The Doctor Who Knows It's Broken: Livestream with Dr. Adam Carewe

We are creating System C. Therefore, we are focused on the operating framework and inviting guests accordingly.We were joined by one of our favorite MDs - Adam Carewe MD. We talked about how AI is actively reshaping healthcare delivery not in theory, but right now, in clinical practice. Adam’s work at General Medicine is a live example: using AI to aggregate patient-provided data before visits, provide decision support, and catch what humans miss. This ultimately seeks to solve the 7 minute visit dilemma. He gave the example of a colon cancer screening catch (positive stool test buried in 21 pdfs). I shared my use case of Claude for a primary care visit to arrive with better synthesis than the clinician, only to be told the system B response: “I didn’t have a chance to read what you sent over - note I sent a 300 character detaile summary with biometrics. Something that takes 1 minute at best to read. Instead she said “tell me what’s going on, and just to set expectations, we only have 20 minutes.” The System C alternative is already being lived by a small group of early adopters who’ve figured out how to use AI as a genuine health partner, not a search engine.The second thread was about where System C breaks down at scale and what it would actually take to get there. Carter Williams busted out the Raptor 1/2/3 engine analogy that cut to the heart of it: the technology is getting dramatically better, but the feedback loops that would let the system learn from failure (missed aneurysms, false positives, ineffective cancer drugs) are slow, siloed, and politicized. Adam’s vision for what comes next was brilliant, a platform that intercepts healthcare demand upstream, before people even enter the traditional system. It’s the System C end state: frictionless, concierge-quality, AI-augmented care that makes the incumbent model as obsolete as the horse and buggy that is AFFORDABLE AND SCALABLE. The friction-removal frame (air fryer broccoli, grocery store design, end cap placement) connected food system and healthcare system design as the same engineering problem. System C is being built now by the people in the room.Thank you for those that jumped into comments such as Tina Simpson, Mental Health, Mark Miller, APASAS Health, and all of the others for tuning into our live video! Join me for my next live video in the app. Get full access to Food is Health at foodishealth.substack.com/subscribe