Thoughts

Signals – quick single insights or data points
Notes – medium-length reflections
Longer in-depth essays

Joel Selanikio Joel Selanikio

Signals: Utah's AI Prescriber Was More Cautious Than the Doctors Auditing It

Five months into Utah's Doctronic pilot — the first US program authorizing AI to recommend prescription renewals — the state just released outcome data. The AI's renewal recommendations are statistically indistinguishable from a second physician's. And when the AI defers to a human, it defers more often than a human would.

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Joel Selanikio Joel Selanikio

Revisited: FDA's AI Medical Device Approvals

One year after analyzing FDA’s AI medical device approvals, a new dataset confirms: growth continues, but acceleration is absent. While more young companies are joining the field, older firms like GE still dominate approvals—classic sustaining innovation. And Big Tech? Still barely on the board.

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