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The PLOT DOC, MD🩺📝✍️
@theplotdoc.bsky.social

In this NEJM study AI TRIPLED the cost of medical care by ordering unnecessary tests We’re firing people and contributing to burnout on the false promises of AI In a litigious country with few protections for doctors, apparently theres still room for defensive medicine ai.nejm.org/doi/full/10....

ai.nejm.orgComparative Cost of Care Recommended by Large Language Models versus Treating PhysiciansLarge language models (LLMs) are increasingly consulted for clinical decision support, yet the cost of services or treatment they recommend has not been systematically evaluated. We evaluated 24 AI...

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gillespe.bsky.social
@gillespe.bsky.social

In 66% of visits physicians documented no testing, and that's most of the cost gap. AI suggested a standard panel every time. Unnecessary, too cautious, or medically justified with impact on outcome? With an austerity prompt the gap shrank to 1.4x. Not sure what the golden middle is.