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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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Now I Become Em-Dash Triple Anaphora, Destroyer of Words

In July of 1945, at the Trinity site in the New Mexico desert, J. Robert Oppenheimer watched the first atomic detonation and, by his own later telling, thought of a line from the Bhagavad Gita. The Sanskrit word he rendered as Death is kāla, which scholars also translate as Time depending on context, and Oppenheimer’s decision to reach for the more theatrical English word tells you something about the difference between a physicist and a translator. “Now I am become Death, the destroyer of worlds.” The sentence has haunted the century because it collapses the distance between maker and unmaker into a single grammatical act.

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When Does AI Fakery Become AI Reality?

We are living in the precise historical moment when the question “Is this real?” has become unanswerable in real time, and the fact that nobody seems particularly alarmed by this should alarm us all. The case study arrived this month with the force of a wartime broadcast, which is exactly what it was: Israeli Prime Minister Benjamin Netanyahu, whose physical whereabouts and physical condition have been the subject of intense speculation since the U.S. and Israel launched strikes on Iran on February 28, appeared in a video address on March 12. Social media users immediately claimed he had six fingers on his right hand. The rumor spread to millions of viewers within hours. Fact-checkers at Snopes, PolitiFact, and Newsweek scrambled to verify that the extra digit was, in fact, the hypothenar eminence, the fleshy pad at the base of the little finger, rendered ambiguous by video compression. Netanyahu’s office declared, flatly, that the Prime Minister was “fine.”

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Kick the Bot, Fear the Dog: Street Psychology and the Coming Age of Mechanical Animals

The first time you see a sidewalk delivery bot, you smile. It is impossible not to. The thing is knee-high, usually white or pastel, rolling along on six stubby wheels like a cooler that gained sentience and decided to take itself for a walk. It carries burritos, or prescription medication, or someone’s iced latte, and it navigates curbs and crosswalks with the earnest determination of a toddler heading for a puddle. You watch it pause at an intersection, calculate its moment, and trundle forward with a confidence that borders on optimism. Your first instinct is to root for it.

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The Great Audio Laundering: How AI Scammers are Highjacking the ACX Premium Market and Defrauding the Human Soul

The digital landscape of 2026 was supposed to be a golden age for the independent author, a time when the friction between a creative vision and a global audience finally dissolved into a seamless stream of data. We were promised a world where high-quality production was accessible to anyone with a story to tell and the capital to invest in professional craftsmanship. Instead, we have entered the era of the Great Audio Laundering, a sophisticated and predatory systemic failure that is currently hollowing out the marketplace of the Audiobook Creation Exchange. For those of us who operate with integrity, who pay top-tier Price Per Finished Hour rates to ensure our listeners receive a soulful human performance, the current state of ACX is not just a disappointment; it is a calculated insult. We find ourselves in a bizarre technological purgatory where honest creators are flagged for using their own voice-clones while a growing legion of digital miscreants successfully masks synthetic slop as human art, pocketing thousands of dollars in a heist that the platform seems either unable or unwilling to stop.

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The Zeroing of Knowledge: When Everything Is Known, What Remains Worth Learning?

Knowledge used to be expensive. It cost years of apprenticeship, tuition in the tens of thousands, decades of practice, and, more than anything, the brutal currency of time. A physician spent twelve years beyond high school before being trusted to cut into a human body. A lawyer spent seven years and a bar exam before being permitted to argue before a judge. A professor spent a decade accumulating the credentials required to stand before a lecture hall and declare, with institutional authority, that they knew something you did not. The entire architecture of Western professional life was built on a single economic premise: knowledge is scarce, therefore knowledge is valuable, therefore the people who possess knowledge deserve premium compensation for granting access to it. That premise is now dead. It did not die slowly. It was killed in roughly three years, and we are only beginning to understand the corpse.

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Hey Now! Best of David Boles, Blogs: Vol. 16 (2025): Buy Now!

Hey, there! Welp, it’s that time of the year again — yes, time for us to ask for the indulgence of your continued, kind, support for this blog by buying our eBook — Best of David Boles, Blogs: Vol. 16 (2025) — to show your support so we may continue to publish this blog without advertising while still being able to cover our yearly, ongoing, online publication costs that include server space, hosting fees, and bandwidth payments. Yes, we live in a money world — even for free reading!

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