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.

Continue reading → When the Radiologist Becomes the Expense

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.

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