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Opinion: Are artificial intelligence and automation a cure or poison for healthcare?

The allure of automation beckons like a modern-day Terminator saga - a narrative where artificial intelligence and mechanization dance on the precipice of reality and imagination. But amidst the temptation of automation, we are reminded that the intersection of AI and reality is not always as harmonious as the script suggests. 
<a href="https://highschool.latimes.com/author/aakrisht1210/" target="_self">Aakrisht Mehra</a>

Aakrisht Mehra

February 17, 2024

The allure of automation beckons like a modern-day Terminator saga — a narrative where artificial intelligence and mechanization dance on the precipice of reality and imagination. But amidst the temptation of Automation, we are reminded that the intersection of AI and reality is not always as harmonious as the script suggests. 

During the peak of the COVID-19 pandemic, 28% of nursing facilities, approximately 3,900 out of 14,000, reported experiencing staffing shortages, according to a KFF analysis of CMS COVID-19 Nursing Home Data in 2022.

The strain on healthcare workers, particularly nurses, grew as they grappled with increased workloads and limited resources. In response, policy proposals to automate hospitals gained traction, leading to new technologies being developed nationwide. The shift towards Automation reflected a pragmatic approach to addressing the complex challenges that health care faced at the time. 

Yet, the idea of Automation in hospitals has been misconstrued through policymaking and hospital leaders alike. For one, healthcare shortages have been chiefly alleviated, with the number of workers down by only 1.1% since the pandemic began. But more importantly, the primary factor contributing to the shortage of physicians stems from a persistent rise in healthcare workforce demand. At the same time, the number of medical school enrollees remains relatively static. This imbalance underscores that merely addressing burnout has a limited impact on the overarching crisis. In other words, hospital automation doesn’t solve the problems that nursing facilities around our country face. 

Look, I’ll be the first to admit, Automation is usually a good thing.  If we can enhance the lives of our dedicated frontline workers through Automation, there seems little rationale to impede progress — even if the tangible gains might not be monumental. In an ideal scenario, our hospitals would have embraced Automation seamlessly. However, the reality unfolds quite differently; Automation, unfortunately, exacerbates the existing shortage predicament rather than alleviating it.

Prospective medical students view Automation as an adversary and threat to their jobs, discouraging them from working in the field. 75% believed that Automation in the form of artificial intelligence or robots would drastically change their careers. These concerns aren’t unfounded either. As a report by Stanford Medicine finds in 2020, 33% of employment at a hospital would be automated with robots and AI if they tried to automate jobs. 

Thus, through Automation, we eliminate existing incentives for students to attend medical school. That compounds all the problems we face right now and further worsens them. The worker shortage is a short-term issue—something we’ve already taken steps to fix in the modern-day. But when we further increase Automation in hospitals, we turn this short-term problem into a decade-long burden. 

In the delicate balance between progress and pragmatism, the road to Automation within hospitals appears paved with good intentions. Yet, as we navigate this intricate terrain, the truth emerges: Automation is a double-edged sword, capable of alleviating burdens and inadvertently deepening existing challenges.

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