Dr. Dhruv Khullar’s New Yorker article, “If A.I. Can Diagnose Patients, What Are Doctors For?,” explores how large language models (LLMs) such as ChatGPT are transforming medical diagnostics, blending compelling anecdote with wide-ranging critique. The article opens with the story of Matthew Williams, whose mysterious gastrointestinal illness eluded eight clinicians but was quickly explained byContinueContinue reading “If AI Can Diagnose, What Are Doctors For?”
Tag Archives: health
Dr. Bot: Why Doctors Can Fail Us
And Why We Must Demand Responsible AI in Medicine It’s time to ask a hard question : Are medical errors really the third leading cause of death in the U.S. Every day, clinicians, no matter how skilled, work against a tide of fatigue, outdated knowledge, limited time, and systemic biases. The cost is measured inContinueContinue reading “Dr. Bot: Why Doctors Can Fail Us”
MAID in Delaware
There has keen interest in medical aid in dying (MAID) among the Delaware medical community with the passage of House Bill 140, as evidenced by the record downloads of the MSD HealthRealities podcast on MAID. Medical Aid in Dying: Insights From Both Sides of the Stethoscope https://www.podbean.com/ew/pb-ktbn5-1852672 Summary of HB 140 The recently enacted theContinueContinue reading “MAID in Delaware”
Corporatization of U.S. health care
Here’s my summary of an article recently published in the New England Journal of Medicine, which explores the consequences of the corporatization of U.S. health care, examining its benefits and drawbacks, and how it affects patients, medical organizations, and society at large. Corporatization Explained Corporatization refers to the growing influence of large corporations and investors in health care,ContinueContinue reading “Corporatization of U.S. health care”
Another Spike in Health Care Costs
Delaware Faces Another Health Care Cost Surge Delaware’ residents are bracing for another spike in health care costs next year, with projections showing an 8.5% increase in spending on hospitals, pharmaceuticals, and medical care for 2026. That’s bad news for Delawareans already shelling out over $10,500 a year—far beyond the pace of inflation. Why Should Anyone Care? WhenContinueContinue reading “Another Spike in Health Care Costs”
Public Health Dark Age
The United States is entering a period many are calling a new Dark Age for public health, as sweeping changes at the CDC and federal health agencies create unprecedented anxiety and disruption. While some argued the CDC needed reform, the recent shakeups, marked by mass firings, controversial new leadership, and abrupt data blackouts, represent the wrong approachContinueContinue reading “Public Health Dark Age”
Healthcare or Profitcare?
Why the U.S. Healthcare System is a Mess The U.S. healthcare system consistently underperforms compared to other high-income countries. According to a Commonwealth Fund Report and article in Harvard Business Review, even the best U.S. states fall short when measured against nations like France, Germany, the UK, and Australia. Key Points Performance Gap: The U.S.ContinueContinue reading “Healthcare or Profitcare?”
The immune system offers a window into aging
“The immune system permeates and regulates organs and tissues across the body, and has diverse roles beyond pathogen control, including in development, tissue homeostasis and repair. The reshaping of the immune system that occurs during aging is therefore highly consequential. In this Focus issue, Nature Aging presents a collection of reviews of and opinions onContinueContinue reading “The immune system offers a window into aging”
Nicotinamide Riboside vs. Nicotinamide Mononucleotide
Which NAD⁺ Booster Is Right for You? In recent years, two vitamin B3 derivatives—Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN)—have emerged as leading contenders in the world of longevity science. Both are precursors to NAD⁺ (nicotinamide adenine dinucleotide), a coenzyme essential for energy production, DNA repair, and healthy cell function. As we age, NAD⁺ levelsContinueContinue reading “Nicotinamide Riboside vs. Nicotinamide Mononucleotide”
Nurse Practitioner Training Issues
The training of nurse practitioners (NPs) varies widely, and that variation is one of the most important points in any discussion about their role in healthcare. 1. Entry Pathways RN-to-NP: Some NPs start as registered nurses (RNs) with years of bedside experience before pursuing graduate NP training. Direct-entry: Others enter NP programs without prior RN work, moving straight fromContinueContinue reading “Nurse Practitioner Training Issues”
Dr Bob, Brain Mechanic 