this post was submitted on 06 Apr 2026
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A Boring Dystopia
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I've been waiting for this since the 1990s, surprised it took so long.
Starting in the 90s, much of the administrative duties of a hospital are now done overseas, including chart notes.
The doctors being overseas? Worst case scenario is just starting.
Why would a hospital pay a US physician 200K a year when they can get a doctor from Pakistan to do the same work for 50K a year? They even have surgical robots that can be remotely piloted from anywhere.
It's not prevalent yet, but it will be.
See, when I first started hearing of those remote control surgical robots, it was sold to me like "They're for remote places where you can't quickly get to a metropolitan hospital, like the South Pole research station, or Nome Alaska, or the space station. Someone in Nome goes down with gallstones in the winter, getting them to Anchorage may be a problem, this would allow a doctor to remote in care that wouldn't otherwise be available."
That was, of course, bullshit.
No, that was the pitch. I remember it just like you do.
It just...isn't working like that right now.
Doesn't mean the technology can't do that. Just means there's capitalism in the way.
"This is the song that never ends...it just goes on and on my friend"
The issue is that these surgical robots are a goldmine for companies specializing in medical devices. I work for one. They look fancy, they're available to buy on loan if you can't afford the several million dollars, and they sound modern.
Meanwhile, the instruments are not cross-compatible (meaning you can't run Medtronic instruments on a US Medtech robot, for instance), so while they're reusable and sterilizable (unlike most other handheld devices which are designed to be one-case-only), you have to buy a whole suite of endocutters, staplers, and whatever else you want that robot to be able to do in order to make it do that. PLUS there's a proprietary computer system, an imaging system, the software to run those, often a televisual rig at the other end for the surgeon to run...you can get really pricey for these, real quick, and that's not to mention the staple cartridges, the trocars, all sorts of stuff that can be proprietary.