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11
Jul
2026

Useful Fictions or Distorting Frames? How Models Shape Drug R&D

We rely on models — deliberate simplifications — to navigate, make sense of, and engage productively with an ever-more complicated world. Patients understand their illnesses through what Dr. Arthur Kleinman called “explanatory models.” Physicians use models such as the pathophysiologic model or the biopsychosocial model to integrate their patients’ symptoms and fashion treatments. Biopharma R&D would be impossible without models...
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29
Jun
2026

The Rise, Fall, and Rise (and Fall…?) of Cell and Gene Therapy

More than $14 billion in announced acquisition value has flowed into in vivo cell therapy companies over the last 18 months. Lilly acquired Kelonia, AbbVie bought Capstan, BMS acquired Orbital, and AstraZeneca bought EsoBiotec, to name a few.  These acquisitions demonstrate that we’re getting closer to the day when single injections that reprogram cells can fight disease without complex shipping logistics,...
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16
Jun
2026

Small Molecules To Correct Disease: Sri Kosuri on The Long Run

Sri Kosuri is today’s guest on The Long Run. Sri is the co-founder and CEO of Emeryville, California-based Octant Bio. The company is developing oral small molecule drugs that are designed to correct protein misfolding and mistrafficking. Quite a few rare diseases, cancers, and metabolic disorders are thought to be amenable to this strategy. Octant’s work starts with a platform...
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6
Jun
2026

Wellness Tech: Don’t Use as Directed

The Great Technology Plan for Wellness, to simplify only slightly, envisions a path to health that runs through data: collect more (through wearables and blood tests), analyze with AI, and deliver personalized coaching that improves as the data grow and the models sharpen. It sounds sensible, and one day it may even deliver — I’m long-term optimistic. But today it...
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24
May
2026

Summer Content Recommendations

Back by popular demand – my highly curated list of summer content recommendations for TR readers. Books Inside the Box – David Epstein By now, you’ve read, or should have read Range, David Epstein’s previous book and his paean to generalists (my reflections here). Now, he introduces us to an intriguing paradox – the unexpected power of constraints to inspire...
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16
May
2026

Can AI-Powered Consumer Health Break Medicine’s Destructive Spiral?

This week’s Duke-Margolis Health Policy Conference (video here) left me feeling there’s a remarkable opportunity to leverage technology to dramatically improve healthcare — and there’s almost no chance of it happening within the current healthcare system. A number of speakers (including UCSF’s Bob Wachter, my WSJ review of his recent book here) were genuinely enthusiastic about the transformative possibility of...
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9
May
2026

AI in Practice

AI is here – everywhere it seems.  How are we doing on translating this extraordinary promise into palpable value? Organizations As utopian AI “Accelerationists” have battled catastrophizing “Doomers” over competing visions of which eschaton is likely to be immanentized, a less visible but perhaps more consequential constituency has quietly focused on applying the still-evolving technology to the intractable problems of...
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