If you could be plugged into a machine that simulated the perfect experience — limitless joy, deep connection, a sense of purpose — yet you knew it wasn't real, would you choose to stay plugged in? 

This isn't just a philosophical exercise. As our lives become increasingly digitized, our relationships filtered through screens, our emotions managed by algorithms, our attention parceled out to feeds and notifications, we are confronted with a deeper question: what does it mean to have an authentic experience anymore? 

Our guest on this episode is Christine Rosen, a writer and cultural critic whose book The Extinction of Experience (2024) explores how the virtualization of our world is transforming not just our habits, but our inner lives. Drawing from philosophy, neuroscience, and her own reflections, Rosen examines what we lose when direct embodied experience gives way to digital mediation, whether that's our connection to the natural world, our relationships, or even our own sense of self. 

The repercussions for medicine are profound. In an era where care is often delivered through screens, where patients track their bodies through apps and data, and where wellness is increasingly conflated with optimization, how do we preserve what is human in the doctor-patient relationship, and how do patients navigate their own sense of health and wholeness in a world that so often substitutes simulation for substance? 

This is a conversation that cuts deep into one of the most pressing cultural currents of our time and its implications for how we connect, how we heal, and how we find meaning in being alive.

In this episode, you’ll hear about: 

3:00 - How Rosen came to focus her career on the history of technology

5:51 - Why we should think proactively about the effects of technological advances on our behavior and society

11:40 - How modern technology has encouraged impatience and disconnect with other humans

27:06 - Why we should stop seeing technology as a means to “solve” or “overcome” human behavior 

37:23 - The epidemic of loneliness that exists despite unprecedented levels of technological interconnectivity 

45:37 - The moral challenges in our society’s attempt to end boredom, discomfort, and suffering 

54:28 - How to think and act critically about the relentless march of technology

57:17 - What we can do to make our lives flourish

Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.

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