Public evidence record
Published podcast speaker
Claim ledger
14 transcript-backed records
01 / belief
“I think part of it is that I’m pretty clear about my goal, which is I’m trying to have impact and to try to do stuff that feels cool along the way.”
02 / belief
“What I might go to is going back to that era. So Songs in the Key of Life, I would say, bring that back.”
03 / belief
“Hmmm. I think he’s now become underrated. He might have been overrated at one point, but now he is significantly underrated.”
04 / belief
“The fact that he graduated from medical school, and then a year into his residency, left to do everything from directing movies like Coma to writing The Great Train Robbery, and then onward to Jurassic Park. But as a kind of influence on medical writing and on writing writ large, I think that his power is waning.”
05 / recommendation
“I think a lot of lessons about when the HIV community became involved in the FDA process to drive approaches that smoothed and sped up the decision-making process, and also got the public enough involved to be able to say .”
06 / preference
“[laughs] In neurosurgery, they’re actively part of the operation because they’re often speaking and telling you things so that you know if you’re causing any difficulties.”
07 / evaluation
“Like the experiment we just finished with the state of South Carolina: five years of working with them to see whether you could get the surgeons in the state to adopt the safe surgery checklist without regulations because it’s a red state and they didn’t want to mandate it, but without financial incentives because they didn’t have the money to pay for pay-for-performance.”
08 / preference
“I chose surgery, and I wrote in the passage you might be reflecting on that I chose surgery, in part, because I was drawn to the character of people who had that kind of decisiveness, took action when inaction was the worst thing, and then lived with the consequences.”
09 / evaluation
“That is a tremendous power. And the ways in which we see that just the payment incentives alone dramatically affect whether my tendency is to give you overtreatment in certain situations and undertreatment in others, is a reflection of our failure to follow through on being able to deal with the variability in that, and how we use that asymmetry of information.”
10 / prediction
“The CRISPR capability is just another bullet in the holster that can be fired, but we are narrowing that neurotypical range in lots and lots of different directions, whether it’s how we employ people, what kinds of options we put out there for people to have their aberrant thinking recognized and taken advantage of, to the ways we medicate and control people. And I think CRISPR—it actually will be exceedingly difficult to be able to pick many of these capabilities out, in part because they’re multigene.”
11 / preference
“I’m totally absorbed and loved them. But I feel like Elena Ferrante is an example of someone who was doing much the same—deeply mining the territory of somebody over a history of time—but managed to do it by fixing them in a place and a time and a history, and a dramatic change in social conditions, and everything else that took it to this whole another level in my mind.”
12 / prediction
“The way to think about it, though, is that we have a certain speed with which we have accelerated passage through the FDA.”
13 / evaluation
“We had done a case control study of this problem of surgeons leaving sponges inside people, and got it published in the New England Journal [of Medicine], partly because of our whole method of going about solving this problem, which was, we studied 60 people who had sponges left inside them, compared to 240 people at the same institution at the same time with the same operation who didn’t have sponges left inside them.”
14 / recommendation
“What they point out is that they, the clinicians of the future, really need to be oriented in a counselor mode, where they are not just telling you what the options are, but also eliciting from you very clearly what your goals are, and then making a recommendation about what most matches your goals.”