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Maddie (she/her)
@madsazolam.bsky.social
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Reposted by Maddie (she/her)
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“AI views both suffering and care as computational problems.” 😮‍💨
We risk entering a perverse loop: machines are supplying the language with which patients relay their suffering, and doctors are using machines to record and respond to that suffering. This cultivates what psychologists call “cognitive miserliness”, or a tendency to default to the most readily available answer rather than engage in critical inquiry or self-reflection. By outsourcing thought, and ultimately the most intimate definitions of ourselves to AI, doctors and patients risk becoming yet further alienated from one another. In this trajectory we can see the evolution of what Michel Foucault described in The Birth of the Clinic as the “medical gaze” – the separation and isolation of the diseased body from the lived experience of the person and their social environment. Where the 19th-century gaze fragmented the patient into lesions and signs visible to the clinician, and the late 20th-century evidence-based gaze translated patients into odds ratios and treatment protocols, the 21st-century algorithmic gaze dissolves both patient and doctor alike into never-ending streams of automated data. AI views both suffering and care as computational problems.
November 9, 2025 at 3:12 PM