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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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Should Parenting Require Licensing?

There is no screening process involved in becoming a parent — all it takes is two people, not even necessarily in a relationship, and a sexual act that can take as little as a couple of minutes. From the act, nine or so months pass and a baby is born — and then you can get champion mothers like the one I recently observed on the train, yelling at her child while at the same time mostly ignoring her and listening to music on headphones and looking anywhere but the direction of her child.

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The Art of the Inhuman Touch

If you’re feeling sad or wacky or off-center, do you need the human touch of a psychiatrist in your brain? Or would you be just as happy telling your internal ills to robot a for fixing as if you were a car in need of a mechanic?

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