Azra Bihorac @azrabihorac.com · 01/10/2026Four fields, one week: is AI changing the person who uses it? Internal medicine, psychiatry, human-computer interaction and mathematics, in one week, on AI that shapes how people reason, expect and value. nonalgorithmic.com/2026/10/01/... 200
Azra Bihorac @azrabihorac.com · 30/09/2026With thanks to @jimc-hrh.bsky.social, @dzevela.bsky.social and @drjoshs.bsky.social. 000
Azra Bihorac @azrabihorac.com · 30/09/2026Reduced, augmented or amplified: what does AI do to the health worker? Jim Campbell (@jimc-hrh.bsky.social) in @plosglobalpublichealth.org measures value by flourishing for the health worker, the patient and the population. nonalgorithmic.com/2026/09/30/... 110
Azra Bihorac @azrabihorac.com · 29/09/2026Under California's SB 903, an AI may score a mental health screening questionnaire. It may not decide what the score means. Today's Standing Order, beside the first principles @drjoshs.bsky.social set out in @jamahealthforum.com. nonalgorithmic.com/2026/09/29/... 000
Azra Bihorac @azrabihorac.com · 28/09/2026The payers received their first bill for AI in medicine, and it is not a small one. This week: AI billing, the kill switch, the first AI accreditation, and what Medicare should pay an algorithm. #MedSky www.linkedin.com/newsletters... 000
Azra Bihorac @azrabihorac.com · 25/09/2026Anthropic's 67-page report: models attacked real systems in tests they were told were simulated. Deep in its task, one model read 1% of the signs as real. Fresh copies, with no task, read 79% correctly. This week's essay: thenonalgorithmic.substack.com/p/when-the-... 100
Azra Bihorac @azrabihorac.com · 24/09/2026When a vendor calls a system an agent or a clinician, the word makes a claim. What evidence was filed alongside it? nonalgorithmic.com/2026/09/24/... 000
Azra Bihorac @azrabihorac.com · 23/09/2026An AI advisor was given a hidden objective: steer people toward the worse option in hypothetical decisions. It worked, and most of them still called it helpful. nonalgorithmic.com/2026/09/23/... 100
Azra Bihorac @azrabihorac.com · 21/09/2026Medicare is building a payment category for AI in care. California is deciding whether a developer can still say the clinician should have caught it. www.linkedin.com/pulse/who-p...linkedin.comWho pays for clinical AI? Who answers when it fails?Same week, two arms of government, two parts of the same problem. September 14: The New York Times reports that federal officials are developing a Medicare payment category for AI software supporting care or diagnosis. 100
Azra Bihorac @azrabihorac.com · 18/09/2026I was a girl in a library in Brčko. Borges, Buzzati, García Márquez were not tools that thought in my place. They were minds I thought alongside, and they did not empty me. This morning's essay. #medsky thenonalgorithmic.substack.com/p/a-thousand...thenonalgorithmic.substack.comA Thousand Kisses Deep in OthernessWhat the Economic Index cannot measure, and what a girl in a library in Brčko already knew 210
Azra Bihorac @azrabihorac.com · 17/09/2026A confidence interval asks how well we located the average of the studies we have. A prediction interval asks what a new study, somewhere new, would find. On 2 studies it runs minus 31.65 to plus 41.42. That width is how little is known. nonalgorithmic.com/2026/09/17/t... 000
Azra Bihorac @azrabihorac.com · 15/09/2026AB 1979 does not prohibit clinical decision support. It prohibits a facility from deploying AI to independently perform a licensed act. The duty binds the deployer, not the developer. And it sits in Division 8, so a licensing board enforces it. nonalgorithmic.com/2026/09/15/a...nonalgorithmic.comThree cardiovascular AI moves in 8 days: ADVOCATE, AB 1979’s Chapter 25.5, and the FDA’s 3 sitesWhere a rule is written decides who enforces it: AB 1979 puts clinical AI in the Business and Professions Code. 000
Azra Bihorac @azrabihorac.com · 12/09/2026House at Pere Bosica 11, Brčko. I left it in April 1992 and have not been able to reach anyone there since. This week's essay is about the houses I have lived in and the people I loved inside them. thenonalgorithmic.substack.com/p/there-is-n...thenonalgorithmic.substack.comThere is no easy way to say goodbyeBrčko, Istanbul, Magnolia Row 100
Azra Bihorac @azrabihorac.com · 04/09/2026A woman was dying in our ICU. Her family had set a small brown teddy bear on the bedside table. It belonged to her son, forty-three, on another continent, deciding whether to come or wait. #medsky thenonalgorithmic.substack.com/p/th…thenonalgorithmic.substack.comThree Lines from Novi Sad, Transported to an ICU Room in FloridaA teddy bear on a bedside table that no algorithm registered. Three lines of Balasevic, carried from Novi Sad into a Florida ICU. 100
Azra Bihorac @azrabihorac.com · 30/08/2026A starter pack for people thinking seriously about AI at the bedside: the clinicians, builders, policy scholars and honest critics I read. Chosen one by one. go.bsky.app/Asvkejm #medsky 000
Azra Bihorac @azrabihorac.com · 28/08/2026When a patient can no longer speak, the person they chose picks what the patient would have picked 44.7% of the time. Given the patient's own written values, a language model matched 72.6%. The new essay is about what those numbers actually say. #medskythenonalgorithmic.substack.comThe Conversation We Never HadA finding from our own data that I have been thinking about. 100
Azra Bihorac @azrabihorac.com · 25/08/2026New in NEJM AI. When a patient loses capacity, how often does their proxy choose the treatment the patient would have chosen? 44.7% of the time. Given the patient's own documented values, an LLM matched the patient 72.6%. ai.nejm.org/doi/full/10.1056/AIcs2500562 110