https://thomasjankowski.com/writing/ai-driven-patient-journey/ https://thomasjankowski.com/assets/writing-avif/ai-driven-patient-journey-by-thomas-jankowski-aided-by-ai.avif AI-driven 'patient journey' tools mostly aren't. Two paths, one phrase https://thomasjankowski.com/writing/biotech-foundation-models/ https://thomasjankowski.com/assets/writing-avif/biotech-foundation-models-by-thomas-jankowski-aided-by-ai.avif What the biotech foundation models will look like. Three checkpoints on a long wave https://thomasjankowski.com/writing/subscription-airfare-experiments/ https://thomasjankowski.com/assets/writing-avif/subscription-airfare-experiments-by-thomas-jankowski-aided-by-ai.avif Why the 'subscription airfare' experiments keep failing. The constraint stack as designed https://thomasjankowski.com/writing/ai-for-pharmacy-operations-undersold/ https://thomasjankowski.com/assets/writing-avif/ai-for-pharmacy-operations-undersold-by-thomas-jankowski-aided-by-ai.avif AI for pharmacy operations is undersold. Three jobs, none of them chat https://thomasjankowski.com/writing/ai-scribes-documentation-burden/ https://thomasjankowski.com/assets/writing-avif/ai-scribes-documentation-burden-by-thomas-jankowski-aided-by-ai.avif AI scribes and the documentation-burden question. Where the saved minutes go https://thomasjankowski.com/writing/ai-for-medical-billing-is-a-labor-market-story/ https://thomasjankowski.com/assets/writing-avif/ai-for-medical-billing-is-a-labor-market-story-by-thomas-jankowski-aided-by-ai.avif AI for medical billing is a labor-market story. Shortage by design, not shortage by accident https://thomasjankowski.com/writing/agent-to-agent-commerce-question/ https://thomasjankowski.com/assets/writing-avif/agent-to-agent-commerce-question-by-thomas-jankowski-aided-by-ai.avif The agent-to-agent commerce question. Three questions, three first hits https://thomasjankowski.com/writing/prompts-became-specs/ https://thomasjankowski.com/assets/writing-avif/prompts-became-specs-by-thomas-jankowski-aided-by-ai.avif Specs are the new prompt. Specification discipline, not prompt tuning https://thomasjankowski.com/writing/prior-auth-solvable-current-tech/ https://thomasjankowski.com/assets/writing-avif/prior-auth-solvable-current-tech-by-thomas-jankowski-aided-by-ai.avif The prior-authorization problem is solvable with current technology. Routing-and-rules, not technology https://thomasjankowski.com/writing/industry-invisible-to-ai-tooling/ https://thomasjankowski.com/assets/writing-avif/industry-invisible-to-ai-tooling-by-thomas-jankowski-aided-by-ai.avif The single industry that's invisible to current AI tooling. AI tooling, at the perimeter https://thomasjankowski.com/writing/reasoning-model-wars-evaluation/ https://thomasjankowski.com/assets/writing-avif/reasoning-model-wars-evaluation-by-thomas-jankowski-aided-by-ai.avif The reasoning model wars are about evaluation, not capability. The fight is over the rubric https://thomasjankowski.com/writing/single-payer-debate-math/ https://thomasjankowski.com/assets/writing-avif/single-payer-debate-math-by-thomas-jankowski-aided-by-ai.avif The single-payer debate is over. The single-payer math hasn't changed. The math underneath does not change https://thomasjankowski.com/writing/death-of-travel-agent-framing/ https://thomasjankowski.com/assets/writing-avif/death-of-travel-agent-framing-by-thomas-jankowski-aided-by-ai.avif On the 'death of the travel agent' framing. Segmentation, not death https://thomasjankowski.com/writing/ai-killed-search-engine-premature/ https://thomasjankowski.com/assets/writing-avif/ai-killed-search-engine-premature-by-thomas-jankowski-aided-by-ai.avif Why the 'AI killed the search engine' framing is premature. The flywheel still turns https://thomasjankowski.com/writing/synthetic-data-debate-distraction/ https://thomasjankowski.com/assets/writing-avif/synthetic-data-debate-distraction-by-thomas-jankowski-aided-by-ai.avif The synthetic-data debate is a distraction. Centralized vs distributed, not synthetic https://thomasjankowski.com/writing/glp1-supply-undercovered/ https://thomasjankowski.com/assets/writing-avif/glp1-supply-undercovered-by-thomas-jankowski-aided-by-ai.avif Why the 'GLP-1 supply' story is undercovered. Fill-finish is the binding constraint https://thomasjankowski.com/writing/the-long-tail-of-travel/ https://thomasjankowski.com/assets/writing-avif/the-long-tail-of-travel-by-thomas-jankowski-aided-by-ai.avif The long tail is what an agent does that an agent can't. The unscalable becomes the category https://thomasjankowski.com/writing/cancelled-github-copilot-2025/ https://thomasjankowski.com/assets/writing-avif/cancelled-github-copilot-2025-by-thomas-jankowski-aided-by-ai.avif Why I cancelled my GitHub Copilot in 2025. Double-pay for the weaker side https://thomasjankowski.com/writing/hospital-at-home-pilot-data/ https://thomasjankowski.com/assets/writing-avif/hospital-at-home-pilot-data-by-thomas-jankowski-aided-by-ai.avif The hospital-at-home pilot data, four years in. Smaller savings, equivalent care https://thomasjankowski.com/writing/cottage-was-already-the-office/ https://thomasjankowski.com/assets/writing-avif/cottage-was-already-the-office-by-thomas-jankowski-aided-by-ai.avif The cottage was already the office. Work decoupled from surface https://thomasjankowski.com/writing/agent-layer-skipped-orchestration/ https://thomasjankowski.com/assets/writing-avif/agent-layer-skipped-orchestration-by-thomas-jankowski-aided-by-ai.avif Why the agent layer skipped the orchestration startups. The middle tier dissolved https://thomasjankowski.com/writing/patient-portal-marketing-artifact/ https://thomasjankowski.com/assets/writing-avif/stopped-using-patient-portal-by-thomas-jankowski-aided-by-ai.avif The patient portal is a marketing artifact. Walled gardens, by design https://thomasjankowski.com/writing/iata-ndc-adoption-stat-in-context/ https://thomasjankowski.com/assets/writing-avif/iata-ndc-adoption-stat-in-context-by-thomas-jankowski-aided-by-ai.avif The IATA new-distribution-capability adoption stat, in context. Volume counted, function not https://thomasjankowski.com/writing/stop-benchmarking-lab-benchmarks/ https://thomasjankowski.com/assets/writing-avif/stop-benchmarking-lab-benchmarks-by-thomas-jankowski-aided-by-ai.avif Stop benchmarking on benchmarks the lab made. The lab makes both https://thomasjankowski.com/writing/post-app-stack-sketched/ https://thomasjankowski.com/assets/writing-avif/post-app-stack-sketched-by-thomas-jankowski-aided-by-ai.avif The post-app stack, sketched. The layer that does not exist yet https://thomasjankowski.com/writing/doctor-on-demand-branding/ https://thomasjankowski.com/assets/writing-avif/doctor-on-demand-branding-by-thomas-jankowski-aided-by-ai.avif Why the 'doctor on demand' branding never quite worked. The relationship is the unit https://thomasjankowski.com/writing/agent-is-not-the-user-stop-building-uis-that-pretend/ https://thomasjankowski.com/assets/writing-avif/agent-is-not-the-user-stop-building-uis-that-pretend-by-thomas-jankowski-aided-by-ai.avif The agent is not the user. Stop building UIs that pretend it is. The agent is not the user https://thomasjankowski.com/writing/clinical-decision-support-liability/ https://thomasjankowski.com/assets/writing-avif/clinical-decision-support-liability-by-thomas-jankowski-aided-by-ai.avif The clinical-decision-support liability question. Legal answer, operational answer https://thomasjankowski.com/writing/long-context-window-transition-primitive/ https://thomasjankowski.com/assets/writing-avif/long-context-window-transition-primitive-by-thomas-jankowski-aided-by-ai.avif The 'long-context window' was always a transition primitive. Three primitives finishing the job https://thomasjankowski.com/writing/rental-car-return-process/ https://thomasjankowski.com/assets/writing-avif/rental-car-return-process-by-thomas-jankowski-aided-by-ai.avif What the rental-car return process should look like. Under sixty seconds, no contact https://thomasjankowski.com/writing/what-open-weights-shipped-2025/ https://thomasjankowski.com/assets/writing-avif/what-open-weights-shipped-2025-by-thomas-jankowski-aided-by-ai.avif What the open-weights community actually shipped in 2025. Workload is not leaderboard https://thomasjankowski.com/writing/medical-school-admissions-algorithm/ https://thomasjankowski.com/assets/writing-avif/medical-school-admissions-algorithm-by-thomas-jankowski-aided-by-ai.avif On the medical-school admissions algorithm reform. Two upstream variables https://thomasjankowski.com/writing/sunday-night-business-traveler-dead/ https://thomasjankowski.com/assets/writing-avif/sunday-night-business-traveler-dead-by-thomas-jankowski-aided-by-ai.avif The Sunday-night business-traveler segment is dead. Long live the Tuesday-Thursday segment. Tuesday plateau, Sunday peak gone https://thomasjankowski.com/writing/fine-tune-is-dead-long-live-the-prompt-engineer/ https://thomasjankowski.com/assets/writing-avif/fine-tune-is-dead-long-live-the-prompt-engineer-by-thomas-jankowski-aided-by-ai.avif The fine-tune is dead. Long live the prompt engineer. Median, not frontier https://thomasjankowski.com/writing/health-data-as-asset-framing/ https://thomasjankowski.com/assets/writing-avif/health-data-as-asset-framing-by-thomas-jankowski-aided-by-ai.avif Three reasons the 'health-data-as-an-asset' framing rings hollow. Three stations, three failures https://thomasjankowski.com/writing/wont-fly-spirit-again/ https://thomasjankowski.com/assets/writing-avif/wont-fly-spirit-again-by-thomas-jankowski-aided-by-ai.avif Why I won't fly Spirit again. The model is the problem https://thomasjankowski.com/writing/ai-in-revenue-management/ https://thomasjankowski.com/assets/writing-avif/ai-in-revenue-management-by-thomas-jankowski-aided-by-ai.avif Revenue management is now an inputs problem. Architecture is stable; inputs shift https://thomasjankowski.com/writing/healthcare-data-doesnt-move-because-nobody-owns-the-pipes/ https://thomasjankowski.com/assets/writing-avif/healthcare-data-doesnt-move-because-nobody-owns-the-pipes-by-thomas-jankowski-aided-by-ai.avif Healthcare data doesn't move because nobody owns the pipes. Patchwork as load-bearing https://thomasjankowski.com/writing/end-of-year-travel-column-the-trade-press-wont-publish/ https://thomasjankowski.com/assets/writing-avif/end-of-year-travel-column-the-trade-press-wont-publish-by-thomas-jankowski-aided-by-ai.avif The end-of-year travel column the trade press won't publish. Consolidation's accounting logic https://thomasjankowski.com/writing/use-foundation-model-x-under-the-hood-admission/ https://thomasjankowski.com/assets/writing-avif/use-foundation-model-x-under-the-hood-admission-by-thomas-jankowski-aided-by-ai.avif The 'we use [foundation model X] under the hood' admission. Six locations, six failure modes https://thomasjankowski.com/writing/dental-vision-hearing-exclusion/ https://thomasjankowski.com/assets/writing-avif/dental-vision-hearing-exclusion-by-thomas-jankowski-aided-by-ai.avif Why the dental-vision-hearing exclusion will outlive every Medicare reform. Original sin, engineered stability https://thomasjankowski.com/writing/ndc-migration-six-years-late/ https://thomasjankowski.com/assets/writing-avif/ndc-migration-six-years-late-by-thomas-jankowski-aided-by-ai.avif The NDC migration is six years late and still wrong. Wire format, not capability https://thomasjankowski.com/writing/ai-in-airline-operations/ https://thomasjankowski.com/assets/writing-avif/ai-in-airline-operations-by-thomas-jankowski-aided-by-ai.avif AI in airline operations: where the unsexy money is. Visibility inverts financial leverage https://thomasjankowski.com/writing/behavioral-health-expansion-2024/ https://thomasjankowski.com/assets/writing-avif/behavioral-health-expansion-2024-by-thomas-jankowski-aided-by-ai.avif The behavioral-health expansion of 2024 was the right size. Channel allocation, not total capacity https://thomasjankowski.com/writing/rich-agent-poor-agent-divide-is-coming/ https://thomasjankowski.com/assets/writing-avif/rich-agent-poor-agent-divide-is-coming-by-thomas-jankowski-aided-by-ai.avif The 'rich agent / poor agent' divide is coming. Compute tiers compound across every interaction https://thomasjankowski.com/writing/epic-as-monopoly-framing/ https://thomasjankowski.com/assets/writing-avif/epic-as-monopoly-framing-by-thomas-jankowski-aided-by-ai.avif On 'Epic-as-a-monopoly' framing. Switching costs, not market share https://thomasjankowski.com/writing/toronto-winters-briefly/ https://thomasjankowski.com/assets/writing-avif/toronto-winters-briefly-by-thomas-jankowski-aided-by-ai.avif On Toronto winters, briefly. Weather reshapes the work underneath https://thomasjankowski.com/writing/ai-in-corporate-travel-underbuilt/ https://thomasjankowski.com/assets/writing-avif/ai-in-corporate-travel-underbuilt-by-thomas-jankowski-aided-by-ai.avif The AI-in-corporate-travel category is the second-most underbuilt. Vendor density inverts operational need https://thomasjankowski.com/writing/metasearch-consolidation-bad-for-everyone/ https://thomasjankowski.com/assets/writing-avif/metasearch-consolidation-bad-for-everyone-by-thomas-jankowski-aided-by-ai.avif Why the metasearch consolidation is bad for everyone except Booking.com. Consolidation masquerading as choice https://thomasjankowski.com/writing/value-based-care-third-try/ https://thomasjankowski.com/assets/writing-avif/value-based-care-third-try-by-thomas-jankowski-aided-by-ai.avif Value-based care got operationalized on the third try. Ambition gets operationalized as constraint https://thomasjankowski.com/writing/claude-for-education-roadmap/ https://thomasjankowski.com/assets/writing-avif/claude-for-education-roadmap-by-thomas-jankowski-aided-by-ai.avif What 'Claude for Education' tells us about Anthropic's roadmap. Compliance as competitive moat https://thomasjankowski.com/writing/morning-routine-stopped-having/ https://thomasjankowski.com/assets/writing-avif/morning-routine-stopped-having-by-thomas-jankowski-aided-by-ai.avif On the morning routine I stopped having. Constraint-fit precedes compounding https://thomasjankowski.com/writing/three-otas-shipped-concierge-ai-all-three-failed-the-same/ https://thomasjankowski.com/assets/writing-avif/three-otas-shipped-concierge-ai-all-three-failed-the-same-by-thomas-jankowski-aided-by-ai.avif Three OTAs shipped concierge AI. All three failed the same way. Demo depth versus production grounding https://thomasjankowski.com/writing/post-search-internet-briefly/ https://thomasjankowski.com/assets/writing-avif/post-search-internet-briefly-by-thomas-jankowski-aided-by-ai.avif The post-search internet, briefly. Median visitor flips, briefly https://thomasjankowski.com/writing/first-wave-of-agent-failures-will-look-like-infrastructure/ https://thomasjankowski.com/assets/writing-avif/first-wave-of-agent-failures-will-look-like-infrastructure-by-thomas-jankowski-aided-by-ai.avif The first wave of agent failures will look like infrastructure failures. Substrate-failures, not capability https://thomasjankowski.com/writing/pediatric-to-adult-handoff/ https://thomasjankowski.com/assets/writing-avif/pediatric-to-adult-handoff-by-thomas-jankowski-aided-by-ai.avif The pediatric-to-adult care handoff is the worst-handled transition in US medicine. Worse than aging into Medicare https://thomasjankowski.com/writing/airport-is-the-new-mall/ https://thomasjankowski.com/assets/writing-avif/airport-is-the-new-mall-by-thomas-jankowski-aided-by-ai.avif The mall is dead. Long live the ... airport? The captive surface migrated https://thomasjankowski.com/writing/ai-triage-in-the-ed-keeps-not-landing-the-deployment-gap/ https://thomasjankowski.com/assets/writing-avif/ai-triage-in-the-ed-keeps-not-landing-the-deployment-gap-by-thomas-jankowski-aided-by-ai.avif AI triage in the ED keeps not landing. The deployment gap is the reason. The deck never matches the floor https://thomasjankowski.com/writing/human-in-the-loop-is-the-only-ai-promise-that-klarna/ https://thomasjankowski.com/assets/writing-avif/human-in-the-loop-is-the-only-ai-promise-that-klarna-by-thomas-jankowski-aided-by-ai.avif Human-in-the-loop is the only AI promise that Klarna had to honor. The only promise it had to honor https://thomasjankowski.com/writing/health-data-broker-layer-now-regulated/ https://thomasjankowski.com/assets/writing-avif/health-data-broker-layer-now-regulated-by-thomas-jankowski-aided-by-ai.avif The health data broker layer is now regulated. That changes the pitch. The broker layer entered the lens https://thomasjankowski.com/writing/cost-per-token-vs-cost-per-task/ https://thomasjankowski.com/assets/writing-avif/cost-per-token-vs-cost-per-task-by-thomas-jankowski-aided-by-ai.avif The cost-per-token graph is not the cost-per-task graph. The capex numbers prove it. Token chart is not task chart https://thomasjankowski.com/writing/agent-runtime-will-be-the-operating-system-not-the-model/ https://thomasjankowski.com/assets/writing-avif/agent-runtime-will-be-the-operating-system-not-the-model-by-thomas-jankowski-aided-by-ai.avif The agent runtime will be the operating system, not the model alone. Kernel, not engine https://thomasjankowski.com/writing/the-premium-leisure-thesis-was-the-only-good-rebound/ https://thomasjankowski.com/assets/writing-avif/the-premium-leisure-thesis-was-the-only-good-rebound-by-thomas-jankowski-aided-by-ai.avif The premium-leisure thesis was the only good rebound. One thesis of four compounded https://thomasjankowski.com/writing/the-post-stack-overflow-developer-exists/ https://thomasjankowski.com/assets/writing-avif/the-post-stack-overflow-developer-exists-by-thomas-jankowski-aided-by-ai.avif The post-Stack Overflow developer exists. The IDE absorbed the apprenticeship https://thomasjankowski.com/writing/two-travel-companies-shipping-agentic-features/ https://thomasjankowski.com/assets/writing-avif/two-travel-companies-shipping-agentic-features-by-thomas-jankowski-aided-by-ai.avif Two travel companies are quietly shipping agentic features. One will call it existential. Two shipped, six announced https://thomasjankowski.com/writing/the-model-card-as-governance-document/ https://thomasjankowski.com/assets/writing-avif/the-model-card-as-governance-document-by-thomas-jankowski-aided-by-ai.avif The model card no one reads is now the governance document everyone will require. Filed, not read; required, not optional https://thomasjankowski.com/writing/agents-arent-production-ready-take-aged-badly-the-54-receipt/ https://thomasjankowski.com/assets/writing-avif/agents-arent-production-ready-take-aged-badly-the-54-receipt-by-thomas-jankowski-aided-by-ai.avif The "agents aren't production-ready" take aged badly. The 54% receipt. Fifty-four percent is the receipt https://thomasjankowski.com/writing/healthcare-ai-procurement-is-its-own-skill-the-texas-ag-sett/ https://thomasjankowski.com/assets/writing-avif/healthcare-ai-procurement-is-its-own-skill-the-texas-ag-sett-by-thomas-jankowski-aided-by-ai.avif Healthcare-AI procurement is its own skill. The Texas AG settlement proved why. Marketed claims versus operational reality https://thomasjankowski.com/writing/ota-take-rate-up-existential-10-k-confirmation/ https://thomasjankowski.com/assets/writing-avif/ota-take-rate-up-existential-10-k-confirmation-by-thomas-jankowski-aided-by-ai.avif The OTA take rate is going up. The OTA existential 10-K is the confirmation. Empirical rate versus structural ceiling https://thomasjankowski.com/writing/the-agent-stack-did-not-collapse-the-wrong-prediction-collap/ https://thomasjankowski.com/assets/writing-avif/the-agent-stack-did-not-collapse-the-wrong-prediction-collap-by-thomas-jankowski-aided-by-ai.avif The agent stack did not collapse. The wrong prediction collapsed. Salesforce has the receipt. Ten years compressed to eighteen months https://thomasjankowski.com/writing/physician-burnout-is-an-org-design-problem-the-canadian-surv/ https://thomasjankowski.com/assets/writing-avif/physician-burnout-is-an-org-design-problem-the-canadian-surv-by-thomas-jankowski-aided-by-ai.avif Physician burnout is an org-design problem. The Canadian survey data makes the case. Organizational design, not individual resilience https://thomasjankowski.com/writing/ai-radiology-is-real-ai-in-radiology-as-product-is-mostly/ https://thomasjankowski.com/assets/writing-avif/ai-radiology-is-real-ai-in-radiology-as-product-is-mostly-by-thomas-jankowski-aided-by-ai.avif AI radiology is real. AI-in-radiology-as-product is mostly not. The FDA data explains the gap. Tool augments; product replaces https://thomasjankowski.com/writing/itinerary-rebooking-is-the-right-shape-of-agentic-travel/ https://thomasjankowski.com/assets/writing-avif/itinerary-rebooking-is-the-right-shape-of-agentic-travel-by-thomas-jankowski-aided-by-ai.avif Itinerary rebooking is the right shape of agentic travel. Expedia finally agrees in its 10-K. Constraint enables agency https://thomasjankowski.com/writing/retraining-cycle-question-your-ai-vendor-cannot-answer/ https://thomasjankowski.com/assets/writing-avif/retraining-cycle-question-your-ai-vendor-cannot-answer-by-thomas-jankowski-aided-by-ai.avif The retraining-cycle question your AI vendor cannot answer, and what that tells you. Cadence and eval-deltas, not features https://thomasjankowski.com/writing/the-ai-in-everything-wave-broke-earlier-than-consensus-expec/ https://thomasjankowski.com/assets/writing-avif/the-ai-in-everything-wave-broke-earlier-than-consensus-expec-by-thomas-jankowski-aided-by-ai.avif The AI-in-everything wave broke earlier than consensus expected. McDonald's and Klarna are the receipts. Surface peaks, infrastructure grows https://thomasjankowski.com/writing/ehr-vendors-eat-health-tech-startup-ipo-window-validates/ https://thomasjankowski.com/assets/writing-avif/ehr-vendors-eat-health-tech-startup-ipo-window-validates-by-thomas-jankowski-aided-by-ai.avif The EHR vendors will eat every health-tech startup that the IPO window validates. Platform incumbency, by integration https://thomasjankowski.com/writing/the-agent-handoff-failure-mode-air-canada-paid-650-to-docume/ https://thomasjankowski.com/assets/writing-avif/the-agent-handoff-failure-mode-air-canada-paid-650-to-docume-by-thomas-jankowski-aided-by-ai.avif The agent-handoff failure mode Air Canada paid $650 to document publicly. Context corruption, invisible until forced https://thomasjankowski.com/writing/agi-by-2027-claim-deepseek-s-5m-training-run-made-the-debate/ https://thomasjankowski.com/assets/writing-avif/agi-by-2027-claim-deepseek-s-5m-training-run-made-the-debate-by-thomas-jankowski-aided-by-ai.avif On the AGI-by-2027 claim: DeepSeek's $5M training run made the debate structural, not theatrical. Cost assumptions, now falsifiable https://thomasjankowski.com/writing/the-multi-agent-marketing-flag-appears-whenever-shopify-styl/ https://thomasjankowski.com/assets/writing-avif/the-multi-agent-marketing-flag-appears-whenever-shopify-styl-by-thomas-jankowski-aided-by-ai.avif The 'multi-agent' marketing flag appears whenever Shopify-style memos run ahead of actual deployments. The orchestration primitive, named https://thomasjankowski.com/writing/aviation-alternative-fuels-math-boeing-s-q1-2026-delivery/ https://thomasjankowski.com/assets/writing-avif/aviation-alternative-fuels-math-boeing-s-q1-2026-delivery-by-thomas-jankowski-aided-by-ai.avif Aviation alternative-fuels math: Boeing's Q1 2026 delivery recovery made the fuel calculus harder. Mandates outpace production, faster https://thomasjankowski.com/writing/year-of-vibes-actually-changed-vibe-coding-is-a-real/ https://thomasjankowski.com/assets/writing-avif/year-of-vibes-actually-changed-vibe-coding-is-a-real-by-thomas-jankowski-aided-by-ai.avif What the year of vibes actually changed: vibe coding is a real productivity shift, not a discourse moment. Productivity on three axes, stasis on three others https://thomasjankowski.com/writing/demo-video-died-when-google-ai-overviews-recommended-eating/ https://thomasjankowski.com/assets/writing-avif/demo-video-died-when-google-ai-overviews-recommended-eating-by-thomas-jankowski-aided-by-ai.avif The demo video died when Google AI Overviews recommended eating rocks. Here is what replaced it. Demo-to-production gap made visible https://thomasjankowski.com/writing/ai-for-hospital-staffing-is-the-only-optimization-that-addre/ https://thomasjankowski.com/assets/writing-avif/ai-for-hospital-staffing-is-the-only-optimization-that-addre-by-thomas-jankowski-aided-by-ai.avif AI for hospital staffing is the only optimization that addresses both the burnout data and the org-design problem. Org-design intervention, not wellness theater https://thomasjankowski.com/writing/ai-in-claim-adjudication-is-the-under-discussed-health-ai/ https://thomasjankowski.com/assets/writing-avif/ai-in-claim-adjudication-is-the-under-discussed-health-ai-by-thomas-jankowski-aided-by-ai.avif AI in claim adjudication is the under-discussed health-AI win the prior-auth mandate is about to mainstream. Prior-auth mandate as forcing function https://thomasjankowski.com/writing/the-open-source-agents-will-win-the-long-tail-eu-gpai-enforc/ https://thomasjankowski.com/assets/writing-avif/the-open-source-agents-will-win-the-long-tail-eu-gpai-enforc-by-thomas-jankowski-aided-by-ai.avif The open-source agents will win the long tail. EU GPAI enforcement will accelerate it. Head concentration, tail distribution https://thomasjankowski.com/writing/hotel-category-is-broken-in-a-way-the-airlines/ https://thomasjankowski.com/assets/writing-avif/hotel-category-is-broken-in-a-way-the-airlines-by-thomas-jankowski-aided-by-ai.avif The hotel category is broken in a way the airlines are not. Airbnb's AI fourth pillar is the divergence signal. Fragmentation, not commoditization https://thomasjankowski.com/writing/the-routing-layer-in-healthcare-ai-is-bigger-than-the-diagno/ https://thomasjankowski.com/assets/writing-avif/the-routing-layer-in-healthcare-ai-is-bigger-than-the-diagno-by-thomas-jankowski-aided-by-ai.avif The routing layer in healthcare AI is bigger than the diagnosis layer. Six million unattached Canadians prove it. Routing before diagnosis https://thomasjankowski.com/writing/the-eval-is-the-product-the-texas-ag-healthcare-ai-settlemen/ https://thomasjankowski.com/assets/writing-avif/the-eval-is-the-product-the-texas-ag-healthcare-ai-settlemen-by-thomas-jankowski-aided-by-ai.avif The eval is the product. The Texas AG healthcare AI settlement is the consequence of ignoring that. Moat lives in eval, not weights https://thomasjankowski.com/writing/airbus-narrowbody-backlog-math-updated-boeings-q1-2026-deliv/ https://thomasjankowski.com/assets/writing-avif/airbus-narrowbody-backlog-math-updated-boeings-q1-2026-deliv-by-thomas-jankowski-aided-by-ai.avif Airbus narrowbody backlog math, updated: Boeing's Q1 2026 delivery beat changed the calculus. Order stack exceeds delivery capacity https://thomasjankowski.com/writing/next-wave-of-foundation-models-will-get-the-deployment-layer/ https://thomasjankowski.com/assets/writing-avif/next-wave-of-foundation-models-will-get-the-deployment-layer-by-thomas-jankowski-aided-by-ai.avif The next wave of foundation models will get the deployment layer wrong. The capex cycle guarantees it. The capex cycle hardens deployment error https://thomasjankowski.com/writing/ai-generated-travel-itinerary-product-was-always-going/ https://thomasjankowski.com/assets/writing-avif/ai-generated-travel-itinerary-product-was-always-going-by-thomas-jankowski-aided-by-ai.avif The AI-generated travel itinerary product was always going to be the booking funnel. Expedia's 10-K confirmed it. The artifact is not the outcome https://thomasjankowski.com/writing/gds-will-outlive-every-startup-that-came-to-disrupt/ https://thomasjankowski.com/assets/writing-avif/gds-will-outlive-every-startup-that-came-to-disrupt-by-thomas-jankowski-aided-by-ai.avif The GDS will outlive every startup that came to disrupt it. American Airlines paid $1.5B to prove it. Stickiness through structural coupling https://thomasjankowski.com/writing/ai-for-prior-authorization-pilots-are-the-cms-mandate-bet/ https://thomasjankowski.com/assets/writing-avif/ai-for-prior-authorization-pilots-are-the-cms-mandate-bet-by-thomas-jankowski-aided-by-ai.avif The AI-for-prior-authorization pilots are the CMS mandate bet. Here is how to classify them. Three patterns, one mandate https://thomasjankowski.com/writing/local-models-are-real-local-models-as-product-mostly/ https://thomasjankowski.com/assets/writing-avif/local-models-are-real-local-models-as-product-mostly-by-thomas-jankowski-aided-by-ai.avif Local models are real. Local-models-as-product mostly are not. DeepSeek is the dividing line. Open infrastructure, closed unit economics https://thomasjankowski.com/writing/trust-eval-results-from-companies-that-do-not-sell-the-model/ https://thomasjankowski.com/assets/writing-avif/trust-eval-results-from-companies-that-do-not-sell-the-model-by-thomas-jankowski-aided-by-ai.avif I trust eval results from companies that do not sell the model being evaluated. The Texas AG settlement is why that matters. Independence as structural integrity https://thomasjankowski.com/writing/tool-use-is-the-only-benchmark-that-matters-after-claude-4/ https://thomasjankowski.com/assets/writing-avif/tool-use-is-the-only-benchmark-that-matters-after-claude-4-by-thomas-jankowski-aided-by-ai.avif Tool use is the only benchmark that matters after Claude 4 can code for hours unsupervised. Saturation kills static evaluation https://thomasjankowski.com/writing/mcp-gambit-two-years-in-claude-cowork-is-the-product-built/ https://thomasjankowski.com/assets/writing-avif/mcp-gambit-two-years-in-claude-cowork-is-the-product-built-by-thomas-jankowski-aided-by-ai.avif The MCP gambit, two years in: Claude Cowork is the product built on the bet. Open standards route vendor consolidation https://thomasjankowski.com/writing/safety-teams-got-right-in-2024-shows-up-in-the-claude/ https://thomasjankowski.com/assets/writing-avif/safety-teams-got-right-in-2024-shows-up-in-the-claude-by-thomas-jankowski-aided-by-ai.avif What the safety teams got right in 2024 shows up in the Claude Constitution and the 36-AG pushback. Prediction validated through deployment https://thomasjankowski.com/writing/american-airlines-ndc-dictator-tenant/ https://thomasjankowski.com/assets/writing-avif/american-airlines-ndc-dictator-tenant-by-thomas-jankowski-aided-by-ai.avif American Airlines thought it was the dictator. The NDC revolt proved it is a tenant. Tenant mistaking itself for landlord https://thomasjankowski.com/writing/canada-connected-care-act-decade-lag/ https://thomasjankowski.com/assets/writing-avif/canada-connected-care-act-decade-lag-by-thomas-jankowski-aided-by-ai.avif Canada legislated in 2024 what the US did in 2016. Here is what that decade of lag costs. Eight years of compounded structural debt https://thomasjankowski.com/writing/amazon-healthcare-booking-travel-pattern/ https://thomasjankowski.com/assets/writing-avif/amazon-healthcare-booking-travel-pattern-by-thomas-jankowski-aided-by-ai.avif Amazon is doing to healthcare access what Booking did to travel. Here is how it ends. Friction transfer, not disruption https://thomasjankowski.com/writing/openai-o1-slow-thinking-4x-premium/ https://thomasjankowski.com/assets/writing-avif/openai-o1-slow-thinking-4x-premium-by-thomas-jankowski-aided-by-ai.avif OpenAI o1 introduced slow thinking. The operator question is where slow thinking earns its 4x premium. Where the 4x premium earns itself https://thomasjankowski.com/writing/ulcc-structurally-broken-spirit-first-to-file/ https://thomasjankowski.com/assets/writing-avif/ulcc-structurally-broken-spirit-first-to-file-by-thomas-jankowski-aided-by-ai.avif The ULCC model was always structurally broken. Spirit is just the first to file the paperwork. Cruise-speed insolvency, not cycles https://thomasjankowski.com/writing/ai-capital-gravity-pulls-from-adjacent-sectors/ https://thomasjankowski.com/assets/writing-avif/ai-capital-gravity-pulls-from-adjacent-sectors-by-thomas-jankowski-aided-by-ai.avif AI's capital gravity is pulling investment away from every adjacent tech sector. Four gravity events, one outcome https://thomasjankowski.com/writing/culture-downstream-of-structure-southwest-elliott/ https://thomasjankowski.com/assets/writing-avif/culture-downstream-of-structure-southwest-elliott-by-thomas-jankowski-aided-by-ai.avif Culture is downstream of structure. Southwest's Elliott settlement is the evidence. Culture as surface layer, not foundation https://thomasjankowski.com/writing/fda-pccp-process-approval-moat-drained/ https://thomasjankowski.com/assets/writing-avif/fda-pccp-process-approval-moat-drained-by-thomas-jankowski-aided-by-ai.avif The FDA just shifted from product approval to process approval. Your AI-cleared moat got drained. Product approval to process approval https://thomasjankowski.com/writing/openai-operator-travel-healthcare-booking-18mo/ https://thomasjankowski.com/assets/writing-avif/openai-operator-travel-healthcare-booking-18mo-by-thomas-jankowski-aided-by-ai.avif OpenAI Operator is the demo of what every travel and healthcare booking flow needs in 18 months. Travel and healthcare, same skeleton https://thomasjankowski.com/writing/federal-ai-regulation-four-year-cycle/ https://thomasjankowski.com/assets/writing-avif/federal-ai-regulation-four-year-cycle-by-thomas-jankowski-aided-by-ai.avif US federal AI regulation is now a four-year on/off cycle. Operators who built for the EO are overspending. Four-year regulatory oscillation https://thomasjankowski.com/writing/google-eating-ota-seo-floor/ https://thomasjankowski.com/assets/writing-avif/google-eating-ota-seo-floor-by-thomas-jankowski-aided-by-ai.avif Google is eating the OTA's SEO floor. The defense playbook was written for a world that no longer exists. Upstream source becomes direct competitor https://thomasjankowski.com/writing/canada-ai-regulatory-vacuum-liability/ https://thomasjankowski.com/assets/writing-avif/canada-ai-regulatory-vacuum-liability-by-thomas-jankowski-aided-by-ai.avif Canada's AI regulatory vacuum is not a feature. It is a liability at the investor table. Absence as active liability https://thomasjankowski.com/writing/canada-10000-ai-scribes-wedge-not-solution/ https://thomasjankowski.com/assets/writing-avif/canada-10000-ai-scribes-wedge-not-solution-by-thomas-jankowski-aided-by-ai.avif Canada just funded 10,000 AI scribes. The scribe is the wedge. The workflow layer is the business. The wedge, the window, the capture https://thomasjankowski.com/writing/spirit-second-chapter-11-bailout-life-support/ https://thomasjankowski.com/assets/writing-avif/spirit-second-chapter-11-bailout-life-support-by-thomas-jankowski-aided-by-ai.avif Spirit filed Chapter 11 again. The bailout-as-life-support thesis now has two receipts. Restructuring cannot fix unit economics https://thomasjankowski.com/writing/30-percent-ota-traffic-loss-post-mortem/ https://thomasjankowski.com/assets/writing-avif/30-percent-ota-traffic-loss-post-mortem-by-thomas-jankowski-aided-by-ai.avif The 30% OTA traffic loss is now measured, not modeled. Here is the post-mortem. Modeled, then measured https://thomasjankowski.com/writing/booking-expedia-2025-hierarchy-shift/ https://thomasjankowski.com/assets/writing-avif/booking-expedia-2025-hierarchy-shift-by-thomas-jankowski-aided-by-ai.avif Booking vs. Expedia 2025: the OTA hierarchy just had its biggest single-year shift in 15 years. Revenue mix determines shock absorption https://thomasjankowski.com/writing/2025-digital-health-vintage-real-industry/ https://thomasjankowski.com/assets/writing-avif/2025-digital-health-vintage-real-industry-by-thomas-jankowski-aided-by-ai.avif The 2025 digital health vintage looks like a real industry. The 2021 vintage wore a stethoscope. Engagement metrics to operating leverage https://thomasjankowski.com/writing/unitedhealth-invested-1-5b-in-ai-no-canadian-payer-invested/ https://thomasjankowski.com/assets/writing-avif/unitedhealth-invested-1-5b-in-ai-no-canadian-payer-invested-by-thomas-jankowski-aided-by-ai.avif UnitedHealth invested $1.5B in AI. No Canadian payer invested anything equivalent. That gap compounds. Scale compounds unevenly https://thomasjankowski.com/writing/ai-design-partner-org-chart-collapse/ https://thomasjankowski.com/assets/writing-avif/ai-design-partner-org-chart-collapse-by-thomas-jankowski-aided-by-ai.avif When your AI becomes a design partner, the design-team org chart collapses the same way the dev team's did. Structured input-and-output, not skill level https://thomasjankowski.com/writing/eulogy-for-the-ulcc-model-it-was-never-solvent/ https://thomasjankowski.com/assets/writing-avif/eulogy-for-the-ulcc-model-it-was-never-solvent-by-thomas-jankowski-aided-by-ai.avif A eulogy for the ULCC model: it was never solvent, and the bailouts wrote the ending. Bailout dependency, not viability https://thomasjankowski.com/writing/fed-s-50bp-cut-changed-the-cost-of-capital-for-ai/ https://thomasjankowski.com/assets/writing-avif/fed-s-50bp-cut-changed-the-cost-of-capital-for-ai-by-thomas-jankowski-aided-by-ai.avif The Fed's 50bp cut changed the cost of capital for AI infrastructure. Here is what that means for your build-vs-buy math. Capital's two channels https://thomasjankowski.com/writing/trump-election-us-ai-regulatory-reset/ https://thomasjankowski.com/assets/writing-avif/trump-election-us-ai-regulatory-reset-by-thomas-jankowski-aided-by-ai.avif The Trump election reset the US AI regulatory calendar. Canadian operators should not breathe easy. Deregulation without infrastructure https://thomasjankowski.com/writing/doge-federal-workforce-ai-displacement-lessons/ https://thomasjankowski.com/assets/writing-avif/doge-federal-workforce-ai-displacement-lessons-by-thomas-jankowski-aided-by-ai.avif DOGE is the largest public-sector AI displacement test in history. The operator lessons are transferable. Framing versus mechanism https://thomasjankowski.com/writing/duolingo-cut-contractors-in-january-2024-and-called-it-ai/ https://thomasjankowski.com/assets/writing-avif/duolingo-cut-contractors-in-january-2024-and-called-it-ai-by-thomas-jankowski-aided-by-ai.avif Duolingo cut contractors in January 2024 and called it AI. The actual AI memo came 15 months later. Announcement precedes execution https://thomasjankowski.com/writing/founder-mode-ai-middle-management-visible/ https://thomasjankowski.com/assets/writing-avif/founder-mode-ai-middle-management-visible-by-thomas-jankowski-aided-by-ai.avif Founder Mode is not a management style. It is a reaction to AI making middle management structurally visible. AI audits the hierarchy https://thomasjankowski.com/writing/ibm-hr-ai-back-office-structural-not-experimental/ https://thomasjankowski.com/assets/writing-avif/ibm-hr-ai-back-office-structural-not-experimental-by-thomas-jankowski-aided-by-ai.avif IBM replaced hundreds of HR staff with AI and confirmed the back-office pattern is structural, not experimental. Slow build, fast announcement, slower execution https://thomasjankowski.com/writing/amazon-14000-layoffs-manager-ratio-math/ https://thomasjankowski.com/assets/writing-avif/amazon-14000-layoffs-manager-ratio-math-by-thomas-jankowski-aided-by-ai.avif Amazon cut 14,000 corporate roles and blamed culture. The receipts show it was the manager ratio math. Ratio math, not culture https://thomasjankowski.com/writing/techno-optimist-manifesto-operator-chose-side/ https://thomasjankowski.com/assets/writing-avif/techno-optimist-manifesto-operator-chose-side-by-thomas-jankowski-aided-by-ai.avif The Techno-Optimist Manifesto is the document that made every operator choose a side. Discourse architecture versus operational reality https://thomasjankowski.com/writing/deel-rippling-ai-data-trails-espionage/ https://thomasjankowski.com/assets/writing-avif/deel-rippling-ai-data-trails-espionage-by-thomas-jankowski-aided-by-ai.avif The Deel/Rippling lawsuit is the first corporate espionage case where the evidence is AI-generated data trails. Evidence at scale, not intuition https://thomasjankowski.com/writing/ai-content-problem-operators-cannot-tell-real/ https://thomasjankowski.com/assets/writing-avif/ai-content-problem-operators-cannot-tell-real-by-thomas-jankowski-aided-by-ai.avif The AI content problem is not misinformation. It is that operators cannot tell what is real anymore. Operators cannot audit their own documents https://thomasjankowski.com/writing/ontario-primary-care-routing-problem/ https://thomasjankowski.com/assets/writing-avif/ontario-primary-care-routing-problem-by-thomas-jankowski-aided-by-ai.avif Ontario's primary care shortage is not a supply problem. It is a routing problem TJ already solved once. Routing failure, not supply shortage https://thomasjankowski.com/writing/canada-digital-health-rural-province-adoption-gap/ https://thomasjankowski.com/assets/writing-avif/canada-digital-health-rural-province-adoption-gap-by-thomas-jankowski-aided-by-ai.avif The Canadian digital health adoption gap is wider in rural provinces. The policy doesn't know it yet. Workflow-trust, not bandwidth https://thomasjankowski.com/writing/canada-national-primary-care-crisis-6-million/ https://thomasjankowski.com/assets/writing-avif/canada-national-primary-care-crisis-6-million-by-thomas-jankowski-aided-by-ai.avif The national Canadian primary care crisis is quantified. The 6 million number changes the political calculus. Routing layer, financing layer, the actual blocker https://thomasjankowski.com/writing/colorado-passed-the-first-comprehensive-us-state-ai-law/ https://thomasjankowski.com/assets/writing-avif/colorado-passed-the-first-comprehensive-us-state-ai-law-by-thomas-jankowski-aided-by-ai.avif Colorado passed the first comprehensive US state AI law. Operators in travel and health need to read it. Risk tiers, not innovation stages https://thomasjankowski.com/writing/newsom-vetoed-sb1047-california-ai-regulation-returns/ https://thomasjankowski.com/assets/writing-avif/newsom-vetoed-sb1047-california-ai-regulation-returns-by-thomas-jankowski-aided-by-ai.avif Newsom vetoed SB 1047. California AI regulation will return and it will look different when it does. Deferral as structural strategy https://thomasjankowski.com/writing/mhmda-first-lawsuit-amazon-health-data-litigated/ https://thomasjankowski.com/assets/writing-avif/mhmda-first-lawsuit-amazon-health-data-litigated-by-thomas-jankowski-aided-by-ai.avif The first MHMDA private lawsuit names Amazon. The health-data-as-product model just got litigated. Private action as structural enforcement https://thomasjankowski.com/writing/california-sb53-sb1047-successor-compliance-posture/ https://thomasjankowski.com/assets/writing-avif/california-sb53-sb1047-successor-compliance-posture-by-thomas-jankowski-aided-by-ai.avif California SB 53 is what SB 1047 would have become. The operator compliance posture is the same. Narrower scope, identical posture https://thomasjankowski.com/writing/texas-traiga-three-states-ai-patchwork/ https://thomasjankowski.com/assets/writing-avif/texas-traiga-three-states-ai-patchwork-by-thomas-jankowski-aided-by-ai.avif Texas passed TRAIGA. Three states now have comprehensive AI laws. The patchwork is the policy. Thirty states, one system https://thomasjankowski.com/writing/illinois-wopr-act-ai-therapy-prohibition/ https://thomasjankowski.com/assets/writing-avif/illinois-wopr-act-ai-therapy-prohibition-by-thomas-jankowski-aided-by-ai.avif Illinois banned AI therapy. The prohibition names the liability every mental-health startup avoided naming. The clinician slot, left empty https://thomasjankowski.com/writing/california-ab1018-automated-decisions-hiring-ai/ https://thomasjankowski.com/assets/writing-avif/california-ab1018-automated-decisions-hiring-ai-by-thomas-jankowski-aided-by-ai.avif California AB 1018 is the automated-decisions safety act the hiring-AI vendors didn't see coming. Procurement routes, not legislative windows https://thomasjankowski.com/writing/nyc-local-law-144-enforcement-compliance-gap/ https://thomasjankowski.com/assets/writing-avif/nyc-local-law-144-enforcement-compliance-gap-by-thomas-jankowski-aided-by-ai.avif NYC Local Law 144 enforcement exposed a compliance gap. Most hiring-AI vendors failed the audit. Audit readiness as infrastructure https://thomasjankowski.com/writing/colorado-ai-enforcement-active-health-ai-bills/ https://thomasjankowski.com/assets/writing-avif/colorado-ai-enforcement-active-health-ai-bills-by-thomas-jankowski-aided-by-ai.avif Colorado AI enforcement is active. Three health-AI bills converged. The patchwork accelerated. Infrastructure accumulation, not pressure https://thomasjankowski.com/writing/alberta-health-restructuring-not-the-ai/ https://thomasjankowski.com/assets/writing-avif/alberta-health-restructuring-not-the-ai-by-thomas-jankowski-aided-by-ai.avif Alberta restructured its health system while talking about AI. The restructuring is the story. Structure, not rhetoric https://thomasjankowski.com/writing/canadian-primary-care-wait-time-q3-2024/ https://thomasjankowski.com/assets/writing-avif/canadian-primary-care-wait-time-q3-2024-by-thomas-jankowski-aided-by-ai.avif The Canadian primary care wait-time data worsened through Q3 2024. The AI-scribe announcement didn't help. Routing-and-attachment, not technology https://thomasjankowski.com/writing/booking-became-underwriting/ https://thomasjankowski.com/assets/writing-avif/booking-became-underwriting-by-thomas-jankowski-aided-by-ai.avif Booking became underwriting last winter. Booking became underwriting https://thomasjankowski.com/writing/city-became-booking-layer/ https://thomasjankowski.com/assets/writing-avif/city-became-booking-layer-by-thomas-jankowski-aided-by-ai.avif The city became a booking layer that spring. The city joined the stack https://thomasjankowski.com/writing/health-data-became-travel-insurance-data/ https://thomasjankowski.com/assets/writing-avif/health-data-became-travel-insurance-data-by-thomas-jankowski-aided-by-ai.avif Health data became travel-insurance data that quarter. Fragmented pools, individualized risk https://thomasjankowski.com/writing/drug-commoditizes-data-doesnt/ https://thomasjankowski.com/assets/writing-avif/drug-commoditizes-data-doesnt-by-thomas-jankowski-aided-by-ai.avif The drug commoditizes. The data doesn't. The drug commoditizes, the data doesn't https://thomasjankowski.com/writing/wearables-stack-upstream-biology/ https://thomasjankowski.com/assets/writing-avif/wearables-stack-upstream-biology-by-thomas-jankowski-aided-by-ai.avif The wearables stack is now upstream of biology. Wearables upstream of biology https://thomasjankowski.com/writing/ambient-scribes-never-product-category/ https://thomasjankowski.com/assets/writing-avif/ambient-scribes-never-product-category-by-thomas-jankowski-aided-by-ai.avif Ambient scribes were never going to be a product category. Always a feature, not a product https://thomasjankowski.com/writing/intelligence-cheaper-judgment-didnt/ https://thomasjankowski.com/assets/writing-avif/intelligence-cheaper-judgment-didnt-by-thomas-jankowski-aided-by-ai.avif Intelligence got cheaper. Judgment didn't. Intelligence cheap, judgment flat https://thomasjankowski.com/writing/even-the-agi-bulls-are-quietly-long-adoption-risk/ https://thomasjankowski.com/assets/writing-avif/even-the-agi-bulls-are-quietly-long-adoption-risk-by-thomas-jankowski-aided-by-ai.avif Even the AGI bulls are quietly long adoption risk. Long adoption risk, quietly https://thomasjankowski.com/writing/model-free-ehr-moat/ https://thomasjankowski.com/assets/writing-avif/model-free-ehr-moat-by-thomas-jankowski-aided-by-ai.avif When the model is free, the EHR is the moat. Free model, EHR moat https://thomasjankowski.com/writing/dax-copilot-cfo-product/ https://thomasjankowski.com/assets/writing-avif/dax-copilot-cfo-product-by-thomas-jankowski-aided-by-ai.avif DAX Copilot is a CFO product. Five minutes is half a visit https://thomasjankowski.com/writing/opacity-as-a-service-travel/ https://thomasjankowski.com/assets/writing-avif/opacity-as-a-service-travel-by-thomas-jankowski-aided-by-ai.avif The next travel category is opacity-as-a-service. Opacity is the category https://thomasjankowski.com/writing/techbio-ate-digital-health-round/ https://thomasjankowski.com/assets/writing-avif/techbio-ate-digital-health-round-by-thomas-jankowski-aided-by-ai.avif TechBio ate the digital health round. TechBio took the round https://thomasjankowski.com/writing/sick-care-healthcare-longitudinal-data/ https://thomasjankowski.com/assets/writing-avif/sick-care-healthcare-longitudinal-data-by-thomas-jankowski-aided-by-ai.avif Sick care doesn't become healthcare without a longitudinal data holder. Sick-care needs a ledger holder https://thomasjankowski.com/writing/long-stay-travelers-unbuilt-platform-tier/ https://thomasjankowski.com/assets/writing-avif/long-stay-travelers-unbuilt-platform-tier-by-thomas-jankowski-aided-by-ai.avif Long-stay travelers are an unbuilt platform tier. Seventy visas, no platform https://thomasjankowski.com/writing/ehr-bundling-clock-starts-when-the-wedge-works/ https://thomasjankowski.com/assets/writing-avif/ehr-bundling-clock-starts-when-the-wedge-works-by-thomas-jankowski-aided-by-ai.avif The EHR bundling clock starts when the wedge works. The wedge starts the clock https://thomasjankowski.com/writing/medical-tourism-denial-arbitrage/ https://thomasjankowski.com/assets/writing-avif/medical-tourism-denial-arbitrage-by-thomas-jankowski-aided-by-ai.avif The medical-tourism market is a denial-arbitrage market. Coverage-gap, not cost-gap https://thomasjankowski.com/writing/ai-workers-slowed-by-law/ https://thomasjankowski.com/assets/writing-avif/ai-workers-slowed-by-law-by-thomas-jankowski-aided-by-ai.avif AI workers are unfortunately slowed down by law. At least in some domains. Worker frame, three walls https://thomasjankowski.com/writing/llmflation-good-news-except-ai-health-startups/ https://thomasjankowski.com/assets/writing-avif/llmflation-good-news-except-ai-health-startups-by-thomas-jankowski-aided-by-ai.avif LLMflation is good news for everyone except AI-health startups. Cheap inference arms the incumbent https://thomasjankowski.com/writing/defensible-asset-dossier-not-drug/ https://thomasjankowski.com/assets/writing-avif/defensible-asset-dossier-not-drug-by-thomas-jankowski-aided-by-ai.avif The defensible asset isn't the drug, it's the dossier. Drug downstream, dossier defensible https://thomasjankowski.com/writing/ota-endgame-agents-vendor-not-users/ https://thomasjankowski.com/assets/writing-avif/ota-endgame-agents-vendor-not-users-by-thomas-jankowski-aided-by-ai.avif The OTA endgame is being the agent's vendor, not the user's. Vendor to the agent, not the user https://thomasjankowski.com/writing/travel-hacker-vintage-profession/ https://thomasjankowski.com/assets/writing-avif/travel-hacker-vintage-profession-by-thomas-jankowski-aided-by-ai.avif The travel hacker is now a vintage profession. Vintage profession, neutralized https://thomasjankowski.com/writing/essay-not-forecast-discourse-instrument/ https://thomasjankowski.com/assets/writing-avif/essay-not-forecast-discourse-instrument-by-thomas-jankowski-aided-by-ai.avif The essay isn't a forecast. It's a discourse-shaping instrument. Essay as instrument, not forecast https://thomasjankowski.com/writing/ai-pricing-two-outcomes-one-regulation/ https://thomasjankowski.com/assets/writing-avif/ai-pricing-two-outcomes-one-regulation-by-thomas-jankowski-aided-by-ai.avif AI pricing creates two consumer outcomes. Regulation only sees one. Two prices, one regulator https://thomasjankowski.com/writing/healthcare-ai-redistribution-schedule/ https://thomasjankowski.com/assets/writing-avif/healthcare-ai-redistribution-schedule-by-thomas-jankowski-aided-by-ai.avif Healthcare AI adoption isn't a growth story. It's a redistribution schedule. Redistribution, not growth https://thomasjankowski.com/writing/overtourism-system-asked-to-fix-it/ https://thomasjankowski.com/assets/writing-avif/overtourism-system-asked-to-fix-it-by-thomas-jankowski-aided-by-ai.avif The system that caused overtourism is being asked to fix it. Same algorithms, two sides https://thomasjankowski.com/writing/ai-deployment-data-engineering-costume/ https://thomasjankowski.com/assets/writing-avif/ai-deployment-data-engineering-costume-by-thomas-jankowski-aided-by-ai.avif AI deployment is a data-engineering problem in a model-engineering costume. Costume model, substrate data https://thomasjankowski.com/writing/urgency-conversion-leading-retention-trailing/ https://thomasjankowski.com/assets/writing-avif/urgency-conversion-leading-retention-trailing-by-thomas-jankowski-aided-by-ai.avif Urgency-led conversion is a leading indicator. The retention haircut is the trailing one. Conversion fast, retention later https://thomasjankowski.com/writing/ota-not-destination-click-out-tax/ https://thomasjankowski.com/assets/writing-avif/ota-not-destination-click-out-tax-by-thomas-jankowski-aided-by-ai.avif The OTA isn't a destination. It's a click-out tax. Click-out tax, end of https://thomasjankowski.com/writing/unowned-position-watch-and-ehr/ https://thomasjankowski.com/assets/writing-avif/unowned-position-watch-and-ehr-by-thomas-jankowski-aided-by-ai.avif The unowned position is between the watch and the EHR. Watch, code, EHR; middle unowned https://thomasjankowski.com/writing/provider-payer-ai-interop-runs-slowest/ https://thomasjankowski.com/assets/writing-avif/provider-payer-ai-interop-runs-slowest-by-thomas-jankowski-aided-by-ai.avif Provider AI runs ahead. Payer AI lags. Their interop runs slowest. Provider runs, payer lags, interop slowest https://thomasjankowski.com/writing/ai-overviews-kill-attribution-chain-not-clicks/ https://thomasjankowski.com/assets/writing-avif/ai-overviews-kill-attribution-chain-not-clicks-by-thomas-jankowski-aided-by-ai.avif AI Overviews don't kill clicks. They kill the attribution chain that monetized the click. Chain broke before the click did https://thomasjankowski.com/writing/agents-eat-saas-clean-thesis-cant-build/ https://thomasjankowski.com/assets/writing-avif/agents-eat-saas-clean-thesis-cant-build-by-thomas-jankowski-aided-by-ai.avif 'Agents eat SaaS' is a clean thesis. Most enterprises can't build a clean thesis. Clean thesis, dirty execution https://thomasjankowski.com/writing/dma-google-ai-agree-ota-spread-to-compress/ https://thomasjankowski.com/assets/writing-avif/dma-google-ai-agree-ota-spread-to-compress-by-thomas-jankowski-aided-by-ai.avif DMA and Google AI agree on one thing. The OTA is the spread to compress. Spread, both sides, compressing https://thomasjankowski.com/writing/expedia-builds-1500-agents-year/ https://thomasjankowski.com/assets/writing-avif/expedia-builds-1500-agents-year-by-thomas-jankowski-aided-by-ai.avif Most enterprises can't build a clean thesis. Expedia builds 1,500 agents a year. Build the data flywheel https://thomasjankowski.com/writing/55-36-6b-six-ipos-the-number-every-health-ai-deck-cites/ https://thomasjankowski.com/assets/writing-avif/55-36-6b-six-ipos-the-number-every-health-ai-deck-cites-by-thomas-jankowski-aided-by-ai.avif 55% / $36.6B / six IPOs. The number every health-AI deck cites is the same number that calls the top. The number that calls the top https://thomasjankowski.com/writing/urgent-care-competitor-no-cac/ https://thomasjankowski.com/assets/writing-avif/urgent-care-competitor-no-cac-by-thomas-jankowski-aided-by-ai.avif Urgent care has a competitor with no CAC. Competitor with zero CAC https://thomasjankowski.com/writing/ai-reads-api-not-hotel-brand/ https://thomasjankowski.com/assets/writing-avif/ai-reads-api-not-hotel-brand-by-thomas-jankowski-aided-by-ai.avif AI doesn't read your hotel brand. It reads your API. Brand veneer, API substrate https://thomasjankowski.com/writing/per-token-pricing-product-architecture-verdict/ https://thomasjankowski.com/assets/writing-avif/per-token-pricing-product-architecture-verdict-by-thomas-jankowski-aided-by-ai.avif Per-token pricing isn't a billing change. It's a product-architecture verdict. Per-token is the verdict https://thomasjankowski.com/writing/denial-expensive-claimable-inverts/ https://thomasjankowski.com/assets/writing-avif/denial-expensive-claimable-inverts-by-thomas-jankowski-aided-by-ai.avif Denial works because appealing is expensive. Claimable inverts that. Appealing was the bottleneck https://thomasjankowski.com/writing/chatbot-was-employee-air-canada-650/ https://thomasjankowski.com/assets/writing-avif/chatbot-was-employee-air-canada-650-by-thomas-jankowski-aided-by-ai.avif The chatbot was an employee. Air Canada paid $650 for that ruling. The chatbot was an employee https://thomasjankowski.com/writing/aschenbrenner-forecast-market-budget/ https://thomasjankowski.com/assets/writing-avif/aschenbrenner-forecast-market-budget-by-thomas-jankowski-aided-by-ai.avif Aschenbrenner wrote a forecast. The market read a budget. Forecast read as budget https://thomasjankowski.com/writing/goldman-bear-case-every-deck-covello/ https://thomasjankowski.com/assets/writing-avif/goldman-bear-case-every-deck-covello-by-thomas-jankowski-aided-by-ai.avif Goldman published the bear case. Every AI deck answers to Covello now. Every deck answers Covello https://thomasjankowski.com/writing/founder-mode-permission-slip-manager-default/ https://thomasjankowski.com/assets/writing-avif/founder-mode-permission-slip-manager-default-by-thomas-jankowski-aided-by-ai.avif Founder Mode is a permission slip. Manager Mode is a default. Permission slip, default mode https://thomasjankowski.com/writing/intelligence-age-next-rounds-pitch/ https://thomasjankowski.com/assets/writing-avif/intelligence-age-next-rounds-pitch-by-thomas-jankowski-aided-by-ai.avif The Intelligence Age is the next round's pitch. The manifesto is the round https://thomasjankowski.com/writing/microsoft-nuclear-grid-new-chip/ https://thomasjankowski.com/assets/writing-avif/microsoft-nuclear-grid-new-chip-by-thomas-jankowski-aided-by-ai.avif Microsoft leased a nuclear reactor. The grid became the new chip. Grid is the new chip https://thomasjankowski.com/writing/zitron-called-subprime-ai-file-receipt/ https://thomasjankowski.com/assets/writing-avif/zitron-called-subprime-ai-file-receipt-by-thomas-jankowski-aided-by-ai.avif Zitron called it 'subprime AI'. File the receipt. File the receipt, watch the line https://thomasjankowski.com/writing/anthropic-plumbing-roadmap-shorter/ https://thomasjankowski.com/assets/writing-avif/anthropic-plumbing-roadmap-shorter-by-thomas-jankowski-aided-by-ai.avif Anthropic open-sourced the plumbing. Your roadmap just got shorter. Plumbing open, roadmap shorter https://thomasjankowski.com/writing/stargate-industrial-policy-up-a-floor/ https://thomasjankowski.com/assets/writing-avif/stargate-industrial-policy-up-a-floor-by-thomas-jankowski-aided-by-ai.avif Stargate is industrial policy. AI capex moved up a floor. Capex moved up a floor https://thomasjankowski.com/writing/vibe-coding-real-walkback-lesson/ https://thomasjankowski.com/assets/writing-avif/vibe-coding-real-walkback-lesson-by-thomas-jankowski-aided-by-ai.avif Vibe coding was real. The walkback is the lesson. Wedge, then walkback https://thomasjankowski.com/writing/cluely-posture-became-category/ https://thomasjankowski.com/assets/writing-avif/cluely-posture-became-category-by-thomas-jankowski-aided-by-ai.avif Cluely raised $5.3M for a posture. The posture became the category. Posture became the category https://thomasjankowski.com/writing/software-3-mental-model-dont-ship/ https://thomasjankowski.com/assets/writing-avif/software-3-mental-model-dont-ship-by-thomas-jankowski-aided-by-ai.avif Software 3.0 is a mental model. Don't ship it as a roadmap. Mental model, not roadmap https://thomasjankowski.com/writing/mai-dxo-reset-room-position-against/ https://thomasjankowski.com/assets/writing-avif/mai-dxo-reset-room-position-against-by-thomas-jankowski-aided-by-ai.avif MAI-DxO reset the room. Position your deck against it. Position the deck, not the methodology https://thomasjankowski.com/writing/agent-50-skills-gap-ceiling/ https://thomasjankowski.com/assets/writing-avif/agent-50-skills-gap-ceiling-by-thomas-jankowski-aided-by-ai.avif Agent deployment crossed 50%. The skills gap is the ceiling. Skills gap is the ceiling https://thomasjankowski.com/writing/yegge-burns-100-an-hour-in-parallel-the-unit-economics/ https://thomasjankowski.com/assets/writing-avif/yegge-burns-100-an-hour-in-parallel-the-unit-economics-by-thomas-jankowski-aided-by-ai.avif Yegge burns $100 an hour in parallel. The unit economics are still the question. Picks-and-shovels economy, again https://thomasjankowski.com/writing/aschenbrenner-cuts-both-ways/ https://thomasjankowski.com/assets/writing-avif/aschenbrenner-cuts-both-ways-by-thomas-jankowski-aided-by-ai.avif Aschenbrenner cuts both ways now. The essay cuts both ways https://thomasjankowski.com/writing/pick-calendar-defend-budget-ai-2027-normal-tech/ https://thomasjankowski.com/assets/writing-avif/pick-calendar-defend-budget-ai-2027-normal-tech-by-thomas-jankowski-aided-by-ai.avif Pick a calendar. Defend a budget. AI 2027 or Normal Tech. Pick a calendar, defend a budget https://thomasjankowski.com/writing/amodei-compressed-century-stops-deployment/ https://thomasjankowski.com/assets/writing-avif/amodei-compressed-century-stops-deployment-by-thomas-jankowski-aided-by-ai.avif Amodei's compressed century stops at deployment. Compression stops at deployment https://thomasjankowski.com/writing/nyt-failed-the-blind-test-publicly-the-trust-stack-failed/ https://thomasjankowski.com/assets/writing-avif/nyt-failed-the-blind-test-publicly-the-trust-stack-failed-by-thomas-jankowski-aided-by-ai.avif The NYT failed the blind test publicly. The trust stack failed privately. Public failure, private failure too https://thomasjankowski.com/writing/ai-slop-procurement-audit-before-debate/ https://thomasjankowski.com/assets/writing-avif/ai-slop-procurement-audit-before-debate-by-thomas-jankowski-aided-by-ai.avif AI slop is in your procurement pipeline. Audit before you debate. Slop is already inside https://thomasjankowski.com/writing/anthropic-two-weeks-eval-window-eaten/ https://thomasjankowski.com/assets/writing-avif/anthropic-two-weeks-eval-window-eaten-by-thomas-jankowski-aided-by-ai.avif Anthropic ships every two weeks now. Your eval window just got eaten. Cadence ate the eval window https://thomasjankowski.com/writing/opus-47-design-b2b-moat-reshaped/ https://thomasjankowski.com/assets/writing-avif/opus-47-design-b2b-moat-reshaped-by-thomas-jankowski-aided-by-ai.avif Opus 4.7 ships with design. Your B2B moat just got reshaped. Frontier collaborates, moat reshapes https://thomasjankowski.com/writing/openai-s1-governance-read-next-contract/ https://thomasjankowski.com/assets/writing-avif/openai-s1-governance-read-next-contract-by-thomas-jankowski-aided-by-ai.avif OpenAI's S-1 is the governance doc. Read it before the next contract. S-1 is the governance doc https://thomasjankowski.com/writing/skymiles-dot-loyalty-regulated-product/ https://thomasjankowski.com/assets/writing-avif/skymiles-dot-loyalty-regulated-product-by-thomas-jankowski-aided-by-ai.avif SkyMiles devalued and the DOT showed up. Loyalty is a regulated product now. Loyalty is regulated now https://thomasjankowski.com/writing/booking-europe-expedia-america-cohort-split/ https://thomasjankowski.com/assets/writing-avif/booking-europe-expedia-america-cohort-split-by-thomas-jankowski-aided-by-ai.avif Booking grew on Europe. Expedia stalled on America. The cohort split. One category, two cohorts https://thomasjankowski.com/writing/ai-travel-50-ota-checkout/ https://thomasjankowski.com/assets/writing-avif/ai-travel-50-ota-checkout-by-thomas-jankowski-aided-by-ai.avif AI travel-planning crossed 50%. The OTA is the checkout now. AI plans, OTA checks out https://thomasjankowski.com/writing/air-canada-struck-unpaid-50-year-broke/ https://thomasjankowski.com/assets/writing-avif/air-canada-struck-unpaid-50-year-broke-by-thomas-jankowski-aided-by-ai.avif Air Canada's attendants struck the unpaid hour. The 50-year norm broke. Fifty-year norm, broken https://thomasjankowski.com/writing/hotels-margin-airlines-apologies/ https://thomasjankowski.com/assets/writing-avif/hotels-margin-airlines-apologies-by-thomas-jankowski-aided-by-ai.avif Hotels printed margin. Airlines printed apologies. Margin printed, apologies issued https://thomasjankowski.com/writing/airbnb-ai-fourth-pillar-specialized-trust-scarcest/ https://thomasjankowski.com/assets/writing-avif/airbnb-ai-fourth-pillar-specialized-trust-scarcest-by-thomas-jankowski-aided-by-ai.avif Airbnb made AI the fourth pillar. Specialized beat general where trust was scarcest. Specialized beat general, narrowly https://thomasjankowski.com/writing/expedia-10k-named-agentic-board-owns-threat/ https://thomasjankowski.com/assets/writing-avif/expedia-10k-named-agentic-board-owns-threat-by-thomas-jankowski-aided-by-ai.avif Expedia's 10-K named agentic AI. The board owns the threat now. Disclosed, therefore owned https://thomasjankowski.com/writing/spirit-asked-bailout-nobody-legislated-no/ https://thomasjankowski.com/assets/writing-avif/spirit-asked-bailout-nobody-legislated-no-by-thomas-jankowski-aided-by-ai.avif Spirit asked for a bailout. Nobody legislated 'no'. Bailout asked, none legislated https://thomasjankowski.com/writing/founder-mode-chesky-airbnb-receipt/ https://thomasjankowski.com/assets/writing-avif/founder-mode-chesky-airbnb-receipt-by-thomas-jankowski-aided-by-ai.avif Founder Mode, Chesky version. Airbnb is the receipt. Founder Mode, the receipt https://thomasjankowski.com/writing/30-gone-ai-overviews-ota-repriced/ https://thomasjankowski.com/assets/writing-avif/30-gone-ai-overviews-ota-repriced-by-thomas-jankowski-aided-by-ai.avif 30% gone to AI Overviews. The OTA equity story repriced. Thirty percent is the cap https://thomasjankowski.com/writing/copilot-100m-tmc-substitutable/ https://thomasjankowski.com/assets/writing-avif/copilot-100m-tmc-substitutable-by-thomas-jankowski-aided-by-ai.avif Copilot crossed 100M. Your TMC just became substitutable. Hundred million users, substitutable https://thomasjankowski.com/writing/2-5m-ontarians-lost-family-doctor-shoppers/ https://thomasjankowski.com/assets/writing-avif/2-5m-ontarians-lost-family-doctor-shoppers-by-thomas-jankowski-aided-by-ai.avif 2.5M Ontarians lost their family doctor. Shoppers is filling the gap. Private retailer, public gap https://thomasjankowski.com/writing/amodei-skipped-deployment-timeline/ https://thomasjankowski.com/assets/writing-avif/amodei-skipped-deployment-timeline-by-thomas-jankowski-aided-by-ai.avif Amodei skipped the deployment timeline. Science compresses, deployment doesn't https://thomasjankowski.com/writing/witty-testified-policy-window-no-receipt/ https://thomasjankowski.com/assets/writing-avif/witty-testified-policy-window-no-receipt-by-thomas-jankowski-aided-by-ai.avif Witty testified. The policy window opened. Nobody filed the receipt. Window opened, no receipt filed https://thomasjankowski.com/writing/topol-named-longitudinal-data-wedge/ https://thomasjankowski.com/assets/writing-avif/topol-named-longitudinal-data-wedge-by-thomas-jankowski-aided-by-ai.avif Topol named the longitudinal-data wedge. Longitudinal data, named https://thomasjankowski.com/writing/mai-dxo-procurement-physicians-tools-beat/ https://thomasjankowski.com/assets/writing-avif/mai-dxo-procurement-physicians-tools-beat-by-thomas-jankowski-aided-by-ai.avif MAI-DxO is the procurement question now. Where do physicians + tools beat it? Where physicians plus tools beat it https://thomasjankowski.com/writing/canada-44-47-citation-not-country/ https://thomasjankowski.com/assets/writing-avif/canada-44-47-citation-not-country-by-thomas-jankowski-aided-by-ai.avif Canada is 44 of 47. The number is the citation, not the country. The number is the citation https://thomasjankowski.com/writing/canada-tried-again-us-2016-playbook/ https://thomasjankowski.com/assets/writing-avif/canada-tried-again-us-2016-playbook-by-thomas-jankowski-aided-by-ai.avif Canada tried again. The U.S. 2016 playbook now applies. Second attempt, US playbook https://thomasjankowski.com/writing/energy-new-chip-grid-four-year-overhang/ https://thomasjankowski.com/assets/writing-avif/energy-new-chip-grid-four-year-overhang-by-thomas-jankowski-aided-by-ai.avif Energy is the new chip. The grid is the four-year overhang. The grid is the four-year overhang https://thomasjankowski.com/writing/pick-substrate-decade-moat-downstream/ https://thomasjankowski.com/assets/writing-avif/pick-substrate-decade-moat-downstream-by-thomas-jankowski-aided-by-ai.avif Pick a substrate. The decade's moat is downstream. The substrate is the moat https://thomasjankowski.com/writing/american-picked-fight-agencies-kept-routes/ https://thomasjankowski.com/assets/writing-avif/american-picked-fight-agencies-kept-routes-by-thomas-jankowski-aided-by-ai.avif American picked the fight with the agencies. The agencies kept the routes. American picked, agencies kept https://thomasjankowski.com/writing/four-bolts-unrecorded-cmes-safety-control/ https://thomasjankowski.com/assets/writing-avif/four-bolts-unrecorded-cmes-safety-control-by-thomas-jankowski-aided-by-ai.avif Four bolts went unrecorded. The CMES record-keeping was the safety control. Convention as safety control https://thomasjankowski.com/writing/dot-alaska-hawaiian-merger-permission-slip/ https://thomasjankowski.com/assets/writing-avif/dot-alaska-hawaiian-merger-permission-slip-by-thomas-jankowski-aided-by-ai.avif DOT's Alaska-Hawaiian conditions were the merger's permission slip. Conditions, largely hollow https://thomasjankowski.com/writing/famous-or-indispensable-travel-platforms-pick-one/ https://thomasjankowski.com/assets/writing-avif/famous-or-indispensable-travel-platforms-pick-one-by-thomas-jankowski-aided-by-ai.avif Famous or indispensable. Travel platforms have to pick one. Famous or indispensable, pick https://thomasjankowski.com/writing/united-ai-skiplaggers-texas-legal/ https://thomasjankowski.com/assets/writing-avif/united-ai-skiplaggers-texas-legal-by-thomas-jankowski-aided-by-ai.avif United deployed AI to catch skiplaggers. The Texas jury said skiplagging is legal. AI deployed, jury ruled https://thomasjankowski.com/writing/marriott-stopped-publishing-chart-redemptions-up/ https://thomasjankowski.com/assets/writing-avif/marriott-stopped-publishing-chart-redemptions-up-by-thomas-jankowski-aided-by-ai.avif Marriott stopped publishing the chart. The redemption costs went up anyway. Chart gone, redemptions up https://thomasjankowski.com/writing/imaging-rcts-unimplemented-llms-everywhere/ https://thomasjankowski.com/assets/writing-avif/imaging-rcts-unimplemented-llms-everywhere-by-thomas-jankowski-aided-by-ai.avif The imaging RCTs are unimplemented. The LLMs without evidence are everywhere. Imaging unimplemented, LLMs everywhere https://thomasjankowski.com/writing/rmedicine-deleted-physician-anger-citation/ https://thomasjankowski.com/assets/writing-avif/rmedicine-deleted-physician-anger-citation-by-thomas-jankowski-aided-by-ai.avif The r/medicine thread got deleted. Physician anger has a citation now. Deleted thread, public citation https://thomasjankowski.com/writing/openevidence-nadler-second-act-1m-day/ https://thomasjankowski.com/assets/writing-avif/openevidence-nadler-second-act-1m-day-by-thomas-jankowski-aided-by-ai.avif OpenEvidence is Nadler's second act. 1M physician questions a day. One million questions a day https://thomasjankowski.com/writing/reddit-family-doctor-referral-ontario/ https://thomasjankowski.com/assets/writing-avif/reddit-family-doctor-referral-ontario-by-thomas-jankowski-aided-by-ai.avif Reddit became the family-doctor referral system Ontario doesn't have. Reddit is the routing layer https://thomasjankowski.com/writing/fda-substacker-substack-now-policy/ https://thomasjankowski.com/assets/writing-avif/fda-substacker-substack-now-policy-by-thomas-jankowski-aided-by-ai.avif The FDA hired the substacker. The substack is now policy. Substack pre-hire, policy after https://thomasjankowski.com/writing/ambient-scribe-healthcare-ai-worked/ https://thomasjankowski.com/assets/writing-avif/ambient-scribe-healthcare-ai-worked-by-thomas-jankowski-aided-by-ai.avif Ambient scribes are the one healthcare-AI category where evidence and adoption moved together. Evidence and adoption, together