Category Archives: Science

Japan Expands with Nuclear

Joint Announcement on the Japan-U.S. Strategic Investment

It seems Japan is investing 40 billion dollars in small modular nuclear reactors through joint projects with the United States. The recent plan marks a shift back toward nuclear technology to support economic expansion while some nations in Europe continue to deindustrialize. Small Modular Reactors (SMRs) are also necessary to support rapidly rising electricity demands required to implement new and massive Cloud and AI data centers. And by working with the United States, Japan is strengthening its role in next generation reactor technology, which may be surprising given that the nation suffered substantially from the 2011 earthquake and Fukushima nuclear accident.

The announcement also helps move SMRs from early development into real world deployment. This effort could shape global energy strategy for decades and enable new opportunities for economic development for hundreds of millions, even billions, of people. Imagine all the nations around the world wrecked from hundreds of years of colonization now getting badly needed, unlimited, reliable power. It’s time to build.

The Real AI Boom from Marc Andreessen

Marc Andreessen has been right about a lot of things. He co-invented Mosaic, which inspired Netscape and helped popularize the web that was invented by Tim Berners-Lee at CERN. He identified the concept of “software eating the world” well before most people knew what that even meant. In 2011, he predicted that within a decade five billion people would own smartphones. The number turned out to be six billion. Close enough. So when he sits down and tells us that 2025 was the most interesting year of his life, and that he expects 2026 to exceed it, maybe we should give him a quick listen.

Now, although Andreessen has been right about many tech trends, he’s also a supreme cheerleader and entertainer so you have to listen with a skeptical ear. I don’t think he’s malicious at all, but we have to question and observe carefully by doing our own research. And we have to watch how capital flows through markets and vendors because at present AI represents probably the biggest spend in recent years. Anyway, I enjoy listening to Andreessen because he forces me to think about what’s possible within a world that has gone mad. He’s always building. Contrast that optimistic view to the doomers who only wreck things and offer nothing of actionable value in return. That’s the tell. Marc hedges himself at many points, as well, so that’s good enough for me. It’s a reasonable starting point, anyway.

So, let’s take a look at his latest take on AI: Lenny’s Podcast: Marc Andreessen | The real AI boom hasn’t even started yet

In this recent conversation on Lenny Rachitsky’s podcast, Andreessen laid out a view of the AI moment that cuts across almost everything we hear in the megaphone media. The panic about job loss, he says, is based on a fundamental misreading of the world we actually live in. The fear that AI will make young workers obsolete gets it almost exactly backwards. And the comparison people keep making to past technological disruptions uses the wrong baseline entirely. His argument isn’t simple. But it is coherent. And once you hear it and understand his framework, the conversation we’ve been hearing about AI starts to look a little different.

What he Got Wrong

Before going further, it’s worth saying that Andreessen is the first to flag his own record. “I’ve been wrong about tons of things,” he says, joking about having buried his failures somewhere behind the shed. One example includes his famous debate with Peter Thiel about whether technological progress had stalled. Andreessen originally argued the optimistic side, of course, and insisted that progress was still happening. He now gives Thiel’s argument much more credit than he once did, at least in part. Thiel’s core claim was that we had plenty of progress in bits, meaning software, the internet, and digital technology, but very little progress in atoms, which is represented by the physical or built world. And the evidence supports him. Look around. We see bridges built in the 1930s. Dams built in the 1910s. Cities founded in the 1880s. “What have we done recently?” Andreessen asks. “Where are the new cities? Where are new dams? Where is the California high speed rail?”

He doesn’t mention that Japan and China and some nations in the European Union have had high speed rail for decades, but he surely knows that because he travels constantly. I found that missed opportunity odd. Perhaps he’s just commenting on how spotty the physical world has evolved. The infrastructure build out in China in recent decades dwarfs anything in the West, yet he fails to mention that as well. The built world, he says, is simply not that different from fifty years ago. That seems true. If you compare 1870 to 1930 or 1930 to 1970 the physical transformation was dramatic during both of those periods. Then compare 1970 to today, and it’s far less impressive than it feels. After hearing that I have to think he’s focused much more on the United States than the rest of the world.

The reason for this lack of progress, he argues, is structural. Red tape. Rules. Restrictions. Politics. Regulations. Unions, cartels, and monopolies that have every incentive to prevent rapid change. Healthcare is his favorite example. “By rights AI is going to have a dramatic impact on the healthcare system in very positive ways,” he says, “but large parts of the medical system are cartels.” Doctors are a cartel. Nurses are a cartel. Hospitals are a cartel. And then on top of that, all of these systems are increasingly acting like a government monopoly. ChatGPT is almost certainly a better doctor than your doctor today, he says, but it can’t get a license to practice medicine. It can’t prescribe medications. It can’t perform procedures. The technology is ready. The institutions are not. That’s an interesting take. But I’d much prefer my doctor leveraging AI as a tool instead of letting AI take the lead. There’s no way I’d trust ChatGPT running a spinal surgery on my back. No way. It’s not smart enough.

But this is also why he doesn’t expect AI to transform everything overnight. “There are real structural impediments in the economy and in the political system that prevent rates of change anywhere near the rates people had in the past.” Maybe AI causes us to revisit those assumptions for the first time in decades. That would be the optimistic view. It surely is time to build, as he once famously said. It’s true that the deep state is the impediment in modern times, but it’s also true that much of the previous innovation he’s talking about took place with no guardrails whatsoever. Keep in mind that much of the building that took place previously during the industrial revolution was driven by the very concept of “cartels” that he criticizes as the gatekeepers of today. If he were challenged on this, he’d admit it, I’m sure. I don’t think he’s trying to hide here. I just think he’s passionate about progress and anything that holds that back needs to be overcome.

The World is Not What You Think

To understand why Andreessen is still broadly optimistic despite all of the above, you first have to accept something uncomfortable. His view is that despite everything we’ve felt over the past fifty years, technological progress in the actual economy has been extraordinarily slow.

“It’s felt like we’ve been in a time of great technological change,” he says, “but actually if you look for evidence of that, like statistical evidence, analytical evidence, you basically can’t find it.”

Economists measure technological progress through productivity growth, which is essentially a mathematical expression of how much technology is actually moving the needle in the economy. And by that measure, the United States has been running at roughly half the pace it sustained between 1940 and 1970, and about a third of the pace it ran between 1870 and 1940. What about the smartphones and social media and cloud computing that felt so revolutionary? In terms of measurable economic impact, they barely registered compared to the era of electrification, railroads, and mass manufacturing.

So when people worry that AI is going to blow up the economy the way past technologies did, they’re actually comparing it to a fifty-year stretch of relative stagnation. The real baseline, the comparison that should inform how we think about what’s coming, is the period from 1870 to 1930. And people who lived through that era didn’t experience it as disruption. They experienced it as abundance.

“If you go back and you read accounts of 1870 to 1930,” Andreessen says, “people just thought the world was awash with opportunity.”

That may be true for some people, or even many people, but if you are familiar with that period in the United States, it’s hard to miss how disruptive and painful those times were for many people. Do you really think the air in New York City was as clean back then as it is now? Do you really think workers had a better life working the mills in Boston in the late 1800s than the pampered kids working in air-conditioned offices in Los Angeles or Silicon Valley now? I get Andreessen’s point, and I largely agree from a macro perspective. But it would be nice if he would at least recognize some of these inconvenient facts during his interviews. Technological progress isn’t always just about some innovation measured in a clean record-breaking economic report. What did it take to get there? Go back and talk to the people who broke their bodies to build all of that infrastructure from 1870 to 1930.

The Demographic Time Bomb

Now layer on top of this a second fact that rarely enters the AI conversation — parts of the world are depopulating. That’s the message in the media. It’s also why many people have accepted mass migration as a solution. We’ll leave that insanity for another day.

Nevertheless, birth rates across the developed world, and increasingly across the developing world, have fallen below replacement level. The United States, China, Japan, Korea, and many countries in Europe are all heading toward population decline over the next century. Andreessen argues that this creates a context in which AI isn’t just a nice productivity enhancement. It’s a necessity.

Here’s the part that almost nobody is talking about. Without AI, the more pressing economic crisis wouldn’t be too many jobs disappearing. It would be too few workers to fill them, too little consumer demand to sustain growth, and an economy gradually hollowing itself out. “You’d be looking at these very dystopian scenarios of an economy self-euthanizing over time,” he says. That is the world we were heading into before the models arrived. Here Andreessen gets quite negative and sees no alternative but to embrace the robots. That’s one view, certainly. But it’s also not the only view.

“If we didn’t have AI, we’d be in a panic right now about what’s going to happen to the economy,” he says. And the only reason we’re not in that panic is because the technology showed up at exactly the right moment. “The timing has worked out miraculously well. We’re going to have AI and robots precisely when we actually need them.”

This reframes the job loss anxiety entirely. In a world where working-age populations are shrinking and immigration is increasingly politically constrained, the workers who do exist are not going to be displaced. They are going to be scarce. “The remaining human workers are going to be at a premium, not at a discount,” he says.

The Job Loss Panic is the Wrong Panic

Andreessen is direct about what he thinks of the mainstream narrative on AI and employment. “The job-substitution, job-loss thing is very reductive. It’s an overly simplistic model.”

His reasoning is straightforward. We’ve been in an era of such slow economic change that even a dramatic acceleration from AI would only bring us back to historical norms, not blow past them. “Even if AI triples productivity growth in the economy, which would be a massively big deal, it would take us back to the same level of job churn that was happening between 1870 and 1930.” And that era was one in which people felt surrounded by opportunity, not displacement. Again, he’s focusing on one part of the equation here, which is expected given his own personal net worth. Does he see the other side? It’s hard to tell.

Even in the more radical scenario, where AI genuinely transforms entire industries overnight, the economics don’t point toward mass misery. They point toward something much stranger and more interesting, which is a collapse in prices. Deflation.

Think through the mechanics. Massive productivity growth means more output for less input. You’re substituting AI for human workers, or for entire categories of effort. The result is gluts of goods and services across affected sectors. And from those gluts, prices fall. The thing that costs you a hundred dollars today costs ten dollars tomorrow. “That’s the equivalent of giving everybody a giant raise, right? Because now they have all this additional spending power.” That spending power fuels growth, creates new fields, and leaves everyone materially better off.

And even if some unemployment does emerge at the far end of that process, the social safety net becomes dramatically cheaper to run, because the costs of everything it covers — healthcare, housing, education — have collapsed along with everything else. “There’s no scenario in which everybody’s just poor,” he says. “In fact, it’s quite the opposite.”

He’s careful to note that none of this is bold or precise prediction. “Everything I’ve just described is just a very straightforward extrapolation on very basic economics.” More likely, he expects the process to be incremental rather than overnight. But even the incremental version, in his view, is a fundamentally good news story. This is a typical view for those who have experienced the many boom-bust cycles in Silicon Valley.

The Philosopher’s Stone

Before getting into what people should actually do about all this, Andreessen takes a detour through the history of alchemy that turns out to be the most memorable passage in the conversation. Take Isaac Newton. He spent decades obsessed with a problem he could never solve. The problem was the philosopher’s stone. It’s a hypothetical process for transmuting lead into gold to convert the most common thing in the world into the most rare and valuable thing in the world. Newton never cracked it. Nobody has ever cracked it. But people have surely tried and that’s led to a great deal of fraud over the years.

“Now we literally have a technology that transfers sand into thought,” Andreessen says. “The most common thing in the world, converted into the most rare thing in the world. AI is the philosopher’s stone.” That may be a stretch. But I appreciate the optimism. He’s not being metaphorical, though.. Silicon is literally made from sand. And what comes out the other end is something that seems to be reasoning, creating, diagnosing, writing, and codind. Newton would have approved. Andreessen believes we’re largely there now, but I have to think we have a ways to go yet.

Jobs and Tasks

Here is where Andreessen makes a distinction that most people miss entirely, and it reframes the whole anxiety around careers.

A job, he says, is not the atomic unit. It’s a bundle of tasks. “Everybody wants to talk about job loss, but really what you want to look at is task loss. The job persists longer than the individual tasks.”

This has always been true. In the 1970s, no vice president typed their own correspondence. They dictated memos to secretaries, who typed and mailed them. When email arrived, the secretary’s role shifted. Instead of typing letters, secretaries printed incoming emails and hand-delivered them to the executive’s office, then typed the executive’s handwritten replies and sent them back. Today, executives handle their own email, while their assistants manage travel, logistics, and scheduling. Both roles survived. Both roles changed completely.

The question most people are asking, will my job disappear, is the wrong question. The right question is which tasks in your job are about to rotate out, and whether you’re ready to absorb the new ones that replace them. For people who work for Silicon Valley companies, this is normal. Life changes, sometimes radically, like clockwork every six months or so. It’s just normal.

The Original Calculator was a Person

Andreessen traces a history of coding that puts the current moment into context. The word “calculator” originally referred not to a machine but to a person. Rooms full of human beings performing mathematical calculations by hand, sometimes thousands of them, for insurance companies calculating actuarial tables, military logistics, and government agencies. He’s right about this. I can remember as a kid when my father took me to his office at Grumman Aerospace. I saw massive rooms of dozens of designers hunched over boards sketching aircraft schematics by hand. Things changed when computer-aided design and manufacturing (CAD/CAM) came along, which enabled one engineer to handle what used to take a whole team to achieve. It’s real.

Back to Andreessen. After human calculators came machine computers and machine code. The first computers had no programming languages but instead were programmed in ones and zeros. Then came punch cards. Then assembly language, which was essentially machine code with a layer of readable English on top. Then higher-level languages like C, which compiled down to machine code. Then scripting languages.

That last transition is the relevant one for the masses of developers. When JavaScript and Python and Perl arrived, there was a loud argument in the technical community about whether scripting was real programming. “Real programmers,” the objection went, write code that compiles to machine code. They do their own memory management. They understand every layer. Scripting was cheating because the complexity of previous tools was now buried in the system. That’s automation.

The scripting skeptics were wrong. Those languages swept the world. Most coding today happens through scripting languages that have abstracted away multiple layers of detail that programmers once managed by hand.

AI coding is the next layer. The day job of the best programmers right now is not writing code. It’s arguing with AI bots. “They sit there and they shift from browser to browser, terminal to terminal,” Andreessen says, “and their day job now is kind of arguing with the AI bots trying to get them to write the right code, then debug it, fix the problems, change the spec.” He’s stretching here again because even a casual conversation with advanced software engineers will reveal that they are still writing most of the code. True automaton of code generation will take more time. It’s coming though. And fast.

But if you don’t know how to write the code yourself, you can’t evaluate what the bots are giving you. You can’t tell when something is wrong. Multiple engineers have told me this as well. Your understanding still has to go all the way down as much as possible. If the goal is to be one of the best software people in the world, he says, you want to understand every layer of the stack, including how the AI itself works. And AI, conveniently, is your best friend for learning all of that. Ask it to teach you. Have it quiz you. “There’s never been a technology before where you can ask it: teach me how to do this thing.”

The Mexican Standoff

For the product managers, engineers, and designers who make up a large share of the technology workforce, Andreessen has a characteristically vivid way of describing what’s happening right now.

“There’s a Mexican standoff happening between those three roles. Every coder now believes they can also be a product manager and a designer because they have AI. Every product manager thinks they can be a coder and a designer. And then every designer knows they can be a product manager and a coder.”

And here’s the interesting bit. They’re all more or less correct. AI is now good enough at all three functions that someone with deep expertise in one area really can use it to do credible work in the other two. The irony, he notes, is that all three will eventually realize they can also replace their manager with AI, aiming the guns, as he puts it, up the org chart. That’s the next phase of the standoff. The question is not whether the roles are converging. They clearly are. The question is what that means for how people should build their careers.

Build an E, not a T

The conventional career advice for the past decade has been to become T-shaped. Develop deep in one discipline with broad familiarity across adjacent ones. During the conversation, Lenny proposed an evolution of that model, something more like an E or an F laid on its side with multiple genuine verticals of competency rather than just one. Andreessen agreed. It’s a useful frame and it’s also commonly known among tech types.

Scott Adams, the creator of Dilbert, put the underlying principle well. “The additive effect of being good at two things is more than double,” Andreessen says. “The additive effect of being good at three things is more than triple. You become a super-relevant specialist in the combination of the domains.”

Adams himself was a pretty good cartoonist and a pretty good student of business. Neither skill alone would have produced Dilbert. Together, they produced one of the most successful cartoons in history. In Hollywood, the directors who can also write are not just doubly valuable. They’re categorically different from everyone else.

Andreessen’s friend Larry Summers, the former Harvard president, frames it as an economic principle. Don’t be fungible, Summers would tell people. Don’t be a cog. Don’t be replaceable. Andreessen extends the point further. If you’re just a designer, just a product manager, or just a coder, you can in theory be swapped out. But someone who combines those domains in a way that’s genuinely rare becomes “massively important because you’re one of the only people in the world who can do that combination.” This isn’t easy to do. And keep in mind that everyone’s doing it so the ability to compete still remains at the core of any career.

All you can do is keep leveraging all the tools you possibly can. But there’s also something deeper here about how AI functions as a learning tool, not just a productivity tool. You can watch it work and learn from what it’s doing. You can ask it where you went wrong. You can run one AI against another, have one write the code and a second one debug it, and let them argue. These are skills, Andreessen says, that are going to become incredibly valuable.

Three Layers of What AI Actually Changes

When Andreessen talks to the most forward-thinking founders right now, he describes three distinct layers of transformation, each more profound than the last.

The first is AI redefining the product itself. Take Adobe and Photoshop, a decades long franchise in image editing. Is AI a feature to be added to Photoshop for smarter editing? Or do users just stop editing images entirely because they’re generating new ones from scratch? The answer varies by domain, but the question is being asked everywhere.

The second layer is AI redefining jobs within companies. If you have budget for a hundred coders, do you still want a hundred but now each doing ten times more? Or do you now only need ten? The best founders are working through this right now.

The third layer, the one he says hasn’t quite emerged yet, is AI redefining what a company even is. “Can you have entire companies where the founder does everything,” he asks, “because what the founder is doing is overseeing an army of AI bots?” Bitcoin is probably the most spectacular example. Instagram and WhatsApp achieved enormous outcomes with tiny teams. The holy grail of the one-person, billion-dollar outcome has existed as an aspiration for years. AI may finally make it achievable at scale.

Determinate vs. Indeterminate Optimism

Andreessen’s investment philosophy at Andreessen Horowitz is built on a framework he borrows, and gently argues with, from Peter Thiel. Thiel distinguishes between determinate optimists, people who believe the future will be better because they are going to do a specific thing to make it so, and indeterminate optimists, people who believe things will improve without being able to say exactly how. Thiel has historically been skeptical of the latter, seeing it as a polite name for wishful thinking.

Andreessen pushes back. A16Z’s strategy is firmly indeterminate optimist, and he doesn’t think that’s a weakness. The founders they back need to be determinate optimists. Elon Musk is the archetype. He’s building the electric car, building the solar panels, getting to Mars. He’s very specific, very committed. Founders get to run their companies and put their hand on the steering wheel. VCs don’t. And history remembers Henry Ford, not the seed investor who funded him alongside nine other car companies that failed.

But the virtue of indeterminate optimism at the portfolio level is that it runs as many experiments as possible, across as many smart people trying as many interesting things as possible. “The great virtue of the capitalist system, of the American economy, of Silicon Valley, is we don’t just have one determinate optimist and we don’t just have ten. We have a thousand, and then ten thousand.” You don’t have to pick the winner in advance. You have to make sure the system that produces winners keeps running.

Beyond the Human Ceiling

Andreessen admits he has always struggled a little with the concept of Artificial General Intelligence (AGI). There’s the cosmic definition, which is essentially the singularity, a moment where self-improving machines race so far ahead of human judgment that human decisions become irrelevant. He doesn’t think we’re heading there, at least not in the near-term. And then there’s the more general industry definition, which the co-founder of Anthropic has described as AI that can perform a broad set of the most economically valuable tasks as well as a human. We’re getting close to that, if we’re not already there.

But Andreessen thinks even that definition undersells what’s actually coming. The reason is that human skill level is not a theoretical ceiling. It’s a biological one.

Human fluid intelligence caps out around an IQ of 160. That’s the Einstein level. At 140, you’re looking at the world’s best research scientists and best-selling authors. At 130, the sharpest lawyers. At 110, a strong line manager. At 105, a careful small-business accountant. The range of impressive human cognition, 110 to 160, is determined entirely by what fits inside the human skull. There’s no theoretical limit beyond that. We’re just capped by our own biology.

Current AI models are already testing in the 130 to 140 range by some measures, Andreessen says. They will reach 160. And then, unlike humans, they won’t stop. “I think we’re going to have AI models relatively quickly that are going to be 160, 180, 200, 250, 300,” he says. And the question that follows from that, he says, is not threatening. Would the world be better off with more Einsteins or fewer? More, obviously. The same logic applies to machines that think at that level or beyond it.

He’s candid about what that means on a personal level too. “I know a bunch of people who are smarter than I am,” he says. “And I know it because when I talk to them, at a certain point I’m just like, this person is outthinking me and they’re going to keep outthinking me.” He reads ten books on a topic and forgets almost everything a few days later. His memory isn’t perfect. His processing has limits. Living with those constraints is just the condition of being human. Having tools available that don’t share those constraints is something we genuinely haven’t experienced before, and he thinks we’re not fully appreciating what that means.

What Marc Reads

Andreessen is an active consumer of information. His media diet reflects the same disciplined thinking he applies to everything else. He reads X for what’s happening right now, and old books for what’s timeless. Everything in the middle — magazines, newspapers, newsletters — he approaches with heavy skepticism. Go back and read old newspapers, he says. None of the predictions played out. None of it was actually relevant. The problem with the middle, he says, is that by the time a magazine article hits publication it’s often already out of date.

There is a big exception, though, which is directly accessing specific domain practitioners and the content they produce. These are the people who are actually doing real work and the things they’re writing or talking about. Podcasts, long-form conversations, technical newsletters written by people with real skin in the game. That’s where the real signal lives. “The world is awash in that today in a way that it wasn’t as recently as ten years ago.” People love talking about what they do, and for the first time in history, the rest of us have direct access to them.

What this actually means for you

The philosopher’s stone, the thing Newton spent his life chasing, turned out to be real. It’s just that what it transmutes isn’t lead into gold. It’s curiosity and effort and deep knowledge into something that, for most of human history, only a very small number of people ever got to become. Andreessen is not predicting a frictionless utopia. The structural impediments are real — the cartels, the red tape, the politics, the regulations — that prevent meaningful progress in atoms for the last half a century. And they will continue to slow things down. So, if you’re building in the physical world, budget accordingly, I guess.

But at the level of the individual, the picture is different. The person who goes deep in at least one domain, uses AI to extend genuine competency into two or three others, and treats the technology as a teacher rather than just a tool, that person can move into the best labor market in fifty years. Not because the world is getting easier but because they will be genuinely hard to replace.

“People who really want to improve themselves and develop their careers should be spending every spare hour at this point talking to AI,” Andreessen says. “Train me up. Superpower me.”

The real AI boom, he seems to be saying, isn’t the one that’s been happening or that we hear on social media and the news. Instead, it’s the one that starts when people understand what they’re actually holding in their hands.

We’ll see. I’m certainly all over it. Every. Single. Day.

Aaron Siri at Trump Kennedy

Imagine a world where American drug companies were required to prove that their vaccines were “safe and effective” by testing them against inert placebos? And then imagine that those companies were liable for their vaccines and patients were allowed to sue the companies if those vaccines turned out to not be “safe and effective” but instead caused harm? That’s not this world, that’s for sure. Not even close. To explore the details of these issues, see Aaron Siri’s presentation at the Trump Kennedy Center: An Evening with Aaron Siri – Millennium Stage (March 23, 2026). Fair warning up front, though: if you’re not familiar with this topic, you’ll be shocked.

The ICU

Seems quiet and clean now. But 30 hours in the ICU was loud, bloody, messy, smelly, painful, and unbelievably long. Can still hear the screams from the guy next to me and moans from the guy two bays over. Nurses aren’t normal. They are extraordinary. Without them, we all die.

The Decline and Fall of Peter Attia

Over the years Dr. Peter Attia built a reputation as an influential voice in popular longevity medicine. He’s been pervasive online. And recently he was hired by CBS News based on his credibility. So, he’s big time. His podcast draws millions of listeners, and his book became a bestseller. People trust him with their health decisions. I was an active follower until about 2018 when his arrogance finally got the best of me and I just got tired of him. It wasn’t much of a loss for me to dump him because there are plenty of other excellent people in the field who question the established medical paradigm. But Attia kept going and getting rich in the process, which is common among the top tier people in the field. But apparently, he got himself in way over his head. Hopefully, he’ll come crashing down as fast as he rose. It’s unlikely. But I can still hope.

Check out this report about Attia from Joseph Everett — Hidden Data: How the Top Longevity Doctor tricked us all — that reveals a pattern of overconfidence, selective data presentation, and dismissiveness toward ideas that challenge his worldview. In the video, Everett analyzes Attia’s claims and public statements and does several on-camera interviews with Dave Feldman, Dr. Nick Norwitz, and Dr. Chris Masterjohn to provide some scientific context and to counter some of Attia’s most confident assertions. Here’s a review of Everett’s report. 

The Epstein Connection

I never thought Attia would fall based on his association with Jeffrey Epstein because until last week no one even knew he was hanging out with that crowd. But that’s where we are. The Epstein files revealed more than 1,700 PDFs mentioning Attia. The emails show a close relationship that continued even after Jeffrey Epstein’s crimes were publicly known. Attia met Epstein in 2015 through Epstein’s ex-girlfriend. He called Epstein “literally one of the most interesting people I’ve ever met.” He expressed interest in visiting Epstein’s island, and he stayed at Epstein’s apartments. He attended dinner parties with Epstein and his so-called famous friends. 

Attia’s timeline with Epstein is particularly striking. According to Attia’s own book, on July 11, 2017, his wife rushed their one-month-old infant to the hospital because the baby had stopped breathing and his heart had stopped beating. His wife stayed in the hospital for four days, pleading with Attia to come home. He said he couldn’t because he was in New York with “important work.” The next day, July 12, Attia emailed Epstein confirming he could meet him. That’s difficult for any parent to imagine. But it provides a view into the dark space in which Attia lives so freely.

When the Miami Herald published its piece on Epstein in November 2018, Attia claimed he was “repulsed and nauseated.” Yet he stayed in touch with Epstein for at least four more months. In December 2018, he asked Epstein about the “fallout from recent story.” In February 2019, he was still emailing with the subject line “Where are you these days?” There are many other disgusting exchanges between the two in those files. Read them if you want.

The connection to Epstein itself might not be damning. Time will tell. Plenty of people got caught up in Epstein’s orbit but haven’t been implicated with crimes. But the same overconfidence that led Attia to maintain this relationship shows up repeatedly in his health claims.

The VO2 Max Problem

Attia built much of his longevity framework around VO2 max. He called it “perhaps the single most powerful marker for longevity.” He was emphatic. He brought it up on podcasts constantly. The claim appeared on 60 Minutes. It’s in his book. He says everyone should know their VO2 max and track it.

But there’s a problem. The studies he cites to support this claim never actually measured VO2 max. In Everett’s video, Chris Masterjohn, PhD, points out that you can search some of these papers for the word “oxygen” and find nothing. What the studies measured was how long people lasted on a progressively harder treadmill test. That’s not the same thing. I remember people online questioning Attia on this issue and many other issues. Attia generally ignored them. My impression was that Attia grew to be connected and protected. Or at least he was acting that way. 

And when Attia made a table for his blog showing VO2 max levels, he simply relabeled data from a paper that measured something else entirely. The table made it into his book. He tells people they should spend $200 annually to have their VO2 max measured at an exercise science lab, when all you actually need is a treadmill, according to Masterjohn. 

Masterjohn explains that most people in the general population can’t even reach their VO2 max during these tests. They give up because of heart palpitations, leg pain, or feeling like they’ll throw up. They’re never hitting their actual maximum oxygen consumption. But Attia presents this metric as if it’s the single most important thing you can measure. It shows how Attia grew to become totally disconnected from regular people just trying to get healthy. It’s clear in retrospect that Attia was focused on other clients who could pay him millions. Everett points out in his video that Attia would show up on video podcasts wearing several different $300,000 watches. 

The real problem is that focusing so intensely on VO2 max could lead people to spend hours doing one repetitive motion instead of diversifying their training. As Masterjohn says, gymnasts and pole vaulters have eight years on the general population for lifespan. That’s a testament to the breadth of functional training, not endless cardio optimization.

Hiding Inconvenient Data

Now let’s move to cholesterol and statins. When a major study in Cell Metabolism showed that atorvastatin (the most profitable drug in history) slashed GLP-1 levels while worsening glycemic markers and insulin resistance, Dr. Nick Norwitz (MD, Ph.D.) started discussing the issue online. Two weeks later, Attia published a newsletter that appeared to be responding to Norwitz’s analysis. That seems like Attia’s back handed style. 

But Norwitz noticed something strange. Attia’s newsletter tried to discredit the study, but it completely ignored the most relevant graph. As Norwitz puts it in Everett’s report, “There’s one graph of relevance. An 8-year-old can tell you what’s going on. There’s a big red line. It goes down.” Attia showed the figure that contained this graph but clipped out the specific panel that showed the problem. It’s hard to think that wasn’t intentional, Norwitz says. 

Nick Norwitz and the New Generation

Norwitz himself represents exactly the kind of rigorous, open-minded research Attia claims to support. At age 30, Norwitz has already published 54 peer-reviewed papers. His scientific impact score is higher than Thomas Dayspring, the lipidologist Attia regularly cites as his go-to cholesterol expert. And Dayspring is 50 years older. Norwitz is prolific online, too, but he embraces the conversation with both technical and non-technical people — unlike Attia. 

Norwitz recently gave some credibility to another researcher, Dave Feldman, who is a popular software engineer who has been researching LDL cholesterol for years now. Feldman developed an alternative cholesterol model by conducting his own personal experiments and publishing the results online and in scientific papers. Norwitz tested some of Feldman’s views and lowered his LDL cholesterol from 384 to 111 by eating Oreo cookies for 16 days. When he tried statins for 6 weeks, he only managed to lower his LDL from 421 to 284. The Oreos worked better than the drugs. Why the Oreos worked at all is interesting.

The point isn’t that people should eat Oreos instead of taking statins. The point is that our understanding of cholesterol metabolism is more complex than Attia presents it. And when young researchers like Norwitz demonstrate this complexity, Attia either ignores them or dismisses their work outright.

Dismissing Dissent

Perhaps the most revealing episodes with Attia involve Dave Feldman. When Feldman appeared on Attia’s podcast in 2018, the exchange revealed something troubling about how Attia pushes his influence and bullies people. He interrupted Feldman a staggering 66 times, according to Everett’s count. He called Feldman’s investigation “brain damage.” His treatment was arrogant and dismissive to say the very least. He told people interested in cholesterol questions to “sit down, shut up for a minute, and pay attention.” I remember listening to that episode. It was infuriating. And it was clear that it was actually Attia who was out of his league — not Feldman. I mean, when a software engineer goes up against an MD you’d expect the engineer to lose in a fair fight. But Feldman more than held his own in the match. In fact, he was really impressive. Ultimately, though, when some so-called “expert” reacts like Attia did, it’s likely an indication that they have been exposed. I was mostly done with Attia at that point, at least on the cholesterol issue.

The irony is that Feldman’s questions were reasonable and backed up with some excellent, albeit early, data. According to Feldman and Everett, Most research showing that LDL cholesterol is dangerous comes from studies of metabolically unhealthy people. But what happens to people who have high LDL and also have high HDL and low triglycerides, which are both markers of good metabolic health? Do they still die early? What about the many other biomarkers that demonstrate good health in these people? These questions were totally dismissed by Attia.

Attia further said that this line of inquiry was pointless. He challenged Feldman to crowdfund research if he thought his ideas had merit. Feldman, always up for a good challenge, did exactly that. He raised $350,000 for the Lean Mass Hyper-Responder study. The results showed that metabolically healthy people on a keto diet with sky-high LDL didn’t develop more arterial plaque in their hearts. Imagine that. Attia’s response? Silence. And when invited to co-author a journal editorial about the findings by his own former head of research, Bob Kaplan, Attia declined and said there were people “far more reputable” to discuss it with. 

Meanwhile, Feldman went on to publish eight peer-reviewed papers on the subject and continues to work closely with Norwitz on cholesterol research.

The Real Issue

The pattern is clear. Attia presents himself as committed to open-minded scientific inquiry and he strongly lectures people about that. Yet his own behavior says otherwise. He once stated we should “go back to our original ideals: open minds, the courage to throw out yesterday’s ideas when they don’t appear to be working, and the understanding that scientific truth isn’t final.” But when faced with obvious data that challenges his positions, Attia either ignores it or attacks the messenger, many times in childish, unscientific ways. You can see him online repeatedly rolling his eyes, smirking, shaking his head, raising his voice, and using harsh language when he’s simply questioned by anyone. From his powerful platform, he still maintains extreme confidence in his claims, which seem more shaky than ever. That’s not science. That’s ego. And it’s the same attitude that kept him emailing Jeffrey Epstein months after the world knew what Epstein had done.

I wonder how many online health gurus who called him a friend will come out publicly and question Attia now. So far, too many are silent. I wonder, do these people think we’ll not notice?