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Simpson's Paradox I See Around Me
Simpson's Paradox I See Around Me
Statistics
Why You Still Want to Read a Healthcare IT Blog in the Age of AI
Why You Still Want to Read a Healthcare IT Blog in the Age of AI
Healthcare-IT
Confounding Factors and the Dashboard That Lied Politely
Confounding Factors and the Dashboard That Lied Politely
healthcare-it
VistA, MUMPS, and the Warehouse After Midnight
VistA, MUMPS, and the Warehouse After Midnight
Healthcare-IT
Kenneth Arrow in the Waiting Room
Kenneth Arrow in the Waiting Room
Economics
FHIR and the Clerk With the Clipboard
FHIR and the Clerk With the Clipboard
Healthcare-IT
Clinical AI Needs A Shadow Architecture First
Clinical AI Needs A Shadow Architecture First
Healthcare-IT
The Trillionaire Gap: A Bipolar Ramble from South Calcutta
The Trillionaire Gap: A Bipolar Ramble from South Calcutta
Personal Essay
The AI Sermon and the Wet Knot
The AI Sermon and the Wet Knot
Technology
The Unattractive Man’s Guide to Quantum Mechanics
The Unattractive Man’s Guide to Quantum Mechanics
Personal Essay
Aimless With Mangoes
Aimless With Mangoes
Personal Essay
The Cup That Refused to Become Content
The Cup That Refused to Become Content
Personal Essay
No Ambition Left, Only Cold Tea
No Ambition Left, Only Cold Tea
Personal Essay
Jealous of the Stupid
Jealous of the Stupid
Essay
The Nationalization of Shame
The Nationalization of Shame
Personal Essay
Frog in the Robot Century
Frog in the Robot Century
Essay
RO Water, Abu Dhabi Rent, and a Calcutta Room
RO Water, Abu Dhabi Rent, and a Calcutta Room
Personal Essay
Tea, Depression, and the Probability of a Blog
Tea, Depression, and the Probability of a Blog
Personal Essay
The Cup That Starts the Sun
The Cup That Starts the Sun
Personal Essay
I Do Not Hate the World. I Am Tired.
I Do Not Hate the World. I Am Tired.
Personal Essay
The Many-Body Problem of Indian Life
The Many-Body Problem of Indian Life
Personal Essay
The Moat Has Mosquitoes
The Moat Has Mosquitoes
Personal Essay
Fractal Geometry of a Half-Lived Life
Fractal Geometry of a Half-Lived Life
Personal Essay
The Nethermost Layer of Dinner
The Nethermost Layer of Dinner
Personal Essay
Newton’s First Law and the Bladder
Newton’s First Law and the Bladder
Personal Science
Ram Bharose Is No Bharosa
Ram Bharose Is No Bharosa
Personal Essay
The Laugh Track Has Left The Room
The Laugh Track Has Left The Room
Personal Essay
Chyavana and the Refusal to Rot Quietly
Chyavana and the Refusal to Rot Quietly
Personal Essay
Entropy in a Rented Room
Entropy in a Rented Room
Science Essay
The Damp Government Office Inside My Head
The Damp Government Office Inside My Head
Personal Essay
I Like Fish, But I Refuse to Worship Rot
I Like Fish, But I Refuse to Worship Rot
Society
The Former Bright Boy Problem
The Former Bright Boy Problem
Personal Essay
The Great Calcutta Bathing, Shaving, Dressing for Civilization Problem
The Great Calcutta Bathing, Shaving, Dressing for Civilization Problem
Personal Essay
The Rice Cooker Kind of Solitude
The Rice Cooker Kind of Solitude
Personal Essay
The Unpaid Consultant and the Theology of Hope
The Unpaid Consultant and the Theology of Hope
Personal Essay
The Free Prasad Hour
The Free Prasad Hour
Short Fiction
The Rice Cooker and the Black Hole
The Rice Cooker and the Black Hole
Personal Essay
The Temperature of Attention
The Temperature of Attention
Short Fiction
The Cow That Spoke Like NPR
The Cow That Spoke Like NPR
Short Fiction
The Rain in Anirban’s Head
The Rain in Anirban’s Head
Short Fiction
The Fifth Window
The Fifth Window
Short Fiction
Meanline
Meanline
Short Fiction
Moon Without Skin
Moon Without Skin
Short Fiction
The Average Weight of Sunday
The Average Weight of Sunday
Short Fiction
The Small Republic of No One
The Small Republic of No One
Personal
I Am a Solipsist Nihilist, Unfortunately Before Breakfast
I Am a Solipsist Nihilist, Unfortunately Before Breakfast
Personal Essay
The Pressure in Sinthee
The Pressure in Sinthee
Short Fiction
The Blister Labels
The Blister Labels
Short Fiction
The End of History, and Other Overconfident Announcements
The End of History, and Other Overconfident Announcements
Ideas
The Unrecorded Error
The Unrecorded Error
Healthcare IT
The Useful Box and the Bengali Problem of Too Many Choices
The Useful Box and the Bengali Problem of Too Many Choices
Systems Thinking
The Invisible Radius
The Invisible Radius
Personal Essay
Skepticism Is the Mosquito Net
Skepticism Is the Mosquito Net
Personal Essay
The Antibiotic That Came Back With a Stick
The Antibiotic That Came Back With a Stick
Healthcare
The Protein Man
The Protein Man
Short Fiction
The Dawn Is Still Open
The Dawn Is Still Open
Personal Essay
Square Peg, Round Hole, Bad Weather
Square Peg, Round Hole, Bad Weather
Mental Health
The Morlocks in White Kurta
The Morlocks in White Kurta
Society
The Room, the Light, and the Brittle Brain
The Room, the Light, and the Brittle Brain
Personal
The Cockroach Party and the Politics of Being Insulted
The Cockroach Party and the Politics of Being Insulted
Politics
Poisson Distribution: Counting Rare Trouble Before It Becomes a Queue, a Claim, or a Crisis
Poisson Distribution: Counting Rare Trouble Before It Becomes a Queue, a Claim, or a Crisis
Healthcare IT
Bogosity, Enshittification, and the Glittering Drain
Bogosity, Enshittification, and the Glittering Drain
Technology and Society
Applied Multivariate Statistical Modeling in Healthcare IT Part 2
Applied Multivariate Statistical Modeling in Healthcare IT Part 2
Healthcare IT
The Pharmacy Bandh Is Not About Apps. It Is About Trust Being Sold by the Strip.
The Pharmacy Bandh Is Not About Apps. It Is About Trust Being Sold by the Strip.
Healthcare IT
The Low Market Value of Reality
The Low Market Value of Reality
Personal Essay
The Man Held by the Neck
The Man Held by the Neck
Politics
Writing Nothing From the Edge of Calcutta
Writing Nothing From the Edge of Calcutta
Personal Essay
The Calcutta Summer of 2026
The Calcutta Summer of 2026
Climate
India Slept Through the AI Alarm, and the Market Has Started Packing Its Bags
India Slept Through the AI Alarm, and the Market Has Started Packing Its Bags
AI Economy
The Plague of Pseudoscience in India
The Plague of Pseudoscience in India
Science and Society
Obama, HITECH, and the Day the American Medical Chart Was Dragged Into Electricity
Obama, HITECH, and the Day the American Medical Chart Was Dragged Into Electricity
Healthcare IT
Samir Ranjan Das and the Visual Mind
Samir Ranjan Das and the Visual Mind
Personal
The AI Cloud Will Also Need a Pump, a Plug, and a Tanker
The AI Cloud Will Also Need a Pump, a Plug, and a Tanker
Technology
Clay Stoves, Hormuz, and the Price of Breath in Calcutta
Clay Stoves, Hormuz, and the Price of Breath in Calcutta
Calcutta Life
The Second Mouth
The Second Mouth
Short Fiction
Election Puja And The Common Eye
Election Puja And The Common Eye
Politics
Trying to Write About Healthcare IT While the Ceiling Paint Falls Into the Dal
Trying to Write About Healthcare IT While the Ceiling Paint Falls Into the Dal
Healthcare IT
When Diabetes Started Asking About Its Ancestors
When Diabetes Started Asking About Its Ancestors
Healthcare Science
Why India Produces So Many Different Species of Goons
Why India Produces So Many Different Species of Goons
Society
The Nightmare of Indian Healthcare for the Common Man
The Nightmare of Indian Healthcare for the Common Man
Healthcare
The Rotten Sack Theory of Indian Politics
The Rotten Sack Theory of Indian Politics
Politics
Existential Arithmetic at Bread Level
Existential Arithmetic at Bread Level
Personal
The Tea Stall as an Anti-AI Safety System
The Tea Stall as an Anti-AI Safety System
AI and Society
SludgeGPT and the Mirage of Machine Understanding
SludgeGPT and the Mirage of Machine Understanding
Artificial Intelligence
Depression as Mathematics: States, Switches, Attractors, and the Treacherous Algebra of Mood
Depression as Mathematics: States, Switches, Attractors, and the Treacherous Algebra of Mood
Mental Health Systems
Bangalore and the Plumbing of Pretension
Bangalore and the Plumbing of Pretension
Society
Calcutta Smog and the Coming Winter
Calcutta Smog and the Coming Winter
Satire
Applied Multivariate Statistical Modeling in Healthcare IT Part 1
Applied Multivariate Statistical Modeling in Healthcare IT Part 1
Healthcare IT
The Bright Smile of Overconfidence
The Bright Smile of Overconfidence
Society
Chronic Traumatic Nihilism From Calcutta
Chronic Traumatic Nihilism From Calcutta
Personal Essay
Nightmare Wrapped in Skin
Nightmare Wrapped in Skin
Personal Essay
Science Is Not a Solitary Organ
Science Is Not a Solitary Organ
Science
LinkedIn, Unemployment, and the National X-Ray
LinkedIn, Unemployment, and the National X-Ray
Society
Self-Gaslit Minds in the Age of AI
Self-Gaslit Minds in the Age of AI
Technology
AI Agents Will Not Democratize Power Neatly
AI Agents Will Not Democratize Power Neatly
Artificial Intelligence
The English Medium Urine Stain
The English Medium Urine Stain
Memoir
The Painful Tooth Fairy
The Painful Tooth Fairy
Personal Essay
Political Promises and the Hard Floor of Reality
Political Promises and the Hard Floor of Reality
Politics
The Prognosis Is Clarity
The Prognosis Is Clarity
Philosophy
The Contender Who Would Not Compete
The Contender Who Would Not Compete
Personal Essay
The Genie Is Out of the Bottle
The Genie Is Out of the Bottle
Artificial Intelligence
Failing Well Without Looking Successful
Failing Well Without Looking Successful
Society
The Range Limit of Kinship
The Range Limit of Kinship
Society
Calcutta’s Sugar Problem Is Not Only Sugar
Calcutta’s Sugar Problem Is Not Only Sugar
Health & Society
The Educated Horror of Having Nowhere to Go
The Educated Horror of Having Nowhere to Go
Society
When Nothing Beats Something
When Nothing Beats Something
Technology
The City That Begs at the Window
The City That Begs at the Window
Society
When the Office Learns to Beg
When the Office Learns to Beg
Society
The Barebones Lifeboat: America, Calcutta, and the Price of Staying Afloat
The Barebones Lifeboat: America, Calcutta, and the Price of Staying Afloat
Personal
The Country That Built Rockets but Still Consults the Stars
The Country That Built Rockets but Still Consults the Stars
Society
Politics Is a Machine for Spoiling Ordinary People
Politics Is a Machine for Spoiling Ordinary People
Politics
When Structure Loses Its Map
When Structure Loses Its Map
Society
Facial Pleasure Receipts
Facial Pleasure Receipts
Culture
India’s Semiconductor Problem Is Not a Missing Slogan
India’s Semiconductor Problem Is Not a Missing Slogan
Technology
The Negative Infinity Before the Singularity
The Negative Infinity Before the Singularity
Healthcare AI
The Mental Health System Will Meet the AI Wave at Its Weakest Joint
The Mental Health System Will Meet the AI Wave at Its Weakest Joint
Artificial Intelligence
Kenneth Arrow, Medical Uncertainty, and the False Dream of Healthcare as a Normal Market
Kenneth Arrow, Medical Uncertainty, and the False Dream of Healthcare as a Normal Market
Healthcare IT
First Principles Thinking in Calcutta, Healthcare, and the Machinery of Reality
First Principles Thinking in Calcutta, Healthcare, and the Machinery of Reality
Useful Mental Models
Healthcare AI and the Wrong Objective
Healthcare AI and the Wrong Objective
Healthcare AI
Jogar, Jugaad, and the Greedy Improvisation of India
Jogar, Jugaad, and the Greedy Improvisation of India
India
Natural Selection Is Not Just About Animals
Natural Selection Is Not Just About Animals
Systems Thinking
Why Myths Multiply When Randomness Is Left Unexplained
Why Myths Multiply When Randomness Is Left Unexplained
Mental Models
Maa Sitala, Maa Manasa, and the Bad Public Health Architecture of Fear
Maa Sitala, Maa Manasa, and the Bad Public Health Architecture of Fear
Public Health
The Epistemic Iceberg Effect
The Epistemic Iceberg Effect
knowledge
The Shadow Architecture: Lessons from a Decade Bootstrapping Healthcare Data Systems
The Shadow Architecture: Lessons from a Decade Bootstrapping Healthcare Data Systems
Healthcare IT
Mind Is What the Brain Does, Not a Ghost in the Attic
Mind Is What the Brain Does, Not a Ghost in the Attic
Neuroscience
The Ghost as Perception
The Ghost as Perception
philosophy
Universal Basic Income in India After Work Stops Being a Promise
Universal Basic Income in India After Work Stops Being a Promise
political economy
How VA Healthcare Data Systems Work: From MUMPS to SQL
How VA Healthcare Data Systems Work: From MUMPS to SQL
Healthcare IT
AI Health Insurance and Cruelty
AI Health Insurance and Cruelty
healthcare ai
Is Claude Mythos, a Myth?
Is Claude Mythos, a Myth?
AI Security
The Middle Class on Tilted Stones
The Middle Class on Tilted Stones
society
The Invasive Human Weed Species
The Invasive Human Weed Species
society
Pests we love
Pests we love
natural history
Latent Space in Healthcare Data, From the Beginning
Latent Space in Healthcare Data, From the Beginning
Healthcare IT
The Returnee Who No Longer Fits
The Returnee Who No Longer Fits
work, migration, India
AI and Denial
AI and Denial
Artificial Intelligence
Databases and Data Warehouses
Databases and Data Warehouses
healthcare-it
FHIR
FHIR
healthcare it
India’s AI Moat
India’s AI Moat
healthcare-it
The Last Economy
The Last Economy
technology
The History of the Shape of Atoms
The History of the Shape of Atoms
science
Building VA Data Warehouses
Building VA Data Warehouses
healthcare-it
Vector Databases
Vector Databases
healthcare it
What the Ukraine and Iran Wars May Leave Behind in Civilian Technology
What the Ukraine and Iran Wars May Leave Behind in Civilian Technology
technology
The Fish Bengalis Eat
The Fish Bengalis Eat
food
Confounding Factors
Confounding Factors
healthcare-it
Dogs Detect Violations.
Dogs Detect Violations.
science
India’s White-Collar Issue
India’s White-Collar Issue
india
Intro
Intro
career
The Missing Scientists
The Missing Scientists
healthcare-it
Pohela Baisakh
Pohela Baisakh
history
Propofol, Nightmares
Propofol, Nightmares
healthcare
The Pufferfish Economy
The Pufferfish Economy
society
Cicada, BA.3.2
Cicada, BA.3.2
public-health
HIE from First Principles
HIE from First Principles
healthcare it
HIE From First Principles, With The Patient Still In The Room
HIE From First Principles, With The Patient Still In The Room
healthcare-it
Homeopathy
Homeopathy
healthcare-systems
Hormuz, Day 52
Hormuz, Day 52
geopolitics
Costume Ambition
Costume Ambition
society
Why EHR and HIE Struggle in India but AI Diagnostics might not
Why EHR and HIE Struggle in India but AI Diagnostics might not
healthcare it
The Questions You Ask
The Questions You Ask
healthcare it
The Aromatics of Stagnation
The Aromatics of Stagnation
Calcutta
Bassline, Backhoe, Breath
Bassline, Backhoe, Breath
Personal