#doctor — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #doctor, aggregated by home.social.
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Nearly 1,400 doctors left Israel in three year period
In the last three years, about 1,370 doctors left Israel for at least 12 months, a Tel Aviv…
#NewsBeep #News #BreakingNews #breakingnews #doctor #Israel #medical #Medicalstudy #Medicine #Research #TelAvivUniversity
https://www.newsbeep.com/720790/ -
DATE: August 13, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: What patients actually think about ‘minimally invasive’ brain implants
Scroll through the flashy websites of neurotechnology startups and a phrase repeats again and again: “minimally invasive.”
“The term is fuzzy, problematic,” said Anna Wexler, a medical ethics and health policy professor at the University of Pennsylvania Perelman School of Medicine. “Is it physical invasiveness? We’re not sure, it’s a fraught term.”
The fuzziness hasn’t stopped most brain-computer interface startups from deploying it in a bid to differentiate their devices from others in development. Synchron, Motif Neurotech, Precision Neuroscience, and Merge Labs all use it liberally. Journalists sometimes repeat the spin.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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CVE Alert: CVE-2026-85402 - code-projects - Doctor Appointment System - https://www.redpacketsecurity.com/cve-alert-cve-2026-85402-code-projects-doctor-appointment-system/
#OSINT #ThreatIntel #CyberSecurity #cve-2026-85402 #code-projects #doctor-appointment-system
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Doctor Strange and Doctor Doom: Triumph and Torment Review: Doom Walks Into Hell and Marvel Magic Hits Different
Roger Stern, Mike Mignola, Mark Badger, and Jim Novak turn Doctor Strange and Doctor Doom: Triumph and Torment into a sinister Marvel classic...
https://comiccrusaders.com/reviews/comic-reviews/doctor-strange-doctor-doom-triumph-torment-review/
#classic Marvel comics #doctor doom #doctor strange #Mark Badger #marvel comics #Mephisto #Mike Mignola #Roger Stern #Triumph and Torment -
Doctor Strange and Doctor Doom: Triumph and Torment Review: Doom Walks Into Hell and Marvel Magic Hits Different
Roger Stern, Mike Mignola, Mark Badger, and Jim Novak turn Doctor Strange and Doctor Doom: Triumph and Torment into a sinister Marvel classic...
https://comiccrusaders.com/reviews/comic-reviews/doctor-strange-doctor-doom-triumph-torment-review/
#classic Marvel comics #doctor doom #doctor strange #Mark Badger #marvel comics #Mephisto #Mike Mignola #Roger Stern #Triumph and Torment -
DATE: September 3, 2026 at 09:18AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: OpenEvidence launches new family of AI models
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Today, a look at how some generative AI medical devices are getting on the market quickly. Plus: OpenEvidence’s new AI models and some hubbub about OpenAI and Epic.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 3, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA pilot offers generative AI medical devices a path to patients before they are authorized
As the Food and Drug Administration wrestles with how to regulate medical devices that rely on generative artificial intelligence to make decisions about care, it’s provisionally allowing some developers to launch their products on the market.
AI products from Cadence and Limbic are among four devices recently accepted into the agency’s TEMPO pilot program that will allow digital health companies to release their products without marketing authorization.
The pilot is intended to beef up the number of technologies available for the Medicare ACCESS model, an experiment in paying for technology to help beneficiaries manage chronic conditions. But it also offers the agency and companies the opportunity to experiment with AI regulation in the real world.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 2, 2026 at 09:29AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: How a former ARPA-H director’s startup is tackling AI’s ‘dumb problems’
You’re reading the web edition of STAT’s AI Prognosis newsletter, our subscriber-exclusive guide to artificial intelligence in health care and medicine. Sign up to get it delivered in your inbox every Wednesday.
Your assignment for today: Forward this email to a friend!
Hi, friend — STAT is running a Labor Day promo where you can get access to this STAT+ subscriber-only newsletter, as well as all of our journalism, for a special rate of just $40 for four months.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 1, 2026 at 09:10AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA clears Stryker’s ‘surgical cockpit’ that uses Apple’s VR headset, Vision Pro
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Happy September! Are you ready to get busy or are you waiting until after Labor Day?
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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#Doctor accused of causing #patient's #death by cutting wrong arteries restricted from surgery for 18 months
"Dr Fong Yan Kit 👈allegedly severed te wrong arteries during a #keyhole #surgery at Raffles Hospital.. "Even at te hearing of the coroner's inquiry ~3years after (her) death, Fong had still wrongly identified te location of te aorta🤦♂️ & initially maintained tt his understanding was correct b4 eventually conceding his mistake," said SMC's lawyers"
👉 #DoctorFromHell ☠️
https://www.channelnewsasia.com/singapore/doctor-fong-yan-kit-restricted-surgery-smc-6339501 -
DATE: August 27, 2026 at 01:21PM
SOURCE: STAT HEALTH TECHTITLE: STAT+: CMS plans launch event for ACCESS, the Medicare chronic care pilot
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Let’s talk about what’s happening in September.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 26, 2026 at 09:46AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: AI biotech Insitro’s Daphne Koller on how to speed up clinical trials
You’re reading the web edition of STAT’s AI Prognosis newsletter, our subscriber-exclusive guide to artificial intelligence in health care and medicine. Sign up to get it delivered in your inbox every Wednesday.
I really miss the Vox Earworm videos that explained the science and history of pop music, like “The sound that connects Stravinsky to Bruno Mars” or “How a recording-studio mishap shaped ’80s music.”
A spiritual successor? This video exploring the origin of the somehow-ubiquitous “Gen Alpha Melody” from Carl E. Martin, at the time a musicology grad student. Be sure to watch all the way until the last second.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 26, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: When it comes to women’s health, money talks
The flip side of each new discovery about women’s health is a history of research neglect. Now, as federal funding becomes increasingly precarious, some advocates, academics, and executives are appealing to another incentive.
It’s called the profit motive.
If disparities in women’s health were fully addressed, a 2024 World Economic Forum report estimated, by 2040 that could boost global economic productivity annually by $1 trillion. In the U.S., that would mean recovering about $300 billion in lost economic productivity.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 25, 2026 at 04:46PM
SOURCE: STAT HEALTH TECHTITLE: STAT+: Sword Health to acquire Headspace, according to filing
Sword Health, a digital health company known for its AI-powered virtual physical therapy offering, plans to acquire mental health company Headspace, according to a regulatory filing.
Headspace on July 22nd reported a “material change” to the Massachusetts Health Policy Commission indicating that its parent company, OrangeDot, proposes to be acquired by Sword for a cash payment. The deal will be effective September 14, according to the paperwork. The value of the transaction was not disclosed. (The paperwork was first identified by Healthcare Dealflow.)
Sword last raised $40 million in 2025 in a deal valuing the company over $4 billion, and the proposed deal comes as Sword health aims to expand its platform to more areas, including mental health. The company has raised a total of $493 million so far, according to PitchBook.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 25, 2026 at 09:44AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA promises new AI guidance, and what happened at Epic’s UGM
Good morning health tech readers!
I’m back from vacation! What did I miss? Drop me a line and let me know what you’re watching as the summer winds down. (Yes, I saw the JAMA paper claiming AI alone may soon be better than AI working with doctors.)
Today, we’re catching up on the FDA’s new discussion paper on generative AI devices and all the news about Epic we didn’t get to before the break last week.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 25, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: AI is good at catching drug theft at hospitals, but only when humans do their part
In late September 2024, patients noticed a nurse at Adventist Health in Bakersfield, Calif., was acting strangely.
The nurse was walking barefoot through the intensive care unit, talking to herself and acting abrasively toward others. Family members of patients noticed the nurse sloppily taking out IV needles but were afraid to confront her. “I know she was on something because you can tell,” one family member told federal investigators after the incident.
Another patient in the post-anesthesiology recovery unit treated by the same nurse was in excruciating pain under her care. “I was white knuckling it,” he said. “You’re not dying,” the nurse replied when the patient expressed his pain. He thought he was being given fentanyl and morphine, but the IV drip didn’t seem to help.
That’s because the nurse, hired through a travel nursing agency several weeks before the incident, was taking the medications from a secured cabinet in the wing and using them herself, while documenting that they had been administered to patients, according to investigators from the Centers for Medicare and Medicaid Services tasked with investigating a complaint about the incident in November 2024.
The incident didn’t happen out of the blue. Hospital managers ignored alerts from a machine learning software that tracks when staff might be stealing drugs, auditors found.
Hospitals are major repositories of addictive substances that can also be crucial medical treatments. Occasionally, employees steal those drugs and are under the influence while caring for patients. While new technologies are helping to identify theft and connect individuals with substance abuse resources, incidents like the one at Adventist show artificial intelligence isn’t foolproof.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 24, 2026 at 04:30AM
SOURCE: STAT MEDICAL DEVICESTITLE: STAT+: FDA digital health leader promises generative AI regulatory guidance is coming
The Food and Drug Administration says it is developing a plan for how to regulate medical devices that use generative artificial intelligence.
The FDA will eventually release documents spelling out agency policies regarding the technology, Rick Abramson, director of the agency’s Digital Health Center of Excellence, told STAT.
“Our goal is formal policy guidance,” he said in an interview. “The ecosystem is expecting clarity. We seek to provide that clarity, and I’ll also throw in that I think the ecosystem can expect not only broad guidance on the overall topic of generative AI, but also some more narrowly constructed specialty guidance on particular generative AI topics of special interest or special complexity.”
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/topic/medical-devices/ .
See also their complete Mastodon account at @STAT .
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 24, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA digital health leader promises generative AI regulatory guidance is coming
The Food and Drug Administration says it is developing a plan for how to regulate medical devices that use generative artificial intelligence.
The FDA will eventually release documents spelling out agency policies regarding the technology, Rick Abramson, director of the agency’s Digital Health Center of Excellence, told STAT.
“Our goal is formal policy guidance,” he said in an interview. “The ecosystem is expecting clarity. We seek to provide that clarity, and I’ll also throw in that I think the ecosystem can expect not only broad guidance on the overall topic of generative AI, but also some more narrowly constructed specialty guidance on particular generative AI topics of special interest or special complexity.”
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 20, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: How health systems are embracing chatbots to query and summarize patient records
The pathologists were stumped. Six people had tried to identify a patient’s cancer based on a recent lymph node biopsy. They’d stained the cells 70 times to try to draw out more distinguishing features — but still, nobody had an answer.
At Stanford, a physician called onto the case was trying out a new tool called ChatEHR, one of several large language model-powered tools being deployed by health systems to summarize patients’ often-extensive medical records. It got a question: Did the patient have any history of skin lesions? After some back-and-forth, from the depths of the patient’s history, ChatEHR delivered an answer: In a different health system, the patient had previously been diagnosed with sarcomatoid squamous cell carcinoma.
It “completely explained the findings in the lymph node,” wrote the happy doctor in their feedback for the chatbot. “If that doesn’t prove the value of ChatEHR, I don’t know what does!”
This was the kind of needle in a haystack doctors hoped to find when health systems first started experimenting with generative AI tools like ChatEHR to search and synthesize patients’ health records. Clinicians often struggle to find the information they need to care for patients, because modern electronic health records have gotten so bloated. Today, a number of health systems are moving toward broad implementation of chatbots for EHRs, both homegrown and vendor-built. And it turns out that solving diagnostic mysteries is the least of their selling points.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 19, 2026 at 07:25AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: What Epic did — and didn’t — say about AI at its annual meeting
You’re reading the web edition of STAT’s AI Prognosis newsletter, our subscriber-exclusive guide to artificial intelligence in health care and medicine. Sign up to get it delivered in your inbox every Wednesday.
Before and after intermission at its annual meeting, a couple Epic staffers announce a list of new customers (and which EHR that health system switched from). They also play a snippet of a song that goes along with the health system’s name or location — e.g., Louis Armstrong’s “Hello Dolly” for the Dolly Parton Children’s Hospital.
Here’s what I’d love to know: Who picks these songs? Seems like a tough job. For another song that played during the executive address, scroll down to Song of the Week.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 17, 2026 at 10:40AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: The IRS is probing UnitedHealth, and a private equity slowdown
This is the online version of STAT’s weekly email newsletter Health Care Inc. Sign up here.
Hello, everyone. Like usual, I’m writing to you from northwest Indiana. But the circumstances are a bit different: We had power for four days. At least six tornadoes touched down in the area as part of a sprawling derecho — the worst storms I’ve experienced in my life, by far. Mother Nature remains undefeated. Talk to me about sump pumps and your health care tips: [email protected].
The taxman is coming for UnitedHealth Group
The Internal Revenue Service is investigating UnitedHealth, “seeking to significantly increase taxable income” from 2017 through 2020, and may force UnitedHealth to pay more “for subsequent years after 2020,” the health insurer revealed in a recent regulatory filing.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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DATE: August 17, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: Epic confronts unprecedented challenges as it prepares to address customers and unveil road map
Every August, Epic Systems founder Judy Faulkner holds court with over 20,000 people, including staff and executives from her most devoted customers, in an auditorium buried five stories into the Wisconsin earth. At the company’s annual meeting, she takes the stage to unveil her company’s latest innovations — products that inevitably form a technological road map for America’s hospitals.
This year, the crowd will also be watching Faulkner’s speech for another reason.
The company she founded nearly half a century ago, now the nation’s dominant seller of electronic health records software, is facing an unprecedented series of challenges driven by antitrust lawsuits, questions about its artificial intelligence strategy, an exodus of key technology leaders, and, most recently, the disclosure that state and federal investigators are looking into the company’s business practices.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 14, 2026 at 05:00PM
SOURCE: STAT HEALTH TECHTITLE: Epic’s alleged anti-competitive practices under scrutiny from federal, state investigators
The Federal Trade Commission is examining Epic Systems Corp., the nation’s largest vendor of electronic health records, for potential violations of antitrust law as part of a broad inquiry into the company’s business practices, according to three people who were recently contacted by investigators.
The probe is in its early stages and may never lead to charges against Epic, whose dominant market position and control of Americans’ health data has rapidly accelerated in recent years. But the people contacted by investigators — who work in or advise health care businesses that interface with Epic — said they were asked about a wide range of issues relating to company policies and practices that have generated continual complaints and lawsuits from former employees and rival companies.
Read the rest…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: August 14, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: Opinion: MAHA and insurance companies both want to treat human bodies like cars
URL: https://www.statnews.com/2026/08/14/health-insurance-companies-maha-surveillance/?utm_campaign=rss
After doing three loops around the parking lot, you finally see a free spot. You step on the gas to claim it, but an SUV cuts in front of you and steals the space. You stomp on the brakes, jerking to a halt. You might forgive the other driver, but your Toyota remembers.
Later, as you drive home, your eyes wander to the restaurant that just opened on the corner. Your car loudly beeps you back to attention, the dashboard scolding, “keep eyes on the road.” Your car is watching you, and that hard stop and brief glance to the side are data sent directly to your car insurer, churning into an algorithm that decides your future premiums.
Read the rest…
URL: https://www.statnews.com/2026/08/14/health-insurance-companies-maha-surveillance/?utm_campaign=rss
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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DATE: August 13, 2026 at 05:49PM
SOURCE: STAT HEALTH TECHTITLE: STAT+: Commure terminates payments under its customer referral programs tied to AI products
Commure, a $7 billion health software company that sells artificial intelligence tools to medical clinics, has terminated a program through which it was paying parties for referrals to new customers, according to company emails obtained by STAT.
The emails, sent by Commure’s chief legal officer, Dan Brian, inform members of the partnership program that their payment agreements will be terminated 30 days from receipt of the company’s notice. One email, dated Aug. 6, states that anything owed under the agreement as of the termination date will be “paid in full.”
The notice was sent to members of the program six days prior to the publication of a STAT investigation that found the company offers to pay thousands of dollars to customers and other parties to refer its AI products to new business prospects. STAT first asked about the referral arrangements in an email to Brian on June 5.
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DATE: August 13, 2026 at 08:29AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: An investigation into Commure, and Medicare’s new-tech incentives for AI devices
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Hello, health tech readers! Next week, the newsletter is going on its annual summer hiatus — we’ll see you back on the 25th.
Today, a deep dive into Commure, a company promising to automate the business of health care with artificial intelligence — and all the levers it’s pulling to make that happen. Let’s get right into it.
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DATE: August 13, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: What Medicare incentives for AI-based devices mean for tech companies — and hospitals
For hospitals, the promise of artificial intelligence is financial as much as clinical. A hospital might deploy an AI device because it promises to throw up an alert that could save a patient’s life — but the technology is far more likely to stick if it proves it can drive down costs.
Convincing hospitals and health systems that a new technology will provide that return on investment is tricky, though. So some AI startups have benefited from a temporary sweetener that helps customers get on board: Certain new technologies can apply to get add-on payments from Medicare for two or three years after they come to market. The tax-dollar-funded payments are meant as an incentive to help get new, expensive medical technologies to patients.
If a hospital thinks, “‘Oh, you’re not 100% sure you have the money, or you don’t necessarily believe 100% of the assumptions in the ROI,’ then you know what? You have this safety net, at least for the next few years,” said Tom Valent, chief business officer at Aidoc.
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DATE: August 13, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: What patients actually think about ‘minimally invasive’ brain implants
Scroll through the flashy websites of neurotechnology startups and a phrase repeats again and again: “minimally invasive.”
“The term is fuzzy, problematic,” said Anna Wexler, a medical ethics and health policy professor at the University of Pennsylvania Perelman School of Medicine. “Is it physical invasiveness? We’re not sure, it’s a fraught term.”
The fuzziness hasn’t stopped most brain-computer interface startups from deploying it in a bid to differentiate their devices from others in development. Synchron, Motif Neuroscience, Precision Neuroscience, and Merge Labs all use it liberally. Journalists sometimes repeat the spin.
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DATE: August 13, 2026 at 04:30AM
SOURCE: STAT MEDICAL DEVICESTITLE: STAT+: What Medicare incentives for AI-based devices mean for tech companies — and hospitals
For hospitals, the promise of artificial intelligence is financial as much as clinical. A hospital might deploy an AI device because it promises to throw up an alert that could save a patient’s life — but the technology is far more likely to stick if it proves it can drive down costs.
Convincing hospitals and health systems that a new technology will provide that return on investment is tricky, though. So some AI startups have benefited from a temporary sweetener that helps customers get on board: Certain new technologies can apply to get add-on payments from Medicare for two or three years after they come to market. The tax-dollar-funded payments are meant as an incentive to help get new, expensive medical technologies to patients.
If a hospital thinks, “‘Oh, you’re not 100% sure you have the money, or you don’t necessarily believe 100% of the assumptions in the ROI,’ then you know what? You have this safety net, at least for the next few years,” said Tom Valent, chief business officer at Aidoc.
Continue to STAT+ to read the full story…
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DATE: August 12, 2026 at 08:09AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: The secret AI-startup project I’ve been working on the last six months
You’re reading the web edition of STAT’s AI Prognosis newsletter, our subscriber-exclusive guide to artificial intelligence in health care and medicine. Sign up to get it delivered in your inbox every Wednesday.
As you read today’s main item and the associated story, let me know whether you think these are just the typical growing pains of a company trying to live up to its investors’ expectations while transforming health care, or something bigger. You can reply to this email or send a message to [email protected].
And if you have tips I should consider for future investigations, email them to me or contact me on Signal (an encrypted messaging app) at btrang.01.
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DATE: August 12, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: Inside a $7 billion Silicon Valley startup’s mad dash to automate the business of health care
From its inception, Commure was built on the dream of automation.
The Silicon Valley technology company set out in 2020 to build a new operating system for health care. Its executives began to cast the company as a kind of Robin Hood: It would leverage artificial intelligence to take power and money from massive insurers and other industry giants — and give it back to doctors.
“I would love a world where the market cap of a UnitedHealth is a fifth, but every doctor is a millionaire,” Commure CEO Tanay Tandon said in a recent interview with Y Combinator, an investor in the company, currently valued at $7 billion.
But Commure isn’t just promising to fatten doctors’ wallets with money from insurers. For those willing to talk up its AI, it also offers to kick in compensation of its own.
A STAT investigation found the company offers thousands of dollars, in various forms, to medical clinics and other parties who refer its products to new business prospects. The compensation is part of a strategy to swiftly sell AI tools it says can unburden clinicians burned out by health care’s endless bureaucratic morass.
Based in Mountain View, Calif., Commure is among the most ambitious and all-encompassing efforts to automate the administrative tasks that underlie these businesses. Many of its customers speak of the company in heroic terms. In marketing videos and podcast interviews, they testify that its products for billing, scheduling, and clinical documentation have restored joy, and reliable revenue, to their practices. The company claims its tools are used by more than 500 health care organizations across the country, including “130 of the nation’s largest health systems,” such as for-profit giants HCA Healthcare and Tenet Healthcare.
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DATE: August 11, 2026 at 09:15AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: A RAPID proposal for breakthrough coverage, and nurses push back on AI
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Happy Tuesday, health tech readers! Mario is out on a very well-deserved break, so you’ll get dispatches from the rest of STAT’s health tech team this week.
Today, a word from nurses on how AI really impacts their work. And finally, more details on the RAPID pathway that aims to help medical devices escape the valley of death.
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DATE: August 11, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: Nurses seek a seat at the table as they fight expanding clinical AI
URL: https://www.statnews.com/2026/08/11/nurses-seek-involvement-clinical-ai-decisions/?utm_campaign=rss
Nurses, who make up the largest part of the health care workforce, are getting more vocal about the risks posed by clinical artificial intelligence to their jobs and patient care as the technology makes deeper inroads into the practice of medicine.
At Montefiore hospital in the Bronx, laid-off nurses have raised the alarm about administrative AI they say is replacing them. Across the country in California, nurses at Kaiser Permanente are striking and picketing against the AI surveilling their work and playing a growing role in patient care. Collectively, the loudest voices have come from unions like National Nurses United, which represents over 200,000 nurses, including those at Kaiser and Montefiore.
As that workplace advocacy and bargaining continue, educators and researchers also have their eyes on the future: They’re trying to build solutions to support the next generation of nurses through training and involvement in how patient-facing AI is developed and deployed. By giving nurses a voice in AI’s inevitable disruption of health care, they hope to make the current adversarial relationship more collaborative.
Continue to STAT+ to read the full story…
URL: https://www.statnews.com/2026/08/11/nurses-seek-involvement-clinical-ai-decisions/?utm_campaign=rss
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DATE: August 10, 2026 at 10:52AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: Ban prior auth? And hospitals cut jobs
This is the online version of STAT’s weekly email newsletter Health Care Inc. Sign up here.
The cyclosporiasis outbreak means a lot of poop has been tested. Spare a thought for the lab professionals who are up to their knees in you-know-what. Feel free to send me samples … of your thoughts and tips only, come on now: [email protected].
Should prior authorization be eliminated?
Hannah Garden-Monheit is asking for a simple health care policy change: ban prior authorizations (for the most part).
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DATE: August 7, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: Opinion: AI won’t enhance physician autonomy. It will further diminish it
URL: https://www.statnews.com/2026/08/07/medical-ai-doctors-autonomy/?utm_campaign=rss
Keep your head down. Don’t ask too many questions. Just finish your note and move on.
I heard a version of this command at every level of training and well into my attending practice, from colleagues, seniors, teachers, and administration. Most delivered the advice like it was some sort of hard-won wisdom, though it wasn’t. It was the sound of people who repeated the system’s rules because it felt like control.
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URL: https://www.statnews.com/2026/08/07/medical-ai-doctors-autonomy/?utm_campaign=rss
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https://www.fogolf.com/1340347/you-bought-the-clubs-a-full-club-doctor-restoration-makes-them-feel-like-yours/ You bought the clubs. A full Club Doctor restoration makes them feel like yours. #bought #Club #clubs #Doctor #feel #FULL #GolfClubs #GolfClubsVideos #GolfClubsVlog #GolfClubsYouTube #GolfEquipment #GolfEquipmentVideos #GolfEquipmentVlog #GolfEquipmentYouTube #restoration
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https://www.fogolf.com/1340347/you-bought-the-clubs-a-full-club-doctor-restoration-makes-them-feel-like-yours/ You bought the clubs. A full Club Doctor restoration makes them feel like yours. #bought #Club #clubs #Doctor #feel #FULL #GolfClubs #GolfClubsVideos #GolfClubsVlog #GolfClubsYouTube #GolfEquipment #GolfEquipmentVideos #GolfEquipmentVlog #GolfEquipmentYouTube #restoration
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He Was Terrified by His Girlfriend’s Severe Medical Symptoms. When He Begged Her to See a Doctor, She Accused Him of “Being Mean.”
Pexels/Reddit Taking care of your health isn’t always an easy decision. The following story is about a man…
#NewsBeep #News #Health #aita #antibiotics #Doctor #GB #girlfriend #picture #Reddit #symptoms #tonsils #top #UK #UnitedKingdom #Work
https://www.newsbeep.com/uk/677784/ -
Lutein-zeaxanthin supplements may boost attention in teenagers https://www.diningandcooking.com/2707162/lutein-zeaxanthin-supplements-may-boost-attention-in-teenagers/ #abstract #analyzing #backgrounds #blue #BrainGears #BrainStorm #care #CircuitBoard #Computer #ComputerSoftware #concepts #cybernetic #cyborg #data #DigitallyGeneratedImage #Doctor #futuristic #gear #HealthcareAndMedicine #HumanBrain #HumanNervousSystem #Illustration #innovation #Intelligence #map #NerveCell #nutrition #patient #people #robot #science #silhouette #synapse #technology #thinking
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Mayo Clinic Health System Red Wing pediatrician wins Gilchrist Award https://www.byteseu.com/2062434/ #award #Doctor #GeralGilchrist #Health #MayoClinic #Minnesota #pediatrician #ReachOut #read #RedWing #SethGregory #system
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Unlikely Hantavirus came from Tierra del Fuego, official says
Patients on a luxury cruise ship hit by a deadly hantavirus outbreak could not have been infected in Argentina's southernmost Tierra del Fuego province, said Juan Petrina, director of epidemiology and environmental health for the province. #hantavirus #who #cruiseship #health #spain #doctor #medic #News #Reuters #Newsfeed Read the story here: 👉 Subscribe: Keep up with the latest news from around the world:…
https://fllics.com/en/video/unlikely-hantavirus-came-from-tierra-del-fuego-official-says/
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Hantavirus-hit ship captain announces first death: April 12 video
Video shared on social media shows the captain of a cruise ship affected by a hantavirus outbreak informing passengers on April 12 that one person had died on board, saying the death was believed to be due to natural causes and was not infectious. #hantavirus #cruiseship #health #spain #doctor #medic #News #Reuters #Newsfeed Read the story here: 👉 Subscribe:
https://fllics.com/en/video/hantavirus-hit-ship-captain-announces-first-death-april-12-video/
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People from hantavirus-hit ship arrive in the Netherlands
A plane carrying three people evacuated from the luxury cruise ship hit by a deadly hantavirus outbreak landed at Schiphol airport in the Netherlands. #hantavirus #cruiseship #health #spain #doctor #medic #News #Reuters #Newsfeed Read the story here: 👉 Subscribe: Keep up with the latest news from around the world: Follow Reuters on Facebook: Follow Reuters on X: Follow Reuters on Instagram:
https://fllics.com/en/video/people-from-hantavirus-hit-ship-arrive-in-the-netherlands/
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Preventative Medicine, or the Manufacture of Patients?
There is a sentence every American patient has heard at the dentist’s chair, the cardiologist’s office, the primary-care visit, and the pharmacy counter. It arrives in a tone of grave responsibility: We caught this early. What follows is a crown, an echocardiogram, a statin, a stress test, a referral, a follow-up appointment, and a copay. The word “preventative” has come to function as a moral shield around a billing code. To question whether the recommended intervention is necessary is treated as ingratitude toward a profession that, the implication goes, only wants to keep you alive.
The trouble is that the evidence for many of these interventions is weaker than the assured tone of the recommending clinician suggests, and the financial structure of American medicine rewards the recommendation regardless of whether the evidence supports it. A 2019 JAMA review by Shrank and colleagues estimated annual waste in U.S. health spending at $760 billion to $935 billion, roughly a quarter of total expenditures, with overtreatment and low-value care alone accounting for $76 billion to $101 billion of that figure. Administrative complexity contributes another $266 billion. Pricing failures contribute $230 to $241 billion. These are the numbers in the system’s own peer-reviewed literature, produced by health-services researchers reading their own data.
Consider the dental crown. A 2020 study by Holden and colleagues, published in Community Dentistry and Oral Epidemiology, surveyed dentists who reported widespread peer-observed overtreatment driven by what the authors called the “selling culture” of practice-management courses that teach acceptance-rate optimization. KFF Health News documented Medicaid reimbursement structures that pay three to six times more for nickel-chromium steel crowns than for fillings, an obvious incentive to crown rather than restore. Two of the largest American dental chains, operating under the Kool Smiles and Small Smiles brands, settled federal whistleblower lawsuits alleging unnecessary root canals on Medicaid-enrolled children for roughly $24 million each. The pattern is documented in the Department of Justice settlement record. A three-year-old boy named Gregory, examined by a North American Dental Group office in Ohio, was diagnosed with seven needed root canals; four of the teeth treated were later extracted. The Medicaid bill came to $1,273 against the $61 a check-up and cleaning would have cost. Gregory paid in tooth count. The chain paid a settlement years later, after the journalism caught up with the billing.
Echocardiograms tell the same story in higher-resolution format. The American College of Cardiology, through the Choosing Wisely campaign launched in 2012, listed five cardiac procedures routinely overused, three of which concerned imaging and stress-testing patients without symptoms. The American Society of Echocardiography itself recommends against repeat echocardiograms in stable, asymptomatic patients with a previously normal exam, against echocardiography for preoperative assessment in patients with no cardiac history, and against stress echocardiograms in low-risk asymptomatic adults. A multicenter trial cited by the Journal of Nuclear Cardiology found that 15% of cardiac SPECT studies were inappropriate by the ACC’s own appropriate-use criteria, with the largest single category being detection of coronary artery disease in asymptomatic low-risk patients. A Choosing Wisely Canada review found that asymptomatic low-risk patients account for up to 45% of unnecessary cardiac screening. The professional society of the field that performs the test acknowledges that close to half of its screening volume should not occur. The volume occurs because the equipment is amortized, the slot is scheduled, and the reimbursement code clears.
Salt deserves a more careful answer because the original advice was honest, the science evolved, and the medical establishment has not communicated the evolution well to patients trained to fear the salt shaker. A 2026 systematic review and meta-analysis in Cureus by Alqurain and colleagues, drawing on twenty studies and 306,019 participants, found that sodium restriction reduces mortality risk in patients with essential hypertension, which confirms the original logic for that population. In observational cohorts, however, low sodium intake associates with increased mortality, supporting a J-shaped relationship at the lower extreme. In heart-failure populations specifically, aggressive restriction shows a non-significant trend toward harm. The 2024 European Society of Cardiology guidelines responded to this evidence by setting the sodium target at less than 2 grams per day, framed as realistic and sustainable, and acknowledged that the J-curve effect appears at intakes below that threshold. The honest answer to the question is that the old blanket prohibition was overdrawn, the current evidence supports moderation rather than minimization, and the simplistic counter-claim that “more salt is better” is also wrong. Hypertensives still benefit from reduction. Severely sodium-depleted patients on aggressive diuretics may be harmed by it. Medicine has walked back a categorical claim quietly, without retracting the decades of advice that produced an entire processed-food category labeled “low sodium” and a generation of patients trained to feel guilty about a pinch.
Threshold creep is the marketing arm of preventative medicine, and the documentation of it is now its own academic literature. In May 2003, the Joint National Committee’s seventh report introduced “prehypertension” as a diagnostic category covering blood pressure between 120 and 139 systolic or 80 and 89 diastolic, redrawing the line of disease in a single committee meeting and producing millions of new patients overnight without anyone’s actual blood pressure changing. The American Diabetes Association lowered the hemoglobin A1c threshold for prediabetes to 5.7% in 2010, expanding the population eligible for diabetic surveillance and pharmaceutical preprescription by tens of millions. AbbVie spent more than $75 million on AndroGel marketing in 2012, running an unbranded “Is It Low T?” awareness campaign that, according to a 2017 JAMA Internal Medicine analysis, drove measurable rises in testosterone testing in regions with heavier advertising exposure. The company’s claimed hypogonadism prevalence climbed from roughly one million American men at AndroGel’s FDA approval in 2000 to twenty million at the peak of the campaign, a twentyfold inflation in twelve years that left the actual incidence of medical hypogonadism unchanged and reached well past it into the population of aging men whose declining testosterone is part of normal physiology. JAMA itself published the takedown under the title “Low T as a Template: How to Sell a Disease.” GlaxoSmithKline ran the parallel campaign for restless legs syndrome beginning in 2003, two years before Requip’s FDA approval; sales doubled within a year, climbing from $165 million in 2005 to $330 million in 2006, and the Restless Legs Syndrome Foundation received roughly 45% of its 2005 revenue from the drug companies whose products it was positioned to validate. Ray Moynihan and Alan Cassels named the framework in 2005 in Selling Sickness, which the April 2006 special issue of PLoS Medicine on disease mongering then developed across eleven peer-reviewed articles. The phenomenon is not exotic. The eye doctor who tells the patient with stable elevated intraocular pressure that the chart now reads “pre-glaucoma” is following the same logic, and the rest of the chain follows automatically: category extends, patient enrolls, visit recurs. Nothing about the patient has changed except the box checked on the form.
Colonoscopy is the case where every thread in the argument crosses. The U.S. Preventive Services Task Force recommended initiating screening at age 50 from its 1996 guideline through 2020, then lowered the threshold to 45 in May 2021 in response to documented rises in younger-onset colorectal cancer; the American Cancer Society had already moved earlier, in 2018. The threshold change added roughly 21 million newly eligible Americans to the screening pool. Modeling cited in the USPSTF’s own evidence review estimated that lowering the screening age from 50 to 45 requires 810 additional colonoscopies per 1,000 persons screened in a colonoscopy-based strategy. The procedural revenue for the gastroenterology specialty is substantial, and the financial alignment with maintaining colonoscopy as the preferred modality is direct, even though the USPSTF itself lists fecal immunochemical testing, stool DNA testing (Cologuard from Exact Sciences), and, since the FDA approval of Guardant Health’s Shield in July 2024, plasma-based screening as recommended alternatives. Patients dislike colonoscopy for documented reasons that the marketing apparatus does not address: the day-long bowel preparation is psychologically and physically demanding, the procedure itself requires sedation and a driver, and the complication rate, while small in absolute terms at roughly four perforations and eight major bleeding events per ten thousand procedures, is non-zero on a population that now includes twenty million additional people. Most consequentially, the randomized trial evidence underwriting the marketing is more modest than the marketing suggests. The Nordic-European Initiative on Colorectal Cancer trial, called NordICC, published in the New England Journal of Medicine in October 2022 by Bretthauer and colleagues, randomized 84,585 adults aged 55 to 64 in Poland, Norway, and Sweden either to receive a one-time invitation to colonoscopy or to receive no invitation. At ten years, the intention-to-screen analysis found an 18% relative reduction in colorectal cancer incidence, considerably less than the 50% the trialists had originally hypothesized, and the reduction in colorectal cancer-specific mortality was not statistically significant, with a relative risk of 0.90 and a confidence interval that crossed one. Per-protocol analyses of those who actually attended their colonoscopy were more favorable, but the trial’s headline finding sent a different signal than the volume of screening recommendation would suggest. None of this argues against any individual person choosing colonoscopy. The mass-screening case for choosing colonoscopy at age 45 over the non-invasive alternatives, on a procedure patients dislike with a complication profile that scales with volume, is weaker than the gastroenterology revenue stream depending on it would suggest.
Statins offer a sharper case because the harm signal is undisputed within the literature, including the manufacturers’ own pooled trial data. The 2024 individual-participant-data meta-analysis published in The Lancet Diabetes & Endocrinology by the Cholesterol Treatment Trialists’ Collaboration confirmed what previous summary-level analyses had shown: statin therapy produces a moderate, dose-dependent increase in new diagnoses of type 2 diabetes. The earlier Sattar meta-analysis, with 91,140 participants across thirteen trials, put the relative risk increase at 9%. Preiss and colleagues, comparing high-intensity to moderate-intensity statins across five trials with 32,752 participants, found a 12% increase. Cai and colleagues stratified by LDL-c target and found that when the target was set below 1.8 millimoles per liter, the risk of new-onset diabetes rose by 33%. The Diabetes Prevention Program Outcomes Study, with 3,234 high-risk participants followed for ten years, recorded a 36% cumulative incidence of diabetes among statin users compared with 20% in placebo. Observational meta-analyses, which capture longer follow-up and broader populations than the trials, place the increase as high as 44 to 55%. Statins lower cardiovascular events in patients with established disease. They also produce diabetes in a measurable fraction of users, with the risk concentrated in patients who already carry metabolic risk factors. Both statements are true. Weighing them honestly per patient is the clinical task. The marketing posture, which presented the drugs as harmless tools to be deployed broadly on the basis of a single number called LDL-c, was always incomplete. As the LDL-c target was driven downward more aggressively, the regimen produced more diabetes. This is on record. It has not produced a corresponding pullback in prescribing volume because the prescribing volume is shaped by guideline thresholds, quality metrics tied to insurer reimbursement, and patient anxiety, none of which respond directly to the diabetes incidence data.
The structural question follows from the four clinical cases. Is the American medical system broken, or did it never work? The honest answer is the second. The system was assembled from incompatible parts during the postwar period: a tax-deductible employer-insurance model designed during wartime wage controls, a Medicare program designed to extend Blue Cross logic to the elderly, a Medicaid program designed as charity for the poor, a private fee-for-service architecture designed for solo practitioners, and a hospital-based academic medicine designed for rare disease and surgery. None of these components were designed together. None share an objective function. The result is an apparatus that bills with great competence, codes with great competence, and produces health outcomes that are mediocre by every international comparison the United States has been willing to publish. Life expectancy at birth in the United States is below that of Costa Rica. Maternal mortality runs more than 50% higher than in the next closest wealthy nation. The system is performing as designed; the design has always rewarded volume of billable encounters, and the financial structure pays out for that volume regardless of whether the volume corresponds to improved health.
This is where the moral question becomes unavoidable. Should there be profit in having a healthy body? Some forms of profit are morally legible. A surgeon who removes a tumor has earned compensation. A pharmaceutical firm that develops a drug from molecule to market has earned a return on capital. An infectious-disease specialist who diagnoses a rare presentation has earned the consultation fee. These are professional earnings against a discrete service rendered. The trouble is that American medicine has migrated, over four decades, from the model of compensated service toward the model of recurring revenue extraction. A patient enters a clinical panel. The panel is screened on a schedule. Screening reveals an incidental finding, which generates a workup, which generates a procedure, which generates a follow-up, which generates a maintenance medication, which generates a side effect, which generates a referral. At no point in this chain does anyone need to act in bad faith for the patient to be subjected to a sequence of interventions whose net benefit, as measured by years of life or quality of life, is negligible or negative. The clinician is paid by relative-value-unit production, the hospital by case-mix index, the insurer by per-member-per-month premiums, the drug company by prescription volume. The patient pays a copay at every node and a premium at the front of the chain.
Consider how the mechanism operates without anyone choosing it. The dentist who recommends a crown the tooth does not require is rarely acting in bad faith. The practice-management system quantifies daily production targets and benchmarks the doctor’s work against peer averages, and a clinician below the benchmark has uncomfortable conversations with the practice owner. A cardiologist who orders surveillance echocardiograms in stable asymptomatic patients follows a referral pattern that the practice’s billing coordinator built into the appointment template. A primary-care physician who titrates a statin to a more aggressive LDL-c target works from a quality measure that determines a portion of the practice’s reimbursement. None of these clinicians wakes up wanting to harm the patient. The structure does the harming for them, by making the path of least resistance the path of maximum billing. Preventative medicine, in the modern American sense, has become a euphemism for a procedure pipeline disguised as moral concern.
The technologies themselves have legitimate uses. Statins prevent secondary cardiovascular events in patients who have already had a heart attack, and the evidence for that use case is strong. Echocardiograms in symptomatic patients are diagnostic instruments without which cardiology could not function. Crowns on actually fractured teeth save the tooth and the bite. The correct critique is of population-level deployment without symptom-based indication, of marketing the diagnostic machinery as a moral good when it operates as a revenue mechanism, and of presenting the patient with a recommendation that the system has produced before the clinician walked into the room.
Real prevention exists, and it is recognizable by the absence of profit attached to it. Hand-washing prevents postsurgical infection. Vaccines reduce measles, pertussis, and cervical cancer to historical curiosities. Smoking cessation lowers lung-cancer, stroke, and heart-disease risk. Exercise interrupts nearly every chronic-disease cascade. Sleep allows metabolic recovery. Adequate nutrition starves the inflammatory base state on which most chronic disease feeds. None of these interventions generates significant revenue for the medical system, which is why none of them receives the marketing attention that statins and stress tests and crowns receive. The cheapest preventive measures, which are also the most effective, sit unmarketed because no one profits from them. The most expensive interventions, which range from genuinely beneficial to actively harmful depending on the patient, are heavily marketed because the entire revenue chain depends on their continued use.
A patient who walks into an American clinical encounter today operates in an information environment in which the recommending professional has financial reasons to recommend, the institution has financial reasons to perform, the insurer has financial reasons to negotiate, and no one in the room has direct financial reasons to leave the patient alone. The patient is the only party in the room without a billing code, the substrate on which the codes are inscribed. Until the financial structure changes, the recommendation to question every preventative procedure deserves to be called sober self-interest, supported by the system’s own published evidence about its own published failures. The question to ask the dentist, the cardiologist, the primary-care physician, and the pharmacy counter is the one the system makes hardest to ask: What happens to me if I do nothing? The answer is sometimes serious, sometimes neutral, and sometimes far better than the answer that follows the recommended intervention. Knowing the difference is the work of an adult patient in a system that prefers the patient remain a child.
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