Everyware information technology reigns. Hardware and software are everyware. Everyware judges quality, efficacy, efficiency, optimumability , acceptability, equity, and costs. As far as the eye can see and the mind can grasp, there are devices, apps, algorithms, protocols, and guidelines.
Everything is systematized. Everywhere every aspect of health care is precisely predictable, ideally structured, with rigid processes in place, with machine predetermined outcomes .
Everything can be made virtual. All knowledge is accessible. If you can’t get it yourself, drones will bring it to you. Every patient is empowered with universal digital knowledge. Everyone can monitor themselves, or be monitored by others from afar.
Everything is integrated. Everybody is interconnected to the nth degree. All electronic health records are interoperable. Interdigitation rules the land.
Physicians are cogs in machine, responsive and responsible only to the data systems they must feed and that guides them.
Data is language. Collectivism is individualism. Artificial intelligence is king.
And Big Brother, Big Sister, Little Brother, and Little Sister are watching you, guiding you, and directing you to a more perfect world.
To err is human, to forego data malign.
Data cannot predict everything, and humans must always have freedom of choice outside the sphere of data at the end of the data rainbow.
Humans are not perfect. Nor are their machines. Humans have souls. They live at the edge of humanity, where human disagreements, gossip, and desire for change exist at every level of human activity.
Humans are imperfect. That’s what makes them unpredictable and changeable - and human.
Edgewarians do not have perfect vision, but it’s good enough for human consumption, and they do not need to know every detail in advance or from the past. They are tuned to the edges of reality. They can build a good-enough vision and follow minimal standards rather than trying to work out every detail.
They like to go for multiple actions and to test every human action at the fringes, letting the right direction emerge rather than believing they must be sure before proceeding with anything.
They like to “chunk,” trying small things out of simple actions that work well independently rather than listening to the machine.
Doctors like to listen to patients, and patients to their doctors, with both acting in collaboration and cooperation with each other rather than blindly listening to some higher authority or digitally-driven machine.
To err is human, to go offline is benign.