Jacob Trefethen's blog

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Latest — Aug 2, 2025

AI could help lead to an Alzheimer’s cure

Lana Del Rey’s “Young and Beautiful” starts with piano keys, church bells, violins soaring through the first verse. Then a drum roll, and Lana belts out: Will you still love me when I’m no longer young and beautiful? Will you still love me when I got nothing but

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AI will not suddenly lead to an Alzheimer’s cure

I work on funding science for the sake of medical progress, but only 10% of our science funding at Open Philanthropy is related to AI. The whole premise of Open Philanthropy is we try to allocate money across causes to get as much bang for buck as possible. That leads

What does AI progress mean for medical progress?

Rapid AI progress does not automatically mean rapid medical progress. If the point of AI progress is human flourishing, we must make other complementary investments too. Even with extremely powerful AI, people will still get cancer and Alzheimer’s – unless those investments are made, and unless broken “real world” systems

Lenacapavir and Thom Gunn

I assume many people working in medical research fantasise about talking to Saloni Dattani. I assume that because I did, after reading Saloni's writing and listening to her interviews. Now, I thought, there is someone who focuses on issues that matter and pays attention to the details! Someone

Science writing from the last two years that stuck with me

This list consists of writing that ticked two boxes: 1) did I think about the article again more than a week after reading it?, and 2) was it written for a popular audience? So, academic papers, including review papers, don't count. Books are out too. Blog posts, magazine

A Quantitative Approach to Vaccine Funding

It is always easiest to insult your own work, so let me tell you what's wrong with the piece Rafael Dib and I just published on vaccine R&D. Our analysis is driven by a practical question: how should Open Philanthropy spend money on science if we

Generosity

Why should we have to pay for projects in foreign countries with our tax dollars? Well, we don't have to. It is a decision. At the moment the decision costs $15 per month each, $200 per year. The United States represents around 25% of global GDP, with around

The NIH and NSF

This decade brought two inventions that will prevent a million deaths in America. One came from a German company who partnered with Pfizer to make Comirnaty available nine months into the COVID pandemic, becoming the most used vaccine in the U.S. at its peak (vs Moderna’s and J&

Effective nonprofits

The most striking fact about philanthropy to me is how little money rich people give away. It is well known that we all die, and that leaving overwhelming wealth to your children can make their lives worse not better, so the alternatives don't seem that hard for philanthropy

FDA, ARPA-H, & CDC – policy ideas part 2

CDC 6. Start convening ACIP Work Groups on diseases/infections that have no vaccines, many years ahead of there being particular candidates to assess. Publish the rough parameters under which ACIP would expect to recommend a vaccine rollout. [This whole post is personal, not written as part of my job.