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Scale & Strategy

This is Milk Road, the offensive linesman protecting you (the quarterback) in the game we call ‘Business’.

Here’s what we got for you today:

• Microsoft’s Medical AI Just Crushed Human Doctors
• Google Ads’ Maximize Clicks: What You Need to Know Before You Burn Your Budget

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Microsoft’s Medical AI Just Crushed Human Doctors

This might be the closest we’ve come to medical superintelligence.

Microsoft just dropped a new system — the MAI Diagnostic Orchestrator (MAI-DxO) — and it’s making experienced doctors look like undergrads. Powered by OpenAI’s o3 model, the system blew past human performance on some of the toughest diagnostic cases in medicine.

Here’s what it does:

• MAI-DxO acts like a full-on diagnostic dream team. It splits tasks between multiple specialized agents: one for generating hypotheses, another for choosing diagnostic tests, and another focused on controlling costs.
• Microsoft tested it on a new benchmark called SDBench — a set of 304 hard-to-diagnose medical cases.
• The result? MAI/o3 solved 85.5% of them. Experienced doctors (5–20 years in the field) only solved 20%.
• Even better, it did it cheaper — $2,397 per case vs. $2,963 for human physicians.

Why it matters:​
This isn’t a flashy demo or theoretical model. It’s AI outperforming humans in real-world, high-stakes scenarios — and saving money while doing it. The healthcare system doesn’t just suffer from cost bloat — it misses complex diagnoses and overtreats the obvious.

MAI-DxO hints at a near-future where better care doesn’t have to cost more — and where AI doesn’t just assist doctors… it outpaces them.

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Google Ads’ Maximize Clicks: What You Need to Know Before You Burn Your Budget

Google gives you three types of bid strategies: manual (you control everything), Smart Bidding (Google controls everything), and Maximize Clicks — the in-between option that tells Google to blow your full budget chasing clicks.

Here’s the no-nonsense breakdown:

What is it?​
An automated bid strategy that aims to get the most clicks for your budget. Important distinction: it optimizes for quantity, not quality.

When to use it:

• New campaigns with no conversion data
• Driving cheap top-of-funnel traffic
• Early-stage Shopping campaigns when you just need to collect signals

When to avoid it:

• You care about conversions
• You’re already tracking actions like leads or purchases
• You’re ready for smarter options like Target CPA or Target ROAS

Is it Smart Bidding?​
Not exactly. It’s automated, but not “smart.” It uses basic signals like device, location, and time — but it doesn’t learn from conversions or optimize for outcomes.

Can you cap CPC?​
Yes. You can set a max CPC, but it can restrict reach and slow down optimization.

Where it works:​
Search, Shopping, Display, and Demand Gen campaigns. It’s not available for Video or Performance Max.

Bottom line:​
Maximize Clicks has its place as a temporary play — but once you’ve got conversion data, switch to something built to drive actual results. This isn’t a long-term strategy. It’s a placeholder. Use it accordingly.

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