Axios: Part 3: The future, reimagined. Quote: “neighborhood: imaging, labs, procedures, consults and recovery all co-located for complex patients, instead of a scavenger hunt across buildings and appointment desks.”

🤯 Part 3: The future, reimagined
 
Illustrated collage of a crystal ball, overlaid with a tech grid pattern and bits of binary along the edges.
Illustration: Aïda Amer/Axios. Stock: Getty Images
 
The only way to pull or push people to a different place or worldview is to show them what better looks like. So Jim sketched this out, based on Autumn’s experience and what Mayo is building:

How it could/should work: Imagine the response once Autumn started getting sick. (Her earliest symptom was pericarditis, inflammation around her heart.)

Instead of going to a random doctor with scant understanding of her condition, she gets routed to someone with true expertise, who taps into a pool of data on other women with pericarditis.

She hops on a Zoom with this person — who could be anywhere worldwide with access to her health data. Her vitals are easily checked at home beforehand and fed into the data. The doctor and Autumn decide together if an in-person examination is warranted.

Now, imagine Autumn is actively sick and needs to go to the hospital.

She lands in what Mayo calls a neighborhood: imaging, labs, procedures, consults and recovery all co-located for complex patients, instead of a scavenger hunt across buildings and appointment desks. Her costs are clear and flagged.

The room itself feels healthy: controls for sound, lighting, temperature and TV. An electronic screen shows today’s schedule and exactly what has to happen before she goes home. Family can easily Zoom in to chat and see her. Robots run supplies and meals, so nurses spend their hours on Autumn, not chores.

AI stays in the background: sequencing appointments across specialists, transcribing and summarizing conversations, catching conflicts in a brutal medication regimen. The machines absorb the paperwork. The humans focus on Autumn.

The bottom line: None of this requires an invention. Every piece of it exists right now, somewhere. What’s missing isn’t technology. It’s the will to rebuild care around the patient — the opposite of our existing mess.

📬 Jim would love to hear your thoughts: finishline@axios.com.📈 If you’re a CEO or on a CEO’s team: Ask to join Jim’s weekly Axios C-Suite newsletter.Share this story.
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About michelleclarke2015

Life event that changes all: Horse riding accident in Zimbabwe in 1993, a fractured skull et al including bipolar anxiety, chronic fatigue …. co-morbidities (Nietzche 'He who has the reason why can deal with any how' details my health history from 1993 to date). 17th 2017 August operation for breast cancer (no indications just an appointment came from BreastCheck through the Post). Trinity College Dublin Business Economics and Social Studies (but no degree) 1997-2003; UCD 1997/1998 night classes) essays, projects, writings. Trinity Horizon Programme 1997/98 (Centre for Women Studies Trinity College Dublin/St. Patrick's Foundation (Professor McKeon) EU Horizon funded: research study of 15 women (I was one of this group and it became the cornerstone of my journey to now 2017) over 9 mth period diagnosed with depression and their reintegration into society, with special emphasis on work, arts, further education; Notes from time at Trinity Horizon Project 1997/98; Articles written for Irishhealth.com 2003/2004; St Patricks Foundation monthly lecture notes for a specific period in time; Selection of Poetry including poems written by people I know; Quotations 1998-2017; other writings mainly with theme of social justice under the heading Citizen Journalism Ireland. Letters written to friends about life in Zimbabwe; Family history including Michael Comyn KC, my grandfather, my grandmother's family, the O'Donnellan ffrench Blake-Forsters; Moral wrong: An acrimonious divorce but the real injustice was the Catholic Church granting an annulment – you can read it and make your own judgment, I have mine. Topics I have written about include annual Brain Awareness week, Mashonaland Irish Associataion in Zimbabwe, Suicide (a life sentence to those left behind); Nostalgia: Tara Hill, Co. Meath.
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