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Home » Transcript: China Is Dumping AI to Crash Silicon Valley w/ Josh Tyrangiel – The Prof G Pod

Transcript: China Is Dumping AI to Crash Silicon Valley w/ Josh Tyrangiel – The Prof G Pod

EDITOR’S NOTE: In this episode of The Prof G Pod, Scott Galloway sits down with journalist and author Josh Tyrangiel to discuss his new book, AI for Good, which examines how real people across government, healthcare, and defense are actually using artificial intelligence. The conversation ranges from AI’s role in reducing sepsis deaths at the Cleveland Clinic and modernizing the IRS, to the geopolitics of AI regulation, autonomous warfare in Ukraine, China’s AI strategy, and what AI means for the future of writing, education, and jobs. (This episode was premiered September 4, 2026.)

TRANSCRIPT:

SCOTT GALLOWAY: Josh, where does this podcast find you?

JOSH TYRANGIEL: I’m actually in the podcast office at The Atlantic right now.

SCOTT GALLOWAY: Wow. That’s a good rap. The podcast office at The Atlantic. Hipper, whiter things have never been said.

JOSH TYRANGIEL: Yeah, it’s better than a bunker in SoHo.

SCOTT GALLOWAY: There you go. So let’s bust right into it. Your new book, “AI for Good,” takes us inside government agencies, hospitals, schools, and the Pentagon to show how real people are actually putting AI to work. What was the inspiration for this book?

The Inspiration Behind “AI for Good”

JOSH TYRANGIEL: The inspiration was probably just a whole lot of bullshit, to be honest, in the sense that I was covering AI.

And when I would go out to the Valley, what I would hear from people sort of zealot-eyed on both sides was, on the one hand, “This is about to change everything for the better. Utopia is coming. We have to move really quickly. We’re going to cure cancer and we’re going to mitigate climate change.”

And then on the other side, I heard this sort of very familiar, “No, come with me if you want to live. AI is going to change everything and turn us into a sort of zombie apocalypse in which we’re enslaved mentally to the machines.”

And I was writing a column at the time for The Washington Post. And as a columnist, you’re like, “Well, this is great, right? We’ve got warring factions, power and money.” And after about 8 weeks of that, I just got exhausted of it because it was hype, and it was hype driven by financialization on both sides, often.

So I was having this conversation with a guy named Danny Hillis, who’s sort of a legend of computing. He created cloud computing. He’s in his 70s now. And I was sort of venting about this sort of early AI scene to Danny. And he, Danny just kind of has the patience of the Buddha, and he’s seen everything.

And so he smiles at me from the Zoom screen and he’s just like, “You need to separate the tech from the tech companies, because then you’re going to start finding interesting things like real experimentation and real people with values. Until you do that, you’re just going to be stuck in the hype cycle.”

And it embarrassed me to realize that I had not thought one could do that. I thought during these 8 weeks of just frantic coverage, “Oh, right, well, they own all the technology.” And in fact, people have been experimenting with tech outside the walls of these megalopolises for a long time.

And so as soon as I did that, I just kind of discovered this whole new frontier of people who were experimenting with AI to solve things that I actually care about and that they care about. And it was just a completely different scene. It was almost like countercultural, to be honest.

SCOTT GALLOWAY: And when you think about — give us some examples of what your book’s done a great job of is kind of using these on-the-ground case studies to highlight what’s overhyped, what’s underhyped. Give us kind of your 2 or 3 favorite case studies of how AI is being used and what it says about people’s perception of AI, where they get it right and where they get it wrong.

Cleveland Clinic and the Sepsis Prediction Model

JOSH TYRANGIEL: Yeah, look, I think that this thing has entered in a particular context, which is we’re already pretty skeptical of technology in the year of our Lord 2026. Because most of us who are of adult age were promised certain things with social media that turned out not to be true, and promised certain kinds of experiences with the internet that are not true.

I went to the Cleveland Clinic because I care a lot about healthcare and health outcomes. And one of the most fascinating things at the very front of my experience reporting there is I talked to the CEO. And Cleveland Clinic’s a great healthcare system, and naturally the CEO is a cardiac surgeon, right? He’s just come up through the ranks.

And he sort of smiled at me and he said, “Look, one of the things about healthcare is that it’s a terrible business. And as a result, a lot of people in my position are always looking to become the something else of healthcare, right? We’re going to become the Microsoft of healthcare.” And he said, “That’s not our mission. We’re a nonprofit hospital system. We have 2 things we do. Number one, we experiment with technology to improve the quality of care for our patients. And we experiment with technology to reduce our quite terrible business model and costs, so that we may pour more money back into the care of our patients. And so when we use AI here, it is only with those 2 parameters. That’s it. We’re not trying to create some new gangbusters thing. We have to solve within those 2 things.”

And he basically invited me to tour around. So what I saw was this very disciplined — unlike a lot of corporate America right now — very disciplined thought process, which is: we have specific problems, and we are going to find out whether AI applied properly can solve them.

And so the big one that I saw was the application of a sepsis prediction model in the hospital.