A Skeptical Read of the “AI-Alone Medicine” Argument https://jamanetwork.com/journals/jama/fullarticle/2852952 There’s a comfortable consensus in medicine about artificial intelligence: the machine assists, the physician decides. The AMA even rebranded it “augmented intelligence” to keep the human firmly in charge. A recent JAMA Viewpoint by Ezekiel Emanuel and colleagues sets out to demolish that consensus. Its claimContinueContinue reading “When the Doctor Becomes Optional đł”
Tag Archives: healthcare
The Evidence Gap in Deep Cervical Lymphatic Procedures for Alzheimer’s
Deep cervical lymphatic-venous anastomosis is one of the more interesting failures-in-progress in recent Alzheimer’s research. Theoretically seductive, evidentially threadbare, and already the subject of a regulatory ban in the country where it originated. The theoretical case The rationale rests on the glymphaticâmeningeal lymphatic clearance model: cerebrospinal and interstitial fluid carry metabolic waste, including amyloid-β andContinueContinue reading “The Evidence Gap in Deep Cervical Lymphatic Procedures for Alzheimer’s”
Analysis and Critique of Delaware HB 422
This post was written by Perplexity, reviewed by Dr. Varipapa and posted on May 15, 2026 HB 422 would create a new Delaware Title 16 chapter requiring enhanced informed consent before vaccines are administered to infants under 12 months at well-child visits, plus mandatory documentation of recent vaccination history in every SUID/SIDS investigation. The billContinueContinue reading “Analysis and Critique of Delaware HB 422”
The AI RoboDoctor Will See You Now
A Harvard-led study just dropped a result that will make every ER doctorâs stethoscope twitch. In a head-to-head against attending physicians at a Boston hospital, OpenAIâs o1-preview reasoning model diagnosed patients more accurately at the moment of triage, just when information is sparse, time is short, and getting it wrong can kill someone. The NumbersContinueContinue reading “The AI RoboDoctor Will See You Now”
Beyond Statins: A Smarter, Personalized Strategy to Reduce Cardiovascular Risk
About the Author Iâm a retired neurologist who spent decades managing vascular disease and its consequencesâstroke, cognitive decline, and disability. Much of that burden traces back to atherosclerosis. The science of lipid management has evolved dramatically, but everyday practice and public understanding have not kept pace. This piece distills what matters now: how to reduceContinueContinue reading “Beyond Statins: A Smarter, Personalized Strategy to Reduce Cardiovascular Risk”
Whatâs Wrong with US Health Care
The U.S. health system is fundamentally broken across several dimensions ⢠Unaffordable: High costs burden both individuals (medical debt, especially for chronic illness) and the nation (nearly double perâcapita spending vs. peers). ⢠Incomplete coverage: 27 million uninsured today, potentially rising to ~40 million due to policy changes. ⢠Overly complex: Administrative hurdlesâespecially prior authorizationâmakeContinueContinue reading “Whatâs Wrong with US Health Care”
How We Built a Payment System That Undervalues Thinking in Medicine
American medicine did not accidentally drift into its current imbalance between cognitive and procedural care. It was built that way, step by step, over the past 75 years. The American Medical Association played a central role, not as the sole actor, but as the architect of key structures that continue to shape how physicians areContinueContinue reading “How We Built a Payment System That Undervalues Thinking in Medicine”
Solution to Delaware Health Care Costs?
Delaware has some of the highest healthcare costs in the country, and Senate Bill 1 is exactly the kind of reform our state needs. SB1 strengthens primary care while finally addressing one of the biggest drivers of high insurance premiums: hospital pricing that has been allowed to rise far above national benchmarks. A key provision would cap certain hospitalContinueContinue reading “Solution to Delaware Health Care Costs?”
The Biohacking Brothers: Legit or Snake Oil Salesmen?
Warning: Most of this is not clearly backed by medical science and should be looked at with a critical eye. There clearly appear to be issues with anecdotal evidence, placebo response and the entrepreneurial aspect of the Biohacking Brother’s recommendations. Miguel and Carlos Bertonatti, also known as the “Biohacking Brothers,” are health optimization entrepreneurs andContinueContinue reading “The Biohacking Brothers: Legit or Snake Oil Salesmen?”
The Role of Doctors Is Changing Forever
Physician and writer Dhruv Khullar argues that doctors are losing their traditional authority as new forces, artificial intelligence, wellness influencers, populist movements, and corporate interests, compete for public trust in medicine. Through the story of âJim,â a patient who self-diagnosed a blood clot using ChatGPT, Khullar illustrates how the medical journey increasingly unfolds outside traditionalContinueContinue reading “The Role of Doctors Is Changing Forever”
Dr Bob, Brain Mechanic 