Craig Mod joins Paul Ford and Rich Ciotti to talk about building bespoke accounting software for his unusually tangled life as a Japan-based American writer, publisher and membership entrepreneur. What starts with taxes and receipts opens into a wider argument about who gets to make software in the age of AI, and what kinds of human judgment still matter.

Oncologist and former Cancer Moonshot adviser Dr. Komal Megharajani talks through how AI is actually entering healthcare: not as a miracle cure, but as documentation help, clinical decision support and a new layer on top of physicians’ judgment. The conversation keeps one foot in policy and another in the clinic, tracing how evidence, training, regulation and lived experience shape what these tools can and cannot do.

A new report from CircleCI suggests AI coding tools are widening the gap between elite software teams and everyone else: the fastest shops are shipping dramatically more code, while the middle muddles through bugs, stalled projects, and cleanup. Paul Ford and Rich Ziatti argue that the payoff comes less from the tools themselves than from disciplined process, strong technical judgment, and organizations willing to confront AI’s confident mistakes.