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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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If Not Adverts, Then What?

Too many of us are obsessed with the bottom line, making money, and taking advantage of others if it means increasing the balance of our bank accounts. America has always been about betterment — even if it means taking advantage of others to get there.

The American Way is no longer the American Dream, or home ownership, or education — no, the American Way is all about serving, and collecting, the mighty advertising dollar. Sell your eye for a penny; click your wrist for a nickel.

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