TP342 argued that patient access doesn't begin when someone calls for an appointment. It begins much earlier, in the digital layer, before the patient is sure they need care. That premise held. What changed is who owns the layer. Three years ago, the digital layer was something a health system could design, instrument and measure. Today, the patient's first contact happens in a synthesis interface no health system controls.

Chris and Reed revisit TP342 this week with a brief intro that connects Reed's "AI and Access" thesis on LinkedIn to the original argument, an honest update on where the premise held, and a frame for listening back with three years of new context.

In this encore conversation, Chris and Reed cover:

If access begins in a layer you don't own, then every digital investment downstream of it is downstream of someone else's interface.

Mentions from the Show:

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