Walking out of the cath lab one night after taking care of a patient with an acute myocardial infarction, a thought crossed my mind. In cardiology, we would never deploy a new device without vetting it. Before a stent ever touches a coronary artery, it undergoes bench testing, animal trials, and human studies to prove safety and efficacy. This process typically takes years, and in some cases, decades. Data points …
America’s mental health system is failing its seniors, caught in a perfect storm of: a rapidly growing population, a severe shortage of geriatric psychiatrists, and a Medicare model buckling under the weight of chronic, costly conditions. For millions of older adults living with anxiety, depression, or isolation, the system offers little or no treatment; often, the nearest provider is hours away, and waitlists stretch for months. …
As a physician, I know all too well what clinicians in the U.S. today are up against. We’re being asked to do a lot more with a lot less. We’re tasked with producing more complete and accurate clinical documentation, reviewing endless notes, coding our own charts, and improving patient flow, all while providing the best patient experience and ensuring quality scores are optimal. All in a day’s work, right?
Our hippocratic …
To give you an idea of how rapidly AI adoption has occurred, I recently reviewed the minutes of a company leadership meeting from last year. The topic of AI was almost entirely absent, receiving only minimal discussion. Compare that activity to today, where we’ve developed dozens of applications that actively utilize some form of AI, and hold daily meetings where it is the sole topic of discussion.
If your organization’s experience …
Is it time for the Department of Veterans Affairs (VA) to fully embrace virtual care?
The VA has long been one of America’s great health care innovators. From pioneering electronic health records to building one of the first truly integrated care systems, the VA has often been decades ahead of the private sector.
But today, the system is straining. Nearly 94 percent of VA facilities face physician shortages, and 79 …
For the third time in six weeks, a 34-year-old woman sat in an emergency room, desperate for help, and for the third time, the system failed to see her. It saw her dehydration, severe enough to require IV fluids. It saw her malnutrition, with electrolyte imbalances that required correction. It saw her vision problems, concerning enough for an ophthalmologic consultation. It saw everything except the person suffering. Each time, the …
As a founder developing AI systems for mental health support, I have wrestled with a fundamental question: How do we use AI to expand access while maintaining patient-provider trust? Building an AI Mental Health Copilot has shown me that the ethical challenges are as complex as the technical ones, and far more consequential. The mental health crisis demands innovation. AI copilots offer scalable, always-available support to bridge care gaps caused …
Into this psychological wasteland, we’re now introducing AI companions as the solution. Meta’s personas, Character.AI’s virtual friends, and romantic chatbots; the market for artificial intimacy is exploding. The promise is seductive: connection without risk, companionship without effort, and validation on demand.
But here’s what these AI relationships actually do: They allow users to avoid the very challenges that build psychological resilience. Genuine relationships require vulnerability, the ability to tolerate conflict, and …
The Bay Area has become the epicenter of artificial intelligence, home to renowned startups and labs racing to prove AI’s power to transform our daily lives.
Just three months ago, California released its own Frontier AI Policy Report, commissioned by Governor Gavin Newsom, which warned that without stronger oversight and transparency, AI models threaten equity and accountability, especially in health care. Nowhere is this danger more urgent than in dermatology.
A …
As artificial intelligence (AI) continues to gain traction in health care, its potential to improve patient outcomes, streamline workflows and reduce human error is becoming increasingly evident. Many health care leaders are embracing AI as a core part of their digital transformation strategies. In fact, a recent study in Health Affairs, which analyzed data from the American Hospital Association, found that sixty-five percent of U.S. hospitals used predictive AI …
Imagine your hospital’s entire IT operation grinding to a halt because of a snowstorm, cut fiber lines, or unstable internet connectivity. This is not a worst-case scenario for many rural health care providers; it is a regular reality. And it highlights just how fragile the digital infrastructure is in many parts of our country.
Across rural America, hospitals are losing physicians and fighting to stay open while serving communities …
At the risk of sounding out of the times, I think back to how simple education was back in the day: attend lectures, take notes, read books (gasp), do any relevant flashcards or question sets, and repeat. Indeed, this formula is a functional strategy for many prior generations of doctors. For my own medical journey, now fifteen years in as an otolaryngology resident, this simple strategy has worked well enough.
The …
Introduction: a double-edged disruptor
Artificial intelligence (AI) has quickly insinuated itself and is transforming nearly every corner of modern life. Health care is no exception. With the rise of advanced chatbots, symptom checkers, and health-focused algorithms, patients now have 24/7 access to vast medical knowledge at their fingertips in seconds. The excitement is understandable: AI can demystify medical “doctor-speak” or jargon, suggest possible diagnoses and treatment options, and empower patients to …
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Introduction: a double-edged disruptor
Artificial intelligence (AI) has quickly insinuated itself and is transforming nearly every corner of modern life. Health care is no exception. With the rise of advanced chatbots, symptom checkers, and health-focused algorithms, patients now have 24/7 access to vast medical knowledge at their fingertips in seconds. The excitement is understandable: AI can demystify medical “doctor-speak” or jargon, suggest possible diagnoses and treatment options, and empower patients to …
I love technology. I love the health care AI I use every week including Viz.ai and OpenEvidence and Glass Health. I am generally a tech optimist. And even as cries of overhype on artificial intelligence start wading into the public discourse, I truly believe that AI will as fundamentally alter society and health care as the internet or the mobile phone.
But, I am convinced the whole industry is doing AI …
As a founder in digital mental health, I’ve watched our industry celebrate reaching $8.34 billion in valuation while systematically failing 40 percent of the population. This isn’t just a moral failure, it’s a $20 billion market opportunity that’s being ignored because of cultural blindness. For physicians trying to refer diverse patients to digital mental health resources, the options are frustratingly inadequate. With the total U.S. behavioral health market valued …
Before venturing into medicine, I was focused on aviation, training as a pilot at age 15. To this day, I can still recite every step of the engine-failure sequence from memory. Pilots are trained this way for a reason: They spend hours in simulators practicing under duress, so that when something goes wrong in the real world, they respond instinctively. By the time they are in the cockpit with passengers …
The night shift was unusually calm. Mr. T, a 74-year-old admitted for pneumonia, had completed his evening antibiotics and was resting quietly. His blood pressure, heart rate, temperature, and oxygen saturation were all within normal limits. The nurse’s 2 a.m. note was brief but telling: “Less talkative tonight,” “Needed encouragement to walk to the bathroom,” “Left most of his dinner untouched.”
By morning, Mr. T was febrile, hypotensive, and confused. Within …
Dara closes one eye, then the other. “What the hell?” she thinks. The vision in one eye is noticeably darker and worse than in the other eye. She exits the dark room, where she had been coding a new website for a client, and heads to the bathroom. She looks at herself in the mirror. Nothing seemed wrong with her eyes. Nothing hurts, well, maybe a slight headache, but she …
I still remember the day the shiny new EHR went live. We were promised instant access to every lab, perfect legibility, and (my favorite buzzphrase) “more time for patient care.” What arrived instead was a blinking cursor waiting for someone to type every blood-pressure reading, family-history nuance, and treatment plan. That “someone” was often the physician. Handwritten scrawl, once dashed off in seconds (illegible but efficient), was replaced by after-hours …
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