Strange how you accuse me of intentionally lying, yet write the above. I will be more kind than you, and assume that you are unaware of (for example) the EB-2 visa which someone like Karpathy would certainly qualify for immediately. All a H-1B allows, from the "dual intent" perspective, is to temporarily extend the time one can stay in the US while looking for a job that will sponsor for another visa type (typically EB-2); it by itself *does not automatically lead to a green card or US citizenship*.
EDIT: I somehow overlooked another, ahem, inaccuracy in your riposte. Someone like Karpathy would easily have qualified for the 24-month STEM OPT extension to the base OPT year.
Bottom line: A Stanford PhD (not necessarily in a STEM field) who wants to stay in the US has very good odds of being able to do so.