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Christian Pean MD, MS's avatar

Sure it's satire, but none of it is untrue. And I am increasingly wondering about this era of consumer adjacent health AI-- I say consumer adjacent because health policy is catching up. The wearables and the virtual visits are going to be covered by insurers, and the willingness to pay for this mode of care is increasing. AND I joke but it has been a very convenient and pleasant experience to have care augmented by AI and the expanding wellness+ health industry...so where does this leave the traditional health system? Largely intact for complex care, but the sands are shifting below are feet.

Nick Hanson MS, RN, CEN's avatar

The satire works because it is mostly true, and that is the uncomfortable part. The consumer AI front door is not winning because it is better medicine, it is winning because you could not reach your own primary care doctor for seven months, and a system that cannot answer the phone has already ceded the ground. I build these kinds of tools and I wear the wearables, so I am not the skeptic in the corner. But from the ER I see the failure mode of the I am so healthy dashboard up close: the person who optimized every number and still walked in with the one thing none of those numbers were watching. A wearable gives you precision, not accuracy, and an agent that sounds certain is not the same as one that is calibrated. The open question for me is governance: when Dr. Atlas is confidently wrong, who is accountable, and how does the patient ever know?

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