit equation. There's a reason why it's called fee-for-service and not fee-for-results. So what do we do about a problem this fundamental and complex? At Uber, my team had the privilege of launching UberX in 2013. We were able to massively lower the cost of transportation in cities across the world by scaling availability. We did this by using technology to turn regular job seekers into drivers, in the process shattering an unjust taxi medallion system that had kept prices high, customers unhappy, and taxi drivers destitute. But what would the UberX of medicine even look like? It's not as though we can take job seekers off of Craigslist and turn them into physicians. It just turns out medicine is a hell of a lot more complicated than driving, with even higher stakes. The answer, then, is not to get rid of physicians or try to conjure new ones from thin air without training. The answer is to finally build physicians the tools they need to scale themselves. The answer is to help physicians build products instead of providing one-off services. The answer is to stop hoping our inadequate hospital & health insurance industrial complex will suddenly choose to provide us with preventive care that doesn't make them any money. The answer could be something like a CarePod - a ship's medicine chest for the 21st century. Let's take a doctor's office and turn it into a modular, manufacturable product that can be economically deployed anywhere in the country. Let's take a talented doctor who currently sits in a doctor's office, having ten individual conversations about hypertension in a single day, and instead give them the tools to develop a hypertension health app that runs as software in CarePods across the country. Let's give that doctor AI-enhanced tools that speed up the fiendishly complex process of translating the knowledge and experience in their head to a flexible and comprehensive rule set on how to diagnose and treat disease. Let's incentivize that doctor by making patients the customers, instead of insurance companies. And let's make our goal to keep human beings alive and thriving, not soaking them for billing codes. If you could pull that off, a doctor could apply their clinical judgment and skill to a hundred thousand people in one day, not ten. If you could pull that off, you could give best-in-class care to people in Gary, Indiana and Charleston, West Virginia, and not just L.A. and Manhattan. If you could pull that off, you could give it away for nothing or next to nothing, instead of taking every fifth dollar out of your paycheck. Is it possible? We'll see. But it's damn well worth trying. techcrunch.com/2023/11/15/for…

Now THIS is what I’m talking about!


Unreal footage: SF resident captures epic car crash at 19th St & Sanchez from multiple angles. Source: @juliabrownsf" target="_blank" rel="nofollow noopener">youtube.com/@juliabrownsf









