@Austen Alternatively, use AI to build, customize and maintain your own Salesforce app. Frontier models are excellent at this. You just describe your data model and your workflow and it will walk you through all the steps, write formulas and code, debug and suggest future proofing.
Yes. Healthcare is rationed through a supply issue mostly tied to a lack of funding.
From a recent article in the Atlantic “The National Health Service, the celebrated pillar of the British cradle-to-grave welfare state, has a backlog of 6 million patients—almost a tenth of the population—waiting for treatment. The health service now has to spend more money settling maternity-malpractice claims than it does on actually providing maternity care. Many Brits can neither obtain an appointment with a publicly funded dentist nor afford a private one; in a 2023 survey, one in 10 reported doing DIY dental work, in extreme cases extracting their own teeth or gluing broken crowns back together.”
Or from the guardian: “reports that paramedics in England are unable to respond to around 100,000 urgent 999 calls every month because ambulance crews are tied up outside hospitals (A&E departments) waiting to hand over patients. This led to over 3,500 missed responses per day in the period analyzed, with ambulances spending over 1.6 million hours waiting in the year leading up to November 2024. The piece highlights risks to patient safety amid broader NHS pressures.”
Keep in mind that 1 in 9 British citizens pay for private insurance. It is actually a two tier system.
Define “figured this out”. It’s universal healthcare in theory, highly rationed care in practice.
There should be multiple tiers of care: life-saving, emergent care which is covered by EMTALA, medically necessary care, which is our problem area and then elective care which should be subject to market forces. Defining that middle tier is the first step.
Also, smart technology that allows us to scale resources for the middle tier.
Focus on reassigning low value / protocol medicine to non human or low human interactions and save human care givers for the high impact areas.
This is what I think, at least philosophically, is interesting with the anthropic AI debate wherein they said they wanted to approve how their technology was used (and then Trump cancelled all their contracts etc). What is the source of government power? And could AI possibly be more powerful than government. What are the
Implications for free speech and access to knowledge. It’s like the Catholic church of old not wanting anyone to actually read the bible. Maybe AI will do to government what government did to the church?
If I were FIFA, I’d think very carefully about what happens to haughty Europeans who try to impose rules we don’t like on us without our consent on our home soil around July 4th.
I think this is the most important use for the admin side of healthcare. Of course the obsession is RCM and ROI but the people have no idea how useless and unreadable so much of the incoming CCDA documents are. Next we need to put on custom filters so specialists can filter out the records they need. And set pricing accordingly.
Or CS Lewis
Of all tyrannies, a tyranny sincerely exercised for the good of its victims may be the most oppressive. It would be better to live under robber barons than under omnipotent moral busybodies. The robber baron's cruelty may sometimes sleep, his cupidity may at some point be satiated; but those who torment us for our own good will torment us without end for they do so with the approval of their own conscience.
I think mid-level providers could make health care more accessible and frictionless for consumers. For some reason, that isn’t occurring yet. Protocol medicine could certainly be handled by mid-levels but you will still need a rigorously trained physician for the harder stuff so it is not only a reasonable model, it is a necessary one.
And yes, employers, consumers and the government want less expensive care. Amazon Medical One and Open Evidence are almost free. How long until the bulk of the work being done by mid level providers can be done by a chatbot with a prescribing agent?
I grew up hearing that what made America special wasn’t ethnic unity or centralized power, but a commitment to pluralism, candor, and free speech.
As I explained at @asugsvsummit w/ @oliviaegross, those values are rarer than we think, and more fragile than we admit.
“The entire regulatory apparatus aimed at doctors rests on the premise that physicians cannot be trusted to act in patients’ interests because they have financial motivations of their own. Fair enough. But then why would we assume the regulators regulating them are somehow free of the same motivations?”
The ACA doubles down on this fallacy by handing cost controls to health system admins and private equity.
Classical music proves excellence is real and worth pursuing.
Composers and musicians spent lifetimes mastering their craft.
In a world that celebrates mediocrity, hearing true genius and hard work reminds you standards still matter.
Listen to classical music.