Essays
2026-06-14
A morning clinic scene becomes a larger argument about physician identity in the AI age: the screen now competes with the patient for a clinician’s attention, and the real question is which kind of medicine we are willing to practice. I used to think better software would fix this. Then the clinic taught me that design, team structure, and moral discipline matter more than slogans.
Read article →2026-06-10
When AI enters the diagnostic chain, the “second opinion” becomes a shared judgment across clinician, institution, and vendor, and responsibility gets harder to locate when the model is wrong. The real ethical question is not whether AI can advise care, but who owns the consequences when human trust, workflow design, and software output collide.
Read article →2026-05-23
A personal essay on how persistent neck pain, a NUCCA chiropractic visit, and the humility of being wrong can teach physicians to keep challenging sacred cows in medicine and beyond.
Read article →2026-05-19
AI tools are lowering the cost of software creation so fast that the center of gravity is moving from mass-market SaaS toward software shaped around one person at a time. The transition will look chaotic before it looks elegant, because personalization always starts as a pile of awkward edge cases and ends as an interface that feels inevitable.
Read article →2026-04-13
Popular media has long coded middle-aged heterosexual cis-male sexuality as either invisible, comic, or predatory, and that pattern says as much about gender anxiety as it does about desire. Read through a clinician-humanities lens, the shift from Ward Cleaver to American Beauty to White Lotus reveals changing scripts for masculinity, age, and appetite, and why those scripts matter for the next generation.
Read article →2026-03-31
>-
Read article →2026-03-30
A K-shaped AI takeoff could accelerate efficiency in wealthy health systems while leaving under-resourced ones further behind. The policy challenge is not whether AI enters medicine, but whether governance makes its benefits distributable instead of structurally unequal.
Read article →