Doctors need 30 hours in a day to do their jobs. That's not hyperbole - it's from an American Journal of General Internal Medicine study, and it explains why GP visits consume 20% of healthcare costs.
Abridge CEO Shiv Rao laid out the impossible workflow. Cardiologists prep charts on Sunday nights, then spend consultations typing notes with their backs to patients. They code for billing, fight insurance prior authorizations, and manage referrals - all while trying to deliver care.
Rao sees AI agents coordinating the entire care continuum. One handles intake for routine conditions, another prepares the doctor, a third documents conversations, and a fourth manages post-visit orders. This team tackles what Rao calls "all the jobs" crushing clinicians.
The real obstacle is misaligned incentives. Healthcare operates like pre-Nadella Microsoft - siloed entities pointing guns at each other rather than aligning around patient outcomes. Regulation like New York's LLM ban acknowledges the coming seismic shift, trying to manage what can't be stopped.
When asked whether a family member should see a bottom-tier GP or consult top AI models, Rao's answer was immediate: always the models first, then figure out who to see.
Shiv Rao, This Week in AI:
- I would always do the models and then figure out who to see.
- Two choices: go to the lower third of a general practitioner's and get advice, or get it from the top 3 or 4 models.
