A couple reflections on the quantum computing breakthrough we just announced... Most of us grew up learning there are three main types of matter that matter: solid, liquid, and gas. Today, that changed. After a nearly 20 year pursuit, we’ve created an entirely new state of matter, unlocked by a new class of materials, topoconductors, that enable a fundamental leap in computing. It powers Majorana 1, the first quantum processing unit built on a topological core. We believe this breakthrough will allow us to create a truly meaningful quantum computer not in decades, as some have predicted, but in years. The qubits created with topoconductors are faster, more reliable, and smaller. They are 1/100th of a millimeter, meaning we now have a clear path to a million-qubit processor. Imagine a chip that can fit in the palm of your hand yet is capable of solving problems that even all the computers on Earth today combined could not! Sometimes researchers have to work on things for decades to make progress possible. It takes patience and persistence to have big impact in the world. And I am glad we get the opportunity to do just that at Microsoft. This is our focus: When productivity rises, economies grow faster, benefiting every sector and every corner of the globe. It’s not about hyping tech; it’s about building technology that truly serves the world.

I don't think we're all that far off from EHRs (even major ones) allowing RPA and screenscraping openly as an integration technique. A few things factor into this: 1. The ongoing information blocking cases, seen to the conclusion of the arc they're on now, would entail that certified health IT need to allow some method of data access, exchange and use for all data elements in the UI. This may change with the way the cases pan out, but it's where the arc traces now. 2. AI workflows are moving significantly faster than available APIs and standards can accommodate. They're demanding data that isn't in USCDI and they're asking for write capabilities that are well beyond what the most advanced EHRs have, let alone long tail products. Simply put, they'll want to be able to see whatever the user does and do anything the user can do. 3. To allow is to control - if EHRs can institute a paved path for RPA, they can track it. They can rate limit it. They can direct it. The cat-and-mouse game of playing defense will wear down those that choose it, but there's strategic upside to leaning in and aligning interests. It's also cleaner when you offer a paved path to hold those that wander off it accountable legally. The end result is functionally akin to the handwavy postulations about a new modality geared towards AI agents (that is neither an API or UI). RPA has a significantly higher ceiling (anything that the user can do) than APIs (anything the vendor has created an API for) unless a vendor has built their software as headless. So it seems inevitable that RPA with guardrails is coming - who will be first?

The ban we'd all prefer.

I was talking with an executive at a major US car maker earlier this evening. Can’t say which one. But he was hired to deal with its “Elon problem.” He is despondent. Knows his company is in trouble because transportation is about to radically change due to autonomy. And he can’t figure out how to save it because his bosses aren’t willing to listen for a lot of reasons. Even he makes fun of me for being too close to Elon. I told him we could save his company. But he would have to convince the committee above him to work with @elonmusk. And show up with a bag of billions. “Impossible,” is the answer. “Nearly impossible,” I told him. I have seen companies do the impossible before. But I can’t bring the change. It must come from within. The messenger of change will be rejected if it is me. Someone will end up licensing FSD and becoming part of the Robotaxi network. Switching their strategy from making cars and trucks to making robots. A company that does will see an instant stock price increase. I would be amongst the investors who would buy some. The traditional automakers are in denial. Reminds me of Kodak who invented the digital camera, or Xerox, who had PARC. The future is robots, not cars. But they are run by people who still think they are in the car business. It will take five years for this statement to be recognized as true by everyone. I weep for the American automakers tonight as I go to sleep in Seattle. Long ago I was partying with the CEO of @MoetHennessy. Asked him what kept him up at night. “Uber.” “Why does a transportation company freak out an alcohol company.” “We aren’t an alcohol company. We are a party company.” (We were at his party at the French Open), “Uber could deliver a party to your house taking away all the relevance of our brands.” Tesla Robotaxi (which is Elon’s name for transportation as a service) and Optimus will deliver that nightmare to him. People laugh at me when I say Optimus will dance. But it keeps smart people up at night who see it too. I send him videos by @FutureAZA to torment him. He can’t bring the change either. He is a former comedian. The committee will never listen to him. But he is the most knowledgeable about what is about to go down outside of Tesla. When @BrianRoemmele and I talk we always compare notes about companies that don’t listen. Many of whom are now gone. The ones who don’t listen create opportunities for startups. Tomorrow I see another one. Building robots. That dance with each other and with humans in a new Holodeck. A new party soon will arrive. Uber was partially invented in a Paris snowstorm in front of me. I later interviewed Travis at Stanford’s business school. Maybe he could deliver the message? Nah, they wouldn’t listen to him either. He got kicked out of his own company. Wrongfully, in hindsight. The fat lady hasn’t sung yet. But she is down the hall warming up. Will anyone figure it out in time? I keep hoping. I asked ChatGPT what it thought about this post. It suggested that I should make this shorter, with fewer redundancies, but agreed with my main strategy. I am ignoring its writing suggestions. But it did suggest something else brilliant. It suggested “Offer a concrete next step. For example, suggest starting with a partnership or pilot program to integrate Tesla’s technology incrementally, which might be more palatable to resistant committees.” Great idea. All such an automaker would need is one vehicle to stay relevant. That would give it time to develop more to grow a partnership. But they aren’t there yet. And time is running out. Tesla’s network turns on in the second half of next year. After that the PR benefits of such a partnership get much smaller. In fact, announcing such a partnership at Trump’s first day would bring many more benefits than announcing it later. Tick, tock.

GitHub Copilot Free for VS Code has arrived.

Did you know that the laws meant to prevent corruption in healthcare—like the Stark and Anti-Kickback Statute—are crushing private medical practices while fueling industry consolidation? Here’s how: Health systems can pay primary care doctors or specialists for referring patients. It’s called “intra-system referrals,” and it’s perfectly legal. Private practices? If a primary care physician refers to an independent orthopedic surgeon or specialist and receives any remuneration or incentive, they risk prison time for violating the same law. This double standard gives health systems a massive advantage, driving private doctors into their arms. The result? Fewer independent practices, higher patient expenses, and less choice. Why does this matter? • Health systems consolidate power, gaining leverage to negotiate higher reimbursements and raise patient prices. •Independent practices lose their autonomy, leading to fewer options and less competition in healthcare. The Stark and Anti-Kickback Statute were designed to put private practices out of business. Let’s bring back competition and see what happens. #HealthcareReform #PhysicianAutonomy #FairnessInMedicine #StopConsolidation

Transitioning to a new EHR can be daunting, but the right data conversion practices can help ensure a seamless go-live experience. Check out our latest blog for expert tips. medtechsolutions.com/resourc…

The GME residency positions announced today mark a step forward in increasing access to care for patients, but our work continues. We urge Congress to #ExpandGME by passing the Resident Physician Shortage Reduction Act: ow.ly/jKBE50Uc812

There’s a shift toward value-based care coming. FQHCs are reimagining how they deliver quality, accessible healthcare. This approach benefits patients and providers, emphasizing improved outcomes and cost efficiency. Discover more. #FQHCs medtechsolutions.com/resourc…