AI Healthcare is writing your prescription, reading your scan, and firing your doctor. You already let it write your code, so what's the difference? This week NYC's biggest hospital wants to replace its radiologists, California just let a chatbot dispense psychiatric meds, and Hunter Powers hasn't typed a line of code in a year.

On this week's They Might Be Self-Aware, Hunter and Daniel Bishop walk through the AI Healthcare reckoning nobody's ready for. Mitchell Katz, CEO of NYC Health+Hospitals (America's largest public hospital system), went on record: replace the radiologists, he said, if regulators would let him. A California psychiatry startup just got the green light to have AI prescribe psychiatric medications. Radiology AI has beaten human doctors at cancer detection for years. The tech is ready. The laws aren't. And the sin eater who takes the blame when the robot misdiagnoses you? Turns out he's an actuary in Connecticut with a spreadsheet.

Hunter kicks it off with a confession: he hasn't written a line of code in a year. His GitHub says otherwise, but that's the point. Agentic coding has eaten his keyboard, Daniel admits the same "brain fry," and both hosts argue that architecture is the last thing Claude can't quite do. Then they drag that same logic into the hospital. If you trust AI to ship your codebase, do you trust it to read your mammogram? What about prescribe your psych meds? What about both, for forty-seven dollars, in a fully automated lab in rural Uganda that's still more accurate than no doctor at all?

Hunter wants a clean legal test: if AI saves more lives than the average doctor, make it legal. Daniel says forget ethics committees, malpractice insurance companies will settle this before the lawmakers do, same way Tesla already discounts your premium for letting the car drive itself. That's the future of AI Healthcare. That's the AI sin eater.

⏱️ CHAPTERS

0:00 Cold open: Gary at the payphone

⚡ Listen now & get self-aware before your tools do.

🎧 Listen on Spotify: https://open.spotify.com/show/3EcvzkWDRFwnmIXoh7S4Mb?si=3d0f8920382649cc

📢 Engage

Be honest in the comments: have you already used Claude or ChatGPT as your therapist this year? We want a headcount. Bonus round: would you let AI read your scan before a human doctor ever saw it?

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🧠 They Might Be Self-Aware — but are we?

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