Dan Pettus spent forty years building the machines that were supposed to prevent that. Brain monitors in operating rooms. Anesthesia records in Vienna. A box on a kitchen counter that read twenty one different glucose meters. Infusion pumps wired into the hospital records he helped write the standards for. The technology worked. The outcomes did not move. This is the honest accounting of why, told from the inside by someone who signed off on the compromises. A vocabulary of care that turned out to be private property. A public library of medical knowledge almost nobody used. An industry that spent tens of billions getting very good at writing things down and never learned to ask a question. And the one thing that finally changed did not come from medicine at all. It is running now, you can open it in a browser, and Chapter 22 is my own list of everything still wrong with it.
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