Sounds like the issue is the executives. What does this have to do with “AI”? Also, the company that built this tech (naviHealth) was started in 2012. Their product existed long before large language models were created.

“Petrichor,” Altman said.”

https://www.nytimes.com/2013/05/05/magazine/y-combinator-sil...

The writer traveled from Vienna to Pyongyang by train, giving him 36 unsupervised hours in North Korea.

* Line management: are you willing to be the man and promulgate the party line? You can be mostly apolitical in this role.

* Middle management: are you willing to be the pawn of a specific member or two of senior management and do their bidding (which probably isn’t fully aligned with the party line)?

* Senior management: do you know how to intelligently break the rules in order to stand out from the crowd of middle managers? This could be by developing a broad following within the lower levels of the company through self-promotion, through cultivating specific relationships with the CEO and/or board, or by (in rare cases) delivering on highly visible and truly remarkable results for the company.

Also: "In 2015, FDA established an Interagency Task Force on LDT Quality Requirements with CMS, the Center for Disease Control and Prevention, and the National Institutes of Health"

Any manager worth his/her salt can tell you that a task force involving four different agencies is unlikely to ever result in any meaningful change. A cornerstone of effective management is to designate one person who is responsible for execution and hold them accountable. This is exactly how the executive branch, from the president on down, is supposed to function (with oversight from the judicial and legislative branches, of course), but few parts of it are like that after centuries of bolting on overlapping agencies and departments.

My company uses Zoom, and there have been many instances where, during a VTC call set up by someone at another company (that doesn’t use Zoom), we have switched mid-meeting to Zoom because there’s something wrong with the other VTC system (someone can’t join, can’t hear, can’t speak, can’t share their screen, etc.). And the other options haven’t gotten noticeably better over the years either.

As for that Medium article, it’s written by a tech exec with zero education or professional experience in anything related to medicine or the life sciences, so I would treat it with a heavy dose of skepticism. Many of the deluge of preprint articles from academic institutions written by epidemiologists or public health experts would likely be a far better source of info.

The claim is that the only way to provide affordable public transit that's sustainably accessible to people who aren't rich (that is, even when gentrification occurs in the city core) is to provide surface transit (buses), which can serve a much larger area than light rail.

> Maybe if we had more human-scale, walkable, transit-accessible neighborhoods everywhere, there would be enough of them to meet the high demand and more such neighborhoods could support mixed-income residents.

Sure—let me know when you find the funding required to build all those "human-scale, walkable, transit-accessible neighborhoods everywhere." In the meantime, let's provide affordable transit that's accessible regardless of which neighborhood you live in: high-frequency, reliable buses.

Are you sure you read the article…?

> The area around the LRT lines definitely attract investment, but if you look at who actually uses the line a few years in, it’s mostly rich people. Why? Because they’re the only people who can afford to take it – not because the fares are too high, but because real estate in the immediate walking area around stations becomes too expensive…Unless you have bus routes or other last-mile ways of getting to the LRT, then it’s going to be a public transit option that’s only available to people who can afford to live nearby. And the nicer you make the line, the higher an income threshold that’s going to require. (Unless you do the hard work of actually integrating the LRT line via last-mile bus routes into all of the other neighbourhoods that aren’t gentrifying.) LRT investment on its own doesn’t expand public transit; it gentrifies it.