I have a telehealth appointment next week with a medical professional whom I have previously met. And I assume she will participate in the telehealth appointment.
In the future, of course, she may not.
Way back in April 2013, I wrote a tymshft piece entitled “You will still take a cab to the doctor’s office. For a while.” It speculated about a future 2023 medical appointment in which the patient took a driverless cab to a medical facility. In the office, the patient was examined by remote staff…or so she thought.
“Well, I’m glad you’ve gotten used to the procedure,” replied the friendly voice. “I hope you like me!”
“I do,” said Edith. “You’ve been very helpful. But I’ve always wondered exactly WHERE you were. If you were in Los Angeles, or in Mississippi, or perhaps in India or China, or perhaps even in one of the low-cost places such as Chad. If you don’t mind my asking, exactly where ARE you?”
“I don’t mind answering the question,” replied the friendly voice, “and I hope you don’t take my response the wrong way, but I’m not really a person as you understand the term. I’m actually an application within the software package that runs the medical center. But my programmers want me to tell you that they’re really happy to serve you, and that Stanford sucks.” The voice paused for a moment. “I’m sorry, Edith. You have to forgive the programmers – they’re Berkeley grads.”
“Oh,” said Edith after a moment. “This is something new. I’m used to it in banking, but I didn’t realize that a computer program could run an entire medical center. Well…who picks up the trash?”
“That’s an extra question! Just kidding,” replied the friendly voice. “Much of the trash pickup is automated, but we do have a person to supervise the operation. Ron Hussein. You actually know him – he was your cab driver in 2018 when you came here.”
Re-reading this 2013 piece, I was amused at three things I got wrong.
- First, Google, Facebook, and Apple did NOT merge to form Gaceapple, “the important merger that saved the tech industry in the United States from extinction.” American tech firms are still powerful…for now.
- Second, my assumption of cab companies adopting driverless cars assumed the continued existence of cab companies. Ride share services have reduced the presence of traditional companies dramatically.
- Third, my assumption that medical firms would sink untold sums of money into centralized automated medical examination rooms could be questioned…especially for routine appointments like Edith’s. Why not just let Edith’s smartphone—perhaps with a single attachment—gather the data?
Of course, there are medical ethics questions that underlie this entire discussion of remote telehealth and the use of non-person entities (NPEs). And we are struggling with those right now.





