When does failing to use capable AI fall below the standard of care?

In Part One of this Doctor AI series, Robin L.P. Blackstone, MD, examines why the “standard” of care is anything but uniform. Medical evidence may be national, but laws, local resources and access can change across a state line—and the usual pathway may still be wrong for the individual person.

Through examples including inflammatory breast cancer and postpartum preeclampsia, she asks what Doctor AI must do when medical evidence, law, availability and safety point in different directions. The goal is not to make inequity more efficient. It is to recognize when the common pathway fails, name the conflict honestly and bring the best available medical intelligence to every person.

The cheapest care we refuse to cover is often the care that could have changed what came next.

Teeth, eyes and ears reveal what happens when health risk crosses benefit silos—and no one owns the trajectory. Robin L.P. Blackstone, MD, examines how hearing, oral health and vision affect cognition, metabolic control, mobility, independence and safety; why a referral is not a pathway; and what accountable ownership should look like in Health 4.0.

Read the companion article on Substack: https://robinblackstone.substack.com/p/teeth-eyes-ears-health-infrastructure?r=cxjfx&utm_campaign=post-expanded-share&utm_medium=web

Medicine is beginning to make the same structural move across very different diseases: moving upstream of rescue.

In this episode, Dr. Robin Blackstone connects metabolic surgery and GLP-1 therapy, histotripsy, TAVR, immunotherapy, and the cure of hepatitis C. Different organs, specialties, and technologies—but each asks whether medicine can change the mechanism instead of managing its consequences forever.

This episode introduces Cutting the Knot, a Health 4.0 series about evidence, durability, uncertainty, patient authority, and the architecture needed to use transformative treatments wisely.

Read the complete illustrated essay, evidence, and source: https://open.substack.com/pub/robinblackstone/p/histotripsy-glp-1-future-of-medicine?r=cxjfx&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

Learn more: https://robinblackstone.com

This podcast is for educational purposes and does not constitute personal medical advice.