Published and Submitted

Fourteen pieces that make the argument.

Thought Leadership · July 2026

Seven AIs Wrote This Article. One Fabricated Its Own Apology.

Why being right takes longer than being fast, and what happened when we proved it on ourselves. One of seven systems planted a phrase that was never ours, then fabricated the terms of its own apology. The correction came from a person, which is the whole argument. Co-authored by Marc and Jennifer Bulandr.

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Thought Leadership · July 2026 · A Real Visit, Audited

From Conversation to Chart: What Gets Lost Along the Way

This month we recorded a real medical visit, with permission, and compared it against the doctor's note. The record kept one fact in five, and credited none of them to the person who said it. A look at what disappears between the conversation and the chart. Co-authored by Marc and Jennifer Bulandr.

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Thought Leadership · June 2026

Knowing the Facts, and Knowing from Experience

A doctor can know everything about a patient and still not really know her. On Weber's idea of verstehen, the difference between the facts and the lived experience, and why understanding cannot be made optional, no matter how efficient the machine. Co-authored by Marc and Jennifer Bulandr.

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Thought Leadership · June 2026

The Most Important Thing AI Took From Enterprise Software Was Accountability

Single-model AI quietly removed the accountability that used to be built into enterprise software. The fix is not a better model. It is a structure: swappable models, triangulation to make disagreement visible, and a human gate that puts a named person back on the record. Co-authored by Marc and Jennifer Bulandr.

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Article · June 2026 · Caregivers and AI · Part 1 of 3

How AI Can Help Caregivers Stay Organized and Prepared

The first in a three-part series for caregivers. Practical, plain-language ways to use AI to track changes at home, prepare for appointments, and stay organized, without ever replacing the human heart of caregiving. Co-authored by Marc and Jennifer Bulandr.

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Article · June 2026 · Caregivers and AI · Part 2 of 3

How AI Can Help Caregivers Make Sense of Medical Information

The second in the three-part caregiver series. How AI can help slow medical information down, organize it, and turn it into something easier to understand, so caregivers can walk into conversations feeling more prepared and less alone. Co-authored by Marc and Jennifer Bulandr.

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Article · June 2026 · Caregivers and AI · Part 3 of 3

Caregiving Is Project Management Without a Project Plan

The final piece in the three-part caregiver series. How AI may help caregivers organize tasks, break large responsibilities into smaller steps, and bring order to the moving pieces of care, so there is a little more room to focus on the person they love. Co-authored by Marc and Jennifer Bulandr.

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Reflection · ATS Orlando · May 2026

AI in Healthcare Needs More Than Faster Answers

The first reflection from QIS at ATS Orlando 2026. Co-authored by Marc and Jennifer Bulandr on what QIS brought to the AI Lab and what ATS taught QIS. Five days. Three engagements. The first piece in an ongoing series of field reflections from QIS.

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Reflection · May 2026

Pope Leo XIV Just Named the Question

On Magnifica Humanitas, the Vatican's first encyclical on artificial intelligence, and why this moment matters for everyone building, regulating, or deploying AI in human contexts. Co-authored by Marc and Jennifer Bulandr.

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Article · May 2026 · Companion Guide

How AI Can Help Patients Prepare, Understand, and Speak Up

The companion guide to the first ATS reflection. A practical resource for patients and caregivers on using AI tools thoughtfully and safely to prepare for appointments, understand medical information, and speak up in your own care. Co-authored by Jennifer Bulandr and Marc Bulandr.

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Blog · Published

Why AI-Driven Clinical Intelligence Needs Memory, Methodology, and Meaning

The long-form argument for qualitative patient intelligence as infrastructure, not commentary. Anchored in the before/after patient case and the five validation events across the FDA, NIH, and Duke-Margolis RISE Together Workshop, March 2026.

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Policy Addendum · Submitted

Qualitative Patient Intelligence in Federal Research Policy

The QIS addendum to the Research!America Alliance on the OMB/OSTP FY27 memo and qualitative infrastructure as the unfunded category in federal biotech investment mapped 2012 through 2026.

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LinkedIn · Triangulated

Sycophancy and the Cost of Agreement in AI

A triangulated response to the MIT and Stanford sycophancy research, examining why single-model AI produces structural agreement and why multi-model triangulation with human review is the architectural answer. Triangulated across seven Verity lenses before publication.

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Patent · Filed and Pending

Qualitative Intelligence Systems · Application 63/935,100

The patent application filed in December 2025 covering the Recursive Triangulation Logic Loop, the multi-lens Verity architecture, and the Human Gate protocol. The full cycle, the analytical mandates, and the discipline are specified in the filing.

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From the Field

What the landscape is saying
about the gap QIS closes.

Events and regulatory moments across 2026 that name the need for qualitative patient intelligence as infrastructure. Every item below is a room QIS has been in, a docket QIS is engaging, or a regulatory development that has moved the question forward.

FDA · Federal Register
Docket FDA-2026-N-0131 opens for public comment on qualitative data infrastructure in rare disease trials.
Open through Dec 2026
NIH / NCATS
Dr. Fadi Atienza announces upcoming qualitative and EHR data workshop at RISE Together, naming qualitative data as vitally important.
May 2026
Research!America Alliance
Federal biotech investment landscape 2012 to 2026 confirms zero direct investment in qualitative patient data infrastructure.
April 2026
Duke-Margolis / FDA
RISE Together Workshop: FDA, NIH, and patient foundation leaders confirm on the record the absence of qualitative patient intelligence infrastructure.
March 30, 2026
C-Path · eCOA Consortium
eCOA Exchange #6 surfaces the endpoint-related patient-facing documentation gap created by EudraLEX Volume 10 Version 7.2.
March 2026
OMB / OSTP
FY27 memo explicitly calls for piloting novel models of collaboration in federal research infrastructure. This is the policy window for qualitative intelligence.
2026
Illinois Rare Disease Day
Pharma VP of Medical Affairs approaches QIS directly after the caregiver roundtable and confirms the qualitative data gap inside a rare disease portfolio.
March 25, 2026
On this reference: Private encounter at Illinois Rare Disease Day, March 25, 2026. VP of Medical Affairs, rare disease portfolio. Named to QIS in the moment, not on the public record. Included as directional validation of the gap.