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	<title>Raymond Rupert, Author at Raymond Rupert</title>
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		<title>Using AI To Find A Treatment For Amy&#8217;s Brain Tumor:  It Helped.  ( Free Press April 10, 2026)</title>
		<link>https://raymondrupert.com/using-ai-to-find-a-treatment-for-amys-brain-tumor-it-helped-free-press-april-10-2026/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Fri, 10 Apr 2026 15:57:38 +0000</pubDate>
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					<description><![CDATA[<p>Amy had just turned 25, but her body seemed to be turning against her: crushing fatigue, bone density loss, and months without getting her period. We saw multiple doctors. They suggested allergies, burnout, or that maybe she just needed more sleep. Then we got her MRI results back: My girlfriend had a brain tumor. Amy  ...</p>
<p>The post <a href="https://raymondrupert.com/using-ai-to-find-a-treatment-for-amys-brain-tumor-it-helped-free-press-april-10-2026/">Using AI To Find A Treatment For Amy&#8217;s Brain Tumor:  It Helped.  ( Free Press April 10, 2026)</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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<p>Amy had just turned 25, but her body seemed to be turning against her: crushing fatigue, bone density loss, and months without getting her period. We saw multiple doctors. They suggested allergies, burnout, or that maybe she just needed more sleep. Then we got her MRI results back: My girlfriend had a brain tumor.</p>
<p>Amy has <a href="https://my.clevelandclinic.org/health/diseases/22007-prolactinoma" rel="">a prolactinoma</a>, a tumor of the pituitary gland, the pea-size organ at the base of the brain that controls your hormones. In many cases, prolactinomas are benign, slow growing, and shrink with medication. The growth was caught late, gaining mass fast, and sitting in a rare position that threatens her vision. And Amy’s hormone levels were wildly elevated.</p>
<p>We were told that a standard course of treatment—including two surgeries—would get rid of the tumor entirely. It didn’t. The tumor kept coming back. I spent weeks as her full-time nurse, holding her hand through headaches that left her bedridden. She couldn’t bend over, couldn’t blow her nose for fear of a spinal fluid leak. One night, desperate for answers, I started talking to an AI chatbot. It was then that I had a wild thought: <em>I’m going to cure her myself</em>.</p>
<p>I started by describing Amy’s exact case: her tumor type, its position, her pathology results, and her response to different medications. Within my first week talking to chatbots, I found <a href="https://pubmed.ncbi.nlm.nih.gov/33904172/" rel="">a paper</a> that leading pituitary scientists told me they hadn’t seen, describing a compound that outperformed the leading treatment for drug-resistant prolactinoma cells. One researcher nearly jumped when I told him—he said he’d never seen any published literature make that connection, and that he was going to pursue it, stat.</p>
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</div><figcaption class="image-caption">Andrew and Amy trekked to Everest base camp to celebrate after the first surgery. Then the tumor started regrowing.</figcaption></figure>
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<p>I’m not the only person turning to AI in the fight against stubborn medical conditions. One-third of Americans are now turning to chatbots for health advice or information, according to a <a href="https://www.kff.org/public-opinion/kff-tracking-poll-on-health-information-and-trust-use-of-ai-for-health-information-and-advice/" rel="">poll released in March</a>. After I published Amy’s story <a href="https://x.com/ATabarrok/status/2019646713959707056" rel="">on X</a>, over a million people saw it. Among them was a software engineer whose young daughter has leukemia. He told me he learned more talking to a chatbot than in months spent in and out of doctors’ offices. AI is even helping cure diseases in pets: In Australia, a man <a href="https://fortune.com/2026/03/15/australian-tech-entrepreneur-ai-cancer-vaccine-dog-rosie-unsw-mrna/" rel="">recently used</a> a chatbot to help scientists develop a customized cancer vaccine for his dog.</p>
<p>To be fair, you probably still need some level of expertise to navigate this brave new world of medical knowledge. I have a background in biophysics research and I’ve worked with AI and biotech start-ups for several years. I’d followed stories of patients like Sid Sijbrandij, the GitLab co-founder who <a href="https://centuryofbio.com/p/sid" rel="">built a full genomic research stack</a> to fight his own cancer. This territory is more familiar to me than most.</p>
<p>Chatbots aren’t perfect; you still have to interpret the information they spit out, and they can’t replace doctors. But for the first time, a motivated person can show up to a medical appointment with knowledge that was inaccessible five years ago. AI can comb through research papers, drug trials, and obscure morsels of medical knowledge, and make them available to anyone. In the very near future, cutting-edge advances in medicine may arrive through the work of motivated patients and caregivers who know how to use these tools.</p>
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<p>After Amy’s diagnosis, I started by reading everything I could find. Tens of thousands of papers have been published on brain tumors, and no single doctor has time to synthesize all of the details relevant to a single patient’s case, so I used AI to help.</p>
<p>Here’s what I’ve found so far. Amy is taking a <a href="https://www.healio.com/clinical-guidance/drugs/cabergoline" rel="">drug called cabergoline</a>, which works by binding to a receptor on her tumor cells to halt cell reproduction. It’s the standard treatment, and it’s working. The tumor’s growth has halted. Still, about <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10021939/" rel="">10 to 15 percent</a> of patients develop resistance to the drug, and when it stops working, their options begin to thin out.</p>
<p>I wanted to know: What happens if it stops working? And can we do anything now to make sure that doesn’t happen? These questions ultimately guided me to my first major victory—finding the paper that leading pituitary researchers hadn’t seen.</p>
<p>I also wanted to know: How did my healthy 25-year-old girlfriend end up with a brain tumor? When I asked one of the world’s leading prolactinoma experts what causes these tumors, he shrugged: “It’s random, but there’s possibly some genetic weighting.”</p>
<p>So I looked into gene therapy.<strong> </strong>I cross-referenced Amy’s pathology report and family history against the published literature on hereditary pituitary tumors and identified three genes worth testing. If any of these genes carried a mutation, it would mean Amy’s tumor had a hereditary cause, with implications for how aggressively to treat it and whether our future children could be at risk.</p>
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</div><figcaption class="image-caption">Every morning before Amy wakes up, Andrew is at his laptop, reading papers and running prompts with AI chatbots.</figcaption></figure>
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<p>When I brought this to her neuroendocrinologist, I was nervous. I felt underqualified to raise something her own team hadn’t mentioned. To my delight, they were receptive, appreciative of the new idea, and willing to order the panel. Amy tested negative, which was a huge relief. It meant her tumor was most likely sporadic—that is, random—not inherited. This test only happened because AI helped me know what to ask for and why.</p>
<p>It’s important to note that these tools aren’t magic. They hallucinate. One claim turned out to be based on primate brain studies, not human tumor data. Another time, a model cited a paper that didn’t exist. But the best technique I’ve found is also the simplest: I run the same question through two different AI models and compare their answers. When two AI models converge on a finding, I trust it more. When they diverge, that’s where the interesting questions hide. I bring those disagreements to human scientists, and to Amy’s doctors.</p>
<p>It’s been three months since I started working on this full time, and the process has completely changed how I think about medicine. I’ve had over 100 meetings with neurosurgeons, pharmacologists, DNA analysis companies, and AI tool builders. The biggest barrier to research breakthroughs, I’ve realized, is that different areas of medicine are very siloed.</p>
<p>The scientists who study drug resistance in brain tumors publish in one set of journals. The chemists working on new ways to target the same receptor publish in another. They think in different frameworks and contexts. An AI that has ingested both literatures can see a bridge between them that no individual researcher has reason to look for. These tools are helping me understand Amy’s tumor biology now, while her medication is working, so we have a plan if it ever stops.</p>
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<div class="image2-inset can-restack"><picture><source srcset="https://substackcdn.com/image/fetch/$s_!tjJw!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 424w, https://substackcdn.com/image/fetch/$s_!tjJw!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 848w, https://substackcdn.com/image/fetch/$s_!tjJw!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!tjJw!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 1456w" type="image/webp" sizes="100vw" /><img decoding="async" class="sizing-normal" src="https://substackcdn.com/image/fetch/$s_!tjJw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg" sizes="100vw" srcset="https://substackcdn.com/image/fetch/$s_!tjJw!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 424w, https://substackcdn.com/image/fetch/$s_!tjJw!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 848w, https://substackcdn.com/image/fetch/$s_!tjJw!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!tjJw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg 1456w" alt="" width="1456" height="988" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:988,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1661427,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.thefp.com/i/193736440?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79f1c5ec-7d5a-4305-8758-ed629cd41bec_1800x1222.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" /></picture>
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</div><figcaption class="image-caption">Last month Amy went skiing and traveled to Argentina. The fight isn’t over—but Amy’s energy is back.</figcaption></figure>
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<p>So far, Amy has had two brain surgeries. The first removed most of the tumor. After weeks of recovery, we were so hopeful we celebrated by trekking to the base of Mt. Everest. Then the tumor started regrowing. The second surgery was declared a complete success, until the labs came back worse than before.</p>
<p>The good news is she’s not dying. The tumor hasn’t spread. But a third surgery carries a 5 to 15 percent risk of permanent pituitary damage. And there’s always the possibility that the cabergoline stops working.</p>
<p>That’s why every morning before she wakes up, I’m at my laptop, reading papers and running prompts. Maybe I’ll find a link between two studies that convinces a researcher to test a compound on prolactinoma cells that’s only been tried on other tumor types. Maybe I’ll identify a mutation in Amy’s tissue that matches an existing drug nobody thought to try for her condition.</p>
<p>At minimum, I’ll walk into every appointment with better questions, and her care team will work with more context than they’d have without me. Instead of feeling dependent on a system that failed to promptly diagnose a large brain tumor in a healthy 25-year-old, I’m taking steps that may meaningfully help her and others.</p>
<p>Amy’s energy is coming back. Last month, she went skiing and traveled to Argentina. Her latest tests showed that her hormone levels are back to normal.<strong> </strong>But the fight isn’t over when the numbers look good. It’s over when we understand the biology of Amy’s tumor well enough that it can never surprise us again. We’re not there yet. But we’re closer than we were.</p>
<p>When people get a diagnosis like Amy’s, they learn to accept the things they can’t control. They show up to appointments, sit in waiting rooms, and put their faith in the people who went to school for this. For most of human history, that was the only logical response. Not anymore.</p>
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<div class="image2-inset can-restack"><picture><source srcset="https://substackcdn.com/image/fetch/$s_!4vpZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 424w, https://substackcdn.com/image/fetch/$s_!4vpZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 848w, https://substackcdn.com/image/fetch/$s_!4vpZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 1272w, https://substackcdn.com/image/fetch/$s_!4vpZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 1456w" type="image/webp" sizes="100vw" /><img decoding="async" class="sizing-normal" src="https://substackcdn.com/image/fetch/$s_!4vpZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png" sizes="100vw" srcset="https://substackcdn.com/image/fetch/$s_!4vpZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 424w, https://substackcdn.com/image/fetch/$s_!4vpZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 848w, https://substackcdn.com/image/fetch/$s_!4vpZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 1272w, https://substackcdn.com/image/fetch/$s_!4vpZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png 1456w" alt="" width="1320" height="30" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:30,&quot;width&quot;:1320,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2844,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.thefp.com/i/193736440?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c6032a7-8d86-4bb4-b074-cd67934bec7a_1320x30.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" /></picture>
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<div class="container-s8tYit preset-h5-serif-mY7BSm color-white-MlYGuP">Andrew Rodriguez</div>
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<p>Andrew Rodriguez studied biology at Columbia, where he conducted biophysics research at the Zuckerman Institute. He has co-founded multiple companies and worked in venture capital at AngelList and Side Door Ventures. He is currently using AI to research his girlfriend’s brain tumor full time. You can follow his journey at andrewjrod.substack.com.</p>
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<p>The post <a href="https://raymondrupert.com/using-ai-to-find-a-treatment-for-amys-brain-tumor-it-helped-free-press-april-10-2026/">Using AI To Find A Treatment For Amy&#8217;s Brain Tumor:  It Helped.  ( Free Press April 10, 2026)</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>RCM Health Got An Email From A Patient In Gambia, West Africa.</title>
		<link>https://raymondrupert.com/rcm-health-got-an-email-from-a-patient-in-gambia-west-africa/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Mon, 30 Mar 2026 11:33:42 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1282</guid>

					<description><![CDATA[<p>He wanted healthcare in Canada.He sent his medical records. He had a bone infection ( osteomyelitis) of his right femur ( thigh bone). He was hesitant to be treated in Gambia. He might have lost his leg. He wanted to come to Canada for excellent medical care. This was the second request that week from foreign  ...</p>
<p>The post <a href="https://raymondrupert.com/rcm-health-got-an-email-from-a-patient-in-gambia-west-africa/">RCM Health Got An Email From A Patient In Gambia, West Africa.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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										<content:encoded><![CDATA[<p><span style="font-weight: 400;">He wanted healthcare in Canada.He sent his medical records. He had a bone infection </span><span style="font-weight: 400;">( osteomyelitis) of his right femur ( thigh bone). He was hesitant to be treated in Gambia. He might have lost his leg. He wanted to come to Canada for excellent medical care. This was the second request that week from foreign patients seeking care in Canada. There appears to be a growing demand among foreign patients to seek care in Canada.</span></p>
<p><span style="font-weight: 400;">If Canada were receptive to foreign patients willing and able to pay for their care, our hospitals would have additional income not dependent on government funding. </span></p>
<p><span style="font-weight: 400;">And since many hospitals operate at a deficit, this extra funding would be welcome. </span></p>
<p><span style="font-weight: 400;">In fact, of the 135 hospital corporations in Ontario, about 75% are forecasting year-end deficits for 2025-2026 (Globe and Mail, March 2026). The extra funding would be welcome.</span></p>
<p><span style="font-weight: 400;">It is my understanding that there is no legal prohibition against Canadian hospitals treating foreign patients who pay privately. But in practice, this does not happen. They are constrained by institutional policies. The doctors are not covered by their malpractice insurance. There is political sensitivity about equity and the optics of treating foreign patients while Canadians face long wait lists. </span></p>
<p><span style="font-weight: 400;">Over the years, RCM Health has faced declines by many Canadian hospitals. There is a total lack of&#8217; willingness to treat foreign private-pay patients except in a few large hospitals. And the care in those centers can be very expensive. Seems to emulate US healthcare pricing.</span></p>
<p><span style="font-weight: 400;">So, our efforts shifted to organizing his treatment in Europe. RCM Health began a Request For Proposal (RFP) process with several hospital systems in Europe, including Turkey. And Turkey proved to be the low-cost provider. The Government of Turkey, very cleverly, will pay for the patient&#8217;s flights from Gambia to Istanbul and back. </span></p>
<p><span style="font-weight: 400;">He went to Turkey, ironically he wanted Canadian helath services but ended up  having his care organized globally by a Canadian case management company, RCM Health. </span></p>
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<p>The post <a href="https://raymondrupert.com/rcm-health-got-an-email-from-a-patient-in-gambia-west-africa/">RCM Health Got An Email From A Patient In Gambia, West Africa.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>The Canadian Menu Of Healthcare Services Includes The Exit Strategy: MAID &#8211; from the Free Press 28/3/2026</title>
		<link>https://raymondrupert.com/the-canadian-menu-of-healthcare-services-includes-the-exit-strategy-maid-from-the-free-press-28-3-2026/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Sat, 28 Mar 2026 10:34:45 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1277</guid>

					<description><![CDATA[<p>The 84-year-old woke up one day with excruciating back pain, was rushed to the emergency room, and was promptly asked by a doctor if she wanted help killing herself. That’s because Miriam lives in Canada, where physicians are encouraged to ask patients in agony if they want MAID—medical assistance in dying. “I was stunned,” Miriam  ...</p>
<p>The post <a href="https://raymondrupert.com/the-canadian-menu-of-healthcare-services-includes-the-exit-strategy-maid-from-the-free-press-28-3-2026/">The Canadian Menu Of Healthcare Services Includes The Exit Strategy: MAID &#8211; from the Free Press 28/3/2026</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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										<content:encoded><![CDATA[<p>The 84-year-old woke up one day with excruciating back pain, was rushed to the emergency room, and was promptly asked by a doctor if she wanted help killing herself.</p>
<p>That’s because Miriam lives in Canada, where physicians are encouraged to ask patients in agony if they want MAID—medical assistance in dying.</p>
<p>“I was stunned,” Miriam writes in her essay today. “No one had even told me what was wrong with me.” She responded to the offer with a firm: No, thank you! And soon, she had a simple diagnosis: She had fractured her sacrum, the tiny bone at the base of the spine. With bed rest, the break healed.</p>
<p>“But being offered MAID changed something in me,” Miriam writes. Before, “I had assumed that in my 80s I would simply slow down: read my books, watch some television.” But the experience “made me want to lean into living.”</p>
<p>So she traveled to Cuba, where she sang, danced, and played piano with locals. Still, she’s haunted by what’s happening in her country, where nearly 1 in 20 deaths is a result of MAID.</p>
<p>For everyone who is considering assisted suicide, Miriam has a message: “Think very, very carefully about what you’re giving up,” she writes. “The world is way bigger than you can imagine.” That’s what she found—after she chose to live.</p>
<p><img decoding="async" class="alignnone size-medium wp-image-1280" src="https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-300x300.jpg" alt="" width="300" height="300" srcset="https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-66x66.jpg 66w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-150x150.jpg 150w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-200x200.jpg 200w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-300x300.jpg 300w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-400x400.jpg 400w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-600x600.jpg 600w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-768x768.jpg 768w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763-800x800.jpg 800w, https://raymondrupert.com/wp-content/uploads/2026/03/shutterstock_2759776763.jpg 1024w" sizes="(max-width: 300px) 100vw, 300px" /></p>
<p>The post <a href="https://raymondrupert.com/the-canadian-menu-of-healthcare-services-includes-the-exit-strategy-maid-from-the-free-press-28-3-2026/">The Canadian Menu Of Healthcare Services Includes The Exit Strategy: MAID &#8211; from the Free Press 28/3/2026</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>When AI Takes Over Healthcare:  The Proof.  Raymond RUpert MD MBA.</title>
		<link>https://raymondrupert.com/when-ai-takes-over-healthcare-the-proof-raymond-rupert-md-mba/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Sat, 14 Feb 2026 12:47:22 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1271</guid>

					<description><![CDATA[<p>Radiologists who trained for over a decade to read X-rays are being outperformed by AI models that spot tumors they miss. A Microsoft study found that when their AI system was paired with an OpenAI model, it solved more than 80 percent of complex health cases, compared to a 20 percent success rate for human doctors. In an emergency-department simulation,  ...</p>
<p>The post <a href="https://raymondrupert.com/when-ai-takes-over-healthcare-the-proof-raymond-rupert-md-mba/">When AI Takes Over Healthcare:  The Proof.  Raymond RUpert MD MBA.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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										<content:encoded><![CDATA[<p>Radiologists who trained for over a decade to read X-rays are being outperformed by AI models that spot tumors they miss.</p>
<p>A Microsoft study found that when their AI system was paired with an OpenAI model, it solved more than 80 percent of complex health cases, compared to a 20 percent success rate for human doctors.</p>
<p>In an emergency-department simulation, GPT-4 outperformed resident physicians in diagnostic accuracy based solely on patient histories.</p>
<p>A mother who took her son with a rare neurological condition to 17 doctors came back with no diagnosis, but when she uploaded all of his medical documentation to ChatGPT, it spit out a correct diagnosis in minutes. Six weeks later, her son had lifesaving surgery.</p>
<p>The post <a href="https://raymondrupert.com/when-ai-takes-over-healthcare-the-proof-raymond-rupert-md-mba/">When AI Takes Over Healthcare:  The Proof.  Raymond RUpert MD MBA.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>Rewiring The Brain: This Is Really A Very Dynamic Process Of Neuroplasticity/  Peter Lukas/ Aeon magazine.</title>
		<link>https://raymondrupert.com/rewiring-the-brain-this-is-really-a-very-dynamic-process-of-neuroplasticity-peter-lukas-aeon-magazine/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Tue, 03 Feb 2026 15:21:31 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1266</guid>

					<description><![CDATA[<p>It’s important to grasp how brain plasticity actually works. We already know a lot about the brain’s remarkable ability to reorganise itself throughout life by forming new neural connections, strengthening existing ones or rerouting functions to undamaged areas. But the logic of neuroplasticity isn’t the same as swapping one wire with another. It’s more like  ...</p>
<p>The post <a href="https://raymondrupert.com/rewiring-the-brain-this-is-really-a-very-dynamic-process-of-neuroplasticity-peter-lukas-aeon-magazine/">Rewiring The Brain: This Is Really A Very Dynamic Process Of Neuroplasticity/  Peter Lukas/ Aeon magazine.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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										<content:encoded><![CDATA[<p>It’s important to grasp how brain plasticity actually works. We already know a lot about the brain’s remarkable ability to reorganise itself throughout life by forming new neural connections, strengthening existing ones or rerouting functions to undamaged areas. But the logic of neuroplasticity isn’t the same as swapping one wire with another. It’s more like a living forest where paths are gradually worn or abandoned based on use. It involves changes at the cellular level and can occur in response to learning, memory, sensory input and trauma. Importantly, while neuroplasticity is a lifelong feature of the brain, it is more robust during youth and becomes more effort-dependent <span class="ld-nowrap">with age.</span></p>
<p>This capacity allows the brain to adapt to new experiences, recover from injuries, learn new information and compensate for lost functions. Neuroplasticity is real, but it’s not magic. It has limits. It requires effort. And it doesn’t always result in perfect recovery or transformation.</p>
<p>Unlike rewiring a machine, plasticity is not as simple as replacing parts. It’s a gradual process and is often inefficient. Synapses, which pass signals between neurons, strengthen or weaken. New dendritic branches – neurons’ treelike extensions – grow while others retract. Entire networks shift their activity over time, but only under the right conditions, and these changes accumulate to support new patterns of function while overall mechanisms become less efficient across the lifespan.</p>
<p>Plasticity happens throughout life, but it’s shaped by many factors: age, environment, repetition, rest, nutrition and emotional state. For example: with months of targeted physical therapy, a stroke survivor can regain movement in a limb by recruiting healthier networks; with intensive, structured practice, a child with dyslexia can gradually develop new reading pathways; and reading braille requires extensive practice and is instrumental in changing relevant brain regions.</p>
<p>In cases of childhood trauma, certain survival pathways, such as hypervigilance or emotional detachment, may become dominant and reinforced over time. Later in life, therapy may promote the strengthening of alternative circuits related to trust, emotional regulation or self-awareness. But the old pathways aren’t necessarily erased. They remain in the background, potentially reactivated under stress. The idea that the brain is ‘rewired’ to function in a <a href="https://psyche.co/guides/how-to-maintain-a-healthy-brain-to-reduce-the-risk-of-dementia" target="_blank" rel="noopener">healthier way</a> may offer hope, but it oversimplifies the reality. We build new trails, but the old ones don’t necessarily disappear.</p>
<p>Experience is a major force in shaping the nervous system. But, as the neuroscientists Bryan Kolb and Ian Whishaw argue in their widely cited <a href="https://pubmed.ncbi.nlm.nih.gov/9496621/" target="_blank" rel="noreferrer noopener">review</a> of brain plasticity, it always works in context. Over a lifetime, experience ‘alters the synaptic organisation of the brain’, but the brain’s response is also shaped by age, hormones, trophic factors (support proteins), stress, and illness or injury. And because the neocortex can ‘modify its function throughout one’s lifetime’, the same experience can leave different traces in different bodies, at different ages. Kolb and Whishaw capture the broader principle in a line worth keeping: ‘experience can modify brain structure long after brain development is complete’, and those physical changes are widely thought to be part of how memories are stored. In other words, plasticity is conditional, uneven and shaped by circumstance, not wishful thinking.</p>
<p>There is evidence that the environment can change which genes are switched on in the adult brain. One likely route runs through neural activity shaped by experience. Novel experience causes neurons to fire in new patterns; and those neurons in turn can trigger gene programmes that support dendritic and synaptic growth – structural changes that can, over time, shift behaviour. Some of these genes are known to be associated with learning and memory; others are linked to age-related memory deficits. So enrichment can certainly support the brain.</p>
<p>While neuroplasticity resists shortcuts, it does respond to sustained engagement. Across the lifespan, brains that are challenged – cognitively, socially, physically – tend to retain greater flexibility than those that are not. This is not because any single activity ‘rewires’ a specific circuit, but because varied, effortful experiences repeatedly recruit overlapping networks: attention, memory, movement, emotion. Learning a new language, for example, activates distributed regions across both hemispheres, linking auditory perception, working memory, and executive control. Playing a musical instrument does something similar, coupling fine motor coordination with timing, prediction, and emotional recall. Over time, these demands encourage structural and functional changes that support what neuroscientists call <em>cognitive reserve</em>: the brain’s ability to compensate when injury or degeneration occurs.</p>
<p>The post <a href="https://raymondrupert.com/rewiring-the-brain-this-is-really-a-very-dynamic-process-of-neuroplasticity-peter-lukas-aeon-magazine/">Rewiring The Brain: This Is Really A Very Dynamic Process Of Neuroplasticity/  Peter Lukas/ Aeon magazine.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>The Non-obvious Approach To Adding More Healthcare Capacity In Canada.    Raymond Rupert CEO Healtheon.ca</title>
		<link>https://raymondrupert.com/the-non-obvious-approach-to-adding-more-healthcare-capacity-in-canada-raymond-rupert-ceo-healtheon-ca/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Sun, 12 Jan 2025 16:37:45 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1254</guid>

					<description><![CDATA[<p>    Taylor Swift just completed the Canadian leg of her tour in Toronto. There were about 50,000 Swiftees there. Sixty dollars for an official Taylor Swift sweatshirt. Two thousand three hunded dollars for the cheapest ticket on resale platform StubHub. All the Swiftees could buy some grub. Get seated. Go to the WC. Be  ...</p>
<p>The post <a href="https://raymondrupert.com/the-non-obvious-approach-to-adding-more-healthcare-capacity-in-canada-raymond-rupert-ceo-healtheon-ca/">The Non-obvious Approach To Adding More Healthcare Capacity In Canada.    Raymond Rupert CEO Healtheon.ca</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>&nbsp;</p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">Taylor Swift just completed the Canadian leg of her tour in Toronto. There were about 50,000 Swiftees there. Sixty dollars for an official Taylor Swift sweatshirt. Two thousand three hunded dollars for the cheapest ticket on resale platform StubHub. All the Swiftees could buy some grub. Get seated. Go to the WC. Be somewhat protected. The concert demonstrated what can done by adding capacity to handle large numbers of attendees.</span></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">This contrasts with our healthcare system where growth in capacity has been limited by design. </span></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">Dr Brian Day of the Cambie clinic was on our podcast at Healtheon.ca  a few weeks ago. He explained very clearly how a long term plan was put in place by health system planners to limit any growth in healthcare capacity.</span></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">The logic is simiple. Fewer MRI machines, less funding for MRI studies. Fewer operating rooms. Lower costs for surgeries. Fewer medical doctors. Less funding for doctor&#8217;s services.</span></p>
<p><span style="font-weight: 400;">But this as a long term strategy seems to have lead to an erosion of timely services.</span></p>
<p>&nbsp;</p>
<p><b>An Engineering Approach To Adding New Healthcare Capacity:</b></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">Large projects such as electricity generating plants are designed by engineering groups.</span></p>
<p><span style="font-weight: 400;">Many of these large projects as structured as Build Own Operate Transfer ( BOOT) projects. </span></p>
<p><span style="font-weight: 400;">The private sector funds the project including design and construction. The private sector operates the plant. The output is sold based on a long term purchase contract with the government. The contract makes the addition of new capacity rational. Eventually, the ownership of the project is transferred to the government. </span></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">The BOOT approach is being used in healthcare in Canada  and could be expanded to include many types of healthcare capacity. </span></p>
<p>&nbsp;</p>
<p><b>The Use of AI To Increase Workforce Capacity:</b></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">There is a need for more doctors, nurses and nurse practitioners. The addition of new workforce capacity takes generations. </span></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">There is a very innovative approach to adding workforce capacity. AI doctors and AI nurses are appearing. These bots are based on extensive testing. They have access to vast amounts of data. They can be engineerred to be empathetic. When listening to a nurse bot talk with a patient.,one can not tell the difference between a nurse bot and a real nurse.</span></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">The economics are intersting. A nurse bot can be rented by a hospital for $9 per hour. That is a dramatic savings for the hospital. And testing shows the nurse bot to be more accirate than a real nurse. </span></p>
<p>&nbsp;</p>
<p><b>Let&#8217;s Look At Australia&#8217;s Pivot In Building New Capacity:</b></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">Medibank was the first iteration of medicare in Australia. It was introduced in 1975. There had been a public debate on the idea of a private health inisurance scheme from 1967. Australia had universal health insurance. It guaranteed all Australians access to a wife range of healthcare services at low or no cost. The government recognized the need for more healthcare capacity. Accordingly, the government started Medibank as a not for profit  private healthcare insurer owned by the government of Australia. This plan worked. And now there are 4.2 million Australians covered by Medibank. And funds from premiums were used to fund services and to pay for new capacity. </span></p>
<p>&nbsp;</p>
<p><b>Conclusion: </b></p>
<p>&nbsp;</p>
<p><span style="font-weight: 400;">Creative strategies can be used to increase capacity in healthcare. We have discussed how the BOOT model from engineering can be applied in healthcare. We have illustrated how AI enabled bots ( nurses) can be immediately introduced to patients at a dramatic reduction in cost. And we have demonstrated the example of private not for profit health insurance in Australia that facilitated the growth of new healthcare capacity.</span></p>
<p>&nbsp;</p>
<p>The post <a href="https://raymondrupert.com/the-non-obvious-approach-to-adding-more-healthcare-capacity-in-canada-raymond-rupert-ceo-healtheon-ca/">The Non-obvious Approach To Adding More Healthcare Capacity In Canada.    Raymond Rupert CEO Healtheon.ca</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>Irreducible complexity and Canada&#8217;s healthcare system:  Raymond Rupert MD MBA.</title>
		<link>https://raymondrupert.com/irreducible-complexity-and-canadas-healthcare-system-raymond-rupert-md-mba/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Sat, 05 Oct 2024 17:57:02 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1249</guid>

					<description><![CDATA[<p>Canada's healthcare system is very complex. Many parts link together to form somewhat of a system. Not a true system. But a collection of resources that function to deliver healthcare services. If any part of the system is missing or fails, then the whole system will fail. That is irreducible complexity. It is now being  ...</p>
<p>The post <a href="https://raymondrupert.com/irreducible-complexity-and-canadas-healthcare-system-raymond-rupert-md-mba/">Irreducible complexity and Canada&#8217;s healthcare system:  Raymond Rupert MD MBA.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Canada&#8217;s healthcare system is very complex. Many parts link together to form somewhat of a system.</p>
<p>Not a true system. But a collection of resources that function to deliver healthcare services.</p>
<p>If any part of the system is missing or fails, then the whole system will fail. That is irreducible complexity.</p>
<p>It is now being recognized that Canada&#8217;s healthcare system ( collection of resources) is failing.</p>
<p>The question as to why it is failing relates to which part of the system is missing or has failed.</p>
<p>I am proposing that the decrease in primary care capacity ( 20% of Canadians do not have a primary care provider</p>
<p>and many more with a primary care provider can not get service) is the part that is missing or has failed.</p>
<p>Ergo ( therefore), to get the system back into somewhat of a state of equilibrium, new capacity in primary care has to be created.</p>
<p>But family doctors want to leave their practices and they are.</p>
<p>They are unhappy, overworked, and not supported by a team.</p>
<p>And with inflating costs, their real incomes have eroded.</p>
<p>So, a transformative process that builds primary care capacity is urgently needed.</p>
<p>And that is the mission of Healtheon.ca</p>
<p>Check it out.</p>
<p>&nbsp;</p>
<p>The post <a href="https://raymondrupert.com/irreducible-complexity-and-canadas-healthcare-system-raymond-rupert-md-mba/">Irreducible complexity and Canada&#8217;s healthcare system:  Raymond Rupert MD MBA.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>Rewiring Culture In Care Delivery Organizations:  An Excellent Article- Source-  McKinsey &#038; Company  Sept 25 2024</title>
		<link>https://raymondrupert.com/rewiring-culture-in-care-delivery-organizations-an-excellent-article-source-mckinsey-company-sept-25-2024/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Wed, 25 Sep 2024 14:44:32 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1246</guid>

					<description><![CDATA[<p>Rewiring culture in care delivery organizations to reflect the needs and aspirations of the current healthcare workforce Organizations can move at two speeds to address cultural priorities. First, they can mobilize quickly to execute a set of no-regrets moves. Second, and in tandem, they can embark on a slower-paced, more holistic and sustainable culture transformation  ...</p>
<p>The post <a href="https://raymondrupert.com/rewiring-culture-in-care-delivery-organizations-an-excellent-article-source-mckinsey-company-sept-25-2024/">Rewiring Culture In Care Delivery Organizations:  An Excellent Article- Source-  McKinsey &#038; Company  Sept 25 2024</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Rewiring culture in care delivery organizations to reflect the needs and aspirations of the current healthcare workforce</h2>
<p>Organizations can move at two speeds to address cultural priorities. First, they can mobilize quickly to execute a set of no-regrets moves. Second, and in tandem, they can embark on a slower-paced, more holistic and sustainable culture transformation journey. Although organizations in the care delivery sector have their own culture priorities, our findings suggest that there are several common pain points in management practices.</p>
<p><strong><em>Establishing sustainable working models with results that are clearly visible to improve the work environment.</em></strong></p>
<p>The COVID-19 pandemic called for unprecedented working norms and performance metrics, and we continue to see that employee mental health and well-being has suffered in the healthcare sector. A 2023 McKinsey and American Nurses Foundation survey of more than 7,000 nurses found that 56 percent reported experiencing symptoms of burnout, such as emotional exhaustion.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="24e9ec8e-3eb8-41d2-ae47-f2ae95cffe82"><sup class="FootNote_footnotesup__e73z_">13</sup></a></span> Organizations in the care delivery sector have an opportunity to renormalize ways of working, including by making performance results visible to enable labor productivity. This transparency, coupled with establishing sustainable working models, can help address the worsening burnout of clinical staff that also puts patient care at risk.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="ce3ae92d-b71c-4896-876e-a4e818417503"><sup class="FootNote_footnotesup__e73z_">14</sup></a></span></p>
<p>Many organizations in the care delivery sector are instituting new, flexible operating models to improve productivity and employee satisfaction. For example, Trinity Health recently announced plans to expand the staff of virtual nurses; care teams comprise a direct-care RN, an on-site nursing assistant or licensed practical nurse, and a virtual RN.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="4636ea7e-c217-4a7d-9ca3-ede1e69bbed4"><sup class="FootNote_footnotesup__e73z_">15</sup></a></span></p>
<p>An academic medical center introduced dynamic staffing in which small teams of four to six colleagues (pods) coordinate their schedules internally to meet the required staffing levels for each shift. This model emphasizes flexibility and individual preferences within the pod. Moving away from the rigid 12-hour-shift paradigm ensures adequate coverage while empowering staff to have more control over their work-life balance.</p>
<p><strong><em>Taking a consumer-centric approach to improve external orientation.</em></strong></p>
<p>Leaders of care delivery organizations are facing the need to mirror the increasingly personalized experiences consumers have with sectors such as retail and banking to build enduring relationships with their patients. In contrast, patients express frustration with the healthcare system. According to the 2022 McKinsey Consumer Health Insights Survey, 21 percent reported that their clinicians do not listen to them or understand their needs, 22 percent reported feeling treated with less respect than other patients, and 28 percent reported that clinicians have made assumptions about them that have influenced the way they were treated.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="1dc048dc-258f-465d-8947-b252f50b3e5f"><sup class="FootNote_footnotesup__e73z_">16</sup></a></span></p>
<p>Organizations in the care delivery sector could take steps to improve their external orientation by focusing on the management practices that drive this outcome. For example, customer orientation includes prioritizing patient needs and satisfaction, gathering feedback with clearly defined metrics, and using it to improve services offered (for example, with personalized communications).<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="6f7b9834-5c0c-45e5-9a0f-16b0a0ed845c"><sup class="FootNote_footnotesup__e73z_">17</sup></a></span> One regional care delivery organization launched a consumer-centric transformation that included embedding new ways of working focused on customer experience and understanding care journeys at moments that matter to patients (such as when scheduling appointments online). As a result, the organization was able to increase performance metrics, including a 20-point increase in customer satisfaction.</p>
<p>Given the rapid changes in healthcare, organizations in the care delivery sector could also prioritize continually monitoring industry trends and making decisions accordingly. Competitive insights are one of four foundational behaviors—along with role clarity, strategic clarity, and personal ownership—that have an outsize impact on organizational health.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="307f7577-0d08-479c-8a87-659eca80077e"><sup class="FootNote_footnotesup__e73z_">18</sup></a></span> Adopting any of these practices that are not already in place is a no-regrets move to improve organizational health.</p>
<p><strong><em>Boosting motivation through opportunities for recognition and advancement.</em></strong></p>
<p>Broken motivation practices could compromise patient outcomes and exacerbate widening talent gaps. For example, the Association of American Medical Colleges (AAMC) estimates a shortage of up to 86,000 physicians by 2036.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="e790f17d-4096-4785-a2bc-aa9529ae604d"><sup class="FootNote_footnotesup__e73z_">19</sup></a></span> In the face of chronic labor shortages and worsening burnout—especially among physicians and nurses—organizations in the care delivery sector are challenged to improve their employee value propositions, including career opportunities, rewards, and recognition.</p>
<p>Many companies are partnering with higher education institutions and certificate programs to offer career opportunities to frontline clinicians.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="345d7fde-94a9-4a5b-8035-dfdf31a44cef"><sup class="FootNote_footnotesup__e73z_">20</sup></a></span> For example, a regional health system launched a self-service tool for employees to find internal career advancement opportunities, leading to a threefold increase in open roles being filled with internal talent. In addition, rewards and recognition, supported by a formal structure, are critical to drive motivation. Bon Secours Mercy Health leverages an annual recognition initiative to meaningfully recognize nurses and staff in real time, and it saw a 10 percent retention increase with this program in place.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="714852df-bb2b-428f-b758-d98e7cb50385"><sup class="FootNote_footnotesup__e73z_">21</sup></a></span></p>
<h2>Getting started on a holistic and sustainable cultural transformation</h2>
<p>Our research and experience points to a structured approach for making culture change stick.<span class="FootNote_footnote-holder__tjRqy"><a class="FootNote_footnote-wrapper__AIRwL undefined FootNote_inactive__VZfCp" aria-label="footnote" aria-describedby="dce1aea2-c325-4c58-a4f5-147ffcc028d2"><sup class="FootNote_footnotesup__e73z_">22</sup></a></span></p>
<p><strong><em>Aspire and assess.</em></strong></p>
<p>Leaders can choose from various methods to assess employee sentiment and gather their feedback. They could deploy survey tools to diagnose organizational health, conduct focus groups and interviews, or use people analytics to assess the strength of informal employee networks. These efforts could identify which critical practices to prioritize—such as career opportunities or customer orientation—and the strengths worth preserving.</p>
<p>Once the diagnostic is complete and a deep understanding of the organization’s culture has been established, it is crucial to align on specific objectives, including the behavioral shifts needed to accomplish the aspiration, and to develop a consistent plan for achieving them. For example, to accomplish a goal such as all employees prioritizing creating the best experience for patients, priority practices might include ensuring customer orientation across the organization and encouraging a focus on harnessing competitive insights.</p>
<p><strong><em>Architect.</em></strong></p>
<p>When designing performance improvement initiatives, it is paramount to actively involve the workforce in shaping the future culture. Creating customized culture transformation journeys, complete with skills development and a targeted communications strategy, can effectively cater to groups across the organization such as nurses, physicians, and administrative personnel, thus fostering greater support and momentum for organizational initiatives. As part of this effort, organizations could also take steps to improve individual accountability for results by clarifying roles, responsibilities, and performance management guidelines.</p>
<p><strong><em>Act and advance.</em></strong></p>
<p>Prioritize, sequence, and deliver interventions in waves to institute the behavior shifts needed to achieve the aspiration. Check on progress against initiatives and health goals regularly. Keep a pulse on employees through continuous listening efforts to allow for rapid adjustment and refinement of efforts as needed, and proactively communicate updates along the journey.</p>
<hr />
<p>Essential actions for transforming institutional norms include effectively engaging clinical and nonclinical staff throughout the organization to test and innovate, increase buy-in, and tailor cultural practices to stakeholder groups, as well as empowering leaders to model and prioritize proven cultural practices.</p>
<p>By deepening their understanding of current organizational dynamics, acknowledging what needs to change, and having the courage to transcend norms, organizations in the care delivery sector can elevate their own performance and contribute to a more stable and effective healthcare system overall.</p>
<p>The post <a href="https://raymondrupert.com/rewiring-culture-in-care-delivery-organizations-an-excellent-article-source-mckinsey-company-sept-25-2024/">Rewiring Culture In Care Delivery Organizations:  An Excellent Article- Source-  McKinsey &#038; Company  Sept 25 2024</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>The Best Ways For Government To Allow The Healthcare Industry To Evolve?  from my new BFF Claude.ai     Raymond Rupert MD MBA.</title>
		<link>https://raymondrupert.com/the-best-ways-for-government-to-allow-the-healthcare-industry-to-evolve-from-my-new-bff-claude-ai-raymond-rupert-md-mba/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Mon, 23 Sep 2024 19:29:17 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1244</guid>

					<description><![CDATA[<p>The best way for government to allow the healthcare industry to evolve involves a balanced approach that fosters innovation while maintaining core principles of accessibility and quality care. Here are some key strategies: 1. Regulatory flexibility: - Create "regulatory sandboxes" to test new healthcare models and technologies - Implement adaptive regulations that can quickly respond  ...</p>
<p>The post <a href="https://raymondrupert.com/the-best-ways-for-government-to-allow-the-healthcare-industry-to-evolve-from-my-new-bff-claude-ai-raymond-rupert-md-mba/">The Best Ways For Government To Allow The Healthcare Industry To Evolve?  from my new BFF Claude.ai     Raymond Rupert MD MBA.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>The best way for government to allow the healthcare industry to evolve involves a balanced approach that fosters innovation while maintaining core principles of accessibility and quality care. Here are some key strategies:</p>
<p>1. Regulatory flexibility:<br />
&#8211; Create &#8220;regulatory sandboxes&#8221; to test new healthcare models and technologies<br />
&#8211; Implement adaptive regulations that can quickly respond to emerging innovations<br />
&#8211; Streamline approval processes for new medical devices and treatments</p>
<p>2. Incentivize innovation:<br />
&#8211; Offer grants and tax incentives for healthcare research and development<br />
&#8211; Support public-private partnerships to drive innovation<br />
&#8211; Create innovation hubs and accelerators focused on healthcare solutions</p>
<p>3. Encourage digital health adoption:<br />
&#8211; Invest in robust, interoperable health information systems<br />
&#8211; Support telemedicine and remote patient monitoring initiatives<br />
&#8211; Develop clear guidelines for data privacy and security in digital health</p>
<p>4. Promote value-based care models:<br />
&#8211; Shift from fee-for-service to outcomes-based reimbursement models<br />
&#8211; Encourage integrated care approaches that focus on overall patient health<br />
&#8211; Support pilot programs testing new care delivery and payment models</p>
<p>5. Workforce development:<br />
&#8211; Invest in training programs for emerging healthcare roles<br />
&#8211; Support continuing education to keep healthcare professionals up-to-date<br />
&#8211; Create pathways for non-traditional healthcare workers to enter the field</p>
<p>6. Patient empowerment:<br />
&#8211; Encourage patient access to health data and medical records<br />
&#8211; Support health literacy initiatives<br />
&#8211; Involve patients in healthcare policy decisions and system design</p>
<p>7. Cross-sector collaboration:<br />
&#8211; Facilitate partnerships between healthcare, technology, and other sectors<br />
&#8211; Support interdisciplinary research and development<br />
&#8211; Create forums for knowledge sharing across different healthcare stakeholders</p>
<p>8. Evidence-based policymaking:<br />
&#8211; Invest in health services research to inform policy decisions<br />
&#8211; Implement robust evaluation mechanisms for new healthcare initiatives<br />
&#8211; Use data analytics to identify areas for improvement and innovation</p>
<p>9. International cooperation:<br />
&#8211; Participate in global health initiatives and research collaborations<br />
&#8211; Learn from successful healthcare models in other countries<br />
&#8211; Harmonize regulations to facilitate global healthcare innovation</p>
<p>10. Sustainable funding models:<br />
&#8211; Explore alternative funding sources for healthcare innovation<br />
&#8211; Create long-term, stable funding commitments for promising initiatives<br />
&#8211; Implement mechanisms to reinvest efficiency savings into further innovation</p>
<p>11. Address social determinants of health:<br />
&#8211; Recognize the impact of factors outside traditional healthcare on overall health<br />
&#8211; Support initiatives that address housing, nutrition, education, and other social factors<br />
&#8211; Encourage cross-department collaboration on health-related issues</p>
<p>12. Ethical framework:<br />
&#8211; Develop clear ethical guidelines for emerging healthcare technologies<br />
&#8211; Ensure equity and accessibility are considered in all healthcare innovations<br />
&#8211; Address potential biases in AI and data-driven healthcare solutions</p>
<p>By implementing these strategies, governments can create an environment that allows the healthcare industry to evolve while ensuring that innovations align with the broader goals of the healthcare system. This approach balances the need for progress with the imperative to maintain equitable, high-quality care for all citizens.</p>
<p>Would you like me to elaborate on any specific aspect of this approach?</p>
<p>The post <a href="https://raymondrupert.com/the-best-ways-for-government-to-allow-the-healthcare-industry-to-evolve-from-my-new-bff-claude-ai-raymond-rupert-md-mba/">The Best Ways For Government To Allow The Healthcare Industry To Evolve?  from my new BFF Claude.ai     Raymond Rupert MD MBA.</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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		<title>We Asked Claude.ai How We Might Introduce Some Elements Of Patient Pay Care Models Into Public Healthcare in Canada:</title>
		<link>https://raymondrupert.com/we-asked-claude-ai-how-we-might-introduce-some-elements-of-patient-pay-care-models-into-public-healthcare-in-canada/</link>
		
		<dc:creator><![CDATA[Raymond Rupert]]></dc:creator>
		<pubDate>Sun, 22 Sep 2024 13:56:23 +0000</pubDate>
				<category><![CDATA[General]]></category>
		<guid isPermaLink="false">https://raymondrupert.com/?p=1242</guid>

					<description><![CDATA[<p>Preserving equity in a patient pay model within Canada's public healthcare system is indeed challenging, but several strategies could be considered to mitigate potential inequities: 1. Income-based sliding scale fees: - Implement a sliding scale fee structure based on income levels - Lower-income individuals would pay less or nothing, while higher-income individuals would pay more  ...</p>
<p>The post <a href="https://raymondrupert.com/we-asked-claude-ai-how-we-might-introduce-some-elements-of-patient-pay-care-models-into-public-healthcare-in-canada/">We Asked Claude.ai How We Might Introduce Some Elements Of Patient Pay Care Models Into Public Healthcare in Canada:</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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										<content:encoded><![CDATA[<p>Preserving equity in a patient pay model within Canada&#8217;s public healthcare system is indeed challenging, but several strategies could be considered to mitigate potential inequities:</p>
<p>1. Income-based sliding scale fees:<br />
&#8211; Implement a sliding scale fee structure based on income levels<br />
&#8211; Lower-income individuals would pay less or nothing, while higher-income individuals would pay more<br />
&#8211; This ensures that financial burden is proportional to ability to pay</p>
<p>2. Annual out-of-pocket maximums:<br />
&#8211; Set annual caps on total patient contributions<br />
&#8211; Once the cap is reached, all further care would be fully covered<br />
&#8211; Caps could also be income-adjusted to further protect lower-income individuals</p>
<p>3. Exemptions for vulnerable populations:<br />
&#8211; Provide full exemptions for certain groups, such as:<br />
&#8211; Children and seniors<br />
&#8211; People with chronic illnesses or disabilities<br />
&#8211; Low-income individuals and families<br />
&#8211; Indigenous populations</p>
<p>4. Essential vs. non-essential services differentiation:<br />
&#8211; Maintain universal free access for essential and emergency services<br />
&#8211; Apply patient pay models only to elective or non-essential services</p>
<p>5. Health savings accounts with government contributions:<br />
&#8211; Establish health savings accounts for all citizens<br />
&#8211; Government could provide base contributions, with additional amounts for lower-income individuals<br />
&#8211; These accounts could be used to cover patient pay expenses</p>
<p>6. Refundable tax credits:<br />
&#8211; Implement a system where individuals can claim healthcare expenses as refundable tax credits<br />
&#8211; This would effectively reimburse people for their out-of-pocket costs, with potentially higher reimbursement rates for lower-income individuals</p>
<p>7. Community health insurance pools:<br />
&#8211; Create local or regional insurance pools to spread the cost of care across communities<br />
&#8211; This could help manage costs in areas with higher healthcare needs or lower average incomes</p>
<p>8. Transparent pricing and cost education:<br />
&#8211; Ensure all costs are clearly communicated upfront<br />
&#8211; Provide financial counseling and education to help patients understand their options and potential costs</p>
<p>9. Robust appeals process:<br />
&#8211; Establish a clear and accessible process for patients to appeal charges or seek financial assistance<br />
&#8211; This would provide a safety net for those facing unexpected or unmanageable healthcare costs</p>
<p>10. Continuous monitoring and adjustment:<br />
&#8211; Implement ongoing analysis of the system&#8217;s impact on different demographic groups<br />
&#8211; Regularly adjust policies to address any emerging inequities</p>
<p>11. Reinvestment of generated funds:<br />
&#8211; Ensure that any additional revenue from patient payments is reinvested into the healthcare system<br />
&#8211; Focus reinvestment on improving access and quality of care for underserved populations</p>
<p>12. Preserve universal coverage:<br />
&#8211; Maintain the fundamental principle of universal coverage for all Canadians<br />
&#8211; Patient pay models should supplement, not replace, the existing public funding model</p>
<p>These various measures could help preserve equity, and pilot programs would be necessary to assess the full impact on healthcare equity and access for patients. Healtheon is an example of a pilot program with subscriptions in place to fund services that are not currently funded by the provinces.  Healtheon is a hybrid model that introduces patient pay programmes for services that are not funded by the provinces.</p>
<p>The post <a href="https://raymondrupert.com/we-asked-claude-ai-how-we-might-introduce-some-elements-of-patient-pay-care-models-into-public-healthcare-in-canada/">We Asked Claude.ai How We Might Introduce Some Elements Of Patient Pay Care Models Into Public Healthcare in Canada:</a> appeared first on <a href="https://raymondrupert.com">Raymond Rupert</a>.</p>
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