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TS Tyler Schultz On Search Engine

“When a software product fails, the user sees that it failed… It's not like Apple has backup fake information statically held on the iPhone that it starts throwing at you so that you think that it worked when it didn't… But with a medical diagnostic test, the user has no idea if the result they got is accurate or not. There's no way that the user has the ability to hold the company accountable.”

Search Engine · Tech Strategy & Big Tech · October 2026

“When a software product fails, the user sees that it failed… It's not like Apple has backup fake information statically held on the iPhone that it starts throwing at you so that you think that it worked when it didn't… But with a medical diagnostic test, the user has no idea if the result they got is accurate or not. There's no way that the user has the ability to hold the company accountable.” — Tyler Schultz, Search Engine

Context

The Theranos whistleblower responds to PJ Vogt's comparison with Steve Jobs's jerry-rigged first iPhone demo. His point is that "fake it till you make it" can't carry over to medical testing, because a patient can't tell when a result is wrong.

Transcript

Search Engine Around 26:03 into the episode
Tyler Schultz

…there is like the real technology hidden behind some door somewhere. But the thing that I ended up speaking up about was we are actively hurting people with the thing we're using. And it doesn't matter if there is some amazing technology behind some locked door somewhere that I don't get to see.

PJ Vogt

…bunch of people bought iPhones that access the internet more slowly than they've been led to believe, it doesn't really matter. But you were understanding that what was happening right then meant that people were getting fake medical diagnoses and that that would just hurt people in the real world.

Tyler Schultz

Right. And to continue off of your Steve Jobs analogy or just comparing it to software in general, when a software product fails, the user sees that it failed. Like, oh, my internet is not connecting right now. This is not working. It doesn't, it's not like Apple has like backup fake information statically held on the iPhone that it starts throwing at you so that you think that it worked when it didn't. Like fake texts from your mom saying she loves you. Exactly. But with a medical diagnostic test, the user has no idea if the result they got is accurate or not. There's no way that the user has the ability to hold the company accountable.

Speaker 4

And so

PJ Vogt

what happens to you when you start trying to ring alarm bells?

Tyler Schultz

So I ended up going directly to Elizabeth because we had seen instances where people had spoken up and they were immediately fired. And sometimes there was one instance where after the employees were fired, Theranos sued those employees. So people were terrified and nobody wanted to speak up.…

Speaker names come from our own diarization. The position is estimated from where the line sits in the episode.

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