Notes from inside (and outside) the system, on the care model we could build instead.
I'm Ben Wilson. I've spent 2+ decades as an operational leader in America's healthcare: military medicine, an academic medical center, fee-for-service and integrated delivery systems. Most of that time has been spent on the parts of health care that patients don't see but that make care possible. More importantly, I've had the pleasure of working with the truly wonderful clinicians, staff and professionals who provide that care. I'm excited to see new tools come into the hands of our caregivers and patients. More about me →
A personal health companion is not a better portal. It is a different surface, with a specific architecture, most of which now exists — and the constraint has shifted from what we can build to whether we can tell if it works.
hours a day a primary care physician would need to deliver the care guidelines recommend.
other physicians a typical primary care doctor shares Medicare patients with.
people asking a general AI assistant health and wellness questions every week.
of true emergencies under-triaged by that assistant in the only independent evaluation.
It starts with my grandmother, and with my mother, who became her partner in health. Why coordination lands on families.
People live their health over a lifetime. Healthcare should be there for the long haul.
What changes when a system watches a person's expected path instead of a population cutoff.
We are going to need every healthcare worker we can get. AI's job is to support that team, and to take the coordination burden off patients and families.
Everything passes through one narrow opening. What cannot fit lands on families.
A faster channel is not the same as taking work off it.
People live on three timescales at once. The system is built for the shortest.
Alert on departure from this person's path, not a population cutoff.
What the medical record becomes when it stops being static.
What is open right now, who owns it, and what is overdue.
The connective layer between capable models and useful care.
Three gates meter AI diffusion, and all three open on the harness.
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