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When the Radiologist Becomes the Expense

On March 25, 2026, at a Crain’s New York Business panel discussion of the city’s hospital sector, Mitchell H. Katz, MD, president and CEO of NYC Health + Hospitals, told the assembled executives what cost-cutting now sounds like in the largest public hospital system in the United States. “We could replace a great deal of radiologists with AI at this moment, if we are ready to do the regulatory challenge.” Sandra Scott, MD, who runs One Brooklyn Health, one of the city’s safety-net institutions operating on tight margins, replied that the move would be “a game-changer.” The exchange appeared in Crain’s coverage of the panel and was picked up by the radiology trade press within forty-eight hours.

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Preventative Medicine, or the Manufacture of Patients?

There is a sentence every American patient has heard at the dentist’s chair, the cardiologist’s office, the primary-care visit, and the pharmacy counter. It arrives in a tone of grave responsibility: We caught this early. What follows is a crown, an echocardiogram, a statin, a stress test, a referral, a follow-up appointment, and a copay. The word “preventative” has come to function as a moral shield around a billing code. To question whether the recommended intervention is necessary is treated as ingratitude toward a profession that, the implication goes, only wants to keep you alive.

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The Station Across Town: A Lincoln Boyhood, the Federation I Did Not Watch, and the Second Half of a Television Diptych

When I was sixteen, I had a television show called Kidding Around on KOLN/KGIN-TV in Lincoln, Nebraska. It was 1981. I was a teenager hosting a teenager-aimed program on a commercial CBS affiliate, three blocks of which I have no doubt were paid for by advertising for Pepsi and Levi’s and the Lincoln car dealerships that kept American local television alive in the early Reagan years. The format was loose. The show featured kid interviews, viewer letters read on air, and unscripted segments of the kind that the FCC’s mandates for “ascertainment of community needs” were supposed to encourage and that the FCC’s 1981 decision to deregulate radio, followed by the parallel television deregulation of 1984, was designed to kill. Kidding Around did not survive into the late 1980s. It was a casualty of a specific federal policy decision documented in the book I published earlier this year, Selling Saturday Morning.

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The Silence Camus Refused to Domesticate: Hazel Barnes, The Myth of Sisyphus, and the Cost of a Sympathetic Misreading

Hazel Barnes was one of the most careful American readers of French existentialism in the twentieth century. She translated Sartre’s Being and Nothingness in 1956, a labor that shaped how generations of American students encountered Continental thought. When she turns to Camus, though, something interesting happens on the page. Her summary of The Myth of Sisyphus is partly accurate and partly an act of quiet translation in the other direction, pulling Camus toward a Sartrean humanism that Camus himself spent the last decade of his life resisting.

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The Area Code Comes Home

When Scott Frost took over at Nebraska in 2018, he brought with him from UCF a small equipment decision that ran directly against what the phone system had been doing for fifteen years. Frost let Husker players wear their three-digit home area code on the helmet bumper above the face mask. A Peyton Newell on the defensive line, a Mike Williams at wide receiver, an Andre Hunt lining up outside, each wore the digits of where they came from in black on red. The helmet bumper is a small piece of real estate, two inches by four, just large enough to carry three numbers. Frost had started the practice at UCF in late 2016 before the USF rivalry game, and he said at Nebraska that the guys took a lot of pride in it. Where you come from, he said, still counts.

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