iiinova — where your digital self keeps evolving

Michael D. Green, PhD @michaeldgreen.phd · 2m

Tired: K01 and AHA Career Development Award plus groveling to industry and/or philanthropy. Wired: I submit 2–3 long-shot parlays every week on Kalshi, hoping that something hits. Wonder where the odds are more favorable 🫪🫪🫪

010

Michael D. Green, PhD @michaeldgreen.phd · 4m

This is how I plan on telling prospective employers that I will fund my research.

100

Michael D. Green, PhD @michaeldgreen.phd · 30/09/2026

Meanwhile most people I know are more worried about access, not “tyranny”

Meme with a skinny guy that says healthcare pls

061

Michael D. Green, PhD @michaeldgreen.phd · 30/09/2026

Free people from “medical tyranny” certainly is an interesting message… Medicine is classically a field that is only bound by information. I’m sure “super intelligence” in its current form will save us!

284

Michael D. Green, PhD @michaeldgreen.phd · 30/09/2026

Other thing that’s insane about this stuff is “protecting” girls doesn’t involve things like I dunno… Pay equity and investment in women’s sports, services at school, supporting their tired parents, etc. Exhausting rhetoric!

110

Michael D. Green, PhD @michaeldgreen.phd · 30/09/2026

At this point gotta just write a strong proposal and shrug your shoulders 🫩🫩🫩

010

Michael D. Green, PhD @michaeldgreen.phd · 29/09/2026

We can bring Midwest slander into the convo to further my East Coast supremacy agenda.

100

Michael D. Green, PhD @michaeldgreen.phd · 29/09/2026

I’m turning this into East Coast v. West Coast beef on purpose 🦹🏾‍♂️🦹🏾‍♂️🦹🏾‍♂️

130

Michael D. Green, PhD @michaeldgreen.phd · 29/09/2026

Man what do yall got going on over on the West coast??

Some of their disputes were related to business and strategy decisions, but others seemed more like ethical lapses to Amodei.
Altman, for example, had met Kanye West and offered to let him into the GPT-3 private beta in 2020, according to two people familiar with the offer. Jack Clark, OpenAl's policy director, quashed the idea, pointing out that West had recently posted a video that seemed to show himself urinating on a Grammy award and appeared to be mentally unstable. (This was before the period in which West began to publicly express admiration for Hitler.)

1126

Reposted by Michael D. Green, PhD

Sheryl Gay Stolberg @sherylnyt.bsky.social · 29/09/2026

BIG MAHA SUMMIT today at Waldorf-Astoria. Vance and RFK Jr. will speak. I was denied a press credential due to. “limited space. “Here I am getting turned away. I’m 5 feet tall. I don’t take up that much space.

511023

Michael D. Green, PhD @michaeldgreen.phd · 28/09/2026

are patients going to see enough positive benefits from layering this stuff on a broken system? Are the increased costs worth the results? www.notbeinggreen.com/p/curing-all...

are patients going to see enough positive benefits from layering this stuff on a broken system? Are the increased costs worth the results?

https://open.substack.com/pub/notbeinggreen/p/curing-all-diseases-does-not-mean?r

050

Michael D. Green, PhD @michaeldgreen.phd · 28/09/2026

Tooting my own horn here, this is what I was getting at in my essay from last month. Yes, there’s a lot of cool ~theoretical~ applications of AI in healthcare. Long term I’m sure many of those could be great. In the interim…

open.substack.com

Curing all diseases does not mean all people will get care

People are using AI for medical advice, but are AI companies ready to accept our messy healthcare reality?

140

Michael D. Green, PhD @michaeldgreen.phd · 28/09/2026

Study from Blue Cross Blue Shield indicates that using AI is increasing billing for hospital systems. Most of those costs are coming from increased secondary diagnosis. Costs going up for patients and consumers, not exactly what people were looking for! www.bcbs.com/about-us/ass...

BlueCross BlueShield
Analysis examines Al in hospital billing as spike in complex patients adds nearly $1 billion in extra costs
SEPTEMBER 24, 2026

160

Michael D. Green, PhD @michaeldgreen.phd · 27/09/2026

This is on me for believing again, this game is COOKED

010

Michael D. Green, PhD @michaeldgreen.phd · 27/09/2026

I’m begging the Chargers offense to wake up. BEGGING

000

Michael D. Green, PhD @michaeldgreen.phd · 27/09/2026

I was lying 🙈🙈🙈. Looks like they are gonna make me quit again though

010

Michael D. Green, PhD @michaeldgreen.phd · 27/09/2026

Justin Herbert please save us offense once again

100

Reposted by Michael D. Green, PhD

Mathew Kiang @mathewkiang.com · 26/09/2026

Ooof—I'm not even getting invited to the fake societies...

041

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

Thanks for doing this 🙏🏽🙏🏽

010

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

Lmao no, it’s people who are just copy-pasting thoughts from AI to others. Simply a vessel to spew AI slop out into the world with no original thoughts.

110

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

those people in that camp (ppl who are against AI use because they have a strong conviction about how they describe their reasoning) to be more involved in the convo. Similarly I’m happy you shared your experience of where AI is clearly helping your work while not flooding the world with slop.

000

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

The anti-AI folks (I think) have a pocket of the group who will be big winners. Especially students. This is mainly b/c I’m skeptical that “AI-native training” is a thing that translates well across a lot of disciplines. I trust people who are great thinkers to pick up AI later. Wld luv 2 see…

100

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

please please please please do not be a meat proxy. I have more lenience with students and trainees around this because they are figuring out things. For established folks, do you really think that offloading your thinking to whatever version of Claude or ChatGPT we are on is sustainable?

120

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

imo debates around AI use are often not nuanced. Usually 2 diametrically opposed views in a standoff as we all navigate our slop filled world. I also find myself reading less because of the sheer volume of nonsense I come across. Incentives and culture around this need to change. @stephenturner.us

271

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

Gain-of-function research alarmists are still quite silent on the whole AI companies letting their software terrorize the internet thing…

031

Michael D. Green, PhD @michaeldgreen.phd · 26/09/2026

Agreed! Ppl should grapple with this.

010

Michael D. Green, PhD @michaeldgreen.phd · 25/09/2026

“If he’s a good researcher why can’t he ask good questions” Like the approach! Congrats on the future championship

000

Michael D. Green, PhD @michaeldgreen.phd · 25/09/2026

Wonder what’s the right way to realign incentives to stop this (especially in medicine)? Ppl are still evaluating students, job candidates, etc. by output volume and journal “quality”. Personally don’t think it’s gonna change until there’s a push for evaluating ppl on a very narrow output.

100

Reposted by Michael D. Green, PhD

Prasad Jallepalli, MD, PhD @prasad.bsky.social · 24/09/2026

“1st, rather than cut NIH by nearly 40 percent, as the OMB proposed last year, we should double its $48 billion budget within five years. These are big numbers, but if they yield discoveries that trim the nation’s $5.3 trillion health bill by just 1 percent, they will more than pay for themselves.”

12514

Reposted by Michael D. Green, PhD

Alexander Tsai, MD @drdrtsai.bsky.social · 23/09/2026

"The reason I serve [on review panels] is that the act of reviewing the proposed work of peers defines what kind of system we would like to build and transform. The system is imperfect, but it has at its core something non-negotiable - the involvement of independent scientists as essential..."

052

Michael D. Green, PhD @michaeldgreen.phd · 22/09/2026

People who never filed a claim, famously the group of people you least want enrolled in your health insurance plan. 👍👍👍👍

081

Michael D. Green, PhD @michaeldgreen.phd · 21/09/2026

Hmmm so now the WH (known truth tellers) are saying this dispute did not happen, and JB + NIH folks don’t have comments to provide. When there’s smoke there’s fire!

A White House official has denied the reports of a blow-up in the Oval Office as
"baseless speculation."

"The Trump administration remains committed to the core mission of the NIH," the official said in an unsigned statement.
Neither Bhattacharya nor NIH responded to requests for comment from STAT.

284

Michael D. Green, PhD @michaeldgreen.phd · 21/09/2026

More ppl joining the fight against the dismantling of the NIH I see. Welcome aboard!

1308

Michael D. Green, PhD @michaeldgreen.phd · 21/09/2026

Seeing the ship is sinking in September 2026, opposed to I dunno March 2026 like the vast majority of us is… Idk, I guess you only get a few chances to hitch your credibility to something you perceive as powerful. It didn’t need to happen like this though! Especially b/c the plans were telegraphed!

110

Michael D. Green, PhD @michaeldgreen.phd · 21/09/2026

I will be checking out on my team until they show me a reason I should believe in them again ✌🏽✌🏽. Relegating them to a quad box without sound on my Sunday multiview (I’ve watched every game the past ~8 years).

000

Michael D. Green, PhD @michaeldgreen.phd · 20/09/2026

I’m done with Chargers football ✌🏽✌🏽

010

Michael D. Green, PhD @michaeldgreen.phd · 20/09/2026

One of my largest gripes with leaders in this moment is where is the evidence that supports claims around the “war on science” subsiding? You tell your students, staff, and faculty to put their heads down and stay the course as the future of their field and work are being undermined. Maddening!

15112

Michael D. Green, PhD @michaeldgreen.phd · 20/09/2026

Bare minimum for leading the NIH imo, but I’ll take it…

010