Making Sense with Sam Harris

#162 — Medical Intelligence

Jul 3, 2019
In this conversation, Eric Topol, a prominent cardiologist and digital medicine expert, delves into the transformative potential of artificial intelligence in healthcare. He highlights the alarming rise in medical costs paired with declining health outcomes in the U.S. The discussion addresses the pitfalls of both over-treatment and under-treatment within the current system. Topol also critiques electronic health records and emphasizes the importance of patient communication regarding medical technologies, exploring the necessary balance between innovation and patient intimacy.
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ANECDOTE

Topol's Knee Replacement

  • Eric Topol had a knee replacement surgery and experienced a severe post-operative complication.
  • The orthopedist's response was to suggest anti-depression medication, highlighting a lack of personalized care.
INSIGHT

Medical Paternalism

  • Medical paternalism, where doctors are seen as all-knowing, persists despite eroding doctor-patient relationships.
  • This creates discomfort in seeking second opinions and reinforces the authority of doctors, hindering patient autonomy.
INSIGHT

EHRs and Burnout

  • Electronic Health Records (EHRs), intended for billing, have been a disaster for patient care and doctor satisfaction.
  • EHRs have turned doctors into data clerks, contributing to widespread burnout and depression within the medical profession.
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