Claude Code’s Shining Moment, ChatGPT for Healthcare, End Of Busywork?

9 Jan 2026 · 56 min · 21 chapters

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Big Technology Podcast - Episode Summary

Episode Title

Claude Code’s Shining Moment, ChatGPT for Healthcare, End Of Busywork?

Hosts

  • Alex Kantrowitz: Silicon Valley journalist and host.
  • Ranjan Roy: Contributor from Margins.

Episode Description

This episode features a discussion on recent developments in technology, predictions for 2026, and the implications of AI in various sectors, particularly coding and healthcare. Key topics include the capabilities of Claude Code, the launch of ChatGPT for Healthcare, and the role of AI in reducing busywork in professional settings.

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Key Topics Discussed

  1. Claude Code
  2. Autonomous Capabilities: Claude Code showcases the ability to execute tasks autonomously, going beyond basic code autocomplete functionalities.
  3. Example Use Case: A user directed Claude Code to develop a startup idea, which resulted in the autonomous generation of a website and relevant materials.
  4. Agentic AI: The term "agentic" is discussed, referring to AI's ability to utilize tools and perform tasks independently.
  5. Implications for Knowledge Work: Ranjan emphasizes that while Claude Code has made strides in coding, its implications extend into broader knowledge work sectors.
  1. ChatGPT for Healthcare
  2. Introduction of ChatGPT Health: OpenAI's new product aims to provide personalized health advice, integrating with medical records and wellness applications.
  3. Potential Use Cases: Users can prepare for doctor appointments, understand health data, and receive guidance on wellness.
  4. Market Impact: OpenAI is moving deeper into healthcare, presenting a significant opportunity for enhancing patient-doctor interactions and operational efficiency in medical settings.
  1. Prediction Markets
  2. Insider Trading Concerns: A recent event highlighted the potential for insider trading in prediction markets, raising questions about their integrity and reliability.
  3. Market Dynamics: Ranjan and Alex discuss whether the presence of insider knowledge can enhance prediction accuracy or undermine market fairness.
  1. AI and the End of Busywork
  2. Role of AI in Reducing Menial Tasks: The discussion touches on how AI can minimize redundant tasks like filing reports and sorting emails, allowing for greater focus on creative thinking.
  3. Cognitive Implications: There is concern that eliminating busy work could hinder the spontaneity of ideas that often arise during low-intensity tasks.
  4. CEO Perspectives: Insights from CEOs who argue for the value of slack time and low-intensity tasks as opportunities for creative thought.

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Key Takeaways

  • Claude Code represents a significant advancement in AI capabilities, with potential applications extending beyond coding to various knowledge work fields.
  • OpenAI's ChatGPT for Healthcare could transform patient interactions, creating more informed patient-doctor communications and improving healthcare delivery.
  • Prediction markets face challenges with insider trading, questioning their reliability as a forecasting tool.
  • AI's ability to eliminate busywork is debated, emphasizing the balance between productivity and the cognitive benefits of low-intensity tasks.

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Conclusion This episode of the Big Technology Podcast presents a fascinating look into the evolving landscape of AI and its implications across various sectors, highlighting both opportunities and challenges as we move towards an increasingly automated future.

Next Steps

  • Further Exploration: Listeners are encouraged to consider how these technologies may impact their own work and daily lives, particularly in coding and healthcare.
  • Engage with the Podcast: Listeners who enjoy the content are invited to rate the podcast and explore subscription options for additional content and discussions.

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*This summary encapsulates the major points and discussions from the podcast episode, providing insights into the current state and future predictions in the tech landscape.*

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

Tap a time to open that second in VO

Exploring Cloud Code's Impact

0:51 to 1:40

Discussion on how Cloud Code is evolving beyond programming.

“Welcome to Big Technology Podcast Friday edition, where we break down the news in our traditional, pool-headed, and nuanced format.”

Ethan Mollick's Insights on Cloud Code

1:40 to 3:40

Analyzing Ethan Mollick's post on Cloud Code's capabilities.

“Let's begin just talking about CloudCode.”

Agentic AI and Its Implications

3:40 to 6:10

Discussion on the concept of agentic AI and its potential.

“This specific output, I'm actually not that impressed.”

Real-World Applications of Cloud Code

6:10 to 8:10

Exploring practical uses of Cloud Code beyond coding.

“This is where I think like, and I brought this up on this podcast like six months ago at Writer where I work, like, and we're enterprise AI focused.”

Understanding AI Context Limitations

8:10 to 11:20

Examining how Claude Code handles context and conversations.

“it can end up building a website for him, which includes a sales funnel, by the way.”

Architectural Innovations in AI

11:20 to 14:01

Discussing the importance of architecture in AI development.

“The big shift was completely rethinking like what agentic AI is.”

Understanding Cloud Code and AI Workflows

14:01 to 16:49

Explore how Cloud Code can enhance AI workflows and why architecture matters.

“And it's starting to show up in other places, too.”

The Evolution of Programming and AI's Impact

16:50 to 19:31

Discuss how AI is changing programming and the mindset of programmers today.

“like not limiting it to that chat window is the biggest difference here.”

The Future of Knowledge Work with AI

19:32 to 21:32

Consider the potential of AI to transform knowledge work beyond coding.

“So I'm trying to contain myself or regain my composure after seeing harnesses again.”

Adoption Challenges of New AI Technologies

21:33 to 22:48

Examine the hurdles to adopting AI technologies in established processes.

“of 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 this space.”
Show all 21 chapters

AI Innovations in Email Management

22:49 to 24:30

Learn about Google's new AI-powered features in Gmail and their implications.

“It's actually the act of pasting the link is the most human thing you one can do.”

AI's Role in Enhancing Email Utility

24:31 to 28:00

Discuss how AI can improve email efficiency and user experience.

“Gmail debuts a personalized AI inbox, AI overviews and search and more.”

Meta's Business Model and Consumer AI

28:00 to 29:51

Explore Meta's approach to AI integration into consumer chatbots.

“The reader says, keep in mind that this is, we were talking again last week about a meta acquired Manus, the AI agent company.”

Reader Feedback on Meta's AI Strategy

29:51 to 31:01

Discussing listener insights on Meta's enterprise-focused AI strategy.

“Again, like in any of these areas, yeah, business model that drives the entire company is going to kind of influence things.”

OpenAI Enters Healthcare with ChatGPT

32:11 to 34:18

Analyzing ChatGPT's new healthcare offerings and implications.

“And we're back here on Big Technology Podcast Friday edition, breaking down the week's news.”

Impact of AI on Doctor Visits

34:18 to 37:48

Discussing how AI tools like ChatGPT are changing patient interactions with doctors.

“But like, the interesting part to me is, again, everyone is doing this.”

The Future of AI in Healthcare Workflows

37:48 to 42:01

Examining the integration of AI in healthcare settings and potential benefits.

“to see much more people in the clinic coming in and being like hey uh you know please tell me a little bit more about this possibility that chat GPT suggested.”

Prediction Markets and Insider Trading

42:01 to 43:19

Explore the implications of insider information in prediction markets and their predictive power.

“which is work that did not go into other parts of the business that they're talking about.”

The Dystopian Potential of Prediction Markets

43:20 to 45:38

Discuss the ethical dilemmas and potential consequences of betting on real-world outcomes.

“Obviously, this person probably had knowledge of Maduro, of the Maduro operation.”

AI and the End of Busy Work

45:39 to 49:48

Examine how AI tools may reduce mundane tasks but also impact creativity and mental processes.

“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.”

The Case for and Against Busy Work

49:49 to 54:57

Delve into the opinions on whether busy work is necessary or obsolete in modern workplaces.

“Before we leave, I want to talk about the end of busy work.”
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Transcript

Automatic transcript. May contain errors.

0:00Cloud Code is on a legendary run and becoming useful beyond programming. Open AI 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. Fiscally responsible, financial geniuses, monetary magicians. These are things people say about drivers who switch their car insurance to Progressive and save hundreds. because Progressive offers discounts for paying in full, owning a home, and more. Plus, you can count on their great customer service to help when you need it, so your dollar goes a long way.

0:42Visit Progressive.com to see if you could save on car insurance. Progressive Casualty Insurance Company and Affiliates, potential savings will vary, not available in all states or situations. Welcome to Big Technology Podcast Friday edition, where we break down the news in our traditional, pool-headed, and nuanced format. Matt, 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 Cloud 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 Mollick has to say.

1:18We'll go through his post on the matter. We're also going to talk about OpenAI's foray into healthcare. It's actually an official foray into healthcare because millions of people have been using ChatGPT for healthcare 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, the dude is Ranjan Roy of Margins. Ranjan, great to see you. Welcome back. Good to see you, Alex. Excited to be here. Let's begin just talking about CloudCode. I don't know if you've seen this, but for me recently on X, CloudCode has been a meme. It's almost like those Chuck Norris memes where people have been talking about how CloudCode could basically do anything.

1:57and it's got these superhuman capabilities. And I was waiting for a post to kind of illustrate what was going on with Cloud Code 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 Cloud Code and what comes next. And I think he really illustrates just the amount of autonomous work that Cloud 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 Cloud Code and gave it a command.

2:38Develop 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.

3:17Right. 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 CloudCode. 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.

4:04And 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 Claude Code is a lot of people's first entry into this world of truly agentic AI. And even Malik goes on to write, he was like, 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.

4:47Agentic 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 Cloud Code, 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. Agentic. Oh, come on. It is a terrible. No, bad. Very bad. What do you like about this? Okay, go ahead. No, no. Hold on.

5:23I 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 riding. 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.

6:00That's it. Why do you have to make it more complicated harness is shorter agentic harness i'm using right 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 it's not working 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 they can they are the ais are being given tools and approaches they can use to solve the problem so so 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, like, and we're enterprise AI focused.

6:42We launched a tool and I'd started testing it in June. It was, and we joked that you were 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 what Claude Code 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.

7:23Like this is going and doing tasks for people people are doing already. And Cloud 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 assistants were 20, the story 2025. Right. And that's sort of 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 autocomplete. Or in some cases, you know, you put a vibe code prompt in Replit or something and then you get a website.

8:05I 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 basically all he has to do is put it live. And the way that it's doing this is the long autonomous tasks of coding and then also being able to use the tools. We won't argue anymore about the language. which 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 in 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.

8:58And 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 knowledge work. And I'll just continue to read Malik because he's very good on this. He says, unfortunately for most of us who want to experiment with AI, these new tools are built 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.

9:36He 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, 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.

10:13And 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 if you think about, maybe it's a website, but maybe it's also, and we're gonna get into this, a folder of documents on your computer. And you have it 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 Cloud Code loose on it.

11:00and 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, this is where I think the big shift I saw is early 2025, when people talked about agentic AI, again, these 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 in another part.

11:45The 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.

12:35And 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 uh that that enable them to sort of cheat their way through the limitations of you know 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 runs out of its ability to like keep it in the like sort of memory window so to speak uh and and it's just interesting to hear how this stuff works because uh because malik even talks about how like the sort of Claude code cheats its way through like the limits of the context window.

13:22He 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 Claude code reads the notes 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 um 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 uh 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 that models are helping but and it's yeah it's the it's not the product actually you know what instead of product versus model architecture let's throw in there as well as 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 you're on stage with microsoft larry or sergey that you talked about architecture well sergey talked about algorithmic improvements okay and so i think that under architecture yeah Yeah, I would call it architecture.

15:02And it's starting to show up in other places, too. Here's Cloud 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 Malik says, just give the AI access to a folder. Remember that Claude can do anything to the files in that folder, so be careful 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.

15:43All right, Ranjan, so as our resident AI agent expert, I'm going to ask you a question about this. Do we really need to be running this stuff through Cloud Code or can you just upload it into the context window of the Cloud chatbot itself? What does going through Cloud 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.

16:27It's saying, here's what I want. and to get there, like that's 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.

17:10It'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 and upload a document. It's actually happening of the background and like the the claude ui gets abstracted away like maybe you just get an email or a notification with whatever results so so i think it's a big difference concrete examples give some concrete examples of like the type of routines that i mean like not to get too into the enterprise sales world but like right now at work we have like salesforce we have gong which is like a call recording and data type thing.

17:53We have something called Zoom. 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? Summarize 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. Yeah. So this is where, and I think I'm a reasonably technical person, but anyone, especially simpler levels of this, will be able to start doing.

18:33Okay. 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 Karpathy, 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 string together what has become available over the last year or so, and a failure to claim the boost feels decidedly like a skill issue.

19:16Malek 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. And 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, Carpathie. 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.

20:01Like 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 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 programmers, like 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 invested you have a built-in bias you're yeah because it's where you work i'm not but here's the thing i've seen enough uh energy around the increases in capabilities the type that we spoke about uh at the beginning of this conversation the type that uh malik listed as he explained what's going on uh 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 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 of 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 this space.

21:46Obviously, 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 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.

22:20I 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 have just talked about how I believe in the power of this technology. I will not bet against Google Docs. I won't do it. We're going to be doing the same thing. And I will not change my process. That's my bet. Love to paste a link. It's actually the act of pasting the link is the most human thing you one can do. I'll agree. Well, also, I mean, I think it's sort of just to not to over index on this Google Doc discussion, but why not?

23:02I 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 uh their their immediate reaction isn't going to be like oh hooray let's let's switch over their original reaction is 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 and it gets it done but yeah people are tied to process 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 to at least try.

24:20And 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 in search and a grammarly-like proofread feature. Additionally, Gmail is bringing to all users several AI features that were previously available only to paid users.

24:57The new AI Inbox, and this is I think where the most interesting news is coming, the new AI Inbox tab features two sections, suggested to-dos, 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 Lululemon return has been processed or the end of the year statement now available from Wealthfront. What do you think about this?

25:29Is this basically the same personalized inbox that we have from Gmail, I mean, Gmail has primary and updates. Is this the same thing? Or do you think the AI layer on top of it is gonna 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 customize 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.

26:05It'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 uh 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 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.

27:03But yeah, I think 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 this kind of more agentic AI, because this is in their inbox. Email should be a very straightforward. It's just it's 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. Is it billions?

27:44Billion plus. Billion plus. Suddenly. I bet it's probably two billion. I mean, it's absurd. It's ubiquitous. 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's 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 manis and metal last week as manises they're kind of like a trojan horse into consumer maybe this is google's entry point into consume like true consumer agentic okay i actually got an interesting uh email from a reader just to like put a bow on this manis conversation that i think is just worth reading.

28:41The reader says, keep in mind that this is, we were talking again last week about a meta acquired Manus, 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, listen to 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.

29:15At the end of the day, it matches businesses with customers and the more businesses it can pull into the platform by making business operations, reaching customers easier is 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.

29:47Okay, that's an interesting alternative 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.

Read the full transcript

30:31And 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 behemoth of Google Cloud and Google Workspace. But you can see what's the core business model actually influencing the entire effort. Right. All right. Well, OpenAI is getting into healthcare with Chachapiti Health and Chachapiti 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. You want to eat better, but you have zero time and zero energy to make it happen.

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32:02The offer is only valid for new Factor customers with the code and qualifying auto-renewing subscription purchase. Make healthier eating easy with Factor. And we're back here on Big Technology Podcast Friday edition, breaking down the week's news. Big story this week, ChatGPT or OpenAI released ChatGPT Health and ChatGPT for Healthcare. care. So there's both going to be a consumer side of things where you can speak to the bot for specialized health care services, and then more of a health care version of it that is tailored for business, health care businesses on the API side. So let's go one by one.

32:40First of all, this is ChatGPT Health. Amazing stat here. Over 230 million people globally ask health and wellness related questions to ChatGPT every week. ChatGPT 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 gpt 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 trade-offs 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.

33:23Conversations in health are not used to train our foundation models. If you start a health-related conversation in ChatGPT, we'll suggest moving to health for these additional protections. I don't know about you, Ranjan, but I have been using ChatGPT already as a health sort of consultant, so to speak. I think these are great. I have the Garmin watch. I'd love to be able to connect it. I've basically We've just been taking screenshots of the watch and the app and just dropping it into ChatGPT and speaking about it. I think this is a huge potential area of growth for OpenAI. I'm kind of welcoming this.

34:02What do you think about this new offering? 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 ChatGPT on that. But like, 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 Oura ring, which I'm paying$7,$6 a month for a subscription.

34:43and 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 Aura into chat or into Claude and ask 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. Chachupiti has 800 million users, weekly users. uh fully one fourth of them are using chat gpt for um for health questions already yeah which that's 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 claude and uploaded and had a much much i won't mention my doctor's name here they're fine like they're they're fine but i got a much much deeper better in learning and felt more comfortable and just everything with uh ai chat yeah i mean i think this kind of shows how trusting we've become of these bots like i dropped my blood labs right i did the aura blood labs and yes first place yeah it was amazing uh it it you know the doctor gives you like an email and through like the portal, it says everything looks good.

36:14Watch 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 uh episode about ai and law a little while ago that like ai can can um 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 uh but it definitely enables you to do more than if you were to code by this stuff you know minute by minute as a as a human user right or a human person trying to get through these this data i think the same thing's going to happen in health that like chat chippity will often like diagnose you or give you things to to consider um and 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 chat chippity does that so i think what it's going to do is it will give you some better uh 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 chippy 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 uh but i am certain we're going to see much more people in the clinic coming in and being like hey uh you know please tell me a little bit more about this possibility that chat GPT suggested.

37:58Does 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 uh 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.

39:00So 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 gpt yeah maybe that's going to happen with medicare with not medicare with health care because you're going to have patients that are going to be doing this uh on their end and then they're going to bring it to the doctor and now open ai is also releasing open ai for health care so they are going to have both uh you know a chat side of things and api set of things and they are going to have like specific models built for health care workflows um that will diagnose here.

39:41This is from their blog post. They'll have high quality responses for clinical research and operational work powered by GPT-5. 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 shared 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.

40:18I 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 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 or even see more patients or give them the right prompts to negotiate their health records when they're using ChatShift PT.

40:58It can't be much worse than the situation is today. And I am very, very optimistic about this. And from a business standpoint, it could be a very big business line for OpenAI. 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, ChachiBT subscription growth, now ChachiBT 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.

41:40Maybe 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 of the above.

42:15Yeah, 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 medicine. 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 IPO-ing this year, which side are you taking? 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.

43:02Okay, but speaking of prediction markets, what would you say? 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 uh was on these prediction markets and somebody who seems like they had under knowledge they invested thirty thousand dollars on friday in maduro's exit after maduro went into custody saturday morning the same investor made four hundred and $36 ,000 and some change after that. Obviously, this person probably had knowledge of Maduro, of the Maduro operation.

43:45Here'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.

44:21I 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 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, 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.

45:03Yes, all of the above. But like, I mean, the idea that someone in this situation knows that this is going to happen in 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, you know, 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.

45:39But 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. 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. It's impossible. Yeah, exactly. There's none. But there's one thing that's really annoyed me this week, which has been this story about Caroline Levitt, the White House press secretary.

46:14You know, she left just before the 65 minute mark of her. Wait, explain the actual. 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 over under 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 64, 30. I mean, obviously there's a chance, but these press conferences, they wrap abruptly anyway.

46:59I don't think she was running away to make it before. See, the buzzer just doesn't. See, I'm going to say it 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 that. And not even saying there's any kind of like connection there. It's more prediction markets the same way in the situation room or whatever at Mar-a-Lago when they're invading Venezuela or getting Maduro. They have X up on the screens and searches for like prediction markets have to be part of the conversation with them.

47:42It's like the staffers at the White House and whether it's just for fun and it could be just kind of stupid fun 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 two. I'm actually going to change the end outcome because I have money on it. Same as like throwing, uh, throwing a game, throwing a match or in sports, like. Yeah. Actually creating a specific outcome.

48:19And 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, it's funny. You're doing the prediction market, uh, 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 uh i don't know i'm i'm still not fully uh fully bought into i mean yes you have to consider the possibility but i'm not but i mean these press conferences they end up all the time and it's such speculation i'm surprised it got that much you know pickup but you're but the broader point that you're making i'm on board with the principles can drive uh the outcomes and if you're doing 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 are 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.

49:44But 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 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.

50:21Aflac 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. There's also a CEO 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%.

50:59Then he noticed meaningful productive gains from AI about 20 % overall. But he observed that teammates are often mentally exhausted and unproductive by Friday. Ranjan, 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 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.

51:39And there's just something cathartic and like, just reminds you of what's important in this world, but expense 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 uh hey it's it's callum borchers from the wall street journal uh oh hey callum how are you this is uh mr amos i'm the CEO of Aflac.

52:43Yeah. What do you think about busy work? Oh, I love it. Love doing expense reports. It's like thinking in the shower. And then he went on to incubator. His favorite idea incubator is the steam room after a workout. 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 and thinking we can end busy work and make room for more steam room? For the steam room. That's what, get rid of the busy work so you can be in the steam room and you can think.

53:25This 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 and away you go. Steam away, think big, believe in your company once again. Wait, hold on, hold on. Just to end, the piece did go on to say he makes$20 million a year, but he declined to pay a few extra bucks for an ad-free version of his streaming service because commercials offer a moment to think about what he just watched.

54:05I think that's a fireball offense I mean that just shows some 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 him on if you're uh if you're affleck ceo danny musson 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 uh and and no for god's sakes man just skip the commercials just not ours not ours not ours not not ours but others do okay all right let's let's call it here ronjan it's been good we've done it we've done our we've done our work this week for sure I'm going to go file some expenses right now.

55:03I'm going to go into Steve. Just to think, just to think clearly. Hi everybody. Thank you, Ranjan. Thanks everybody for listening. We'll have Mr. Al-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 Ranjan and I will be back next week. Thanks again for listening and we'll see you next time on Big Technology Podcast. Der Insolvenzantrag ist gestellt. Und plötzlich läuft alles im Alltempo. For our protagonist begins the hardest phase. In Folge 4 of our series of Insolvency we show why Offenheit is the most important part of the Währing.

55:42Why a Insolvency is not a Gegner. And how a company is stabilized or established. In the podcast channel Gute Geschäfte von Kreditreform. Everywhere, where it's podcasts.

From the publisher

Ranjan 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?

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