Health
As AI shows up in doctors’ offices, most patients are giving permission as experts advise caution
Artificial intelligence has been used “behind the scenes” in health care for decades, but with the growing popularity of new technologies such as ChatGPT, it’s now playing a bigger role in patient care — including during routine doctor’s visits.
Physicians may rely on AI to record conversations, manage documentation and create personalized treatment plans. And that raises the question of whether they must get patients’ permission first to use the technology during appointments.
“While regulations may vary by jurisdiction, obtaining informed consent for using AI is often considered best practice and aligns with the principles of medical ethics,” Dr. Harvey Castro, a Dallas, Texas-based board-certified emergency medicine physician and national speaker on artificial intelligence in health care, told Fox News Digital.
WHAT IS ARTIFICIAL INTELLIGENCE (AI)?
“It ensures transparency and respects patient autonomy,” he added.
“Regulatory bodies and health care institutions may provide specific guidelines.”
Augmedix, a medical technology company in San Francisco, offers solutions that allow doctors to capture documentation using ambient AI technology.
“We repurpose the conversation that occurs between a doctor and a patient, and use that as the basis for creating a medical note, which is required for every patient visit,” CEO Manny Krakaris said in an interview with Fox News Digital.
Manual documentation by physicians, on the other hand, can consume up to a third of their day, Krakaris said.
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“That’s a lot of wasted time spent on administrative tasks, which could be applied to spending more time with their patients and interacting with them on a very human level,” Krakaris said.
The AI technology can also help reduce physician burnout, Krakaris noted, as it can allow doctors to reduce their workload and spend more time with their families.
Based on surveys from Augmedix’s clients, patients generally feel a greater sense of satisfaction when the doctor pays full attention and listens to them during the visit, rather than being distracted or diverted by a computer screen.
In terms of HIPAA compliance with AI-generated documentation, things can get a little murky.
“Artificial intelligence wasn’t even a term when HIPAA was created, so it has some catching up to do.”
“HIPAA does not specifically require patient consent for the use of AI — artificial intelligence wasn’t even a term when HIPAA was created, so it has some catching up to do,” Krakaris said.
AI-generated documentation is permissible under HIPAA, he said, “as long as the intent is to use it to contribute to generalized knowledge — and that’s typically how this is used.”
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There are also individual state laws that govern patient privacy, Krakaris noted, and physicians must adhere to those whether they’re using AI or not.
Among Augmedix’s clients, Krakaris said that obtaining AI consent is generally part of the patient intake process.
“It will vary from one enterprise to another in terms of how that is done,” he said.
Some practices require only verbal consent to use ambient technology to help generate the medical note, while others require written consent.
Overall, most patients are open to the use of AI in the doctor’s office, with the typical opt-in rate across all of Augmedix’s customers averaging about 99%, the company said.
“So there hasn’t been any kind of widespread hesitation on the part of patients to use AI or to take advantage of this technology,” said Krakaris, sharing his experiences.
WHAT ARE HIPAA RIGHTS?
Some patients, however, may have concerns about privacy, data security or the impersonal nature of AI, Castro pointed out.
“Ethical considerations, mistrust of technology or cultural beliefs may also deter consent,” he told Fox News Digital.
“It’s essential to address these concerns with empathy and integrity, and I always ensure that patients understand that I do not violate HIPAA laws,” he added.
People in different age groups often respond to technology differently, Castro said.
“Education is vital to addressing concerns about AI,” he said. “It’s realistic and ethically responsible for physicians or health care staff to provide clear explanations and education about AI’s role in care.”
“This fosters trust and empowers patients to make informed decisions.”
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In Krakaris’ view, physicians are the best source for explaining the use of the particular technology, because it happens during the encounter with patients.
“That’s the perfect time to do it — at the point of care,” he said.
“Emphasizing transparency, informed consent and education ensure that AI can enhance, not replace, the human touch in medicine.”
Each of Augmedix’s clients also gets a one-page laminated description that fully explains what the AI does and how patient data is protected.
“After they have a chance to review that, they’re asked whether they opt in or not,” Krakaris said.
There are risks associated with “blindly relying” on using large language models to summarize the doctor-patient experience, Krakaris said — especially given the current shortage of health care providers.
“The large language models are prone to errors — it’s been widely documented,” he said.
“And so you need to provide guardrails to ensure that those errors are removed from the final medical note,” he also said.
In Krakaris’ view, that guardrail is human judgment.
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“A human expert needs to apply their expertise to that final product,” he said. “The technology isn’t nearly good enough today to be able to do that.”
As the integration of AI in health care continues, Castro stressed the need for a commitment to “ethics, integrity and patient-centered care.”
“Emphasizing transparency, informed consent and education will ensure that AI can enhance, not replace, the human touch in medicine.”
Health
Kennedy’s Plan for the Drug Crisis: A Network of ‘Healing Farms’
Though Mr. Kennedy’s embrace of recovery farms may be novel, the concept stretches back almost a century. In 1935, the government opened the United States Narcotic Farm in Lexington, Ky., to research and treat addiction. Over the years, residents included Chet Baker and William S. Burroughs (who portrayed the institution in his novel, “Junkie: Confessions of an Unredeemed Drug Addict”). The program had high relapse rates and was tainted by drug experiments on human subjects. By 1975, as local treatment centers began to proliferate around the country, the program closed.
In America, therapeutic communities for addiction treatment became popular in the 1960s and ’70s. Some, like Synanon, became notorious for cultlike, abusive environments. There are now perhaps 3,000 worldwide, researchers estimate, including one that Mr. Kennedy has also praised — San Patrignano, an Italian program whose centerpiece is a highly regarded bakery, staffed by residents.
“If we do go down the road of large government-funded therapeutic communities, I’d want to see some oversight to ensure they live up to modern standards,” said Dr. Sabet, who is now president of the Foundation for Drug Policy Solutions. “We should get rid of the false dichotomy, too, between these approaches and medications, since we know they can work together for some people.”
Should Mr. Kennedy be confirmed, his authority to establish healing farms would be uncertain. Building federal treatment farms in “depressed rural areas,” as he said in his documentary, presumably on public land, would hit political and legal roadblocks. Fully legalizing and taxing cannabis to pay for the farms would require congressional action.
In the concluding moments of the documentary, Mr. Kennedy invoked Carl Jung, the Swiss psychiatrist whose views on spirituality influenced Alcoholics Anonymous. Dr. Jung, he said, felt that “people who believed in God got better faster and that their recovery was more durable and enduring than people who didn’t.”
Health
Children exposed to higher fluoride levels found to have lower IQs, study reveals
The debate about the benefits and risks of fluoride is ongoing, as RFK Jr. — incoming President Trump’s pick for HHS secretary — pushes to remove it from the U.S. water supply.
“Fluoride is an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders and thyroid disease,” RFK wrote in a post on X in November.
A new study published in JAMA Pediatrics on Jan. 6 found another correlation between fluoride exposure and children’s IQs.
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Study co-author Kyla Taylor, PhD, who is based in North Carolina, noted that fluoridated water has been used “for decades” to reduce dental cavities and improve oral health.
“However, there is concern that pregnant women and children are getting fluoride from many sources, including drinking water, water-added foods and beverages, teas, toothpaste, floss and mouthwash, and that their total fluoride exposure is too high and may affect fetal, infant and child neurodevelopment,” she told Fox News Digital.
The new research, led by scientists at the National Institute of Environmental Health Sciences (NIEHS), analyzed 74 epidemiological studies on children’s IQ and fluoride exposure.
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The studies measured fluoride in drinking water and urine across 10 countries, including Canada, China, Denmark, India, Iran, Mexico, Pakistan, New Zealand, Spain and Taiwan. (None were conducted in the U.S.)
The meta-analysis found a “statistically significant association” between higher fluoride exposure and lower children’s IQ scores, according to Taylor.
“[It showed] that the more fluoride a child is exposed to, the more likely that child’s IQ will be lower than if they were not exposed,” she said.
These results were consistent with six previous meta-analyses, all of which reported the same “statistically significant inverse associations” between fluoride exposure and children’s IQs, Taylor emphasized.
The research found that for every 1mg/L increase in urinary fluoride, there was a 1.63-point decrease in IQ.
‘Safe’ exposure levels
The World Health Organization (WHO) has established 1.5mg/L as the “upper safe limit” of fluoride in drinking water.
“There is concern that pregnant women and children are getting fluoride from many sources.”
Meanwhile, the U.S. Public Health Service recommends a fluoride concentration of 0.7 mg/L in drinking water.
“There was not enough data to determine if 0.7 mg/L of fluoride exposure in drinking water affected children’s IQs,” Taylor noted.
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Higher levels of the chemical can be found in wells and community water serving nearly three million people in the U.S., the researcher noted.
She encouraged pregnant women and parents of small children to be mindful of their total fluoride intake.
“If their water is fluoridated, they may wish to replace tap water with low-fluoride bottled water, like purified water, and limit exposure from other sources, such as dental products or black tea,” she said.
“Parents can use low-fluoride bottled water to mix with powdered infant formula and limit use of fluoridated toothpaste by young children.”
For more Health articles, visit www.foxnews.com/health.
While the research did not intend to address broader public health implications of water fluoridation in the U.S., Taylor suggested that the findings could help inform future research into the impact of fluoride on children’s health.
Dental health expert shares cautions
In response to this study and other previous research, Dr. Ellie Phillips, DDS, an oral health educator based in Austin, Texas, told Fox News Digital that she does not support water fluoridation.
“I join those who vehemently oppose public water fluoridation, and I question why our water supplies are still fluoridated in the 21st century,” she wrote in an email.
“There are non-fluoridated cities and countries where the public enjoy high levels of oral health, which in some cases appear better than those that are fluoridated.”
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Phillips called the fluoride debate “confusing” even among dentists, as the American Dental Association (ADA) advocates for fluoride use for cavity prevention through water fluoridation, toothpaste and mouthwash — “sometimes in high concentrations.”
“[But] biologic (holistic) dentists generally encourage their patients to fear fluoride and avoid its use entirely, even if their teeth are ravaged by tooth decay,” she said.
“Topical fluoride is beneficial, while systemic consumption poses risks.”
Phillips encouraged the public to consider varying fluoride compounds, the effect of different concentrations and the “extreme difference” between applying fluoride topically and ingesting it.
“Topical fluoride is beneficial, while systemic consumption poses risks,” she cautioned.
“Individuals must take charge of their own oral health using natural and informed strategies.”
The study received funding from the National Institute of Environmental Health Sciences (NIEHS), the National Institutes of Health (NIH) and the Intramural Research Program.
Health
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