Your Patient Trusts ChatGPT More Than You Now: The New Yorker's Dr. Dhruv Khullar on Medical Authority in the Age of AI
About this episode
Dr. Dhruv Khullar discusses the evolving landscape of medical authority in the context of AI and healthcare economics.
Dhruv Khullar is a hospitalist at New York Presbyterian, a health policy researcher at Weill Cornell, and a contributing writer to The New Yorker. That combination is rarer than it should be. Most physicians writing about medicine observe it from a remove. Dhruv rounds on patients in the morning, then sits down to report on what medicine is becoming for one of the most widely read publications in the country. What he writes carries clinical weight because he was just in the room. Over the past several years, Dhruv has reported at length on AI and its risks for clinical training, the structural forces reshaping the profession, and what he calls the Gilded Age of American medicine: dazzling innovation on the surface, structural rot underneath. That rot has a specific anatomy. Private equity now owns roughly 500 hospitals in the United States, and in some markets a single firm controls more than half of physician practices in a given specialty. Medicare Advantage insurers have turned risk-adjusted payment into a revenue strategy, systematically capturing diagnostic codes for conditions patients may not know they have and that no physician is treating, because sicker-looking patients…
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