The Scribe
In the 1990s, non-Jewish friend of mine wrote clinical notes for observant physicians who could not work on the Sabbath. Today, ambient AI does the same job. Who owns what the scribe writes?
Physician and enterprise product leader. Author of the Agentic AI for Product Leaders series. Writes on AI, healthcare, and what changes when software starts acting. 15+ years at SAP, Walmart, and regulated health tech.
In the 1990s, non-Jewish friend of mine wrote clinical notes for observant physicians who could not work on the Sabbath. Today, ambient AI does the same job. Who owns what the scribe writes?
Thirty years ago, in a small room at the Hebrew University School of Pharmacy in Jerusalem, a group of graduate students was simulating protein structures on Silicon Graphics workstations, the same machines Hollywood used for visual effects.
In 2018, the FDA cleared an AI to diagnose disease without a physician in the loop. A nurse captures two retinal images, the system delivers a clinical decision, and the company, not the clinic, carries the liability. That was seven years ago. The future we keep debating is already here.
In 2013, the FDA approved a machine that could sedate patients without an anesthesiologist. By 2016, it was dead. No safety scandal. No patient harm. It simply failed to sell.
When was the last time you trusted a machine with a life-or-death decision? If you’ve ever had an ECG, the answer is: already. Since 1982, ECG machines have printed automated interpretations, computers reading your heart and offering a clinical opinion long before we called it AI.
“The Second Eye” opens a five-part series. It traces healthcare AI to its real origins, in radiology, cardiology, anesthesiology, and other place, decades before today’s hype. I’m tired of reading that AI in healthcare is failing. Its not! It started long before Silicon Valley noticed.