Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Technologists versus doctors: Who wins?

Robert Pearl, MD
Physician
August 5, 2013
Share
Tweet
Share

The notion that doctors can be replaced by technology has sparked a series of brawls between doctors and technologists over the last couple of years. Today, both sides continue to throw punches in the press and online.

As health care technologies become more sophisticated, the opportunity to automate medical decisions becomes more seductive. Yet, physicians are unwilling to throw in the towel. They point to the importance of human interaction and the dominance of the human brain over the most advanced computers.

Earlier this year, I refereed such a duel. I was asked to moderate a panel discussion between two men central to this debate. Fighting in the technologists’ corner: Vinod Khosla, a venture capitalist and founder of Khosla Ventures. His opponent: Dr. Abraham Verghese, a physician and author of the best-selling novel “Cutting for Stone.”

I was clear that I wanted a clean fight. No hitting below the belt, neutral corners upon my instructions, touch gloves and come out at the bell.

Although both men were proven heavyweights with powerful perspectives and laser-like jabs, there was more agreement than I thought possible heading into the event.

The venture capitalist Vinod described medicine as something left over from the past. He referenced doctors’ frequent use of anecdotal approaches over proven scientific methods. He hypothesized that “Big Data” could be a solution to many of the industry’s shortcomings, arguing technology can and should replace 80 percent of what doctors do.

Abraham countered with the doctor-patient relationship. He recited powerful stories of how trust begins through doctor-initiated rituals, like putting fingers on the patient’s wrist to measure a pulse.

As the moderator, I loved both viewpoints. And I believe each is right. Until antibiotics were introduced in the 20th century, medical treatment harmed more people than it helped. Yet patients have respected doctors as healers since ancient times.

Vinod is right in that a century from now people will laugh at much of what we call “modern medicine” today, just as we now look down on past practices as witchcraft. Moreover, he understands how rapidly knowledge is accumulating. He correctly points out that doctors without computers can’t keep up with the most up-to-date approaches.

At the same time, Abraham is correct that medicine can’t be based on data and algorithms alone. Trust is what enables a doctor to help a patient cope with chronic disease or to engage in end-of-life discussions. And trust is dependent on human relationships.

Medication compliance – the degree to which a patient correctly follows medical advice – is a powerful example of how both men are correct. Studies show patients follow doctor recommendations as little as 50 percent of the time. Although there is no way to know for sure, some estimate that 100,000 people die each year from non-compliance.

In some cases, patients don’t follow doctors’ orders because they are confused about the timing and dosage of medication. One solution for these patients could be a mobile device with a drug application. They would simply receive pop-up reminders when it is time to take their medication. Take the dosage, touch the screen and the reminder disappears. Failure to touch the screen notifies a doctor or nurse.

In other cases, however, this solution would be inadequate. Consider patients whose lack of compliance results from fear. For example, a patient’s friend was prescribed the same drug and died. The solution here requires a trusted doctor who can explain why the drug is necessary and the risks involved. And most patients trust doctors more than computers.

ADVERTISEMENT

Patients are more willing to follow medical instructions, focus on positive lifestyle changes and tell the truth when they have confidence in their doctor. But doctors can do much more for patients when modern technology is assisting them.

When the final bell rang, I scored the match a draw. Everyone in the audience recognized that both computers and people will be needed in the future – not as substitutes for each other, but as complements to one another. To do that, however, both sides need to meet somewhere in the middle.

Technologists must accept that they can’t replace doctors with new technologies. Meanwhile, physicians must accept that computers and algorithms can improve their profession. Together, these powerful forces have the potential to take the health care system to the next level.

Robert Pearl is a physician and CEO, The Permanente Medical Group. This article originally appeared on Forbes.com.

Prev

Burnout: The perfect storm of physician stress

August 5, 2013 Kevin 6
…
Next

Is the Mexican abortion pill safe?

August 6, 2013 Kevin 13
…

Tagged as: Health IT, Primary Care, Public Health & Policy

< Previous Post
Burnout: The perfect storm of physician stress
Next Post >
Is the Mexican abortion pill safe?

ADVERTISEMENT

More by Robert Pearl, MD

  • The emotional toll of a broken health care system

    Robert Pearl, MD
  • Medicare’s cobra effect: How a well-intentioned policy spiraled into a health care crisis

    Robert Pearl, MD
  • Empowering patients: Navigating medical information with AI

    Robert Pearl, MD

More in Physician

  • Moral injury in medicine: When silence becomes a survival strategy

    Timothy Lesaca, MD
  • Medical misinformation: Navigating vaccine hesitancy with empathy

    Christine J. Ko, MD
  • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

    Brian Hudes, MD
  • Physician weight loss strategy: Why willpower isn’t enough in 2026

    Archana Reddy Shrestha, MD
  • Demedicalize dying: Why end-of-life care needs a spiritual reset

    Kevin Haselhorst, MD
  • Physician due process: Surviving the court of public opinion

    Muhamad Aly Rifai, MD
  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Celiac disease psychiatric symptoms: When anxiety is autoimmune

      Carrie Friedman, NP | Conditions
    • When diagnosis becomes closure: the harm of stopping too soon

      Ann Lebeck, MD | Physician
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • Business literacy empowers physicians to lead sustainable health systems [PODCAST]

      The Podcast by KevinMD | Podcast
    • The necessity of getting lost to find yourself

      Michele Luckenbaugh | Conditions
    • Physician resilience: Why systems matter more than heroism

      Harvey Castro, MD, MBA | Tech
    • Medical bankruptcy: the hidden cost of U.S. health care

      Richard A. Lawhern, PhD | Conditions
    • Tobacco treatment neglect: Why 25 million smokers are left behind

      Edward Anselm, MD | Conditions
    • Music and brain plasticity: How sound rewires your mind

      Marc Arginteanu, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 8 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Celiac disease psychiatric symptoms: When anxiety is autoimmune

      Carrie Friedman, NP | Conditions
    • When diagnosis becomes closure: the harm of stopping too soon

      Ann Lebeck, MD | Physician
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • Business literacy empowers physicians to lead sustainable health systems [PODCAST]

      The Podcast by KevinMD | Podcast
    • The necessity of getting lost to find yourself

      Michele Luckenbaugh | Conditions
    • Physician resilience: Why systems matter more than heroism

      Harvey Castro, MD, MBA | Tech
    • Medical bankruptcy: the hidden cost of U.S. health care

      Richard A. Lawhern, PhD | Conditions
    • Tobacco treatment neglect: Why 25 million smokers are left behind

      Edward Anselm, MD | Conditions
    • Music and brain plasticity: How sound rewires your mind

      Marc Arginteanu, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Technologists versus doctors: Who wins?
8 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...