718 karma · joined July 12, 2015
This is a dead account: I saw the comments here [0], and found some to be so offensive and revolting (and not one mod action taken) I find I no longer want to be associated with such group of people. I wish I could delete my account like on Reddit.
[0] https://news.ycombinator.com/item?id=11047384
Believe it or not, the hype among scientists was even worse than among the public, to the point of (in my opinion) hurting good science. Everyone was shoehorning "nano" into their proposals, regardless if their work was legitimately nano[1], and that really hurt the SNR for manuscripts and grant proposals.
[1] I define nanotechnology as dealing with something sufficiently small to access properties not seen in bulk materials. For many materials, restricting one or more dimensions below 100nm will lead to side-dependent properties. There was a lot of stuff during the Great Nano Hype that was claimed to be nano, but was say 500nm—that would be "submicron".
Obligatory xkcd: https://xkcd.com/435/
I couldn't disagree more. Take the Haber process as a counterexample from chemistry, or vaccinations as a counterexample from medicine.
YCR could be the same, one day. Nevertheless, it's a very long and perilous road from YCR the proposal, to Bell Labs 2.0.
The system is far from perfect, but I don't think you'll find anyone in academia saying otherwise. I think of it being like Churchill's quote about democracy being the worst form of government, except for all the others that were tried.
A YCR "fellow" (or whatever it'd be called) would probably not be a competitive candidate for an academic position. It's not because they weren't in academia, it's because they will likely not have the work product used to measure performance in a academic setting. A hiring committee is not going to risk department funds on someone with a non-existent track record when there's a line out the door of other candidates.
I think OP is correct in perceiving that selecting YCR would probably close the door to a future in academia. I will also predict that YCR will have difficulty hiring top academic talent.
It is inaccurate to claim Michael Barr determined the cause of Toyota's unintended acceleration: he proposed a possible failure mode that was persuasive to a lay jury. His proposed failure mode didn't leave a DTC, so there's no way to actually know if his proposed failure mode actually happened in this case (or in any other).
The article is pretty hand wavey, although the point made feels to be along the right lines; I'm left wondering what data supports the claims.
Assume one did create the device, and got it to work across a wide patient population with varying diets, disease severity, treatment responsivity, etc., and then (somehow) got approval for it. Existing insulin pumps are already challenging to get reimbursed under insurance, and they have a more straightforward regulatory approval path with lower R&D costs. The super pump would need to be reimbursed for quite a bit more money to justify the increased R&D costs. That is going to be a very hard sell under quality of life improvement alone—clinical data showing an improved patient outcome or decreased long-term healthcare costs is what is needed. You're benchmarking against existing pumps with separate monitors, which sets a high bar.
This is an interesting personal project, but it is far from how medical devices should be (and are) developed. Where is the risk analysis, for example? Or the FMEA? Was the software developed under ISO 62304? Etc.
There's a lot of activity that happens in a regulated industry that is completely missing here, which is why I see this as a poor example.
There's absolutely nothing simple about surgery when the pancreas is involved.
Contrast your prediction of elective eugenics for offspring with my own for autologous bone marrow transplants for sickle cell anemia: sickle cell is a single point mutation, there's a lot of tissue that we can sequence and work with, you don't need to transform anywhere near 100% of the tissue to get a good therapeutic effect, and we already do cure sickle cell anemia with bone marrow transplants given the right circumstances. All of that is in part why I think you are completely wrong with your prediction.
If you skim through the comments on what they're calling "Cars Technica" articles, you'll find heavy criticism (especially on the earlier articles), some of which is along the lines of native advertising or sponsored content allegations---not helped by Porsche and Audi being advertising partners. The Ars writers and editors are however on record saying that they are absolutely not using native advertising or sponsored content (except when there is a clear banner declaring so).
Personally, I find that the further Ars gets from it's traditional domain of computers and consumer tech, the worse the quality of the article. In the case of the automotive articles, I don't think the editors or writers have sufficient subject matter expertise to write the well-informed articles that are common for Ars' computer and consumer tech coverage.
My non-layman's prediction is that you are quite incorrect. As others are pointing out, successfully using CRISPER/Cas is hardly as trivial or as easy as the media's hype machine (or university PR offices) would like us to believe. Blatantly obvious ethical issues aside, embryos are hard to tamper with, and the odds of successfully achieving multiple edits to the genome are miniscule.
I think the most likely first application of the CRISPER/Cas system in human medicine will be in an autologous bone marrow transplant to correct a genetic disorder of the blood, likely sickle-cell anemia.
Is that actually a lot? Similar statements are made with respect to nuclear waste, but frankly, I've regarded these statements in units of mass as deliberately misleading due to nuclear waste (or lead in this case) to be uniquely dense relative to what we are accustomed to dealing with on a daily basis.
Siri, via Wolfram Alpha, says that 24 million pounds of lead is about 33,900-ft3, or a cube of 32-ft a side. If correct, that doesn't feel like a lot considering this is framed as a the global lead acid car battery recycling waste.
You reference Gingko, but that company is (in my opinion) uniquely viable in terms of YC biotech investments.
Of course, my perspective is based on media reports (famously unreliable), by public information, and by my own experience in biotech. I would love to be completely wrong, and I could easily be completely wrong since I don't have access to the information that you do. Also, maybe an outside perspective is what is needed in biotech—good things happen when smart people from other disciplines cross-pollenate. Also, my own startup is not yet successful, so I criticize from within a lovely glass house surrounded by stones. That said, based on what is public, I don't have confidence in YC's biotech investments. I am hesitant to even consider applying, given with what is publicly available.
I don't think this is an appropriate forum to be specific with criticisms, nor do I wish to be a "negative Nancy" with YC's new push—if YC could do a fraction of what it did in software in the biotech area, it'd be amazing. I would however like to offer one particular outsider's perspective.
Trying to move fast and break things in a regulated industry strikes me as producing fragile business plans, at best.
[0] http://www.nature.com/news/glowing-plants-spark-debate-1.131...
[1] http://www.nature.com/nature/journal/v475/n7356/full/475265b...
See around the 13 minute mark: https://www.youtube.com/watch?v=51-6QCJTAjU
Apologies, my original post was incompletely expressed.