#medical-ai — Wealth & Means

Episodes tagged #medical-ai on Wealth & Means.

Nothing Works by Itself — 2026-09-19
There's a particular kind of mistake that comes from believing a good thing should be enough on its own. The right idea, the sound intention, the correct material — surely that's the hard part, and the rest is administration. It almost never is. The good thing sits there, correct and inert, waiting for a system nobody has built yet. It ends one of two ways: someone finally builds the apparatus, or everyone keeps blaming the idea. The pattern turns up in unlikely places. A species went unrecognized for a century, not because anyone lacked eyes, but because nobody funded the work of establishing what it was. A central bank raised rates to a three-decade high and its currency fell anyway, because a decision can't carry a message by itself. A company holding valuable patents discovered its revenue had been living on a licensee's balance sheet the whole time. In The Greater Debate, a physicist and a systems analyst argue over whether any institution can honestly investigate itself, and land somewhere neither intended: the problem isn't that people inside are dishonest, it's that no closed circuit checks its own work. And in Let's Invent Again, four engineers facing a wartime fuel shortage leave the chemistry completely alone. The catalyst was never the problem. It just couldn't do the job sitting still. Which is the uncomfortable part. If the ingredient was fine all along, the failure belongs to whoever was meant to build the rest.

#medical-ai — Wealth & Means

Episodes tagged #medical-ai on Wealth & Means.

Nothing Works by Itself — 2026-09-19
There's a particular kind of mistake that comes from believing a good thing should be enough on its own. The right idea, the sound intention, the correct material — surely that's the hard part, and the rest is administration. It almost never is. The good thing sits there, correct and inert, waiting for a system nobody has built yet. It ends one of two ways: someone finally builds the apparatus, or everyone keeps blaming the idea. The pattern turns up in unlikely places. A species went unrecognized for a century, not because anyone lacked eyes, but because nobody funded the work of establishing what it was. A central bank raised rates to a three-decade high and its currency fell anyway, because a decision can't carry a message by itself. A company holding valuable patents discovered its revenue had been living on a licensee's balance sheet the whole time. In The Greater Debate, a physicist and a systems analyst argue over whether any institution can honestly investigate itself, and land somewhere neither intended: the problem isn't that people inside are dishonest, it's that no closed circuit checks its own work. And in Let's Invent Again, four engineers facing a wartime fuel shortage leave the chemistry completely alone. The catalyst was never the problem. It just couldn't do the job sitting still. Which is the uncomfortable part. If the ingredient was fine all along, the failure belongs to whoever was meant to build the rest.