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Jacob Kimmel

๐Ÿ‘ค Speaker
972 total appearances

Appearances Over Time

Podcast Appearances

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

One stat on why I think that's true, something like a third of all Medicare costs are spent in the final year of life, which is shocking when you realize that the average person on Medicare is, I don't know the exact number, but probably a decade plus covered by it.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

And so there's an incredible concentration of the actual expenses once someone is already terribly sick.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

So helping prevent you from ever having to access the intensive healthcare system, meaning something like an inpatient hospital visit, if you can prevent even just a couple of those visits over a long period of someone's life with a medicine like an increment medic, like a reprogramming medicine that keeps your liver, your immune system younger, I think on net that actually starts to drive healthcare spend down because you're sort of shifting some of that burden from the administration system to the pharmaceutical system.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

And the pharmaceutical system is the only piece of healthcare where technology has made us more efficient.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

Yeah.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

As drugs go generic, actually the cost of administering a given unit of healthcare is going down.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

And the grand social contract is that they eventually go generic.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

That's the way our current IP system works.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

So I think, you know, if you were to get the question of like, when would you like to be born as a patient?

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

You always want to be born as close to today as possible because for a given unit in terms of pharmaceuticals, for a given dollar unit of expense, you can access more pharmaceutical technology today than has ever been possible in history.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

even as healthcare costs everywhere else in the system have shot up.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

And so pharmaceuticals are the one place where because of the mechanism of things going generic and the fact that our old medicines continue to work and persist over time, you're actually able to get more benefit per dollar.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

Yeah.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

So I'll just correct one thing to make sure I'm not overstating.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

We have way more data for, in particular, the limited sub-problem we're tackling, which is overexpressing TFs in combinations.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

I think we have way more data than anyone on full stop there.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

But even more specifically, I feel very, very confident we have more data than anyone looking at trying to reprogram a cell's age.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

And so that's where we're way larger than the rest of the world.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

When we think about just general single cell perturbation data, various flavors, then I think there are other groups which have very large data sets as well.

Dwarkesh Podcast
Evolution designed us to die fast; we can change that โ€” Jacob Kimmel

We're still differentiated because we do everything in human cells with the right number of chromosomes, whereas it's very common to do things in like cancer cell lines, which have 200 chromosomes.