The Occasional Perspective - 12/31/2025

Opinions and Reflections

The End of Work – I recently received a document written by Matt Diemer entitled, The End of Work. He’s a politician who lives in Ohio. The piece is entitled The End of Work, and it is excellent. It basically walks through the history of changes that have occurred in society as a result of technology transformation – the printing press, textile machinery, steam power, electricity, the automobile, the computer, the internet – and NOW, artificial intelligence. At each stage, the woe-seekers shared their angst about the end of society as we know it. The piece describes in some detail how – in fact – we’ve been wrong at each stage. Has there been a disruption? YES! Has there been a loss of traditional jobs? YES! Have there been societal shifts? YES! But, at each stage – the human race has survived, and while shifts have occurred, life as we know it has gotten better across the board for more people in a more democratized way. So, we should not be afraid of the next stage where artificial intelligence is upon us. Rather, we should embrace it and determine how best to integrate it into our lives.

A Note From The Wall Street Journal – The Editor in Chief, Emma Tucker, posted the following statement on December 26, 2025. It provides an interesting backdrop to the above commentary:

There is a new power player on Wall Street: the family office. These secretive firms manage everything from investments to personal affairs for the superrich. Their influence is only growing: Families with these offices recently oversaw roughly $5.5 trillion, and banks and entrepreneurs are clamoring for a slice of their wealth. Meanwhile, billions are flowing into humanoid robot startups, but leaders in the field say the machines are overhyped. Despite impressive demos, androids still face daunting technical challenges that keep them closer to science experiments than a replacement for human workers.”

Responding In Kind -12/31/2025

Responses and comments from my readers…I do receive periodic information from the many readers of the blog. While I have often responded individually, I decided that I should share more transparently. Hopefully, this contributes to an ongoing dialogue…

Marilyn.S: A good one again, Kevin.  As I may have mentioned before, the health problem is scary, along with what is going to happen this New Year with Social Security.  I am personally very upset that whoever let Trump's name be added to the Kennedy Center!  His name shouldn’t be added to anything as far as I’m concerned!... Sorry, didn’t mean to say all that, but I AM upset with all he has done and continues to do every day!  It seems no one cares, and he is doing anything he wants to!  Marilyn 

Marilyn, I couldn’t agree with you more. I’m increasingly fearful of where all of this is leading and given the lack of engagement exhibited by our friends in Congress, it is clear that “we the people” must step up to solve the growing crisis of leadership we are experiencing here in the USA.

Roc.O: Coffee drinking at midlife is associated with a decreased risk of dementia/AD later in life. After an average follow-up of 21 years, 1409 individuals (71%) aged 65 to 79 completed the re-examination in 1998. A total of 61 cases were identified as demented (48 with AD). Coffee drinkers at midlife had lower risk of dementia and AD later in life compared with those drinking no or only a little coffee. The lowest risk (65% decreased) was found in people who drank 3-5 cups per day. (J Alzheimers Dis. 2009 Jan;16(1):85-91) Reduces Parkinson’s risk …Alzheimers.

Roc, I feel much better about my consumption of coffee. I increasingly consider it the elixir of life that I need to support for sustaining my life. Your note is most appreciative and supports my contention with my family 😊.

The Occasional Perspective - 12/22/25

Opinions and Reflections

Listening To Consider – In case you did not hear it on NPR, I suggest that you consider taking the time to listen to the podcast interview of Leon Panetta, Former – All Sorts Of Important Positions (e.g. Secretary of Defense, Director of CIA, Former Congressman, etc.) or, someone who has helped to lead this country. Mr. Panetta is also one of the very few leaders approved by the U.S. Congress that literally received a 100% approval from all members voting in favor of his position as Secretary of Defense under President Barack Obama. Such support is very rare in Congress and reveals significant bi-partisan support for his perspectives. He offers his thoughts related to our current environment and ventures.

First, The USA, Now Australia – It deeply saddens me to see the mass shootings occurring – or, perhaps I should say, continuing – at least in the USA. While I cannot comment on Australia’s laws related to gun ownership, I can say that “Common Sense” gun ownership in the USA is a movement that all of us need to get involved in if we believe that children, family members of deranged individuals, and others at risk should feel safe in their environments. We do not allow individuals to drive cars until there is reasonable training and experience. We do not allow just anyone to climb into a large semi-truck and drive away without formal training. We don’t allow people without surgical training to do so in the Operating Room – even if they are physicians. Why can’t we come up with reasonable criteria for owning and managing a gun? It only makes sense.

Secondly, we need ecumenical and governmental leadership on this topic as well. It seems over the last couple of years that the silence of the many has been usurped by the anger and inflammatory rhetoric of the few. The Second Amendment to the Constitution states: “A well regulated Militia, being necessary to the security of a free State, the right of the people to keep and bear Arms, shall not be infringed.” It does not say, “Anybody,” it does not say “…an unregulated Militia”, it does not say that “…laws “infringe” upon individual rights” and, I could go on. Let’s push for reasonable criteria and common sense laws for access to guns. We don’t need another Lewiston, Maine shooting in the USA, or a Brown University, or an Australian shooting at a Hanukkah gathering. Consider what your role can be in fostering Common Sense throughout the world. Consider this an option for helping to foster the HEALTH of the community – wherever you live

The Power Of Chatbots On Decision-Making – In a recent 2024 study published in Nature, the impact of chatbots on decision-making related to D.Trumps vs. K.Harris was studied with more than 2300 participants. In essence, the impact is quite significant. Essentially, it was discovered that the LLMs (large language models) were more effective than political advertisements in persuading a shift from one candidate to the other. Why? The answer seems to be that the chatbots collate more “real-time” information and use it in conversations with individuals online. For example, chatbots favoring Harris were able to move Trump supporters 3.9 points toward Harris. And, vice-versa, chatbots favoring Trump moved Harris supporters 2.3 points toward Trump. The other point is that the researchers have studied the 2025 Canadian federal election and the Polish presidential election. The impact in those elections was even greater. Chatbots achieved a 10-point shift. Also, the researchers have learned that effective chatbots can be taught by filling their computer minds with untrue facts and evidence and then teaching them how to have persuasive conversations.

However, the more important point is not about the Trump-Harris Presidential election process but about the impact of chatbots on information and misinformation management. It is increasingly clear that we are moving toward a world where our thinking – as humans – could be subjugated by computers = chatbots. Will chatbots be set up by companies to encourage the use of medications, products, or for other purposes that achieve greater sales in particular areas? Will it be allowed? Furthermore, the “evidence” and “facts” used by the chatbots in their conversations with people also included “untrue” information. When untrue information was presented properly, it shifted the perspective of the listeners…

A Proposed Leadership Purchase – President Trump recently hosted a reception at the White House with Mariam Adelson, the wife of the late multi-billionaire, Sheldon Adelson. Ms. Adelson’s – who contributed $100 million in the last election cycle – in her remarks included a comment about encouraging Trump to run for an additional four years, after which the crowd took up the chant as well. Then, she committed $250 million to support the effort. Even though the constitution is clear, there are those few among who think they can buy leadership roles for the American people. The distance between the haves and have nots is getting bigger. Furthermore, undoing the USA Constitution is even more disturbing.

Responding In Kind - 11/21/25

Responses and comments from my readers…I do receive periodic information from the many readers of the blog. While I have often responded individually, I decided that I should share more transparently. Hopefully, this contributes to an ongoing dialogue… 

As always, Kevin, informative and interesting report!  Health care today is so important!  The way things are here on the US with this President doing everything he can think of next, to take away our Democracy!  I fear for my children, grandchildren, as to what their future is going to be like!? Very scary!  Marilyn.S 

Marilyn – I too am troubled on the potential future for our children and grandchildren. I keep hoping that both the U.S. House and Senate will “step up” and not only lead but also perform the overview and tasks that are part of their purview in the Constitution. That’s where the debates should be held and the resolutions determined when conflicts embrace our nation…

Hey Kevin... From the recent email, Vol 13 Issue 16, I agree with your discussion on understanding misinformation and the paths it can take into anyone's research'. ChatGPT is very convenient and compelling tool in that it provides answers to your questions with ease. But, I have found instances where the supplied responses are wrong and/or misleading through omission of certain details. From these types of experiences, I have added a default configuration to cite resources and provide a response summary gauge for accuracy with every response provided. This helps me flag instances where the response is strongly supported and supported by credible sources vs. a response that seems definitive but is based on a 51/49 split as far as the overall available information landscape on the particular topic, or just completely fabricated information. – Noah.F

Noah, I couldn’t agree with you more. While AI represents a very important tool for supporting faster decision-making, human discernment is still an important function – at least in the health care realm. There’s also the increasing recognition of AI “drift” where extraneous information is used to bring forward apparent “firm” information that, upon close exam, is flawed. We still need humans with knowledge in the loop – and I project that will always be the case…

The Occasional Perspective - 11/21/25

Opinions and Reflections 

Shameless Marketing – As I’ve noted in some of my prior blogs, over the last bunch of months (actually years 😊), I’ve had a side project of working on a book. It’s not my first book!! Actually, I’ve done two in over the last couple of decades related to “leadership”. However, my most recent effort has been focused on the need for “persistence” in making things happen!! And, it seems to me that such an approach is even more relevant today as we consider the international, domestic, as well as operational situations facing many organizations, nations, and the world.

So, if you’re inclined, check out The Persistence Factor, available on Amazon. It provides a framework for persistence that can be applied to any situation – not just health care. And, in my experience, having a “framework” is important for taking the learnings from one experience and applying them to another experience. If you’re a Kindle user, it’s only $0.99 for the time being or you can order up a hard copy. If you do pick up a copy, feedback would be appreciated. So, enough of marketing…let’s get to the state of health care…

The Intersection Of AI With Everything – The breadth of the impact of AI on life as we know it is breathtaking to say the least. If you want to stay up-to-date, consider signing up for a podcast by Azeem Azhar, who follows the changes quite closely. His most recent podcast on how AI is breaking and rebuilding the economy highlights this point, and while I agree, the unstated element is that it is also breaking and rebuilding the professions. Now, to some, that may be provocative. We are now seeing the application of AI systems that use music as a tool for reducing stress – and, is being used in surgical patients to reduce the need for a variety of induction and pain medications. Then, I pick up the most recent issue of TIME magazine, and there’s an article on how the surgical implant of chips is allowing individuals who were previously blind in one eye to see again with that eye. In other words, technology is beginning to seep into the “practice” of medicine, education, engineering, and a whole variety of other professional fields. I’m NOT necessarily concerned about it BUT, reminding us all that while humans are not perfect, neither is technology. The difference is that humans know (generally) when to back up. Technology frequently does not…

Long story short, I’m a big fan of the use of AI/ML and other technologies in healthcare. But, I’m also a big fan of continuing to have humans involved. What this means is that we need to do a MUCH BETTER JOB of educating and training our professionals on the implementation, use, and evaluation of these new technologies. AND, for the most part – such training is essentially absent from most professionals' training programs. For physicians and other clinicians, a basic understanding of these issues is definitely warranted from my perspective. Yet, only a very small proportion of the medical and health sciences schools are capable of developing such a training component. Now is the time to start the dialogue rather than waiting for inevitable problems to percolate forward…

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