Dr. A.I. Will See You Now

Started by Groove
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Groove

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Did anybody catch this in H.R.238 last year?


Healthy Technology Act of 2025

This bill establishes that artificial intelligence (AI) or machine learning technology may be eligible to prescribe drugs.

Currently, certain drugs may be dispensed only upon a prescription provided by a practitioner licensed by law to administer the drug. Under this bill, an AI or machine learning technology may qualify as such a prescribing practitioner if the technology is (1) authorized by state law to prescribe the drug involved; and (2) approved, cleared, or authorized under certain federal provisions pertaining to medical devices and products.


 
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This may allow federal prescribing, but the vast majority of prescribing is regulated by the states. Therefore, this won't allow AI to prescribe medications except for military, VA, etc.
Until the pilot program shows success and safety and then more states will adopt similar programs. Telemedicine started the same way and look where we are now.
 
This may allow federal prescribing, but the vast majority of prescribing is regulated by the states. Therefore, this won't allow AI to prescribe medications except for military, VA, etc.

The underlying idea is fine, it's just a matter of time until it gets abused.

Think of all the dumb med refill requests you've seen in your life in the ED – "I'm traveling and I need more lisnopril, metoprolol, and atorvastatin" etc. – no reason an online system shouldn't be able to do some safety checks and make it happen.

And then it'll scope creep into a selection of "low-risk" medications for online urgent care (azithromycin, prednisone, etc.).

And then it'll go haywire from there ....
 
I think AI will definitely become a "physician extender" for both good and bad.

Order an ankle xr—>interpret the film—>let physician know about red flags—>have tech get an air splint —> d/c. Same with chest pain workups, a lot of abdominal pain (i,.e old person gets labs/CT), sore throat, etc.
 
"I have sickle cell pain"

*orders dilaudid 3 MG q2*
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Dilaudid 3mg q2 MINUTES!
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