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Dr. Pimlott quoted Dr. Rosen, who stated that "...repeated face to face consultation with a doctor is seen as the wrong approach... with technology-enabled consultations with a variety of health professions offering new options for assessment, review and treatment." Computerized algorithms are used by companies, universities and governments to decide who should have credit, get accepted to university, receive advertising, get a job interview, get insurance, and be offered a lenient decision by a court (1).
People labeled untrustworthy by an algorithm have difficulty navigating the system. The family doctor is perhaps the most highly educated publicly funded person who can help the patient access knowledge and services, including health benefits.
Tests to detect cancer in asymptomatic people are promoted by the slogan "Screening saves Lives." It does, but It also leads to a lot of testing and treatment, not all of which is beneficial (2, 3). My patients and I get reminders about the patient being overdue for a Pap test and for the fecal immunochemical test. Both reminders come from the BC Cancer Agency. One has a doctor's name at the bottom of the notice, and the other has no name on it. I asked the person whose department created the second notice why the notice had no name. The reply was, "(the notification) is generated out of the Screening Program data base and is not sent by a person."
The patient needs h...
Show MoreCompeting Interests: None declared.