Writing
Essays on access, building, and the people both are for.
The algorithm is the easy part
Artificial intelligence is often sold as the answer to the access gap in healthcare. From a radiologist's chair, the model reading the scan is the simplest part of the problem, and the responsibility lives everywhere else.
Who signs the report when the AI is wrong
The conversation about AI in medicine is mostly about detection rates. The harder question, and the one procurement asks last, is who carries the risk when the model is wrong.
Infrastructure that moves
The most sophisticated part of many health systems is now mounted on wheels. That should change how we think about access altogether.
The myths that keep women away
The beliefs that keep women from screening are usually treated as a problem of persuasion. Most of the time they are a problem of access, and that changes what a health system owes them.
What one truck taught me about scale
Field notes from growing a single mammography truck into a national mobile screening network, and the unglamorous lessons collected on the way.