The Vanishing Art Of Presence

Authored by Joseph Varon via Brownstone Institute,

Medicine is always changing. In my career, I have seen intensive care units go from simple rooms with oxygen, monitors, and clinical intuition to places where artificial intelligence can predict problems before we notice them, bedside ultrasound helps us avoid guessing, and robotic systems help surgeons work with great precision. Telemedicine now lets specialists care for patients who are far away. These advances have saved lives, made care more accessible, improved efficiency, and helped doctors reach patients who might not have seen a specialist otherwise.

Many studies show how valuable telemedicine is, especially in underserved areas and critical care settings where specialists are scarce (1). I welcome these innovations and use many of them daily. I am convinced that artificial intelligence (AI) will become one of the most important tools doctors have ever had. Recent reviews also suggest that AI will help doctors make decisions, not replace them (2). Still, no matter how advanced our tools get, they should help us do our jobs better, not change what our jobs are about.

A recent lawsuit about the death of a very sick young man has sparked a lot of talk in the medical community (3). Reports say that one question is whether the doctor in charge ever actually examined the patient in person. The courts will figure out what really happened, so I won't guess or assign blame. What worries me is not the lawsuit itself, but the bigger question it raises. Are we starting to think that because technology lets us care for patients from a distance, bei