Will Gardner, MD, MPH (@willmgardner) header
Will Gardner, MD, MPH (@willmgardner) profile picture

resident physician @brighammedres. md @columbiaps. mph @uw. ba @harvard. global health, social policy, music. 🏳️‍🌈 #HealthForAll

Boston, MA
Joined July 2009
Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)Photo by Will Gardner, MD, MPH (@willmgardner)
Will Gardner, MD, MPH retweeted
Having just spent the week in San Francisco, I feel like I've truly internalized the insanity of this situation for the first time. I think anyone who has seen me in the last few days can attest that I look like I've seen a ghost. The leading AI companies are planning to massively accelerate AI research in 2027, which would knowingly endanger everyone on earth. This plan is unacceptable, and we must reject it. Borrowing from one advocate I spoke to, even granting that it's a competitive, crazy situation, I do not believe any company has even truly tried to do what I think are the morally required duties of people taking such risks in extreme situations. These include: (1) Trying hard to get out of the competitive situation; (2) Seeking the informed consent of the public; (3) Honest deliberation about the risks. They have obviously not truly tried to solve the coordination problems that push towards this acceleration, either via finding legal ways to coordinate or advocating for effective policy. I would be shocked to learn that getting off this insane runaway train is a top-few Q4 priority for Dario or Sam (let alone the other CEOs), which seems like the bare minimum. There are indeed some hard technical and policy problems in coordinating without policy intervention, but I simply do not believe that the companies are prioritizing this nearly as much as massively less important matters. Meanwhile, the companies' track records on policy advocacy range from mediocre to disgraceful, and it is pretty clearly not the top priority of the policy team at any company to advocate for regulation that would enable the government or the companies to avert racing off the cliff. They have obviously not truly tried to seek informed consent from the public. Whatever your KPIs might be for "informed consent from the public," these KPIs are abysmal. The public clearly does not expect 100 years of AI progress in 2027, and they would not accept it if they did. What they do know about AI development, they dislike and distrust. I've heard arguments like "informing the public would mean informing China, and maybe they'd steal the weights." I'm sorry, but if you think you have model weights such that China stealing them would constitute a catastrophe on par with human extinction, and your plan is security by obscurity, that is a bad plan. I also think the companies and their employees suffer from a significant failure of imagination of what kinds of coordination could be possible if the public were aware. Finally, I don't think they're deliberating honestly, either. For one, I think it is insane to think that any company can truly evaluate its own ability to keep the process of recursive self-improvement under control. The biases towards "yes" are overwhelming. It's a step forward that the companies have expressed or demonstrated openness to external auditors, but based on METR's reports so far, it seems likely that auditor reports will be heavily redacted (and that the auditors will not have sufficient time by default). The public and broader scientific community are not able to scrutinize their arguments for safety. Given the strong default (in my view) that bringing a massive number of minds massively faster and smarter than humans would result in our disempowerment, and the serious danger that this would result in mass death, it is unacceptable to subject arguments for safety only to the scrutiny of biased, busy, and scarce company insiders and a handful of external evaluators. My pleas for the companies follow from the above: 1) Actually fucking try to get the world out of this race; 2) Actually fucking try to alert and inform the public; 3) Actually fucking try to scrutinize your own arguments for the justifiability of this plan, which includes subjecting them to way more external scrutiny than anyone has currently done. My pleas for policymakers: use your legal levers to get much more information about these plans into the public view. Make it the top priority -- not only of the next Congress, but of this Congress and the White House -- to understand the situation in its full strategic complexity, and work with technical and policy experts to advance regulation that gets us out of this bind. Domestic coordination must be the first priority, but we need to then quickly develop an international framework with our adversaries. My pleas for the public: do not accept the current plan. Learn about this issue. Call or email your political leaders. Get involved with organizations like @DONOTACCEPTai, @HumansInControl, and @WhoDecidesAI. And finally: believe in ourselves that we can stop this. It is never time to "panic" -- to make rash, unproductive decisions or to feel paralyzed by fear. It is time for us to feel the urgency and the stakes, to demand better, and to meet the moment. Let's do this. 🫡 ✊
AI companies admit what they’re building might kill everyone. We don't have to agree to this. Add your name at donotaccept.ai to say: we do not accept your terms.
69
209
24
1,044
128,773
Will Gardner, MD, MPH retweeted
Helen Branswell, STAT's infectious disease reporter who earned the respect of experts and public health officials with her accessible, prescient dispatches, has died at age 69. trib.al/3bBswKg
31
96
71
302
86,443
Will Gardner, MD, MPH retweeted
UNHITCH THE WAGON
17
1,275
63
5,088
61,619
Will Gardner, MD, MPH retweeted
DOWN GOES NO. 1 😳 Oklahoma upsets No. 1 Texas in the Red River Rivalry 🤠
370
2,882
329
22,455
576,368
Will Gardner, MD, MPH retweeted
Jensen Huang’s Ezra Klein interview is truly amazing. I don’t think any democratic policymaker could listen to it and not walk away feeling significantly more emboldened to regulate the hell out of the interest. He is so delusional and out of touch.
32
46
2
909
28,572
Will Gardner, MD, MPH retweeted
It's important to learn math not because you may need to do long division as an adult, but because it promotes rigorous thinking. IMO, history and causal inference are among the most important subjects a young person can study — math being central to the second. A significant problem in public discourse right now is people's inability to critically evaluate causal claims (e.g., vaccines cause autism, deporting immigrants will solve the housing crisis, etc.). The less able people are to critically evaluate causal claims, the worse our democracy functions because people can be preyed upon for votes. You should promote anything that improves rigorous thinking, even if it doesn't have market value. In fact, we should stop thinking of education only in the context of what improves the economy. IMO, this is distinct from knowing your own address (which Huang can avoid because he's wealthy). Memorizing facts like this may or may not be important, but it's distinct from rigorous thinking.
HUANG: “.. Try getting a kid to do long division right now. Multiplication tables are starting to be forgotten. Doing square roots? My goodness. .. .. Does it matter? .. I don’t think it does.” @ezraklein @JensenHuang
196
1,661
76
11,292
504,421
Will Gardner, MD, MPH retweeted
It’s a simple fact that no Oklahoma football team should look this bad in Year FIVE of a coaching tenure
28
41
3
637
10,711
Will Gardner, MD, MPH retweeted
15
186
13
3,441
87,280
Will Gardner, MD, MPH retweeted
What is VExUS actually measuring? A new multicentre study provides a useful answer. D’Alto and colleagues studied 187 patients referred for pulmonary hypertension assessment across 7 centres. VExUS was performed within one hour of right-heart catheterisation, allowing direct comparison with invasively measured right atrial pressure (RAP). The relationship was striking: VExUS 0: mean RAP 3.9 mmHg VExUS 1: 8.4 mmHg VExUS 2: 13.5 mmHg VExUS 3: 15.8 mmHg For identifying RAP >12 mmHg, VExUS had an AUC of 0.97. The association held across patients with precapillary pulmonary hypertension, postcapillary pulmonary hypertension and those without pulmonary hypertension. What does this tell us? VExUS is often discussed as a tool for assessing “volume status” or “venous congestion”. But these data reinforce a more precise interpretation: VExUS is primarily a marker of the venous pressure environment, especially right atrial pressure and its transmission into the systemic veins. High RAP is not the same thing as excess intravascular volume. RAP may be elevated because of: • RV dysfunction or RV–pulmonary arterial uncoupling • severe tricuspid regurgitation • pericardial constraint • raised intrathoracic pressure • pulmonary hypertension • excess circulating volume • or a combination of these So an abnormal VExUS score tells us that systemic venous pressures are high. It does not, by itself, tell us why they are high and it does not automatically mean the patient needs diuresis or fluid removal. The key takeaway: VExUS appears to be an excellent non-invasive marker of elevated RAP. Use it to identify an adverse venous pressure state. Then work out the mechanism @ThinkingCC @NephroP journal.chestnet.org/article…
3
42
2
130
6,581
Will Gardner, MD, MPH retweeted
Today marks 250 years since a small group of newspaper editors, farmers, and soldiers signed a document declaring our nation’s independence — a truth that feels self-evident now but was revolutionary then. What a privilege us Americans have, to live in a nation that every one of its inhabitants can shape. What an honor us New Yorkers have, to look out over our city’s waters from the shores where so many Americans bravely entered their country for the first time. Today and all days, let us remember that patriotism is not pretending our nation is without flaws. Patriotism is every act of righteous dissent — because loving our country means fighting for the best version of it. Happy Fourth of July, New York City.
11,609
3,775
1,204
32,084
4,743,647
Will Gardner, MD, MPH retweeted
THE OKLAHOMA SOONERS ARE NATIONAL CHAMPIONS 🏆
302
3,921
541
10,735
658,554
Will Gardner, MD, MPH retweeted
THAT'S ONE 🗣️
68
888
107
4,465
176,230
Will Gardner, MD, MPH retweeted
Oklahoma advances to the MCWS Finals 😤
98
348
28
4,342
3,228,880
Will Gardner, MD, MPH retweeted
Highly suggest taking a minute to read this post from the Oklahoma City National Memorial Museum about the connection between OKC & NYC. It’s bigger than basketball. “Today we celebrate the resilience of two cities torn apart by terrorism and how sports and honoring the memory of those who were killed, those who survived and those changed forever will always unite our cities.”
10
228
10
1,529
42,015
MD ✅ So grateful for the last four years @ColumbiaPS
1
7
393
Our paper @IHME_UW just published in @TheLancetHaem examining the impact of changes in WHO anemia definition guidelines on global anemia burden, including an increase in 200 million estimated cases globally. 🧵 authors.elsevier.com/c/1mtBe…
2
9
19
1,971
🔑 Key Insights: Using the updated method, global anaemia prevalence in 2023 is estimated at 26.4%, compared with 24.0% using the prior method, representing 198 million additional cases worldwide. This moves anaemia from the 3rd to the 2nd leading cause of disability globally.
1
1
2
144
SO excited to have matched Internal Medicine at @BrighamWomens and to be joining the @BrighamMedRes family!! #Match2026 #MatchDay
5
2
57
3,940