![]() Lycette’s tale of the depersonalization of health care is chilling indeed. ![]() In a system that runs for profit and is controlled mightily by corporate interests, Dr. Even at the end-especially at the end.” (p. But now, she knew that technology didn’t make a doctor who she was. “Hope used to think that doctors could-and should-be perfect only if they had the right technology. Where will humanity and justice in medical care go when AI is fully incorporated into our system? She cleverly weaves in the moral injury of nurses, the unequal distribution of power and limits on opioid pain relievers into the story. In the way that art seems to imitate life, the recent entry of AI into our daily lives and health care decisions is predicted by Dr. Kestrel finally realizes, “… To hope is to choose. But removing the ability of patients to choose how they want to be treated at the end of life was ripe for misuse by a greedy system that sought to save money by denying and rationing care. Kestrel foolishly buys in to the heartless decisions of the Algorithm to ration care to the patrons and remove patient choice. In the lingering grief over the death of her mother, young Dr. At the same time, the reader takes a voyage of self-discovery along with the protagonist. There is a plot to save a mistreated patient and to foil the nefarious plan of the villain and her corporation. I kept turning those pages to see how the very likable characters were going to work their way out of quite a few jams. I do not normally read this type of book for precisely this reason it made me so uncomfortable. The novel is a tense, fast-paced thriller that keeps the reader guessing what will happen next. We are reminded, “the most dangerous lies are the ones that use the truth to sell themselves.” (p. The podcaster alludes to the cold-hearted words of the corporate CEO to describe the billions of dollars spent on ineffective treatments at the end of life. The omnipresent robotic Online Speech and Recognition System (OSLR) purposely alludes to Sir William Osler, whose voice can be called up from anywhere in the hospital.Īs the opposition to the plan of the unscrupulous medical health care provider, a rogue podcaster questions the methods and morals of the Algorithm-driven health care corporation. The use of computerized surveillance and ominous acronyms reads like an Orwellian fantasy. She has earned the official title of high resident, which PRIMA uses instead of chief resident, in its Oncologic and Surgical Intervention Success (OASIS) unit. In this book, surgery resident Hope Kestrel works for Seattle-based health system Prognostic Intelligent Medical Algorithms (PRIMA). Lycette, MD, imagines for us in her futuristic medical thriller, “The Algorithm Will See You Now.” Imagine the year is 2035 and the miracle of artificial intelligence (AI) has been so thoroughly integrated into the art and science of medical care that life-and-death decisions are made for us by a computerized algorithm that can predict whether cancer treatment will be successful or not.
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