Bioethicists have been debating the idea for a while, e.g., pubmed.ncbi.nlm.nih.gov/24556152/. Now others are trying to empirically validate the concept. I think it is a case where bioethics for some is really just figuring out how to use technology to support a single bioethical principle.

In one sense, AI surrogate decision-makers are the right answer to the wrong question: familymeetingnotes.substack.com/p/a-machine-... #hapc #ai #medsky

A response in narrative: familymeetingnotes.substack.com/p/nothing-be... #hapc #medsky #ai

So maybe 15 years from now none of this will matter (though I'm skeptical) -- but in the meantime, I think I stand by what I told Dhruv in that story, if we (meaning educators) don't figure out how to train the next gen in this environment, we're all screwed.

My biggest concern about this technology in the short (and, well, medium)-term is what is does to US, especially the current generation of doctors in training. Even the difference between my third year and first-year residents is pretty stark in their use of AI tools (especially Open Evidence)

I don't discount the possibility that AI might be helpful in a number of different ways, but there's very rarely an unmitigated good in health care. There's almost always a trade-off, and we should consider that instead of writing advertisements for journals.

I'm not wholly against using AI in some settings (e.g., I use OpenEvidence occasionally), but we need to count the cost of its use. We can learn from history to discern how AI might impact us socially, existentially, and, yes, philosophically. #medsky #ai

These authors come close to highlighting lessons from our experience with EMRs. It's like their hope in AI overwhelms their realistic appraisal of how the EMR and AI are alike in that they're both forms of technology which shape us. web.cs.ucdavis.edu/~rogaway/cla...

If the relationship fundamentally changes, it's because one or both parties in the relationship are dehumanized by the ever-increasing mechanization of the clinical encounter. familymeetingnotes.substack.com/p/my-machine...

4. "Expect the physician-patient relationship to evolve." This prediction is grounded on a wholly technical understanding of that relationship in which the clinician is responsible for providing services to a customer. This relationship is about a person in need seeking help from another human.

3. The fatalism is obvious. They draw the parallel w/ EMRs but don't draw out the implication: "Just as the electronic health record forced clinicians to spend more time at computers, GenAI will alter how clinicians work." What will #AI force us to do? familymeetingnotes.substack.com/p/where-the-...