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Home Perspectives

Ode to Civics

Daily Remedy by Daily Remedy
August 8, 2021
in Perspectives
0

In a piece of the past, I saw a path for the future.

As I was driving through the rolling roads in the Ridge-and-Valley Appalachians, I could not help but look at all that was around me – passing me by.

I saw the beautiful hills winding off into eternity; I saw majestic trees standing tall like proud soldiers, guarding the land. I saw old scaffolding for abandoned coal mines. I saw the old church houses with its history written on the layers of renovations, completed decade over decade.

I saw the beauty of Appalachia.

I then saw the empty main street, now adorned with vacancy signs and plywood sheet coverings. I saw the rehabilitation centers, filled with souls fighting internal battles that require our support and understanding – fighting a war on two fronts, most recently the viral pandemic, and before that, the opioid epidemic, a fight raging year over year.

I heard the cries for help throughout Appalachia.

When I visited the County Sheriff’s Office, I was fortunate enough to meet with the Sheriff and his staff. We shared our stories, and we exchanged our concerns. Through our conversations we were able to understand what is ailing Appalachia.

A quotation frequently cited, yet erroneously attributed to Alexis de Tocqueville states: “America is great because America is good. If America ever stops being good, it will stop being great.”

In those conversations I saw what makes American good – open, honest dialog. In simply talking, sharing our concerns and learning about one another, we were able to better understand one another.

If America is to embody what makes it great, it must reinvigorate good civic dialog – among us all – those in healthcare and those in law enforcement, those disenfranchised and those empowered.

The pandemic has made apparent what was always present during the epidemic, exposing fundamental rifts formed well in advance – years, if not decades before – rifts in how we understand ourselves, and how we understand others.

Rifts that lead us to show love to those battling addictions, yet show contempt for those we deem to be addicts – rifts that have so greatly widened during the pandemic that we now put public health safety and economic prosperity at odds with one another.

Rifts we bridge by becoming good towards one another.

And we become good when we understand one another.

This is why, as lockdowns and shutdowns begin to lift, we should open the doors of town hall, hold meetings in towns across the land to discuss public health issues – whether it is opioid prescribing patterns or the lack of parking at a new hospital facility – anything from the slightest to the greatest.

Create a forum through which we can express ourselves, share in our victories, and seek solace in our struggles – where law enforcement and physician leaders can discuss the issues they face, and how they are facing them.

We all want what is best for Appalachia.

We all have a desire to see the state emerge out of the pandemic-driven recession and overcome its ghastly legacy of addiction.

We are an incredible land with incredible individuals.

Yet we find ourselves divided within rifts we cannot see, at odds with those we have much in common, overlooking what unites us to focus on what divides us.

But to bring out the greatness in all of Appalachia, we need to return to the time honored tradition of civic dialog.

A piece of the past creating a path for the future.

Bringing us together, so we can bring out the best in one another.

God bless.

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Daily Remedy

Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Videos

In this episode, the host discusses the significance of large language models (LLMs) in healthcare, their applications, and the challenges they face. The conversation highlights the importance of simplicity in model design and the necessity of integrating patient feedback to enhance the effectiveness of LLMs in clinical settings.

Takeaways
LLMs are becoming integral in healthcare.
They can help determine costs and service options.
Hallucination in LLMs can lead to misinformation.
LLMs can produce inconsistent answers based on input.
Simplicity in LLMs is often more effective than complexity.
Patient behavior should guide LLM development.
Integrating patient feedback is crucial for accuracy.
Pre-training models with patient input enhances relevance.
Healthcare providers must understand LLM limitations.
The best LLMs will focus on patient-centered care.

Chapters

00:00 Introduction to LLMs in Healthcare
05:16 The Importance of Simplicity in LLMs
The Future of LLMs in HealthcareDaily Remedy
YouTube Video U1u-IYdpeEk
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AI Regulation and Deployment Is Now a Core Healthcare Issue

Clinical Reads

Ambient Artificial Intelligence Clinical Documentation: Workflow Support with Emerging Governance Risk

Ambient Artificial Intelligence Clinical Documentation: Workflow Support with Emerging Governance Risk

by Daily Remedy
February 1, 2026
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Health systems are increasingly deploying ambient artificial intelligence tools that listen to clinical encounters and automatically generate draft visit notes. These systems are intended to reduce documentation burden and allow clinicians to focus more directly on patient interaction. At the same time, they raise unresolved questions about patient consent, data handling, factual accuracy, and legal responsibility for machine‑generated records. Recent policy discussions and legal actions suggest that adoption is moving faster than formal oversight frameworks. The practical clinical question is...

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