Big Technology Podcast - Claude Code’s Shining Moment, ChatGPT for Healthcare, End Of Busywork?
Episode Date: January 9, 2026Ranjan Roy from Margins is back for our weekly discussion of the latest tech news. This week, we do our 2026 predictions in an abbreviated holiday-time episode. Here's what we cover: 1) Claude Code's ...ability to run autonomously and complete tasks 2) Claude's ability to use tools 3) Is this a big deal? 4) Can Claude Code style tools be used for more knowledge work? 5) Gmail adds AI 6) Another explanation for Meta's Manus purchase 7) OpenAI gets into healthcare (officially) 8) Future of the doctor-patient interaction 9) Are rigged prediction markets a good thing? 10) Do we still want to do busywork in the age of AI? --- Enjoying Big Technology Podcast? Please rate us five stars ⭐⭐⭐⭐⭐ in your podcast app of choice. Want a discount for Big Technology on Substack + Discord? Here’s 25% off for the first year: https://www.bigtechnology.com/subscribe?coupon=0843016b Learn more about your ad choices. Visit megaphone.fm/adchoices
Transcript
Discussion (0)
Claude code is on a legendary run and becoming useful beyond programming.
OpenAI rolls out chat GPT for healthcare.
Prediction markets have an insider trading problem, or do they?
And is the end of busy work a bad thing?
That's coming up on a Big Technology Podcast Friday edition right after this.
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Welcome to Big Technology Podcast Friday edition where we break down the news in our traditional, pool-headed, and new
watch format. We have a great show for you today. We have filled our document with a ton of stories
to go through, including what's happening with Claude Code and why it might be applicable for folks
beyond programming. Maybe it will end up impacting much of knowledge work. That's at least what
Ethan Mollock has to say. We'll go through his post on the matter. We're also going to talk about
opening eyes foray into health care. It's actually official foray into health care because
millions of people have been using chat chputee for health care already.
We're also going to talk a little bit about prediction markets and the end of busy work.
Joining us, as always, on Fridays, do it is Ron John Roy of margins.
Ron John, great to see you.
Welcome back.
Good to see you, Alex.
I'm excited to be here.
Let's begin just talking about ClaudeCode.
I don't know if you've seen this, but for me recently on X, ClaudeCode has been a meme.
It's almost like those Chuck Norris memes,
where people have been talking about how Claude
could basically do anything,
and it's got these superhuman capabilities.
And I was waiting for a post to kind of illustrate
what was going on with Claude
that had made people so excited about it.
And I think we got one from Ethan Mollick,
the Wharton Professor, a friend of the show,
and he writes the One Useful Thing Substack
and his post is called Claude Code and what comes next.
And I think he really illustrates just the amount
of autonomous work that Claude Code has been able to do
and the fact that it's not simply a code autocomplete anymore.
So let me just begin with the story that he starts with.
He says, I opened Claude Code and gave it a command.
Develop a startup idea that will make me $1,000 a month
where you do all the work by generating the idea and implementing it.
I shouldn't have to do anything except run some program you give me once.
It shouldn't require any coding knowledge on my part.
and so you make sure everything works well.
Malik writes,
the AI asked me three multiple choice questions
and decided I should be selling sets of 500 prompts
for professional users for $39.
Without any further input,
it then worked independently for an hour and 14 minutes,
creating hundreds of code files and prompts,
and then it gave me a single file to run
that created and deployed a working website.
Let's just talk about, you know,
we're going to go through what the ideas that Malik brings down in terms of why this is
an improvement over previous generations and what the implications are here, why people are
excited about cloud code.
But just to start, are you impressed with the output that cloud spit out here?
I am.
This specific output, I'm actually not that impressed.
I'm interested.
But I still think, and I'll definitely get into this in terms of like overall what I'm
seeing with this kind of world of autonomous agentic. But I think, again, like writing 500 prompts
that you can package up, maybe even creating a website, taking all these steps is actually incredible.
But it should be table stakes and more and more people are realizing every day that it is
table stakes, that the technology is already there to do this level of work. And I think, remember,
what was one of my predictions from 2026? Agentic AI is going to be real. And I think ClaudeCode is a lot of
people's first, like, entry into this world of truly agentic AI. And even Mollick goes on to
write, he was like, for the latest AI is capable of doing work more autonomously while
self-correcting many of their errors. But then the AIs are being given an agentic harness
of tools and approaches they can use to solve problems in many ways. That second part, I loved,
because this is what I've been talking about for six months now. Agentic AI is not like a
process flow diagram, it's giving it a set of tools and letting it go figure out what to do
and actually go do it. And I think Claudecode that the excitement around it is everyone's
finally getting a taste of that. That's right. And so the way that Malik frames it is the combination
of these two things that the AI can do autonomous work and self-correct and then have this
agentic harness, which is jargoning to me, but basically be able to call tools. I like it.
Agente?
Oh, come on.
It is a terrible, no, bad, very bad.
Wait, wait.
What do you like about this?
Okay, go ahead.
No, no, hold on.
I like, okay, I have been saying like a predefined set of tools and data connectors.
That doesn't sound exciting.
Agentic harness.
It's like kind of just, you know, holding it generally in place but still letting it go.
I don't really know much about horse riding or how harnesses work in any kind of situation like that.
But at least in my mind, that's what I'm thinking.
I like it.
No, it's not.
It's terrible writing.
I mean, I really like the concepts here.
And it's bad.
It's jargony.
You're too close to it, Ranjan.
Here's all you have to say.
It can do autonomous work and self-correct, and it can use tools.
That's it.
See, harness.
Hardness is shorter.
Harness is shorter.
Agentic harness.
Am using it.
You write.
Agentic, okay, we're going to move on after this.
But we are not accepting the term agentic harness in the show.
It's just does not work.
Not going to work.
agentic harness of tools and approaches they can use to solve problems in new ways.
Why do you have to use the phrase agentic harness?
Why can't you just write?
The AIs are being given tools and approaches they can use to solve the problem.
It's unnecessary jargon.
This is where I think like, and I brought this up on this podcast like six months ago at
writer where I work.
And we're enterprise AI focused.
We launched a tool and I'd started testing.
it in June, it was, and we joked, like, you're like, you know, now you're at an AI company,
you're feeling AGI.
But it was the first moment I actually felt like, holy shit, I gave it some direction.
And now it's going out and doing all this other stuff because it had a predefined set of
tools and data connectors.
One might call a harness.
But anyways, like feeling that autonomous AGI-ish type action, I think like that what
Claude has been the breakthrough.
I've been seeing this for like six months now.
Like this is happening.
This is no longer us talking about can I book a flight and have it, you know, search and go do it for me.
Like this is going and doing tasks for people.
People are doing already.
And Claude code is the first time a lot of people are experiencing with that.
And that's why I honestly think this year, this is going to break through in a big way,
the way coding assistance were 20, the story, 20, 25.
Right. And that's, so it's getting past our differences on languages. I think that's why I thought this was important. And that's why I think this was worth bringing up here is that I think that the common conception is that, you know, AI for coding is just that like it's code auto complete or in some cases, you know, you put a vibe code prompt in replet or something and then you get a website. I think what's interesting here is that you can give just the prompt and it will end up, you know, in a way that.
that Malik has specified without him having to touch the code, it can end up building a website
for him, which includes a sales funnel, by the way, and, and, you know, basically all he has to do
is put it, put it live. And the way that it's doing this is the long, uh, autonomous tasks of
coding and then also, um, being able to use the tools. We won't argue anymore about the,
uh, the language. He says the result of these two factors has led to,
big leaps in the latest AI tools made by the big AI companies. Now, listen, if you're at this point
of this discussion and you're not a coder or you're not building a website, you might be asking
yourself, well, okay, this is very specified and what's in it for me. And this is, again,
like, to go why we're leading this show with this, it starts to broaden out. And if anything,
this might be just the beginning of what's coming for the rest of not.
knowledge work. And I'll just continue to read Malik because he's very good on this. He says,
unfortunately for the most of us, unfortunately for most of us who want to experiment with AI,
these new tools are billed for programmers. In a lot of ways, this is a shame because these systems
are actually broadly useful to knowledge workers of all types. And by seeing what you can do
and experimenting with them yourself, I think you can learn a lot about the future of AI.
He goes to return to the example of the startup company launched by Cloud Code. It was only touching a
small part of the capabilities of what the tool is capable of. If I ask it to do user testing
of the live site from different personas and give me a report, give me a report, it connects,
it deploys another tool connecting to a web browser on my computer, it takes control of the
browser, goes to the site it created, and scrolling through as a human would. He said he asked
the cloud code tool for a critical report of the UI, and he said it did a better job of
nailing potential issues and spotting some sketchy fake reviews on the site. And he says,
as a next step, I could easily ask it to implement its suggestions, continuing the process
with minimal input from me. This to me is really the interesting part is you can not only have it
go create things, you can have it test things. And with natural language, then go and optimize.
And, you know, if you think about, you know, maybe it's a website, but maybe it's also,
And we're going to get into this, a folder of documents on your computer.
And you have to go in and start to give you feedback on it, make data visualizations from it.
One example that he gave is his credit card statements.
So you could just kind of download them onto your desktop browser and obviously do this with caution.
And then set Claude Code loose on it.
And maybe makes visualizations, spots anomalies, gives you a report on your finances.
And you need that more advanced capabilities.
you need the ability to code and to call tools to be able to go and do this type of work.
It's pretty crazy to me.
I mean, it's real.
It's happening.
I'm living in the future, Alex.
I'm already there.
But I can tell you, like, this is where I think the big shift I saw is early 2025, when people talked about a genetic AI.
Again, thinking of like these big, heavy processes and how do we automate them in some way?
and bring an LLM's intelligence to make a decision in one part or maybe create some copy at another part.
The big shift was completely rethinking like what agentic AI is.
And again, won't say the word harness, but allowing it to start to take these tools.
And I think what he showed there like around this, like creating an entire business launching it at 500 prompts at 39 bucks a month.
Are you really going to do that?
maybe, but probably not.
Something, it's these kind of like smaller multi-step processes where I am calling by the end of the
year, all of us are going to start incorporating in our life in a lot of different ways.
Go check my credit card statement.
Find any charge above like $25.
Come up with a summary.
Like email me.
Stuff like that is going to become routine for, especially at least any early adopter,
I think, by the end of the year.
And it is interesting.
So we've talked, remember like last year we were talking about like, is AI going to hit a wall?
And there were all these different things about like, well, is pre-training still continuing to work?
And I think, you know, there's another bad jargon word, which is like the scaffolding, right?
Which is something we've used.
Like, what do you build around these tools that enable them to sort of cheat their way through limitations of the bottles topping out?
Or, for instance, the context window.
And context window, of course, is the amount of text that this model, the model can work on before it sort of
of runs out of its ability to like keep it in the like sort of memory window so to speak.
And and it's just interesting to hear how this stuff works because because Malik even talks about
how like the sort of Claude Code cheats its way through like the limits of the context window.
He says when Claude Code runs out of context, it stops and compacts the conversation so far,
taking notes about exactly where it was when it stopped.
Then it clears its context window and the fresh version of Claudecode reads the note,
and reviews the progress to dates.
And then it gives it, those notes give Claude everything it needs to keep moving.
This is why Claude can run for hours at a time.
It carefully notes what it's doing along the way, produces interim work, and, you know,
like pieces of software and reports that it can refer to.
I mean, this is, this is very interesting the way that these companies are architecting
stuff.
Yeah.
I mean, this is where anyone who was using Claude two years ago, year and a half ago and
would hit that dreaded, like you've run out of credit even as a paying Claude Pro subscriber
and have to either wait 12 hours to run a prompt on the leading model again.
Like the architecture side of how people are approaching these kind of agentic workflows is getting
solved.
I think that's the big thing.
And it's not at the model level.
And models are helping.
But it's, yeah, it's not the product.
Actually, you know what?
Instead of product versus.
model architecture, let's throw that in there as well, is another layer that can be optimized
or innovated on to actually, to really move this stuff forward. So are you team architecture?
I think I am team architecture. I mean, this is something like you're on stage with,
was it Larry or Sergei that you talked about architecture? Well, Sergey talked about algorithmic
improvements. Okay. And so I think this is certainly. Yeah, I would call it architecture. And, and,
And it's starting to show up in other places, too.
Here's Claude Desktop.
So this is a relatively new thing that Anthropic has released.
You can put Cloud on your desktop if you're in the $20 a month bracket of the paying users.
And Malick says, just give the AI access to a folder.
Remember that Claude can do anything to the files in that folder.
So be careful and make a back, if it's sensitive, and make a backup.
And you can start working with AI.
Have it research and write reports.
Give it access to your credit card records so it can put them into a spreadsheet and tell you about anomalies, ask it to do a data visualization, whatever else you like.
All right, Ron John, so as our resident AI agent expert, I'm going to ask you a question about this.
Do we really need to like be running this stuff through Claude Code or can you just like upload it into the into the context window of like the Claude Chatbot itself?
Like what does going through Claude code give you?
Is it just more power because it can build things on the fly for you?
Tell me a little bit more about why this is important.
Yeah.
It's the ability to, again, it's multi-step.
It's not one action.
So it's a set of, like especially giving that general guidance and action,
thinking of it from an outcome perspective,
it's no longer telling Claude, here's what you should go do.
It's saying here's what I want.
And to get there, like, that's not.
not how a typical chat back and forth works. The chat back and forth is let's iterate together,
let's explore, let's try to understand versus I know what I want, go get there for me. So I think,
and that ability to combine whatever the actual kind of like reasoning side, if it needs to
actually create like hard-coded Python scripts that are deterministic and are going to be used,
it can do that. Like not limiting it to that chat window is,
the biggest difference here. And again, increasingly, and again, talking about my own company here,
like we see at writer people, the biggest change is the routine side of it. It's these things are
no longer going to be one-off things you do for fun and kind of try it as an experiment. You start
to set routine. So this kind of work is being done on an ongoing basis. So it's not, I'm going to
go in an uploaded document. It's actually happening in the background. And like the, the clod UI gets
abstracted away. Like, maybe you just get an email or a notification with whatever results. So I think
it's a big difference. Give some concrete examples. Give some concrete examples of like the type of routines
that. I mean, like, and not to get too into the enterprise sales role, but like right now at work,
we have like Salesforce. We have gong, which is like a call recording and data type thing. We have
something called Z. We have all these different systems. I literally have a list of accounts in the past.
I would go through every morning.
I would either have like a report in each of one or a dashboard.
I literally was able to create something where it's like, go in, here's a list of accounts.
Did anything happen in the last 24 hours?
What happened?
Summurize it.
Email me.
And like I built that.
That's a whole app.
There's tons of code in there and API calls and MCP connectors.
And I can do that stuff now.
That like, like, so this is where, and I think I'm a reasonably technical person.
But like, I mean, anyone, especially.
simpler levels of this
will be able to start doing.
Okay, and that's a good
segue to the end of the
post here from Malik. He says,
today's AIs are capable of real
sustained work that actually matters
and in turn is starting to change how we approach
tasks. He says,
it is starting unsurprisingly with programming.
One of the more famous coders
in the AI world, Andre Capathy, recently
posted, I've never felt this much behind
as a programmer. The profession is being
dramatically refactored as the bits
contributed by the programmer are increasingly spare and between.
I have a sense that I could be 10x more powerful if I just properly stringed together,
but has become available over the last year or so,
and a failure to claim the boost feels decidedly like a skill issue.
Mollock concludes,
don't let the awkwardness of the current cloud code or specialization for coding fool you.
New, oh God, new harnesses that make AI work for other knowledge work tasks
are coming in the near future,
so are the changes they will bring.
Oh my God.
Sorry.
Okay.
Hold on.
One, I love this quote from Carpathie.
So I'm trying to contain myself or regain my composure after seeing harnesses again.
But, okay.
Carbathy.
I loved this quote.
I think it came out over the holidays when I was at home, caught it on Twitter, like, started seeing it more and more.
Because like, this is how I feel as a fairly technical.
but still knowledge worker at heart.
Like, I feel when I'm seeing what I'm able to do,
I feel like, holy shit, I think I'm falling behind or like,
I don't even know if other people are getting this faster than me,
that they're going to be way ahead.
And so I, that feeling was kind of like lingering in me,
the moment you start to see what's possible.
And I think like when I saw him say that,
especially about programming from one of the leading,
world's leading program.
It starts to make us feel like this stuff is so interesting right now that even someone
like him can actually feel like I better get a handle on this right now.
Right.
And look, I'll just say this.
I'm not completely sold that this is where we're going.
I know you feel firmly.
You're also like, you know, you're investing.
You have a built-in bias.
Yeah.
Because it's where you work.
I'm not.
But here's the thing.
I've seen enough energy around the increase.
increases and capabilities, the type that we spoke about at the beginning of this conversation,
the type that Malik listed as he explained what's going on.
And I think that that has been clearly drawn out by Malik in this post that I think it would
be foolish to ignore it.
The same way that Malik is basically saying, like, don't be fooled by this being just a coding
specific thing.
Soon we'll probably have the interfaces that will make this type of work, autonomous work,
things that self-correct, things that call tools available for many, many more different types of
knowledge, work professions. And that's why I think that this is important to highlight. I mean, we are getting
obviously, we're getting, you know, a year is just a delineation in time, but we are getting started here
in 2026 after what I think was a lot of movement in the space. Obviously, that a lot of money went into it.
We've been very critical about the financial picture of some of these companies. But I think that
shouldn't blind us to the fact. And again, we're here for like nuance about this. That shouldn't
blind us to the fact that, uh, this technology is progressing in some very interesting ways.
And our mission on the show is also to be able to be like, hey, pay attention to this because
it's something that we think has the potential to be big. And I think that's the case here.
I think so too. And I'm going to make the bet here. Right now every week, Alex and I have a
collaborative Google doc that we paste links in and kind of copy and paste text into. I think we are going to
not be working in that way and have something more interesting as a process in a few months
time. I'm making that call. I will take the, listen, I may, I may have just talked about how
I believe in the power of this technology. I, I will not bet against Google Docs. I won't do it.
We're going to be doing the same thing. And, uh, and I will not change my process. That's my,
that's my bet. Love to paste a link. It's actually the act of pasting the link is,
is the most human thing one can do.
I'll agree.
Well, also, I mean, I think it's sort of,
just not to overindex on this Google Doc discussion,
but why not?
I mean, this is the problem, too.
People have processes.
They like their processes.
And it takes an unbelievably better process and system
to be able to get them to switch off.
And that's probably the biggest thing
that will hold this technology back over time
is just the fact that, like, people like their processes.
And if you say, here's this.
brand new agentic way to do your you know show planning or a take tasks a B or C
their their immediate reaction isn't going to be like oh hooray let's let's switch over their
original no no you got it's going to be like over my dead body you you got I mean honestly
this is the biggest thing the technology is there like I I've been saying it for a while
the technology is there it's a change management person human UI whatever
problem, but like exactly as you're saying, we have, we have a process. It's a beautiful one. It brings us to this show every week and it gets it done. But yeah, people are tied to proscy. So yeah, I think that's going to be the most interesting part of this year. But like the way I see it already kind of going is the more people hear about there are better ways to do things, the more you, especially early adopters, you're like, I got at least try.
And maybe technology will reinvent the world, or maybe AI will reinvent the world's oldest technology, and that is, of course, email.
And maybe it will change processes there.
This is from TechCrunch.
Gmail debuts a personalized AI inbox, AI overviews, and search and more.
Google has unveiled a new AI inbox for Gmail that's designed to provide a personalized overview of your tasks and keep you informed about important updates.
Google is also launching AI overviews and search and a grammarily like proofreadfe.
Additionally, Gmail is bringing to all users several AI features that were previously available only to paid users.
The new AI inbox, and this is, I think, where most interesting news is coming.
The new AI inbox tab features two sections suggested to do's and topics to catch up on.
The first section displays summaries of top priority emails that require an action such as a reminder,
that you have a bill due tomorrow or that you need to call your dermatologist to confirm your mailing address
so they can ship you your prescription refill.
under the topics to catch up on, you'll see updates such as your Lulu Lemon return has been processed
or the end of the year's statement now available from Wellfront.
What do you think about this? Is this basically the same personalized inbox that we have from
Gmail? I mean Gmail as primary and updates. Is this the same thing? Or do you think the AI layer
on top of it is going to actually change the way we email? So I love this article, and I'm glad we just
got to it right now, because I created a system.
taught to me actually by my coworker at the time of the Financial Times, Stacey Marie Ishmael.
With Gmail flags, you can create like customized instead of just the star or not star.
You can have, there's like five different options and like creating a tiered ranking system.
And I have my system.
It's from 2011.
I'm still using it in Gmail today.
I turned off primary inbox and all of that.
So I am curious to see whether I start to use this.
but on the other hand, like, email has to change.
We all know that email, like, what's the value of the actual email?
Is there a better way to do it?
So I'm glad they're at least trying something here.
Well, this is kind of exactly the version of what you were talking about before
that has been so useful is that it sort of sorts through.
Yeah, yeah, yeah, yeah.
I guess the action in your inbox and prioritizes it for you and summarizes it
so you don't have to like similarly, you don't have to go through every system.
this one, maybe you just don't have to go through every single email.
Yeah, no, no. So that's why I was laughing because, like, the fact that I probably will stick to my 14-year-old system, even though this has just been offered to me to give you a little bit of credit from your earlier point there.
But, yeah, I think, like, the other interesting part of this to me is it's such a rich opportunity for Google, for anyone who has not been using Gemini to kind of introduce AI to them.
or introduce as kind of more agentic AI because, like, this is in their inbox.
Email should be a very straightforward.
It's just mostly text.
It's very structured.
There's subject lines.
And like it's something LLMs should be able to do a very good job of handling.
There's a lot of context.
And you imagine if this starts to be the way you get the next, I don't even know, how many hundreds of millions of users Gmail has?
This is billions?
Billion plus.
Billion plus.
Sure. I bet it's probably 2 billion. I mean, it's absurd. It's a big Chris.
Suddenly all of these people will start to over 2 billion users active worldwide.
Suddenly all of them, like as an entry point to bring Gemini to all these people and start to make them think here is how to use like slightly more agentic AI.
Adding more like now that we've summarized this for you, do you want to go?
do something. Actually, given our earlier conversation about Manus and Meadow last week,
as Manus is they're kind of like a Trojan horse into consumer, maybe this is Google's entry
point into consumer, like true consumer agentic. Okay, I actually got an interesting email from
a reader just to like put a bow on this Manus conversation that I think is just worth reading.
The reader says, keep in mind that this is, we were talking again last week about a meta acquired
Maness, the AI agent company, and I was like, oh, maybe that's actually going to be the thing that they
start to bake into their consumer chatbot. I got a lot of, like, well, not a lot, but some
reader feedback being like, no, this is an enterprise thing. So let me just read that. Then we can
take our break. It's a great message here. The reader says, keep in mind, or listener, actually,
listener mail when you do a podcast, keep in mind that meta's customers are in the business of
advertising on its platform, not the users. At the end of the day,
day it matches businesses with customers and the more businesses it can pull into the platform
by making business operations, reaching customers easier, the better.
Zuck has previously said our goal is to make it so that any business can basically tell us
what objective they're trying to achieve, like selling something or getting a new customer
and how much they're willing to pay for each result and then we do the rest.
I imagine agentic workflows will be super important in achieving that vision.
Meta is attempting to capture and automate the entire funnel from the product.
ideation to sale. Okay, that's an interesting alternate perspective that we didn't cover last week
that I think makes a lot of sense. Yeah, I think that's reasonable. Again, like in any of these
areas, yeah, business model that drives the entire company is going to kind of influence things.
I guess if you think about it, like Facebook workplace, remember that? Or does it still exist?
Yes, I think they shut it down. Okay. Like, that actually is a perfect example of
there is no reason Facebook and then meta should not have been able to do something really interesting in that space.
It's a very lucrative space.
There's no reason like they should not have been able to do that, but they didn't.
And I think like the business model and just how that drives the entire organization is kind of at the core of that.
But saying that Google did manage to do that even with an advertising business and then building the business.
the behemoth of Google Cloud and Google Workspace.
But you can see how, yeah, like what's the core business model actually influencing the entire, like, effort?
Right.
All right.
Well, Chat Chip-T, OpenAI is getting into healthcare with Chad ChipT Health and Chad Chbute for Healthcare.
We'll cover what's happening and what the stakes are, along with a fun little discussion about the end of busy work right after this.
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And we're back here on Big Technology Podcast Friday edition,
breaking down the week's news.
Big story this week,
Chad GPT or OpenAI released chat GPT Health
and Chad GPT for healthcare.
So there's both going to be a consumer side of things
where you can speak to the bot for specialized healthcare services
and then more of a healthcare version of it
that is tailored for health care businesses on the API side.
So let's go one by one.
First of all, this is chat ChachyPT Health.
Amazing stat here.
Over 230 million people globally ask health and wellness-related questions to chat GPT every week.
ChatchipT Health is a new product that builds on this, so responses are informed by your health information and context.
You can now securely connect medical records and wellness apps like Apple Health function and My Fitness Pal.
So Chat Chitin can help you understand recent test results, prepare for appointments with your doctor, get advice on how to approach your diet.
and workout routine or understand the tradeoffs of different insurance options based on your
health care patterns.
It operates, health operates as a separate space with enhanced privacy to protect
sensitive data.
Conversations in health are not used to train our foundation models.
If you start a health-related conversation in chat chit, we suggest, we'll suggest moving to
health for these additional protections.
I don't know about you, Ron, but I have been using chat chit-tie-t already as a, uh,
health sort of consultant, so to speak.
I think these are great.
I'd love, I have the Garmin watch.
I'd love to be able to connect it.
I basically just been taking screenshots of the watch and the app and just dropping it into chatchip-T
and speaking about it.
I think this is a huge potential area of growth for OpenAI.
I'm kind of kind of welcoming this.
What do you think about this new offering?
No, no.
So at a consumer level, or customer level, I love it.
It's funny, I actually use Claude for all my health-related questions.
I don't know why.
I just kind of feel more comfortable with Claude than chat GPT on that.
But like, I, it's, the interesting part to me is, again, everyone is doing this.
I like that they're actually kind of trying to make it more productized and make it like simpler to understand, kind of presenting it as this separate offering.
I was already when I saw this thinking more like, what does this do to an aura ring?
which I'm paying $7 a $6 a month for a subscription,
and they're supposed to be analyzing my data for me.
Whereas in reality, I do kind of the same thing
where I just screenshot stuff from ORA into chat or into clotted-ass questions.
Like all these, like Apple Health, yes, track it for me,
but that app has never been that good.
My fitness pal, all these start to get in a little bit of trouble with this, I think.
Chat Chitpity has 800 million
weekly users.
Only one-fourth
them are using chat chvety
for health questions
already.
Yeah.
Which is that a big number.
But what do you think this does
like at the doctor visit level?
Because like same thing.
Went to the doctor.
They, for yearly physical,
they like tell me some stuff.
But then I just took all the results
and just went straight to clot and uploaded it
and had a much,
I won't mention my doctor's name here.
They're fine.
Like,
they're fine.
But I got a much,
much deeper,
better in learning and felt more comfortable
and just everything with AIJad.
Yeah,
I mean,
I think this kind of shows how trusting we've become of these bots.
Like,
I dropped my blood labs right into JCPT.
I did the aura blood labs in first place.
Yeah.
It was amazing.
It, you know, the doctor gives you like an email and through like the portal that says,
everything looks good.
Watch cholesterol or something like that.
This goes, you know, data point by data point explaining what each one of them are and sort
of, you know, taking into account your age, your health status, it already knows when you
work out if you talk to it about that and gives you like this full picture of your health.
Maybe it will suggest other tests to order.
So here's kind of how I think this goes.
It's just like we had this like an episode of.
about AI and law a little while ago.
That like AI can, if you're a lawyer, AI can, you know,
take in all your documents and sometimes get you to an answer.
Sometimes it's right and sometimes it's wrong.
But it definitely enables you to do more than if you were to code by this stuff,
you know, minute by minute as a human user, right?
Or a human person trying to get through these, this data.
I think the same thing is going to happen in health that like chat chip BT will often,
like, diagnose you or give you things to, to consider.
and it does a much better job than WebMD.
I mean, my favorite example about WebMD is like,
I once had a scratchy throat, and WebMD is like,
all right, some possibilities here, maybe Ebola.
And I was like, God damn.
I don't think Chad Chip-B-T does that.
So I think what it's going to do is it will give you some better medical advice.
Sometimes it will diagnose you.
I think the key then is to bring that information to a human doctor, right?
And I think that's what's going to happen is that, like,
doctors will see people coming in with their chat-chip-t,
logs and they'll sort of start to consult with the human and the bot about what's happened.
And obviously that human expertise is pretty invaluable.
But I am certain we're going to see much more people in the clinic coming in and being like,
hey, you know, please tell me a little bit more about this possibility that chat chitpt suggested.
Does that sound right?
Actually, hold on.
I like that.
I think I agree.
I think the big behavioral change in 2026 is going to be people going.
into the doctor and pulling out chat GPT, whereas like, certainly a year ago, I can't picture
people actually doing that with confidence.
Maybe they were, but like, I mean, I was to the side talking to Claude while leaving
the doctor going in, but I wasn't looking him in the eye and being like, well, Claude told me
this.
Right.
But I think you're right.
People, it might.
And honestly, it should.
Maybe any doctor listeners can.
like send us any negative feedback on this,
but I would think it would make their life a little easier too
because it would start to at least kind of,
rather than very, very loose, personal ways
of trying to explain symptoms and other things,
there's already at least one layer of work that's been done
that the doctor would have had to do anyways,
so for them to actually try to like think of through things
in a more reasonable manner.
So it seems,
good. Well, you know how there's these memes that like the students are writing their homework
with chat GPT and then teachers are grading the homework with chat GPT? Maybe that's going to happen
with Medicare. With Medicare, with healthcare because you're going to have patients that are going to be
doing this on their end and then they're going to bring it to the doctor. And now OpenAI is also
releasing Open AI for healthcare. So they are going to have both, you know, a chat side of things and
API set of things. And they are going to have like specific models built for healthcare workflows
that will diagnose here. This is from their blog post. They'll have high quality responses
for clinical research and operational work powered by GPT5. They'll have institutional policy and
care pathway alignment. So they'll integrate with enterprise tools like SharePoint and other
systems. So responses can incorporate an institution's approved policies, pathway documents,
and operational guidance to support consistent execution across teams and reusable templates to automate workflows,
such as share templates for discharge summaries, patient instructions, clinical headers, and prior authorization support.
So they're really going to end up being deep in the clinic.
I don't know.
I mean, obviously, like, the hallucinations can be a problem, and there's a lot of, you know,
there is a lot of room to go here to make it, make it as good as it can get.
but I personally think that medical field is something that needed this technology deeply.
I've said it on the show before, I'll say it again.
My father's a doctor, and he's spent like half his life just doing paperwork.
And if you could get a tool that, like, records, take notes, takes those notes and
allows people to like either focus on the patient or even see more patients or give them the
bright prompts to negotiate their health records when they're using chat chipt.
it can't be much worse than the situation is today. And I'm very, very optimistic about this.
And from a business standpoint, it could be a very big business line for Open AI.
I definitely agree. Consumer level overall for healthcare. One thing I will say, though,
is on the topic that's recurring about Open AI and focus, still don't quite understand.
Because remember, we had Enterprise is the focus of 2026,
scientific discovery,
chat chitpity subscription growth,
now chat chitpt health,
which I guess kind of ladders up
into subscription growth,
but like it's still a reminder to me
that they're trying to do
absolutely everything.
Maybe they will.
They have some good products,
but it's still that more clear focus
still isn't there for me.
Yeah, but I don't know.
I think that this,
I mean, obviously you actually like
when you read this,
you see how much work
they actually did on it.
That's what I mean, though.
No, no, that's what I mean.
This isn't just, let's create another tab and call it health.
Like, they're having different connectors and EMRs and, like, there's definite work that went into it, which is work that did not go into other parts of the business that they're talking about.
And AI cloud and personal devices and all the above.
Yeah, that's true.
I mean, I just think that, like, again, if you're like, it's a general purpose technology.
If you're selling investors on a TAM, you need it.
You need, you need, and medicine is just.
No, no, I get it.
I get it.
I'm just saying.
All right.
Yeah, I hear you.
If you were to create a polymarket contract on whether, actually I'm sure there is one,
whether OpenAI is IPOing this year, which side are you taken?
Taking no.
Definitely not.
No.
What about if it's 2% chance to pay out 50 times to one that they are?
Do you like those odds?
That's a good, I mean, that's good odds, but it doesn't change my overall feeling on the matter, which is that no.
Okay, but speaking of prediction markets, well, wait, sorry, what are you?
No, that was my segue.
That was my segue.
Okay.
Speaking of prediction markets, we talked about prediction markets last week, some crazy shit has happened with prediction market this week that we cannot overlook.
So, first of all, the Maduro capture was on, was on these prediction markets.
and somebody who seems like they had knowledge,
they invested $30,000 on Friday in Maduro's exit.
After Maduro went into custody Saturday morning,
the same investor made $436,000 and some change after that.
Obviously, this person probably had knowledge of the Maduro operation.
Here's my question.
So here's my question to you.
So clearly insider trading is going to be a thing on prediction markets.
Is that fine?
because the argument here has been like, yes, there's going to be insider trading,
but ultimately one of the functions of prediction markets is you want them to be able to
accurately predict something. And if somebody does have insider knowledge of what's going to happen,
then prediction markets become like an unbelievable tool to see the future.
I saw that thesis. I forget from who. This is killing me. I mean, a couple of weeks ago,
I talked about how I actually do love the concept of prediction markets. I don't love how
polymarket and calci and stuff are really rolling it out but this week was kind of my
just hanging my head and kim just being in disbelief about the kind of stuff that's happening the thing
about that idea is like the whole point of financial markets or any kind of market is giving
everyone the kind of at least belief that some belief that there is a fair opportunity to try to
make money in it like and if you're if you're and yes i understand like
there's a lot of people, especially outside of traditional financial markets that are like,
everything's rigged anyways, and there's lots of problems in market structure, kind of biasing
towards bigger players. Yes, all of the above. But like, I mean, the idea that someone in this
situation knows that this is going to have a Maduro can make that kind of money. I don't think is
good for anyone, but I also don't think it's good for prediction markets. Because if you're always like,
I am playing at a disadvantage and insiders will be able to get ahead of this.
It kind of kills the whole point of the market.
So I think like on one hand, yeah, or I'm curious, I don't know.
How are you feeling about that?
I mean, as someone who's interested in whether prediction markets can predict things,
yes, that's good.
But also going back to our discussion last week, of the reason why these things have become so big
is because the only place that people feel like they have any agency is the casino.
know, they don't.
And they will end up.
They are playing against.
There's no way you can have a prediction market without insider information.
It's even harder to keep that free of insider trading than it is the stock market.
And there are fewer regulations.
Well, no, it's impossible.
Yeah, exactly.
But there's one thing that's really annoyed me this week, which has been this story about
Caroline Levitt, the White House preco secretary.
You know, she left just before the 65-minute mark of her.
Explain the actual or...
There was a some sort of like on the prediction markets,
you know, a prediction of how long her press briefing would last
and the overrunner was 65 minutes.
And she like, you know, wrapped up.
So there was a 98% chance that it was going to run past 65 minutes.
And then she left with 30 seconds to spare.
So 30 seconds before that 65 minute mark.
And everyone's like, oh, Levitt's got money on the prediction market.
knowing that she would go 6430.
I mean, obviously there's a chance,
but these press conferences,
they wrap abruptly anyway.
I don't think she was running away to make it before.
See, the buzzer.
It just doesn't.
See, I'm going to say,
like, at first I'm like, this is ridiculous,
but I watched the clip a few times,
and there's a bit of a smile
and there's a bit of, like,
just like very quickly running off stage.
And again, remember, like,
I mean, the Trumps are on the Polymark and Kalshi, like, their advisor.
Like, and not even saying there's any kind of like connection there.
It's more prediction markets are the same way in the situation room or whatever at Mar-Lago
when they're invading Venezuela or getting Maduro.
They have X up on the screens and searching for, like, prediction markets have to be part
of the conversation with them.
It's like the group of staffers at the White House.
And whether it's just for fun and it could be just kind of stupid fun.
on in this case. But to me, the more interesting part of this is going back to our earlier
the question around this, what happens when people can actually drive outcomes based on bets?
It's one thing to say, I have insider information and I'm going to use that to make a bet.
It's another or two, I'm actually going to change the end outcome because I have money on it,
same as like throwing a game, throwing a matcher in sports. Like, actually,
creating a specific outcome. And to me, like, the crazy thing to start thinking about is, I mean,
this is where it just got so dystopian. Like something like this, let's say you're, as it's funny,
you're doing the prediction market, cutting the press conference short. And again, it's just so
ridiculous that we have contracts on this, but I guess that's fine. Like, the more, imagine if we
start making big decisions people do to make money on prediction markets and letting that actually
drive the decision itself. That's terrifying. Like, yeah, I mean, I don't know. I'm still not fully,
fully bought in. I mean, yes, you have to consider the possibility, but I'm not, I mean,
these press conferences, they end up all the time. And in such speculation, I'm surprised
it got that much, you know, pick up. But you're, but the broader point that you're making,
I'm on board with. The principles can be.
drive the outcomes.
And as these prediction markets rise, you're going to see that happen.
I mean, imagine the world where we capture Maduro because there's so much money on the
prediction market.
Or like, like, if these are actually maturing and growing and becoming more integrated,
more people have money in them, we're going to start to see some really weird troubling
outcomes, I think.
But I still love prediction markets in theory.
Still love them.
In theory.
I don't know if they're really working.
in practice. Okay, before we leave, I want to talk about the end of busy work. Here's this
a Wall Street Journal article, the downside to using AI for all those boring tasks at work. Workdays
without busy work are closer to reality than ever, thanks to artificial intelligence, AI
tools that can sort and summarize emails, take meeting notes and file expense reports, promise
to free us to concentrate on the important stuff. That sounds great. The catch is our brains are
incapable of thinking big thoughts nonstop, and we risk forfeiting the epiphanies that sometimes
spring to mind while doing easy repetitive job functions.
Affleck chief executive Dan Amos dots his calendar with low intensity tasks that could be
delegated to an assistant or a bot.
These practices are partly about old-fashioned habits and personal touches.
They're also about taking mental breaks or leaving space for creative sparks to fly.
It's the same principle as thinking in the shower, putting your brain on autopilot until it goes.
Aha.
There's also a CEO called from a company.
called conventional. His name is Roger Kirkness. He's become to the value of slack time around
the middle of the year. That's when he noticed meaningful, productive gains from AI about 20%. Then he noticed
meaningful productive gains from AI about 20% overall, but he observed that, he observed that teammates
are often mentally exhausted and unproductive by Friday. Ronjan, are you going to stand up
together with these CEOs in defense of busy work? Or is this just like the last bastion of
stupidity in the office where people say you actually need to do, you know, things like file expense
reports to think creatively. I am not going to defend this. I think going back to the beginning of
this episode, maybe there is something beautiful about taking a link and pasting it into a Google
doc. And maybe we're never going to give that one up. And there's just something cathartic and like
just reminds you of what's important in this world, but expensive.
reports, come on. Like, what are the most kind of like mentally drudgery, mental drudgery type of work
you have to do? And, yeah, that, that I don't think so. I do think the handwritten notes to
employees who receive bonuses or retire, it's interesting. Like, there's something about
handwriting that's still meaningful to me, but I think this idea of busy work is just kind of like,
I just want to be an old executive guy and just save ridiculous things and have them kind of like land as as wisdom one day.
That's my goal in life.
I mean the call, right?
Like you get it.
Hey, it's Callan Bortchers from the Wall Street Journal.
Oh, hey, Callum, how are you?
This is Mr. Amos.
I'm the CEO of Affleck.
Yeah.
What do you think about busy work?
Oh, I love it.
Love doing expense reports.
It's like thinking in the shower.
And then, hold on.
And then he went on to incubator.
His favorite idea incubator is the steam room after a workout.
It's often steps out of the fog with a clear thought and dashes off an email about it.
Actually, it's steam room.
I'm with that.
Steam room's not bad.
But he's not doing busy work.
That's not busy work.
Am I being too optimistic in thinking we can,
and busy work and make room for more steam room.
That's what, get rid of the busy work so you can be in the steam room and you can think.
This is a travesty of journalism.
For this, there's only one thing that can save us for this.
And you know where I'm going.
We need the agentic harness.
We need it.
Yeah, just to get that agentic harness in place, more time in the steam room.
Get yourself into that agentic harness in a way.
you go. Steam away. Think big. Believe in your company once again. Wait, hold on. Just to end,
the piece did go on to say, like, he makes 20 million a year, but he declined to pay a few extra
bucks for an ad-free version of a streaming service because commercials offer a moment to think
about what you just watched. I think that's a fire bullet fence. I mean, that's just shows a very
poor decision-making, if you ask me. I love this guy. Actually, do you think he was just trolling here?
he was like, I'm just going to say some ridiculous stuff and let's see if they go with it because
come on, he's not watching commercials.
I'm sorry, you're making $20 million a year.
You are not, you can hit pause.
You know how to hit the pause button.
They printed it.
So I'd love to have them on.
If you're Affleck CEO, Dan Amos and you listen to the podcast, come on and speak with us about
busy work.
I'd love to have this conversation and take the other side of it.
And no, for God's sakes, man, just skip the commercials.
Just not ours.
Not ours.
Not ours.
Not ours.
But others do.
Okay.
All right.
Let's call it here, Ron John.
It's been good.
We've done it.
We've done our work this week for sure.
I go file some expenses right now.
I'm going to go into Steve.
Just to think, just to think clearly.
All right, everybody.
Thank you, Ron.
John.
Thanks everybody for listening.
We'll have Mistral CEO, Arthur Mench, on the show to talk about.
whether AI is a managed service at the end of the day.
That's going to come up on Wednesday,
and then Ron John and I will be back next week.
Thanks again for listening,
and we'll see you next time on Big Technology Podcast.
