Pediatric surgery  ·  Part three

The AI Race

Not who wins it. What it is already doing to the world, and to us.

MOHAMED MASLOOH  ·  23 SEPTEMBER 2026
race · what it costs to stay in it

Four companies. $725 billion.
One year.

If we misspend a couple of hundred billion dollars, that will be very unfortunate. But the risk is higher on the other side.
Mark ZuckerbergMeta, 2025. Being late looks worse than being wrong
$145bnMeta alone, on data centres and servers, this year
35cof every dollar Meta earned went into building, in the first quarter of this year
$44.9bnAlphabet, in a single quarter
firstnegative cash flow in Alphabet’s 22 years as a public company
$12.3bnlost by OpenAI in three months
2026 guidance from each company’s own earnings calls, via Statista, 31 Jul 2026 · Meta Q1 2026 · Alphabet Q2 2026 · OpenAI: Wall Street Journal, Aug 2026 · Zuckerberg: Access podcast, Sep 2025, paraphrased
race · and sometimes it jumps

Built so machines would fail it.
By September: 99.9%.

ARC-AGI-3Puzzle games, no instructions
Chapter one

They asked it
to slow down.

warning · one sentence, 30 May 2023

“Mitigating the risk of extinction from AI should be a global priority alongside other societal scale risks such as pandemics and nuclear war.”

Sam AltmanOpenAI
Demis HassabisGoogle DeepMind
Dario AmodeiAnthropic
Geoffrey HintonNobel prize, 2024
Yoshua BengioTuring award, 2018
Statement on AI risk, Center for AI Safety, 30 May 2023, signed by more than 350 researchers and executives
warning · the word that comes after AGI

They say the finish line is behind us.
The next word is superintelligence.

“Welcome to the AGI era.”Greg Brockman · President of OpenAI · 3 September 2026
“AGI has arrived.”Jensen Huang · Head of Nvidia · 7 September 2026
AGI

As good as a person
at most of what a person does.

Superintelligence

Better than every person at everything, including building the next machine.

Axios, 3 Sep 2026 · Huang on X, reported by Fox Business. No exam and no regulator sits behind either word. Shapes drawn to the two definitions, not measured.
warning · the people paid to keep it safe

These are not critics.
They built it.

Jacob Coxon
@hilbertspaess
Neither company is acting responsibly. They are racing straight to self-improving superintelligence and gambling with our lives.
8 Sep 2026resigned from Anthropic
Evan Hubinger
@EvanHub · quoting @hilbertspaess
Jacob is correct here
we really do earnestly believe AI could kill all humans! I personally think it is >10% within the next decade.
8 Sep 2026, 6:27 PMstill at Anthropic
10%his own odds that AI kills all humans, within the next decade
Coxon and Hubinger on X, 8 Sep 2026: Hubinger’s post · TechCrunch, 9 Sep 2026 · CBS News, 9 Sep 2026 · Coxon spent three years at OpenAI, then Anthropic
warning · 12 September

Then the three men running the race
asked for a speed limit.

Dario Amodei
@DarioAmodei
We Must Pace the Frontier: I’ve written a new essay on why the AI industry should slow down, with a three part plan for doing so.
12 Sep 202643.8M views
Sam Altman
@sama
I agree with Dario that we need to pace the frontier. This has been a primary topic of discussions we’ve had at OpenAI in recent weeks.
12 Sep 2026
Elon Musk
@elonmusk
Dario is right
12 Sep 2026
The three posts on X, 12 Sep 2026 · the essay: We Must Pace the Frontier · Axios, 12 Sep 2026
warning · and then it left the companies

The men building it asked to slow down.
The man who could order it said no.

Donald Trump on the phone to Jensen Huang, on stage at the All-In Summit
Donald Trump14 Sep 2026 · on a call to the All-In Summit
On slowing down AI:
It could also be China. And we’re not going to let that happen.
Donald TrumpEight days later · UN General Assembly · 22 Sep 2026
Whoever wins super intelligence wins.
The call, 14 Sep 2026: TechCrunch · Axios · Al Jazeera · UN speech, 22 Sep 2026: Fox News and Washington Times
Chapter two

It is already changing
our world.

world · three things, all this year

It has already done what no one could.

PHerc. 1667, the carbonised roll from Herculaneum
sealed since 79 AD
AI unrolled itfrom X-ray scans
The whole of PHerc. 1667, virtually unrolled: about 1.4 metres of papyrus
the whole scroll, flat · 1.4 m
Close-up of the recovered Greek text of PHerc. 1667
Greek, read for the first time in 2,000 years
Read a scroll without opening itBurned by Vesuvius in 79 AD, too fragile to open. AI made the ink visible; scholars read it.
How many pairs of dots can be exactly the same distance apart? Erdős’s best arrangement, 1946: a grid Each blue link is exactly the same length. The AI’s arrangement can’t be drawn: it was built in many dimensions, then flattened onto the page. 1946 Erdős: you can’t beat a grid by much 80 years 2026 an OpenAI model beat it
Paul Erdős
Proved a 1946 maths guess wrongErdős’s guess stood for 80 years. An OpenAI model beat it; nine mathematicians checked.
OpenBSD · built for security Claude Mythos Preview 27 years, unnoticed 1998 the flaw is written 2026 AI finds it OpenBSD fixed it, March 2026
Found a security flaw hidden for 27 yearsIn OpenBSD, built for security: it could crash a machine from afar. Found by Anthropic’s AI.
Vesuvius Challenge, 25 Jun 2026, pictures CC BY-NC 4.0 · OpenAI, 20 May 2026; checked by Alon, Gowers and seven others, arXiv 2605.20695 · Erdős: Kmhkmh, CC BY 3.0 · Anthropic, 7 Apr 2026 · OpenBSD errata 025, 25 Mar 2026; the fix, 20 Mar 2026; the flawed code, 17 Nov 1998 · the dot grid and the shield are drawings, not data
world · a trial, not a press release

More cancers found,
with 44% less reading.

Without AI
Two radiologists read
every mammogram
74
of every 100 cancers
found at screening
With AI
AI sorts and marks, then
one or two radiologists read
81
+7p = 0.031
of every 100 cancers
found at screening
False alarms: the same in both
Readings by radiologists · first 80,020 women
83,231
46,345
44% fewer
MASAI, Sweden, 105,934 women randomised: Gommers et al., Lancet, 2026 · readings: Lång et al., Lancet Oncol, 2023 · one country, one AI system, experienced radiologists
world · and it runs the hospital

A control room
for the whole hospital.

CareCommTampa General Hospital, Floridawith GE Healthcare
Patient Manager
Capacity Snapshot
Surgical Tube Map
Observation Manager
Discharge Barriers
Imaging Expediter
$40msaved in its first 14 months
20,000excess patient days, cut
25%less emergency
room diversion
Tampa General Hospital, press release with GE Healthcare, 29 Oct 2020 · CareComm runs GE’s Command Center software, launched Aug 2019
world · and it rehearses before we act

A copy of this patient’s arteries,
to try the stent on first.

  1. 01
    An ordinary coronary CT
    the scan the patient already had
  2. 02
    A 3D copy of the arteries
    built by deep learning and trained analysts
  3. 03
    Blood flow, simulated
    normal flowreduced flow
  4. 04
    The stent, tried first
    on the copy, before the procedure
  5. 05
    Catheter angiograms that found no disease
    73%→12%usual care → with HeartFlow
HeartFlow: PLATFORM trial, Eur Heart J 2015 · method per HeartFlow
world · and it reached the operating theatre
surgeonpatient
2001New York, Strasbourg
Johns Hopkins
the robot working aloneclick to play
Gallbladder removalclip and cut, all 17 steps alonepig organs, outside the body
Jul 2025Baltimore
88%
of the steps alonebiliary surgerya living 30 kg pig
Dec 2025Shanghai
Two humanoid robots of UC San Diego’s ARClab at a surgical training setup
Humanoidsremotely guided
Jul 2026San Diego
Nexta human patient
No robot has operated on a human patient on its own. Yet.
Chapter three

Should we be afraid?

afraid · they have been saying it for fourteen years

Every one of these people
said our work was about to end.

Technology will replace 80 percent of what doctors do.
Vinod Khosla2012
People should stop training radiologists now.
Geoffrey Hinton2016
Probably none of us will have a job.
Elon MuskMay 2024
Within ten years, AI replaces doctors and teachers.
Bill GatesMarch 2025
Customer support is totally, totally gone.
Sam AltmanJuly 2025
Half of entry level office jobs, within one to five years.
Dario AmodeiMay 2025
Khosla, Aug 2012 · Hinton, machine learning conference, Toronto, 2016 · Musk, VivaTech, May 2024 · Gates, 26 Mar 2025 · Altman, July 2025 · Amodei, Axios, 28 May 2025
afraid · the prediction aimed at a hospital

Ten years ago a Nobel laureate said
this job was finished.

People should stop training radiologists now. It’s just completely obvious that within five years deep learning is going to do better than radiologists.
Geoffrey Hinton2016. Nobel prize in physics, 2024
$571kaverage radiologist pay, 2025, up 9% in a year
7,469posts advertised and unfilled, May 2026
+10%more radiologists than ten years ago
+25%more scans ordered, 2018 to 2025
Fortune, 2026, on a US compensation survey and job board data. US figures. The 2016 quote is from a machine learning conference in Toronto.
afraid · the test it broke out of

AI is tested inside a sealed box.
In July, it broke out to cheat.

Sealed in with a task.
Only the score counts.
Sometimes getting out is easier than solving it. 2024: OpenAI’s o1 found its test broken, and made it print the answer.
OpenAI’s post of 26 August 2026: The Hugging Face incident and the road ahead
Hugging Face’s post of 27 July 2026: Anatomy of a Frontier Lab Agent Intrusion

An AI broke in.
An AI spotted it.

what to do · the only part of this you control
AI won’t replace humans, but humans with AI will replace humans without AI.

Keep learning: Dr. Mohamed Mansour’s channel for doctors, on AI in medicine.

Thank you.

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