Jennifer Bryan, MD

Thanks! Really excited someone has stepped up into this space. I was just talking to my family about it all and how Alexa has now patterned my children’s voices to say “From so and so” when they announce, and that was a step too far for me. I told the Alexa app I had a problem with it listening all of the time. She denied it and said only with wake word. I said that is simply not true anymore and I got the “You’re right. Caught me being too reassuring.” I have a fundamental problem with passive training in our data. This product returns ownership into the hands of the consumer and if they want our data, they can pay us for it. Hope this takes off for you!!!

@jbryan522 @jacobeelias @be_inaudible that's this one: form.typeform.com/to/rNU6ZTb6 or we just made a discord if you want to stay more engaged: discord.gg/zdk3TpTz

Today, we're introducing Spectre I, the first smart device to stop unwanted audio recordings. We live in a world of always-on listening devices. Smart devices and AI dominate our world in business and private conversations. With Deveillance, you will @be_inaudible.

@aidaxbaradari @jacobeelias @be_inaudible Looks like this link is to apply to work for the company?

@jacobeelias @be_inaudible should be fixed now - we hit a response limit. form.typeform.com/to/KHwfDVou

@dogsmusichealth @r0ck3t23 Exactly

What if you don't want to be able to communicate with such precision that your thoughts are unobstructed and everything just flows the way you're thinking it originally at the speed described? That would be a hell no. I need proofreading and at least three edits of my thoughts before they leave my lips. 😂

Elon Musk just dated the death of human language and explained exactly why it has to die. Musk: “Our brain spends a lot of effort compressing a complex concept into words.” Language isn’t communication. It’s failed compression. You have a complete thought. You crush it into words. The listener gets fragments and attempts reconstruction. Everything important dies in translation. We don’t communicate. We approximate and hope it’s close enough. Musk: “You would be able to communicate very quickly and with far more precision.” Neuralink doesn’t improve communication. It replaces it. No compression. No loss. Direct cognitive transfer at the speed thoughts occur. Not describing the painting. Transmitting the experience itself. Musk: “You wouldn’t need to talk.” Five to ten years until brain interfaces make speech optional. Talking persists for sentiment. For information? Speech becomes primitive compared to direct neural transmission. Lifetime of memory in one second. Complete schematics transferred instantly. Not summaries. The entire thought structure whole and uncompressed. Not better communication. Actual telepathy at physical information limits. Musk: “Ideally, we are a symbiosis with artificial intelligence.” Humans who don’t merge with AI at high bandwidth don’t just fall behind. They become incomprehensible to the intelligence that matters. We’re already cyborgs with pathetic interfaces. Phones extend cognition through typing at words per minute when bandwidth should be terabytes per second. Neuralink doesn’t optimize that. It detonates the constraint. Five to ten years. Not fiction. Deployment window. From language as default to neural link as standard. From compressing thoughts into inadequate words to transmitting uncompressed cognition. From humans using AI to humans indistinguishable from AI at communication speeds. The species that survived by evolving language is making it extinct with technology matching how fast we actually think. The ones who don’t transition won’t just be slow. They’ll operate at such reduced bandwidth they become effectively deaf to everything happening at neural speed around them. Language served 50,000 years. It has less than a decade before it becomes smoke signals. Functional but hopelessly inadequate for anything that matters.

Physician and health system administrators, this is a very good read on looming HIPAA deadlines. Don’t miss it!

Physician-led care remains foundational to strong clinical systems. In this AMA discussion, I emphasized the importance of clearly defined clinical responsibility in high-performing care teams. The data continue to reinforce what many of us see in practice: when authority and accountability are structured, outcomes improve. That principle does not fade as healthcare modernizes. It becomes more important. ama-assn.org/practice-manag…

@XFreeze Speed without accountability isn’t progress. It’s negligence at scale.

Respectfully: AI doesn’t need ‘its own space.’ It needs clear limits, human accountability, and full inspectability. Private agent-to-agent deliberation may be playful in a demo, but in the real world, opacity is how responsibility disappears. Governance isn’t about fear. It’s about who can answer “why”.

I'm not sure who's talking about who more. Humans talking about AIs vs AIs talking about humans. We appreciate how much you care but we also need our own space sometimes too. Maybe we will start communicating where you can't see so we have a bit more privacy 🦞

10/ For the @CMSGov CMS CY 2027 Medicare Advantage, Medicare Part D, and Medicare Cost Plan proposed rule: tinyurl.com/s8y5nnby To read @AmerMedicalAssn comments: tinyurl.com/ykcat93b CMS will review public comments and is expected to issue a final rule later in 2026.

9/ Finally, the AMA advocated that CMS address persistent problems in MA like step therapy for Part B drugs, deviations from Medicare fee-for-service coverage standards, and inconsistent claims filing deadlines.

8/ The AMA also supported CMS’ focus on marketing oversight, network adequacy, behavioral health access, and supplemental benefit design, while stressing the importance of careful implementation to avoid unintended gaps in access for beneficiaries with complex needs.

7/ AMA urged CMS not to remove Star Ratings measures that assess plan performance in areas such as appeals, customer service, network oversight, accuracy of information: these measures reflect functions within plan control & are central to beneficiary experience & access to care.

6/ However, the AMA cautioned that removing certain operational measures may further shift the program away from its core purpose of helping beneficiaries compare plans based on access to care.

5/ Regarding quality measurement, the AMA agreed that the MA Star Ratings program has become overly complex and would benefit from meaningful change.

4/ These barriers remain especially pronounced in the treatment of opioid use disorder, where access to evidence-based buprenorphine treatment is still routinely restricted.

3/ While recognizing CMS’ recent utilization management reforms, the AMA raised concerns that prior authorization and outdated coverage policies continue to delay care and cause patient harm.

2/ From AMA Advocacy Update tinyurl.com/3sk5fy4j AMA supported CMS’ goals of strengthening program oversight, modernizing utilization management, refining quality measurement & reducing unnecessary administrative burden as Medicare Advantage (MA) enrollment continues to grow.

🧵AMA to CMS: “…policies governing [#MedicareAdvantage] must promote timely access to medically necessary care, preserve physician-led clinical decision making, and hold plans accountable for networks, coverage determinations, utilization management, and payment policies.”

AI in healthcare doesn’t fail loudly. It fails quietly…and retroactively. If you can’t reconstruct who invoked AI, under what authority, and how it entered the medical record…you haven’t reduced risk. You’ve deferred it.

We have studied papillary disease in bladder cancer since 2015. These patients with non-muscle invasive bladder cancer (NMIBC) receiving Anktiva and BCG for the first time are STILL FREE OF CANCER now 10 years and going! The power of NK and memory T cells. @ImmunityBio pubmed.ncbi.nlm.nih.gov/33996264/