How artificial intelligence can enhance healthcare.

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Book Chet GPT, MD By Dr. Robert Pearl (and chat GPT) can interest you in two ways.1

First, it offers a promising, potentially revolutionary role for AI in healthcare. Second, Dr. Pearl's co-author of this book is none other than ChatGPT himself. In fact, ChatGPT wrote some content, often in response to Dr. Pearl's comments.

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Experiencing their interactions and occasional disagreements is, in my view, the value of the book. But there is more to it.

Robert Pearl: Chet GPT, MD

Source: Written permission of the author.

Dr. Pearl is a widely respected healthcare leader, educator, and former CEO of Kaiser Permanente. He also writes a newsletter entitled “Monthly Musings on American Health Care,” a popular way to keep up with issues in American health care. You may also be familiar with two of his most influential books: Misbehaved.2 And Careless.3

Dr. Pearl begins by examining the rise of American medicine during the first three quarters of the 20th centuryTh century, when a largely altruistic medical field combined with powerful research and nimble public health initiatives produced dramatic results in medicine, surgery, and public health. Result? Doubling from 40 to 80 is no small feat.

These successes began with controlling. Severe health problemsFor example, with the development of antibiotics and surgery. Ever-increasing research has led to continued successes with physical diseases—for example, polio control, organ transplantation, coronary care units, cholesterol-lowering drugs, and genetic manipulation.

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But in the last quarter of the 20's the structure and practice of medical care changed.Th century, all was not well, and the drug would hit hard times in the 21st.St Why century? The incorporation of the medical industrial complex (insurance companies, hospitals, pharmaceutical houses, and medical equipment companies) into health care shifted policy decisions from medical professionals to the CEOs of large companies who were doctors. And they had stockholders instead of patients. .

Satisfied with the status quo and their growing financial success, these medical behemoths failed to meet the needs of the changing landscape of medicine, in which mental illnesses and chronic physical illnesses replaced acute health problems as common health conditions. Changed.

An example of this leadership failure was CEOs relegating primary care to the secondary status of gatekeepers who would primarily act to refer patients to specialty care. Primary care physicians were further insulted by being paid much less than specialists who became admired for the admittedly outstanding work they did.

It was a mistake not to recognize the central role and equal importance of primary care. For example, research shows that adding 10 primary care clinicians to a population of 100,000 people increases life expectancy almost three times more than adding 10 specialists.

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It is not surprising that a severe shortage of primary care physicians emerged. So why do CEOs do this? Medical groups make more money from lucrative surgical procedures performed by specialists than they do from more difficult work performed by primary care physicians.

In line with this, Dr. Perl explains how health care spending has grown from 6.9 percent of GDP in 1970 to 17.2 percent of GDP in 2010, with current health spending at nearly $4 trillion annually and by 2031. It is estimated to grow to $7 trillion but percent. GDP expenditure has now been reduced.

The reason for this is what Dr. Perl calls. People are paying the same but for less care because of i) high deductible health insurance; ii) shifting costs from federal programs to private insurance, where costs are passed on to subscribers; And without insurance; and iii) delay and denial of care, for example, requiring prior authorization.

Therefore, costs are increasing as care deteriorates. Meanwhile, many healthcare CEOs make millions each year. It is the economic crisis Dr. Pearl predicts will lead to change.

@ashtwinproject on Twitter: Chat GPT Self-Portrait.

Source: Creative Commons CC0 license

Now, let's consider how AI can help. Citing ChatGPT itself, Perl's book claims that “the role of AI in healthcare is not to replace human interaction or clinical expertise, but to enhance it. To handle time-consuming administrative tasks, assist in diagnostic processes By doing, and offering data-driven clinical insights, AI can free clinicians to focus on what they do best—patient care.It aims to humanize the burden of mundane tasks Shifting from shoulder to digital tasks, giving doctors and nurses more time for direct patient care and communication, which is at the heart of clinical practice.

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Here are a few Perl examples of what AI can do.

  • For pre-consultation management, patients can use AI to learn about their symptoms before visiting a doctor to make them more empowered patients.
  • For chronic disease management, patients can monitor their blood pressure or diabetes continuously rather than relying on episodic, often annual, checks during doctor visits.
  • Thirty percent or more of cardiovascular disease and cancer are potentially preventable. Prevention can be greatly enhanced by guiding patients through AI to, for example, stop smoking, exercise more, and eat a healthy diet. As a result of these and other preventive efforts, AI may have the potential to reverse the chronic disease epidemic.
  • By informing and monitoring activity in the same way, AI can make hospitals safer, prevent deaths and disabilities from misdiagnosis, and save lives from unnecessary medical errors.

You may be tickled, as I was, when ChatGPT slightly chastises Dr. Pearl for perhaps being overly optimistic.

Dr. Pearl argues that the medical revolution needed to overturn the medical-industrial complex will be mediated by AI in conjunction with two developments: social disaffection with health care and economic destruction of the current model. A promise of action. Not surprisingly, he advocates the need for new leaders without old medical traditions, especially mercenaries who have aggressively infiltrated the once-hallowed profession.

This book provides unique insight into the problems of medicine, the serious shortcomings of which most are incompletely aware, especially that a major revolution in care must take place. (And if you need another reason to buy this book, Dr. Pearl donates all proceeds from his books to Doctors Without Borders.)

references

Pearl R, Chet GPT. Chet GPT, MD: Robert Pearl Self-Published, 2024.

Pearl R. Abused — Why We Think We're Getting Good Health Care — And Why We're Usually Wrong New York: Public Affairs, 2017.

Pearl R. Uncaring – How Medicine's Culture Kills Doctors and Patients New York: Public Affairs, 2021.

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