August - 20199What we missed, but later learned, was the bigger picture of health. That our mission was more than the control of disease and treatment of illness it was about health and wellness. It was about the reduction and elimination of health disparities, the inappropriate variation in the social determinants of health and the delivery of services, and building a pathway to health equity.What is most surprising, perhaps, as we look back, was the transformation which took place in the delivery of services, and especially in public health and government services.Why did we think, back then, that the so-called digital information age would only improve existing processes and not transform the whole structure of health and social services?Once "citizen-link" was built, the entire mesh of social, healthcare and education services became integrated, transparent and personalized. And ultimately they connected to private sector partnerships in a continuum of data with real benefit for individuals.Whole public and private bureaucracies of labor intensive record-keeping collapsed. And the mission statement for many service agencies shifted away from regulation and control--away from a focus on institutions and industries--and toward individuals, their families and their communities.As individuals engaged in their own health and wellness pursuits--aided by wearable biometric monitoring once reserved for astronauts and supported by smart machine algorithms containing all the best science--we came to understand better a fundamental truth.That truth is that humans are different from machines in important ways. We are more than a carbon-based alternative means of production. As a result, health must be more than maintenance, more than repair, and more than a reason to upgrade to a newer model.We realized, as Abraham Maslow taught us, that the goal of meeting physical and safety needs, including health and well-being, is basic. And that any enlightened society will understand that and find ways to achieve it. Alan V. AbramsonAI is not a doctor. AI is not a cure. AI is a tool--a means to an end--increasingly embedded in everything for the benefit of the patient
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