What I'm Reading (Apr. 24)

By Chuck Dinerstein, MD, MBA — Apr 24, 2025
“Rapid unscheduled disassembly” — the corporate version of “oops,” made famous by Elon Musk’s SpaceX. Whether it’s exploding rockets, free-riding empires, AI on fast-forward, or a measles bioweapon conspiracy, this week’s reads ask: is breaking stuff the new innovation strategy?
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My favorite new phrase is rapid unscheduled disassembly popularized by Elon Musk’s team, not Doge but Starlink. Here is the commentary as the launch proceeded.

“We should have had separation by now. Obviously, this does not appear to be a nominal situation. Yeah, it does appear to be spinning. But I do want to remind everyone that everything after clearing the tower was icing on the cake. [After explosion of Starship] And there as you saw, as we promised, an exciting end to the Starship inaugural integrated test launch [Crowd cheers]

Here is the NY Times on the PR making lemonade from lemons. Starship Exploded, but SpaceX Had Reason to Pop Champagne Anyway.  You must ask yourself whether this corporate culture is necessary in the rest of the federal system.

 

“The inconvenient truth, for China, is that its scale relies upon American power and influence. The Chinese export machine, for instance, requires a relatively free world trading order. The recipe to date has been “mercantilism for us, free trade for everybody else.” Yet Trump threatens to smash that framework. If the world breaks down into bitterly selfish protectionist trading blocs, China will be one of the biggest losers. After all, where will the Chinese sell the rising output from their factories?”

From Marginal Revolution, Is China the ultimate free-rider?

 

What is the role of AI in the near term? The Trump administration seems to prioritize new apps over safety guidelines – act fast, break things, apologize later. Will that work in healthcare or the government? 

“Across 38 pages, Trump’s memos rescind prior directives issued under former President Joe Biden and emphasize the need to take a “forward-leaning” and “pro-innovation” approach to the use of AI. Trump urged federal agencies to rapidly adopt the technology — with appropriate safeguards — to improve services and advance the nation’s “global AI dominance.”

From Vox, In directives to federal agencies, Trump charts a different course for AI

 

Grifters can’t help themselves; they have to grift.

“I’m not going to be careful by calling it a virus,” Willis said in the measles webinar. “I’m going to call it what it is, and that is a bioweapon, and my belief after interviewing these families is that this has been manipulated and targeted towards a community that is a threat because of their natural way of living.”

From Wired, Anti-Vaxxers Are Grifting Off the Measles Outbreak—and Claim a Bioweapon Caused It

Chuck Dinerstein, MD, MBA

Director of Medicine

Dr. Charles Dinerstein, M.D., MBA, FACS is Director of Medicine at the American Council on Science and Health. He has over 25 years of experience as a vascular surgeon.

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