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It’s hard to resist the world’s obsession with productivity and efficiency and to force yourself to be present in a quiet space. I’ve been enjoying the wandering_cassettes Instagram account, which posts videos of Fisher Price cassette players playing songs in different settings. This one is particularly calming, but they’re all timeline cleansers.

The newsletter will be off next week as I work on a big new story, but I’ll be back in your inboxes Sept. 23.

AI scribes only fix a tiny slice of the problem

Today’s AI Prognosis — and my new story — are brought to you by “The Pitt.” Not in any financial way — I just mean that I finally started watching “The Pitt.” (No spoilers! I’m only halfway through season two.)

Everyone is right — it is extremely compelling television. But what struck me the most was how “The Pitt” feels exactly like the ambulance ride-alongs and emergency department shadowing visits I’ve done: Dropping in on the worst day of someone’s life, but doing it over and over every 40 minutes, for eight to 12 hours, without enough resources.

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BOSTON — The building that houses the Brigham and Women’s Hospital emergency department opened in 2022. But by 2025, it was already too small. One early September evening, the emergency room had 59 patients — 152, if you counted everyone in the waiting room. 

“In terms of rooms for acute care, we have 61,” said Christopher Baugh, an emergency physician at the hospital. “You can’t see 152 patients in 61 rooms.” Patient beds lined every possible area, with a full circle of beds surrounding the staff workstations in the center of the bay. Figurines of Star Wars characters R2D2 and C3PO peered over beds 80H and 81H — where “H” stands for “hallway.”

To some, this may look like a scene from another country, Baugh said. But to him, it’s just Thursday.

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SAN MATEO, Calif. — Peyton Greenside, CEO of BigHat Biosciences, has hot takes. 

Her company designs antibody therapies using machine-learning, but she doesn’t like demos in which people open their computers and show off how fast they can design a drug. “If you want me to design you a protein right now in six hours, I’m happy to do it,” she said.

In fact, she can do it in 20 minutes. But if you’re actually in the business of making drugs, you are still going to have to do all the downstream tests, which take time and lots of money, Greenside said. “That’s where the hard work is, is making the actual drug.” 

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Zac Jiwa, a federal Medicare official, delivered a eulogy of sorts at a Thursday Medicare event highlighting the successes of the Health Tech Ecosystem initiative. 

The eulogy’s subject? The clipboard. 

For the past eight months, hundreds of health tech companies have been working to meet goals set out by the federal government to make patient records more portable, create systems that import patients’ data into providers’ electronic health records systems, and stand up various patient apps. The idea is to make filling out a stack of paperwork at every doctor’s visit, on that ubiquitous clipboard, a thing of the past.

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