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THE FUTURE IS NOW

  1. 01

    100,000 Parkinson’s patients have deep-brain stimulators implanted in the chest and wired to the brain to manage symptoms.

  2. 02

    Hospitals’ first experience with AI is not on the clinical side—it’s AI that helps you run your hospital better, through resource management and labor optimization.

  3. 03

    Previvors,” those with high-risk genetics for serious medical conditions, are organizing into powerful consumer advocate groups.

  4. 04

    Clinical trials using CRISPR to release the brakes on the immune response have begun in China for aggressive lung and esophageal cancers.

  5. 05

    Kaiser has already started its own school of medicine, rather than outsourcing physician development to universities.

  6. 06

    Value-based care is already here through the Shared Savings incentives. In Buffalo, the Catholic Health ACO saved $28 million, receiving a reward of $14 million—the third largest amount among all first-year programs.

5 YEARS

  1. 01

    Full genomic testing of IVF embryos will allow parents to select the embryo with the lowest risk factors for future disease.

  2. 02

    The FDA will consider a drug’s price in its approval process, allowing drug competition and price competition.

  3. 03

    Hospital networks will have huge, centralized command centers for remote monitoring of patients, whether those patients are in a network hospital or at home.

  4. 04

    Checkpoint inhibitor immunotherapies will replace chemotherapy as the first-line intervention for half of cancers.

  5. 05

    Over one-third of all surgeries will be performed with robotic assistance. Fully autonomous robotic surgical platforms prove their effectiveness and are (slowly) adopted.

  6. 06

    AR headsets and screens will replace medical charts, which will be too thick with data to be scanned linearly. Automated medical records using natural language processing will cut data entry time 4x.

  7. 07

    Driverless cars will reduce accident rates by 90%, eliminating over 2.25 million visits to emergency rooms each year.

10 YEARS

  1. 01

    Virtual reality headsets for Alzheimer’s patients will be used daily to stave off the disease. Light therapy at gamma rhythm reawakens the brain’s natural immune cells that attack and clear amyloid beta.

  2. 02

    Parabiosis injections of blood plasma taken from healthy young people will prolong the period of our lives where most of us stay fairly disease free. For those who can afford it, 80 will be the new 50.

  3. 03

    Computational pre-optimization of patient biomarkers will improve the odds of a new drug’s approval by 3x and reduce development cost 10x.

  4. 04

    By clearing the body of senescent cells and their toxic signals, stem cells in 40-year-old knees will again grow cartilage.

  5. 05

    Back surgery—currently driving 7% of operating room budgets—will be far less common, replaced by everything from powered exoskeletons to stem cell activation to reverse osteoporosis.

20 YEARS

  1. 01

    Programmable flu “shot” will mean an end to the yearly needle, using robotic nanospheres which can change shape and prime the host immune system.

  2. 02

    Nanoparticle swimmers guided by magnets will clear arterial plaques.

  3. 03

    Open-source Electronic Health Records (EHRs) will reach 90% market share, displacing closed systems. But it won’t be a single opensource system; there will be many of them.

  4. 04

    Transplants of organs from anybody will be possible by using CRISPR to tweak the immune receptors that identify transplanted organs as foreign.

  5. 05

    Medicine looks more like construction, with general contractors (doctors) managing different teams (subcontractors) with the help of checklists, protocols, AI, etc.

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