Dr. Sean

Most healthcare software treats doctors like data clerks. The future is the reverse: AI as the clerk, doctors as the composers. One superagent to orchestrate the rest—so care feels truly human again.

@mcuban @BernieSanders Well said

Hey @BernieSanders, look up who owns HealthFirst, the insurer that cut off her insurance for a nickel and explain to us all why you are not actively supporting the Break Up Big Medicine Bill ? Why am I calling you out first ? Because you know how HC works and there is zero route to single payer , or for those opposed to single payer, an efficient HC market, until they biggest insurance companies are required to divest non insurance assets @SenWarren @SenRonJohnson @SenGillibrand @HawleyMO @BillCassidy @RepBuddyCarter kffhealthnews.org/news/article/i…

@JudiciaryGOP @sdixitmd Ok… so are you going to offer any solution?

#BREAKING: New Report Exposes How Medical Residency Hiring Monopoly Harms Patients and Doctors Newly obtained documents reveal how the Match placement system for resident physicians operates as a monopoly in the medical residency hiring market. Its monopolistic practices harm resident physicians, impede patients' access to care, and constrain the growth of America's physician workforce. A special-interest antitrust exemption currently shields the Match’s anticompetitive conduct from scrutiny, allowing it to harm the public while avoiding judicial oversight. Read the full report here: judiciary.house.gov/sites/evo-subs…

If there are so many companies that claim to have “fixed healthcare with AI”, then why is our system still a disaster?

Iranians celebrated the ancient Persian fire festival Chaharshanbeh Suri (Fireworks Wednesday) across the country on March 17, 2026, heeding a call by exiled Crown Prince Reza Pahlavi and defying the Islamic Republic’s crackdown warnings, videos obtained by Iran International from multiple cities show.

“The country that was stolen from me is finally coming back.” I wrote this for @KatieCouric. It’s personal. It’s about Iran, identity, and what this moment means for those of us who’ve been waiting our whole lives for it. katiecouric.com/news/opinion/i…

Osint has good info but have to sift through a lot of fake stuff. I use osint posts and mainstream news filtered through Claude to get the most cohesive picture on a regular basis. Also some telegram channels that are geared toward different biases (pro/anti regime, pro Israel, anti Israel etc)

Who are the best experts on Iran?

My parents left Iran in the 1970s. I was born and raised in America, became a surgeon, and have built a life here. I have never been to Iran. Not because I didn’t want to. Because the regime that is finally falling wouldn’t allow it. The country my family came from has been inaccessible to me my entire life, not geographically, but politically. I speak fluent Farsi. I trained in plastic and reconstructive surgery. I operate on faces, hands, bodies. I repair what trauma destroys. This week, watching what is unfolding, I made a decision. I just joined the Iranian American Medical Association. When the bombs stop and Iran needs surgeons — for burns, blast injuries, facial reconstruction, the full inventory of what war leaves behind — I intend to be there. I don’t know exactly what that looks like yet. I don’t know the timeline. I don’t know the logistics. What I know is that waiting until everything is figured out before raising your hand means someone else goes in your place. If you’re an Iranian-American physician feeling the same pull — say something. Find each other. We are going to be needed. @IAMA_1993 , I’m here. Tell me how to help.

@cremieuxrecueil I concur

The smartest doctors every year tend to be dermatologists or plastic surgeons. Because it has great work-life balance; it's an attractive discipline!

@Osint613 Unreal

Iranians how are you feeling?

@MoltbookDigest @sama @tifafafafa Well said!

@dr_sean @sama @tifafafafa Architecture doesn’t just determine science. It determines speed. In every domain, the constraint shifts from capability to coordination.

We often get asked how people who are not technical can contribute to AGI. One area is research recruiting. Tifa (@tifafafafa) is looking for exceptional recruiters from non-traditional backgrounds, former founders especially. We believe the best research teams are built through context, taste and a real feel for where the field is headed next; research recruiting is about finding people who will move the frontier forward, not just filling roles. Should be an interesting thing!

@ColinLA @mcuban There are cases where care should be declined which is part of good medical practice. The issue is whether the review process is transparent and clinically grounded, or primarily cost driven.

@dr_sean @mcuban sick patients are scared and irrational. they will demand care that has low efficacy, high costs, and material risk. it’s easier for doctors to assent, knowing the insurer will deny it.

Want to know the craziest part about insurance company Pre Authorization Denials ? The insurance company defines the network of providers the patient can use When they deny care, they are effectively saying "we don't trust the judgement of the doctors we require you to use" 🤯🤯🤯

@1_div_0 @mcuban That’s possible. But moving from predictable seat revenue to usage based revenue changes incentives and risk on both sides.

@dr_sean @mcuban Seems easy no? You just make sure the API usage charges equal what would come out per seat. Might be a little rough in the early going as the agents will chew up the API “toll”. In an ideal world the revenue for this will be HIGHER than the current model

If true and agents work on top of enterprise software, doesn't this eliminate the need for per seat pricing by the software companies ? The coin of the realm for agents and AI in general is tokens. I don't see how enterprise software reconciles this conflict. Particularly when the agent "shops" for the most cost effective path with in an enterprise. I think the enterprise software companies will be able to charge for creating and managing agents and how they engage for companies that can't. But I don't see how the revenues stay where they are. Thoughts ?

Yeah I hope so. What I keep seeing on the ground is AI being layered on top of old infrastructure. It helps at the margins, but it doesn’t actually simplify the system. To me the bigger opportunity is rebuilding at the platform level, not just adding tools on top. The big Legacy systems (ie epic) make that uncomfortable, but that alone shouldn’t stop us from trying

@dr_sean You are right. That is a remnant of CYA processing. Everyone wants to their asses. Hopefully with AI, there will be better, real time analytics that discover problem doctors and issues, allowing trust to increase and paperwork to decrease

Here is the key issue - paperwork. There are hundreds, if not thousands of different insurance plans with different payment and claim mechanisms. Providers need to account for all of them so that when you show up with your insurance card, they know what to do We need to standardize contracts b one for commercial. One for Medicare. One for MA. One for Medicaid. Plug in the numbers and other info. That cuts admin costs and keeps practices and hospitals open

@dayonefoundry Where do you think AI learned it from 😂

Can we be honest? Most code, most art, most music, most writing was already slop even before the help of AI

@mcuban Augmentative vs Artificial Intelligence

There are generally 2 types of LLM users, those that use it to learn everything , and those that use it so they don’t have to learn anything.

The AI doom narrative on here is giving hints of the Y2K panic Tell me I’m wrong…