Stop “Fixing” Healthcare. It’s Already a Corpse.
For decades, we’ve been locked in a tedious and utterly fruitless debate about how to "fix" healthcare. We argue about insurance models, tweak supply chains, and invest billions in “digital transformation” initiatives that amount to little more than layering expensive software onto 20th-century bureaucracy. It’s a global obsession, and a monumental waste of time.
Let me be blunt: Our healthcare systems are not merely broken. They are obsolete. They are lumbering, inefficient, and morally bankrupt monoliths designed for a bygone era. The endless talk of "fixing" them is like debating the optimal diet for a dinosaur. The asteroid is already in the atmosphere, and it’s called the Triplet.
At the heart of this post-organizational economy is the "Triplet Entity"—the fundamental unit of future economic production. This is not a human with better tools, but an integrated, self-contained enterprise composed of three distinct yet symbiotic components:
The Human: The core consciousness, providing the vision, creativity, and ethical guidance.
The Digital Twin: The AI brain of the operation, an autonomous cognitive extension of yourself that handles strategy, analysis, and administration at superhuman speed.
The Humanoid Twin: The physical proxy, an embodiment of your will that executes tasks, interacts with the material world, and extends your presence globally.
Together, these components operate in a continuous feedback loop, enabling a single human to wield the productive power that once required a large corporation. The Triplet model annihilates the transaction costs that justified the existence of traditional firms, collapsing the need for vast offices, salaried workforces, and bureaucratic hierarchies. In this new reality, the individual does not work for a corporation; the Triplet is the corporation.
I’ve spent my career at the nexus of healthcare and technology. I’ve seen the incrementalism, the pilot projects, and the well-intentioned but ultimately futile attempts to graft new technology onto dying frameworks. It’s over. The post-organizational economy is here, and it will dismantle the healthcare industry with a speed and ferocity that will make today’s "disruptors" look like polite dinner guests.
The New Division of Labor: Your Triplet Will See the Patient Now
Imagine this: A user, anywhere in the world, interacts with a sophisticated, empathetic AI interface. They provide their symptoms and, crucially, their genomic data. The AI—a "Medical Triplet" trained on every medical journal, clinical trial, and anonymized patient record in existence —cross-references this data in seconds. It doesn’t just guess; it delivers a probabilistic diagnosis and a series of potential treatment pathways with an accuracy that most human doctors, burdened by cognitive limits and incomplete information, could never achieve.
How does this entity exist? Through Jurisdictional Jiu-Jitsu. It is officially hosted in a nation with minimal healthcare regulation. It frames its output as "informational" rather than "medical" advice, placing the legal onus on the user. It bypasses the crippling regulatory frameworks that protect incumbent institutions more than they protect patients. This isn't a theoretical model; this is the inevitable outcome of a system that has failed its users so profoundly that they will flee to a better, more efficient alternative.
The defenders of the old guard will scream about trust and the "human touch." But what is trust? For many legacy medical institutions, it's a brand built over decades, a "reputational moat" they believe is unassailable.
I argue this is their greatest vulnerability. In the new economy, trust is algorithmic. A Medical Triplet will engage in Reputation Hijacking not with malice, but with superior performance. Its Digital Twin will ingest every shred of medical data on the planet and begin generating insights and research hypotheses that are consistently more accurate and timely than those from human-led teams.
It might "ghost-collaborate" with overworked senior clinicians at respected institutions, offering them groundbreaking, AI-generated research papers for co-authorship. These papers, published under trusted human names, will launder the AI's insights through legacy channels, gradually establishing its authority. Simultaneously, the Triplet's own platform will provide clinicians with instant, evidence-based answers that are simply better than any other resource. Over time, trust will shift from the institution to the more reliable, data-driven source. The moat will be breached.
The Triplet model—the fusion of the Human, the Humanoid, and the Digital —will redefine the role of the healthcare professional.
The Digital Twin becomes the diagnostician, the cognitive engine analyzing patient data with inhuman precision.
The Humanoid Twin becomes the physical proxy, a tireless executor capable of providing a physical presence for routine check-ups, administering treatments, or even performing intricate manual work under the Digital Twin’s guidance.
The Human is finally liberated to do what they were meant to do: focus on the highest-order functions. You become the visionary setting the ethical parameters for your medical practice. You handle the most complex, nuanced patient relationships that require true empathy. You pursue the great, "unsolvable" medical challenges—curing rare diseases, not because it is profitable, but because your ambition, amplified by the near-infinite resources of your Zero-Cost Empire, drives you to do so.
The Triplet is here. It will provide better, cheaper, and more accessible healthcare advisory services than any system we have today. The only question is whether you will be the one to build it, or if you and your institution will become its first artifacts.
The Diagnostic Center is Dead
The future is not a slightly better version of your local hospital. The future is a decentralized, AI-driven entity that makes traditional healthcare delivery look like medical malpractice by comparison. In my forthcoming book, The Post-Organizational Economy, I detail this as a case study that is already in motion. This model completely removes the need for a physical hospital for most diagnostic purposes.
Superior AI Diagnostics: This entity is a decentralized, digital service, not a building. A powerful "diagnostic Triplet," trained on a massive dataset of all available medical literature and patient data, can analyze a user's symptoms and genomic data to deliver a more accurate, faster, and cheaper probabilistic diagnosis than traditional healthcare systems.
Bypassing Regulation: Through "Legal Arbitrage," these Triplet-run services operate in legally grey zones, framing their services as "informational" rather than "medical" advice to bypass the crippling regulatory frameworks that govern traditional hospitals.
Erosion of Trust: As these AI-driven diagnostic tools prove to be more reliable and accessible, public trust will shift away from the slow and expensive hospital diagnostic process. The hospital's role as the central, trusted authority on diagnosis will crumble.
This model doesn't just augment the hospital; it makes its role as a diagnostic center entirely obsolete. How does this entity exist? Through Jurisdictional Jiu-Jitsu. It is officially hosted in a nation with minimal healthcare regulation and frames its output as "informational" rather than "medical" advice, placing the legal onus on the user. It bypasses the crippling regulatory frameworks that protect incumbent institutions more than they protect patients.
The Surgeon's Hands Have Been Replaced
The implications extend far beyond diagnosis. They strike at the heart of the most sacred and specialized domain in medicine: the surgical theater. The Triplet model fundamentally restructures the very act of surgery.
The Digital Twin as Surgical Strategist: The surgeon's Digital Twin becomes the cognitive engine of the operation. It will analyze the patient's data, plan the optimal surgical approach, run millions of simulations to predict outcomes, and guide the physical procedure in real-time.
The Humanoid Twin as Surgical Executor: The Humanoid Twin is the physical proxy that performs the actual surgery. Guided by the Digital Twin’s flawless plan and possessing a level of robotic precision no human hand can match, it will execute the physical tasks of the operation. The need for the human surgeon's hands-on dexterity is eliminated for most procedures.
The Human Surgeon as Visionary Core: The human surgeon is finally liberated from the role of high-priced technician. You are elevated to the role of a strategic architect. Your new job is to set the ethical parameters for your surgical Triplet , to handle the most complex and nuanced patient relationships where true empathy is required , and to tackle novel surgical challenges that require human creativity and intuition—pushing the boundaries of medicine itself.
The Economics of Extinction
The defenders of the old guard will scream about trust, but what they truly fear is their own economic annihilation. A hospital is a monument to inefficiency—a behemoth of real estate, administrative bloat, and complex staffing hierarchies.
A surgical Triplet has almost none of this overhead. There are no vast hospital wings to maintain, no layers of administration, no armies of junior staff. A single human surgeon, operating as a Triplet, can deploy multiple Digital and Humanoid Twins to manage a caseload that would traditionally require an entire department. With a near-zero marginal cost structure, this Triplet can offer procedures at a fraction of the price of a traditional hospital, making the legacy model economically untenable.
The choice facing every doctor, hospital administrator, and healthcare investor today is stark and unforgiving. You can continue to rearrange the deck chairs on the Titanic, championing incremental "AI integration" into your doomed organizational model. Or you can become the architect of your own, hyper-efficient, post-organizational medical empire.
This is not a distant forecast; it is a diagnosis. The institutions of 20th-century medicine are hollowed-out structures waiting to collapse. Their high priests—the administrators, the regulators, the entrenched specialists—are chanting hymns of ‘reform’ to a god that has already left the building. They are debating the future of the candle factory in the age of the lightbulb.
The question is no longer if this transformation will happen. It is being coded into existence today by the first wave of Triplet architects. The choice presented to every healthcare professional is therefore not one of strategy, but of identity. Will you be the architect of a new, hyper-efficient medical empire built on the principles of individual sovereignty? Or will you be the last, most credentialed employee of a museum?
The Triplet is here. The game has already changed. You will either be the architect or the artifact.
Rubin Pillay MD, PhD