Thanks for writing this. I really like the idea of shifting the AI race from technical scores to real health outcomes. Competing on things families can actually feel is the right direction.
What I keep coming back to, though, is that this still sounds like a speed problem. Faster detection, cheaper trials, better diagnostics. All important. But they don’t explain why care still breaks down for so many people.
Across health systems, the deeper issue I see is drift. The same patient is assessed differently across settings. Decisions get fragmented across hand-offs. A few weeks later, no one can clearly explain why something happened.
So, alongside moonshots like early detection, I’d love to see benchmarks that track:
How often do patient journeys break across teams
How long it takes to reconstruct a clinical decision
Whether care actions are traceable to a clear intent and responsibility
Fixing drift is what changes care in real life. Speed helps. Clear, continuous judgment is what builds trust. That’s also the missing foundation of real value-based care. That’s the race that matters.
Found this super interesting, thanks for writing this. Nuanced thoughts
Thanks for writing this. I really like the idea of shifting the AI race from technical scores to real health outcomes. Competing on things families can actually feel is the right direction.
What I keep coming back to, though, is that this still sounds like a speed problem. Faster detection, cheaper trials, better diagnostics. All important. But they don’t explain why care still breaks down for so many people.
Across health systems, the deeper issue I see is drift. The same patient is assessed differently across settings. Decisions get fragmented across hand-offs. A few weeks later, no one can clearly explain why something happened.
So, alongside moonshots like early detection, I’d love to see benchmarks that track:
How often do patient journeys break across teams
How long it takes to reconstruct a clinical decision
Whether care actions are traceable to a clear intent and responsibility
Fixing drift is what changes care in real life. Speed helps. Clear, continuous judgment is what builds trust. That’s also the missing foundation of real value-based care. That’s the race that matters.