FHC #169: How GenAI, telemedicine can fix America’s chronic disease crisis episode artwork

EPISODE · Mar 26, 2025 · 43 MIN

FHC #169: How GenAI, telemedicine can fix America’s chronic disease crisis

from Fixing Healthcare Podcast

In this month’s Diving Deep episode of the Fixing Healthcare podcast, cohosts Dr. Robert Pearl and Jeremy Corr tackle the fusion of generative AI and telemedicine, demonstrating how the combination could radically improve chronic disease care in the United States and save millions of lives. The conversation begins at the Paris AI Summit, where U.S. Vice President J.D. Vance surprised global attendees by blasting the world’s “self-conscious, risk-averse” approach to AI. Vance warned that overregulation could “paralyze” this generation-defining technology. Pearl notes a fundamental shift is now underway, with leaders beginning to view generative AI as a force for progress rather than a threat to contain. From there, the hosts explore the rise of DeepSeek, a new open-source AI system out of China that has opened the door to game-changing medical advances: powerful medical applications that will be affordable to produce and accessible to all. Pearl explains how DeepSeek’s use of “knowledge distillation” combined with expert specialization, data compression and real patient interactions will enable health innovators to build hyper-specialized, disease-specific tools. The most exciting prospect, Pearl says, lies in the synergy between GenAI and telemedicine. Alone, each technology has serious limitations. Together, they create a breakthrough model for 24/7, real-time care. This innovative blend of technologies would allow doctors and patients to overcome geographic, financial and clinical bottlenecks. Pearl outlines how these tools could provide better chronic disease control, enhance access to rare specialists and prevent medical crises before they happen. He also issues a warning: none of this will happen without fundamental payment reform. As long as physicians are paid to treat complications—not prevent them—America will remain stuck in a costly and outdated model. Click play to hear the full conversation or check out these useful links below. HELPFUL LINKS Why DeepSeek Will Upend American Medicine (Forbes) How GenAI Plus Telemedicine Could Save Millions Of Lives (Forbes) Monthly Musings on American Healthcare (Robert Pearl’s newsletter) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #169: How GenAI, telemedicine can fix America’s chronic disease crisis appeared first on Fixing Healthcare.

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