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Scenarios and the business case. When one person or a tiny team uses AI to ship work: what to buy, what it costs, where it breaks, and whether it pays. Only existing notes—no invented case studies.
OpenEvidence hit 1 million clinical consultations in a single day. Valuation 12x in one year. But medical AI won't necessarily be dominated by the largest models—foundation models set the ceiling, harness determines if you ship.
In the AI era, there's no comfort zone. You have to squirm like a loach, finding cracks to squeeze through. But squirming isn't enough—you need to accumulate something with every step. Skills keep you fed, Niche makes you irreplaceable. You need both.
The real pressure on many roles doesn't come from today's AI. It comes from a future tipping point—when 'good enough + cheap + always available' all become true at once.