Neal Khosla ✓

@nealkhosla · San Francisco, CA · joined 01 Feb 2010

I judge myself on what my 8 and 80 year old selves would think. CEO of @CuraiHQ - making healthcare available and affordable to everyone

34 000Followers

1 033Following

7 373Posts total

454KViews on collected posts

Against accounts of the same size

15 posts from the last 90 days, next to the 10K–100K follower range. ordinary reach for its size, weaker reaction than most.

Median views2 172this account2 392median for 10K–100K

Reach, %6.39%this account7.18%median for 10K–100K

Engagement, %0.53%this account1.50%median for 10K–100K

Metric	This account	Median for 10K–100K	Ratio
Median views per post	2 172	2 392	0.91×
Reach (views ÷ followers)	6.39%	7.18%	0.89×
Engagement rate	0.53%	1.50%	0.35×

Others in this range → Compare with another account → How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

12.7K17 Aug

111.2K

1.9K

1.9K

2.2K

1.9K

394

18.6K30 Aug

15.6K

130.2K2 Sep

831

2.7K

814

51.1K3 Sep

Last 14 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.08%17 Aug

0.16%

0.70%

0.43%

0.41%

0.53%

4.06%

0.21%30 Aug

0.29%

3.42%2 Sep

4.21%

4.67%

3.56%

2.67%3 Sep

Reactions — likes, reposts, replies and quotes — divided by views. Median for 10K–100K accounts is 1.50%.

What the audience does

Likes85.3%5 917 in total

Reposts6.2%430 in total

Replies3.7%257 in total

Quotes0.8%57 in total

Bookmarks4.0%275 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

Followers by day

3 Sep

Daily snapshots since 03 Sep 2026; the dashed line is the starting count.

Latest posts

Legends. Thank you for the incredible foundation you built. 51.1K views · 1.3K likes · 66 reposts · 26 replies 03 Sep 2026 @nealkhosla @bcondotta Silver Surfer about to go for 100 and a TD https://t.co/zShEROK6X4 814 views · 28 likes · 1 reposts · 0 replies 02 Sep 2026 @nealkhosla https://t.co/BJaZZ5QaXa 2.7K views · 122 likes · 4 reposts · 1 replies 02 Sep 2026 @nealkhosla https://t.co/ccJpSHugxA 831 views · 34 likes · 1 reposts · 0 replies 02 Sep 2026 The Seattle Seahawks play football in one week. 130.2K views · 4K likes · 291 reposts · 133 replies 02 Sep 2026 The cancer diagnosis part of this is a total straw man. The vast majority of medical conversations are not fatal diagnoses. People dress up our argument as “everything should be fully automated right away with no controls or proof or progression” to distract from the substance 15.6K views · 32 likes · 1 reposts · 13 replies 30 Aug 2026 How much of medicine should AI handle on its own, if any? @drjohnwhyte of the AMA and @ZekeEmanuel fundamentally disagree. One question that surfaced: in 2030, would you want a human physician or an AI delivering a cancer diagnosis? Links: Spotify: https://t.co/9y84MqOn8Y https 18.6K views · 24 likes · 8 reposts · 6 replies 30 Aug 2026 @nealkhosla @CuraiHQ @JAMA_current @ZekeEmanuel @AbeBakerButler @vkhosla Person selling something argues that something has value. Stop the presses! 394 views · 15 likes · 0 reposts · 1 replies 17 Aug 2026 5/ This demonstrates the need to measure AI beyond comparison to human doctors (which is quickly being saturated in the real world). The counterintuitive part: once AI is better than physicians at a task, adding a human back in doesn't add a safety net. It degrades performance. 1.9K views · 8 likes · 0 reposts · 1 replies 17 Aug 2026 6/ Physicians aren't obsolete. Surgery, deliveries, procedural care - AI can't do those alone yet. But the assumption that "doctor plus AI" is automatically the safest, highest-quality standard of care needs to go. 2.2K views · 8 likes · 0 reposts · 1 replies 17 Aug 2026 7/ A world where every American can have expert medical advice and guidance at the tip of their fingers for ~free is here. We have a moral imperative to distribute this benefit to all Americans. The technology is here, we just need the regulatory and payment models to match. 1.9K views · 7 likes · 0 reposts · 0 replies 17 Aug 2026 4/ I understand the instinct. But the evidence across medicine's five core cognitive tasks — gathering patient information, diagnosing, choosing tests, prescribing treatment, managing chronic disease — doesn't support keeping a human in the loop by default. 1.9K views · 11 likes · 1 reposts · 1 replies 17 Aug 2026 1/ We started @CuraiHQ with the mission of proving AI could outperform humans at the core cognitive work of medicine. Today in @JAMA_Current, @ZekeEmanuel, @AbeBakerButler, @vkhosla, and I are publishing a comprehensive argument this future is here. https://t.co/bpXMdXljsw 111.2K views · 105 likes · 19 reposts · 40 replies 17 Aug 2026 2/ Not included in this paper: our work @CuraiHQ showing this is happening in real live environments as well. We definitively and uniquely show that specialized AI systems perform on par with real clinicians (and far better than generalized AI systems). https://t.co/EJqxIjwrxQ 12.7K views · 8 likes · 1 reposts · 1 replies 17 Aug 2026 3/ This is not the consensus view. The @American Medical Association calls AI "augmented intelligence" to keep it in a supporting role. The @American College of Physicians says it "should not replace physician decision-making." 2.1K views · 5 likes · 0 reposts · 1 replies 17 Aug 2026 1/ We are publishing the first proof that AI can reason as well as clinicians in live clinical environments. Our AI diagnosed ~2400 patients as accurately as board certified clinicians in a real environment and was 30 percentage points better than Google’s equivalent system. http 100K views · 232 likes · 37 reposts · 32 replies 24 Mar 2026

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