Create an essay about what a medical in silico Ponzi scheme would be. A “medical in silico Ponzi scheme” would be a pathological version of today’s enthusiasm for computational medicine, where value and credibility are manufactured by ever more layers of models, projections, and virtual evidence rather than grounded clinical reality. The structure would echo a financial Ponzi scheme: early “returns” and apparent successes are paid for by continually enrolling new models, new surrogate endpoints, and new hype, while the underlying biological and clinical validity is never properly demonstrated. Once the flow of new inputs (funding, datasets, favorable publications, regulatory forbearance) slows or a real‑world test punctures the illusion, the structure collapses. Core idea In normal science, in silico methods are tools that extend and refine empirical work: simulations help generate hypotheses, reduce search space, and design better trials. In a medical in silico Ponzi scheme, tha...