Opinion: Dr. Glaucomflecken wants to make a stink

His real name is Will Flanary, but you probably know him as Dr. Glaucomflecken — the internet’s go-to doctor/comedian. On this episode of the “First Opinion Podcast,” we talked about how he mixes humor with some of the most pressing issues facing health care, from misinformation on social media to the corporate takeover of medicine.

In particular, Flanary has been deeply involved with advocacy around PeaceHealth’s decision to use a corporate group to staff the emergency department in Eugene, Oregon, instead of the community-based physicians who had been there for more than 35 years.

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Elon Musk and Sam Altman are going to court over OpenAI’s future

After a yearslong legal feud, Elon Musk and OpenAI CEO Sam Altman are heading to trial this week in Northern California in a case that could have sweeping consequences. Ahead of OpenAI’s highly anticipated IPO, the court could rule on whether the company is allowed to exist as a for-profit enterprise and might even oust its current executive leadership, including Altman.

Musk is suing OpenAI, alleging that Altman and OpenAI president Greg Brockman deceived him into bankrolling the company in its early days by promising to maintain it as a nonprofit dedicated to developing AI that benefits humanity, only to later restructure the company to operate a for-profit subsidiary. Musk cofounded OpenAI with Altman and others in 2015, but he left in 2018 after a bitter power struggle. 

Musk is seeking as much as $134 billion in damages from OpenAI and Microsoft, one of OpenAI’s biggest financial backers. He is also asking the court to remove Altman and Brockman from their roles and to restore OpenAI as a nonprofit. Musk has asked the court to award any damages to OpenAI’s nonprofit rather than to him personally. 

Nine jurors will deliver an advisory verdict, a non-binding recommendation, to guide the judge in deciding Musk’s claims against Altman. Musk, Altman, and Brockman will take the stand. Former OpenAI chief scientist Ilya Sutskever, former OpenAI CTO Mira Murati, and Microsoft CEO Satya Nadella are also expected to testify. Cringey texts, raw diary entries, and endless scheming behind the founding and growth of OpenAI are expected to come to light.

In an industry enveloped in secrecy, the trial will be a rare opportunity for the public to look behind the curtain and find out what’s going on in the companies creating the most transformative technology ever built. 

What are they fighting about?

When OpenAI was originally founded as a nonprofit, backed by a $38 million donation from Musk, the company vowed to create open-source technology for the public’s benefit, unconstrained by a need to generate financial returns. But over the years, the company began to claim that intensifying competition could make it dangerous to share how it develops its AI models and that a nonprofit structure could not raise enough money to keep building AI. (MIT Technology Review was first to report on OpenAI’s internal conflicts around its mission.)

The court has already found that in 2017 Altman and Brockman wanted to establish a for-profit arm, while Musk proposed merging OpenAI with his electric-car company, Tesla. When Musk threatened to stop funding, Altman and Brockman told him that they were committed to keeping the company a nonprofit. Musk alleges that they pursued plans to pivot to a for-profit without informing him. According to OpenAI, Musk agreed that the company needed a for-profit entity and even wanted to be its CEO. 

But even if Musk proves he was duped by Altman and Brockman, he may not have standing in the first place to sue them for restructuring the company to operate a for-profit subsidiary. Some legal scholars are puzzled over why the judge allowed him to bring this claim. “The idea that Elon Musk can sue because he was a donor or used to be on the board is pretty puzzling,” says Jill Horwitz, a law professor who studies nonprofit law at Northwestern University. “Typically, it’s up to the attorneys general to bring such a claim to enforce the charitable purposes. And that’s already happened.” 

In October 2025, state attorneys general of California, where OpenAI is headquartered, and Delaware, where OpenAI is incorporated, struck a deal with OpenAI to approve its new corporate structure on a series of conditions. For example, a safety and security committee at the nonprofit would review safety-related decisions made by the for-profit subsidiary. Critics of the restructuring, including Musk, AI safety advocates, and civil society groups, have tried to stop it. 

California’s attorney general has declined to join Musk’s lawsuit, saying that the office did not see how his action serves the public interest.

Still, whether the deal holds OpenAI to its nonprofit mission is an open question. “Elon Musk should have to show … what the deficiencies are in what’s been agreed to by OpenAI with the attorneys general,” says Rose Chan Loui, the director of the UCLA School of Law’s philanthropy and nonprofit program. Even with the terms in place, holding OpenAI to them depends on “how much they can enforce it and how much transparency they get into OpenAI’s work.”

More importantly, legal experts say the case is being considered under the wrong body of law. Musk argues that Altman and Brockman breached OpenAI’s charitable trust by creating a closed-source, for-profit subsidiary. As a result, the court has been analyzing the claim under the law of trusts. “But OpenAI is not a trust. OpenAI is a corporation. And so really they should be looking at … the law of charitable nonprofit organizations,” says Chan Loui.

What’s on the line?

Despite all the legal muddiness, the outcome of the trial could upend the AI race. Any one of the remedies that Musk seeks could cripple OpenAI as it races to go public by the end of the year. OpenAI, which is valued at over $850 billion, has described the litigation with Musk as a potential risk to its business. Musk’s rival company xAI, which makes the chatbot Grok, is expected to go public as a part of his rocket company SpaceX as early as June. If Musk prevails, xAI, which in combination with SpaceX is valued at $1.25 trillion, could get a big advantage in the AI race. 

And the trial has helped expose the bitter schism between Musk and the company he once helped to found. An OpenAI spokesperson referred MIT Technology Review to a post on X: “This lawsuit has always been a baseless and jealous bid to derail a competitor.” Although Musk’s lawyers did not immediately respond to a request for comment, he has posted on X that “Scam Altman lies as easily as he breathes.”  

MIT Technology Review will have ongoing coverage of Musk v. Altman until its conclusion. Follow @techreview or @michelletomkim on X for up-to-the-minute reporting. 

Former tobacco executive joins CDC senior leadership, raising concerns over industry influence

A former tobacco industry executive has been appointed to senior leadership at the Centers for Disease Control and Prevention, alarming public health advocates and critics of industry influence on government.

Stephen Sayle, named in March as the CDC’s deputy director for legislative affairs, previously worked at Fontem Ventures, a subsidiary of the British multinational tobacco corporation Imperial Brands. Between 2017 and 2018, he was U.S. vice president of corporate affairs at Fontem, which is focused on non-combustible tobacco products like the e-cigarette brand blu and the oral nicotine pouch brand Zone. 

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Chinese tech workers are starting to train their AI doubles–and pushing back

Tech workers in China are being instructed by their bosses to train AI agents to replace them—and it’s prompting a wave of soul-searching among otherwise enthusiastic early adopters. 

Earlier this month a GitHub project called Colleague Skill, which claimed workers could use it to “distill” their colleagues’ skills and personality traits and replicate them with an AI agent, went viral on Chinese social media. Though the project was created as a spoof, it struck a nerve among tech workers, a number of whom told MIT Technology Review that their bosses are encouraging them to document their workflows in order to automate specific tasks and processes using AI agent tools like OpenClaw or Claude Code. 

To set up Colleague Skill, a user names the coworker whose tasks they want to replicate and adds basic profile details. The tool then automatically imports chat history and files from Lark and DingTalk, both popular workplace apps in China, and generates reusable manuals describing that coworker’s duties—and even their unique quirks—for an AI agent to replicate. 

Colleague Skill was created by Tianyi Zhou, who works as an engineer at the Shanghai Artificial Intelligence Laboratory. Earlier this week he told Chinese outlet Southern Metropolis Daily that the project was started as a stunt, prompted by AI-related layoffs and by the growing tendency of companies to ask employees to automate themselves. He didn’t respond to requests for further comment.

Internet users have found humor in the idea behind the tool, joking about automating their coworkers before themselves. However, Colleague Skill’s virality has sparked a lot of debate about workers’ dignity and individuality in the age of AI.

After seeing Colleague Skill on social media, Amber Li, 27, a tech worker in Shanghai, used it to recreate a former coworker as a personal experiment. Within minutes, the tool created a file detailing how that person did their job. “It is surprisingly good,” Li says. “It even captures the person’s little quirks, like how they react and their punctuation habits.” With this skill, Li can use an AI agent as a new “coworker” that helps debug her code and replies instantly. It felt uncanny and uncomfortable, Li says. 

Even so,  replacing coworkers with agents could become a norm. Since OpenClaw became a national craze, bosses in China have been pushing tech workers to experiment with agents. 

Although AI agents can take control of your computer, read and summarize news, reply to emails, and book restaurant reservations for you, tech workers on the ground say their utility has so far proven to be limited in business contexts. Asking employees to make manuals describing the minutiae of their day-to-day jobs the way Colleague Skill does is one way to help bridge that gap. 

Hancheng Cao, an assistant professor at Emory University who studies AI and work, believes that companies have good reasons to push employees to create work blueprints like these, beyond simply following a trend. “Firms gain not only internal experience with the tools, but also richer data on employee know-how, workflows, and decision patterns. That helps companies see which parts of work can be standardized or codified into systems, and which still depend on human judgment,” he says.

To employees, though, making agents or even blueprints for them can feel strange and alienating. One software engineer, who spoke with MIT Technology Review anonymously because of concerns about their job security, trained an AI (not Colleague Skill) on their workflow and found that the process felt reductive—as if their work had been flattened into modules in a way that made them easier to replace. On social media, workers have turned to bleak humor to express similar feelings. In one comment on Rednote, a user wrote that “a cold farewell can be turned into warm tokens,” quipping that if they use Colleague Skill to distill their coworkers into tasks first, they themselves might survive a little longer.

The push for creating agents has also spurred clever countermeasures. Irritated by the idea of reducing a person to a skill, Koki Xu, 26 an AI product manager in Beijing, published an “anti-distillation” skill on GitHub on April 4. The tool, which took Xu about an hour to build, is designed to sabotage the process of creating workflows for agents. Users can choose between light, medium, and heavy sabotage modes depending on how closely their boss is observing the process, and the agent rewrites the material into generic, non-actionable language that would produce a less useful AI stand-in. A video Xu posted about the project went viral, drawing more than 5 million likes across platforms.

Xu told MIT Technology Review that she has been following the Colleague Skill trend from the start and that it has made her think about alienation, disempowerment, and broader implications for labor. “I originally wanted to write an op-ed, but decided it would be more useful to make something that pushes back against it,” she says.

Xu, who has undergraduate and master’s degrees in law, said the trend also raises legal questions. While a company may be able to argue that work chat histories and materials created on a work laptop are corporate property, a skill like this can also capture elements of personality, tone, and judgment, making ownership much less clear. She said she hopes Colleague Skill prompts more discussion about how to protect workers’ dignity and identity in the age of AI. “I believe it’s important to keep up with these trends so we (employees) can participate in shaping how they are used,” she says. Xu herself is an avid AI adopter, with seven OpenClaw agents set up across her personal and work devices.

Li, the tech worker in Shanghai, says her company has not yet found a way to replace actual workers with AI tools, largely because they remain unreliable and require constant supervision. “I don’t feel like my job is immediately at risk,” she says. “But I do feel that my value is being cheapened, and I don’t know what to do about it.”

Is carbon removal in trouble?

Last week, news outlets reported that Microsoft was pausing carbon removal purchases. It was something of a bombshell.

The thing is, Microsoft is the carbon removal market. The company has single-handedly purchased something like 80% of all contracted carbon removal. If you’re looking for someone to pay you to suck carbon dioxide out of the atmosphere, Microsoft is probably who you’re after.

The company has said that it is not permanently ending its carbon removal purchases (though it didn’t directly answer further questions about this apparent pause). But with this flurry of news, there’s a lot of fear in the industry—so, it’s worth talking about the state of carbon removal, and where Big Tech companies fit in.

Carbon removal aims to reliably pull carbon dioxide out of the atmosphere and permanently store it. There’s a wide range of technologies in this space, including direct air capture (DAC) plants, which usually use some kind of sorbent or solvent to pull carbon dioxide from the air. Another important method is bioenergy with carbon capture and storage (BECCS), in which biomass like trees or waste-derived biofuels are burned for energy, and scrubbing equipment captures the greenhouse gases.

There was a huge boom of interest in carbon removal technologies in the first half of this decade. One UN climate report in 2022 found that nations may need to remove up to 11 billion metric tons of carbon dioxide every year by 2050 to keep warming to 2 °C above preindustrial levels.

One nagging problem is that the economics here have always been tricky. There’s a major potential public good to pulling carbon pollution out of the atmosphere. The question is, Who will pay for it?

So far, the answer has been Microsoft. The company is by far the largest buyer of carbon removal contracts, and it’s the only purchaser that has made megatonne-scale purchases, says Robert Höglund, cofounder of CDR.fyi, ​​a public-benefit corporation that analyzes the carbon removal sector. “Microsoft has had a huge importance, especially for getting large-scale projects off the ground and showing there is demand for large deals,” Höglund said via email.

Microsoft has pledged to become carbon-negative by 2030 and to remove the equivalent of its historic emissions by 2050. Progress on actually cutting emissions has been tough to achieve though—in the company’s latest Environmental Sustainability Report, published in June 2025, it announced emissions had risen by 23.4% since 2020.

On April 10, Heatmap News reported that Microsoft staff had told suppliers and partners that it was pausing future purchases of carbon removal, though it wasn’t clear whether the company would increase support for existing projects, or when purchases might resume. Bloomberg reported a similar story the next day. In one instance, Microsoft employees said that the decision was related to financial considerations, one source told Bloomberg. 

In a statement in response to written questions, Microsoft said that it was not permanently closing its carbon removal program. “At times we may adjust the pace or volume of our carbon removal procurement as we continue to refine our approach toward sustainability goals. Any adjustments we make are part of our disciplined approach—not a change in ambition,” Microsoft Chief Sustainability Officer Melanie Nakagawa said in the statement.

Whatever, exactly, is happening behind the scenes, many in the industry are nervous, says Wil Burns, Co-Director of the Institute for Responsible Carbon Removal at American University. People viewed the company as the foundational supporter of carbon removal, he adds.

“This pause—whether it’s short term or whatever it is—the way it’s been rolled out is extremely irresponsible,” Burns says. The vast majority of firms looking to get carbon removal contracts are probably seeking Microsoft deals. So, while Microsoft has every right to change its plans, the company needs to be open with the industry now, he adds.

“I don’t think you can hold yourself out as the paragon of fostering carbon removal and then treat a nascent industry that disrespectfully,” Burns says.

Carbon removal companies were already in turmoil in the US, particularly because of recent policy shifts: Funding has been cut back, and recent changes at the Environmental Protection Agency were aimed at the government’s ability to target carbon pollution.

Now, if the largest corporate backer is shifting plans or taking a significant pause, things could get rocky.

Depending on the extent of this pause, the industry may need to survive on smaller purchases and hope for support from governments and philanthropy, Höglund says. But for carbon removal to truly scale, we need policymakers to create mandates so that emitters are responsible for either storing the carbon dioxide they produce or paying for it, Burns says.

“Maybe the upside of this is Microsoft has sent a wake-up call, that you just can’t rely on the kindness of strangers to make carbon removal scale.”

This article is from The Spark, MIT Technology Review’s weekly climate newsletter. To receive it in your inbox every Wednesday, sign up here.