The alpha, twice a week
That was 3 min.
Get the best new moments in your inbox every Wednesday and Saturday. It's free.
Check your inbox
We sent a link to your address. Click it to finish signing up. Not there in a minute? Look in spam.
or
Behind the Craft · 3 min · Nov 8, 2026
Cancer care is about more than finding a cure
Ashley Alexander argues AI should support the full path from screening through diagnosis and treatment decisions, not just drug discovery.
In this episode
Full analysis- 25:34A complete medical history can catch dangerous treatment conflicts3 min
- 36:13Use a separate project and ask questions during appointments3 min
- 41:04Protect time for family by making caregiving non-negotiable4 min
- 29:52Clinician AI use is rising, but record access depends on health systems2 min
- 9:38Most clinicians welcome patients who arrive informed3 min
- 14:17Cancer care is about more than finding a cure3 min
- 22:20Condition prompts can track research while care sheets centralize records3 min
“I think we should talk about like cancer care and sick care and any sort of health care as more than just cures.”
Takeaways
- She describes limbo before diagnosis and after it.
- Caregivers can lack information when weighing treatment paths.
- AI could help across prevention, care, and scientific discovery.
About this segment
Ashley Alexander argues AI should support the full path from screening through diagnosis and treatment decisions, not just drug discovery. She says uncertainty and navigating options are major parts of the experience.
Ashley Alexander is VP of Product at OpenAI leading health.

Peter Yang, Host · Host, Behind the Craft
Led product at Roblox, Reddit, Twitch and Meta for 10+ years.
From “OpenAI VP: How AI Changed My Family’s Fight Against Cancer | Ashley Alexander”, Nov 8, 2026. Watch the full episode
Thanks. We'll look at and fix what's off.
Transcript
Transcribed by machine (Whisper) from the episode’s audio, so a word may be off here and there.
- 14:20
But like some random would just tweet like, oh, AI is about to cure cancer or like this kind of stuff, right? Like AI is like very eminently about to cure cancer because I'm like, you know, some research or something. And I saw Kate, the former CMO, tweet this saying like to actually give frontier cancer care is like very difficult from the standard care. Like, can you talk a little bit more about this? Like how can people actually even get this frontier, like state-of-the-art care?
- 14:44
Like you have to spend a shit ton of money and like really go out of your way, right? Yeah, I mean, and I appreciate that you and I have the shared experience of actually supporting loved ones through cancer. So, you know it intimately in the way that I do. I think there's such a journey, right? It's not just the treat. I know when people say cure cancer, I think a lot of time what they're talking about is the treatment, like having an actual cure in the form of some sort of therapeutic or something that can actually fully reverse the disease.
- 15:14
But to me, surviving cancer is so much more than that. that's obviously really important i i do i do think we should point to this technology towards science and towards that that piece of the problem for sure and we and we are um but there's this whole journey of like from the moment that you get the first diagnosis or actually even upstream of that the moment that you think to even do the preventative screen or maybe you uh experience some symptom that gives you this trigger of like maybe i should get this checked out like that's for me that was the scariest part of like going from that sort of uncertainty of an early sign all the way to diagnosis you're you're hanging in limbo with a lot of uncertainty and then once you get the diagnosis that's to me that was an equally difficult part of
- 15:56
that that limbo period of now i have a diagnosis but i don't know what the treatment path is and now I'm evaluating a bunch of that was like actually the most stressful for me as a control freak because I felt like I had an ability to potentially change the outcome based on how we steered the treatment path and I didn't feel like I had full information. So anyway, I say that all to say that I think we should talk about like cancer care and sick care and any sort of health care as more than just cures.
- 16:26
So much of it is, I mean, even talk about the preventative all the way upstream. right if there were things that you could we could have all done you know the first question they ask when you have lymphoma patient is like did you smoke did you have birds in the house you know there's even so there's a really long journey here and I think um the promise of what this technology and and I think we're already living it in some ways but there's so much more to come in the future is really how it can transform that whole journey yeah um right and and so yes I do think um I do think when you see what's happening with the latest models what they're doing in the fields of mathematics, for example.
- 16:59
You have to believe if we come together as an ecosystem, which we should, to solve these important problems, like some of the diseases that have eluded cures, we can have some new scientific breakthroughs, but I think we would be fools to only focus on just that piece. We should focus on the whole thing.