When Physicians Are Replaced with a Protocol

My experience in medicine allows me to distinguish between genuine innovation and subtle reclassification that fundamentally alters practice while appearing unchanged. Artificial intelligence has recently attracted considerable attention, including the widely circulated assertion that AI has been “legally authorized to practice medicine” in the United States. Interpreted literally, this claim is inaccurate. No medical board has licensed a machine. No algorithm has sworn an oath, accepted fiduciary duty, or assumed personal liability for patient harm. No robot physician is opening a clinic, billing insurers, or standing before a malpractice jury.

However, stopping at this observation overlooks the broader issue. Legal concepts of liability are currently being redefined, often without public awareness.

A significant transformation is underway, warranting more than either reflexive dismissal or uncritical technological enthusiasm. The current development is not the licensure of artificial intelligence as a physician, but rather the gradual erosion of medicine’s core boundary: the intrinsic link between clinical judgment and human accountability. Clinical judgment involves making informed decisions tailored to each patient’s unique needs and circumstances, requiring empathy, intuition, and a deep understanding of medical ethics.

Human accountability refers to the responsibility healthcare providers assume for these decisions and their outcomes. This erosion is not the result of dramatic legislation or public debate, but occurs quietly through pilot programs, regulatory reinterpretations, and language that intentionally obscures responsibility. Once this boundary dissolves, medicine is transformed in ways that are difficult to reverse.

The main concern isn’t whether AI can refill prescriptions or spot abnormal lab results. Medicine has long used tools, and healthcare providers generally welcome help that reduces administrative tasks or improves pattern recognition. The real issue is whether medical judgment—deciding on the right actions, patients, and risks—can be viewed as a computer-generated outcome separated from moral responsibility. Historically, efforts to disconnect judgment from accountability have often caused harm without taking ownership.

Recent developments clarify the origins of current confusion. In several states, limited pilot programs now allow AI-driven systems to assist with prescription renewals for stable chronic conditions under narrowly defined protocols. At the federal level, proposed legislation has considered whether artificial intelligence might qualify as a “practitioner” for specific statutory purposes, provided it is appropriately regulated. These initiatives are typically presented as pragmatic responses to physician shortages, access delays, and administrative inefficiencies. While none explicitly designates AI as a physician, collectively they normalize the more concerning premise that medical actions can occur without a clearly identifiable human decision-maker.

In practice, this distinction is fundamental. Medicine is defined not by the mechanical execution of tasks, but by the assignment of responsibility when outcomes are unfavorable. Writing a prescription is straightforward; accepting responsibility for its consequences—particularly when considering comorbidities, social context, patient values, or incomplete information—is far more complex. Throughout my career, this responsibility has continuously resided with a human who could be questioned, challenged, corrected, and held accountable. When Dr. Smith makes an error, the family knows whom to contact, ensuring a direct line to human accountability. No algorithm, regardless of sophistication, can fulfill this role.

The primary risk is not technological, but regulatory and philosophical. This transition represents a shift from virtue ethics to proceduralism. When lawmakers and institutions redefine medical decision-making as a function of systems rather than personal acts, the moral framework of medicine changes. Accountability becomes diffuse, harm is more difficult to attribute, and responsibility shifts from clinicians to processes, from judgment to protocol adherence. When errors inevitably occur, the prevailing explanation becomes that ‘the system followed established guidelines.’ Recognizing this transition clarifies the shift from individualized ethical decision-making to mechanized procedural compliance.

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Billions in healthcare fraud discovered in California, Minnesota ‘pales in comparison’: Dr Oz

Billions of dollars in alleged fraudulent healthcare spending is being investigated in California, specifically probing foreign nationals operating illegal hospice facilities — officials announced Friday in a bombshell press conference.

“We have witnessed a sevenfold increase in hospice in LA County, sevenfold. That doesn’t happen naturally,” Dr Mehmet Oz, the administrator of the Centers for Medicare & Medicaid Services told The Post during at the press conference.

“There is not seven times more deaths in LA County than there were five years ago. These are fraudsters, and these do tend to be foreign influences, either Russian and Armenian gangs, mafia, that are leading a lot of these efforts.”

Fraudsters who run these facilities are working with about “100 bad doctors,” who convince a patient they’re dying to enroll them in hospice care, Dr Oz said, adding about 100,000 people have handed over their Medicare numbers.

“We are major focused on this issue, and I think our suspicion, our belief, is that the fraud in California will magnify whatever’s happening in Minnesota,” United States Attorney Bill Essayli said. “What’s happening in Minnesota pales in comparison to the level of fraud that we believe is occurring in California.”

Dr Oz said the Trump administration is also cracking down on taxpayer money being used to treat illegal immigrants for elective procedures.

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I was 15 and trusted the ‘experts’ on gender care. Turns out, they were winging it

“I feel like we’re all just winging it,” said one clinician at the World Professional Association for Transgender Health (WPATH), according to a recent report that exposed a recording of what advocates of so-called gender-affirming care have been saying when they think no one’s watching. “And [that’s] okay, you’re winging it too. But maybe we can just, like, wing it together.”

The “it” they were “winging” was my body. Their recklessness has left me with lifelong scars, both physical and psychological.

I was only around fifteen years old when I was introduced to transgenderism. A lot of what I heard resonated with me. I hated myself and hated my body. I was diagnosed with borderline personality disorder and anorexia, so I was no stranger to being uncomfortable in my own body. I had gone into the doctor’s office to get help for my mental state, and after my first appointment, I left with a letter of approval for testosterone.

Just one appointment led me down a pathway of permanent destruction and mutilation. I believed my doctors when they told me that girls could become boys, and that removing my breasts was the “life-saving care” I needed to avoid taking my own life. I genuinely believed the doctors who said transitioning was going to be the cure to my mental and emotional distress.

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UK’s approval of self-amplifying vaccines is a catastrophic “mistake”

In 2018, Imperial College London entered into a partnership with the Coalition for Epidemic Preparedness Innovations (“CEPI”) to develop a self-amplifying RNA vaccine platform (“saRNA”) to enable tailored vaccine production against multiple viral pathogens.

“The consortium aims to develop ‘RapidVac’, a synthetic saRNA vaccine platform, which will be used to produce vaccines against influenza, rabies and Marburg, with hopes to move these products to Phase I clinical testing in humans,” Pharma Times wrote.

In June 2020, a team at Imperial College London announced that it had developed a vaccine against covid that used “bits of genetic code (called self-amplifying RNA).” 

“Once inside the cell, the self-amplifying RNA produces copies of itself, which can instruct the cell’s own machinery to make the coronavirus protein,” Imperial College said.  “The muscle cells will then produce lots of the spike protein … Some of the proteins will be presented on the surface of the muscle cells … When the immune system comes across these tiny spikes, it recognises them as foreign.”

Imperial College completed Phase I and II clinical trials, but due to the approval and rollout of several other covid injections, the decision was made not to proceed with trials in the UK.  Instead, the team focused their UK efforts on “developing self-amplifying RNA technology to adapt to new variants, to boost other vaccines and to be deployed against future pandemic threats,” Imperial College threatened in a January 2021 article.

Imperial College has also been working on saRNA vaccines for rabies, Chikungunya, Ebola, Lassa and Marburg. It has been a key pioneer in saRNA vaccine research, particularly through its collaborations with VaxEquity and AstraZeneca, but it is the US company Arcturus Therapeutics’ saRNA vaccine that has been approved for use in the UK.

On 2 January 2026, the Medicines and Healthcare products Regulatory Agency (“MHRA”) approved Kostaive (also known as Zapomeran), a self-amplifying mRNA (“sa-mRNA”) covid vaccine developed by Arcturus Therapeutics, for use in adults aged 18 years and older. 

Kostaive uses sa-mRNA technology, which includes genetic instructions for both the SARS-CoV-2 spike protein and a viral replicase enzyme, enabling the mRNA to amplify itself within cells.  The stated aim is to enhance immune response with lower doses.

As Pharma Phorum described it, “Unlike regular mRNA vaccines, sa-mRNA vaccines – as their name suggests – instruct the body to make more mRNA and protein to boost the immune response, rather than relying on a finite dose which results in protection waning over time.”

“It is administered as a single 0.5 ml booster dose by intramuscular injection into the upper arm … Once injected, the sa-mRNA in lipid nanoparticles enters cells, where it directs production of the spike protein. The immune system recognises this protein as foreign,” Pharmacally wrote.

Recognising a protein in our bodies as foreign is the problem.  As Dr. Mike Yeadon explained in a video last month, making our bodies’ cells manufacture a foreign protein that our immune systems would attack results in autoimmune conditions, a self-to-self attack where our immune systems attack our own cells, thinking they are foreign invaders that need to be killed.

It would seem the vaccine industry is not satisfied with the effectiveness of mRNA vaccines waning over time, what they might refer to as “waning protection,” and so are seeking to extend the risk of autoimmune conditions through the use of saRNA “vaccines.”

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UN Security Council Presidency Draws Scrutiny Over Ambassador’s Past Ties to Sanctioned Medicaid Provider

The rotating presidency of the United Nations Security Council may change every month, but the standards represented by those who hold the position should not.

Leadership of the world’s most powerful international security body carries symbolic weight and sends a message about the values the United Nations claims to uphold: accountability, transparency, and respect for the rule of law.

That is why recent scrutiny surrounding the background of the current presiding ambassador from Somalia, Abukar Dahir Osman, deserves serious attention.

Public reporting indicates that before entering diplomatic service, the official was associated with the leadership of a U.S.-based healthcare company funded by Medicaid that later faced serious regulatory and compliance problems, including exclusion from federal healthcare programs. While there is no verified public record of a criminal conviction against the individual, the documented issues tied to the company itself are not disputed.

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Trump judges blast peers for letting California impose ‘state-sanctioned groupthink’ in medicine

The federal government’s refusal to register a supposedly offensive trademark for the Asian-American rock band The Slants prompted the Supreme Court to issue a sweeping precedent that protected First Amendment rights from the government-speech doctrine.

Now eight years later, that ruling is center stage again as the 9th U.S. Circuit Court of Appeals extended the doctrine that steamrolls individual speech under the banner of government speech to validate California medical training. And some dissenting judges nominated by President Donald Trump on that court are raising deep concerns.

A majority of the full appeals court, whose jurisdiction stretches from the Pacific to the Rockies, refused to rehear a challenge to California’s imposition of “implicit bias” training in continuing medical education, which doctors must receive to keep their licenses, leaving intact a three-judge panel’s ruling that deemed the private courses to be government speech.

The 9th Circuit has become less liberal with Trump’s 11 nominees but Democrat nominees still dominate the largest federal appeals court, which has 29 active judges. The rehearing denial doesn’t specify the vote count.

“A proper analysis—as prescribed by the Supreme Court, our own court’s prior cases, and our sister circuits—reveals that California’s prior CME regulations did not meaningfully express or shape messages through CME courses” before the Golden State made implicit-bias training a statutory requirement in 2019, the first dissent from refusal to rehear said.

Physicians in CME courses would also be “unlikely to perceive the instructor’s message as the government’s” and the Medical Board of California’s “regulations otherwise exert very little control over CME instructors’ messages,” Judge Lawrence VanDyke wrote.

He was joined by Judges Patrick Bumatay and Eric Tung, the latter only confirmed in November.

The Trump appointees blasted the “improperly anemic governmental speech analysis” by the panel, which relied on the “mere scope of California’s regulatory scheme” to conclude that “CME attendees perceive instructors as relaying the government’s views,” at odds with the “well-pleaded allegations” of the challengers.

Tung also wrote a dissent, joined by VanDyke and Bumatay, that scolded the panel for rebranding private instructors as government agents and sidestepping the scientific debate over the validity of implicit bias, which the California law asserts with no evidence is responsible for healthcare “outcome disparities” by race and sex.

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UK Goes Full Cradle-To-Grave With ‘Sinister’ Plan For Newborn BABY Digital IDs

The UK government’s digital ID push is escalating into outright dystopia, with ministers privately floating the idea of assigning digital identities to newborns right alongside their health records. 

This “sinister” expansion, revealed by the Daily Mail, exposes Labour’s true agenda: a lifelong tracking system masquerading as a tool to curb illegal immigration.

The move is being slammed as a blatant power grab, with many warning it has nothing to do with border control and everything to do with eroding freedoms from birth.

The proposal emerged in secretive Cabinet Office meetings led by minister Josh Simons, who cited Estonia’s model where infants get unique numbers at birth registration for accessing public services. 

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Britons Are Beginning To Admit It: Their Beloved National Health Service Is Broken

The day after the United Kingdom’s general election last year, newly appointed Labour Secretary of State for Health and Social Care Wes Streeting proclaimed that Britain’s socialized health care system was “broken.”

Streeting’s statement, while certainly correct, would have been political suicide just a few years ago. Criticism of the National Health Service (NHS) has long been seen as heretical. As in other religions, heretics were judged not on the merit of their criticism, but on the mere fact that they dared challenge received wisdom. As former Conservative chancellor Nigel Lawson put it in 1992, “The National Health Service is the closest thing the English have to a religion.”

During the COVID-19 lockdowns, we were encouraged to stand outside our homes and “clap for the NHS” every Thursday. Some overly excited clappers even decided that wasn’t quite enough to show their adoration for our health care system, and so out came the pots, pans, spoons, and other kitchen utensils.

Criticism of the NHS has remained extremely taboo. When I suggested in 2023 that the NHS was perhaps not the best health care system in the world, the left-wing tabloid paper The Mirror ran two stories about my “shocking” views. I even received death threats.

And yet, in just a few years, the Overton window appears to have shifted. The idea that the NHS isn’t the world’s best health care system is becoming more and more politically acceptable. Recent polling by YouGov suggests that more Brits now believe the NHS provides worse health care than other European countries, with the percentage increasing from 16 percent in 2019 to about 27 percent in 2025. The British Social Attitudes survey shows that, in 2024, just one in five adults (21 percent) were “very” or “quite” satisfied with the way the NHS runs. This is a steep decline of 39 percentage points since 2019, and marks the lowest level of satisfaction recorded since the survey began in 1983.

Perhaps the various high-profile stories of shockingly poor NHS treatment have driven some of this change. Nowhere is this more striking than in the Lucy Letby case.

Letby, a 35-year-old NHS nurse, was convicted of murdering seven babies and attempting to murder seven others at the Countess of Chester Hospital from June 2015 through June 2016. Her prosecution was subject to countless debates, with many people claiming she was actually innocent. Leading the media defence of Letby was journalist Peter Hitchens, who claims the babies were not murdered but died because they were “already very ill and received inadequate treatment.”

How can we not tell the difference between serial baby murder and normal NHS care?

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Somalia’s UN Ambassador, Who Previously Oversaw Adult Medicaid, Also Served as CEO at a Company Reportedly Placed on a Federal Fraud Exclusion List and Banned from Receiving Medicaid Funds

While Ohio taxpayers are being told to accept daycare fraud as merely “the cost of doing business,” a stunning new report has surfaced that raises serious questions about who has been operating inside the state’s taxpayer-funded welfare ecosystem and how far those connections now extend onto the global stage.

As The Gateway Pundit previously reported, RINO Ohio Governor Mike DeWine’s office has brushed off mounting concerns over potential large-scale fraud in taxpayer-funded daycare centers—particularly in Columbus, home to the second-largest Somali population in the United States—as merely “the cost of doing business,” even after two independent journalists uncovered disturbing evidence of potential ghost daycare operations in Columbus, Ohio.

Speaking to the Columbus Dispatch, DeWine spokesman Dan Tierney openly acknowledged that daycare fraud has been “known to the state for decades,” suggesting that outrage from taxpayers is simply the product of naivety.

“If people are out there who could not contemplate that people were trying to defraud the public through day care centers, I understand it’s new to them … but it’s been known to the state for decades,” Tierney said. “So therefore, we have robust anti-fraud measures to try and stop this, this is something that is unfortunately the cost of doing business.”

A new bombshell report now reveals that Somalia’s sitting ambassador to the United Nations once worked inside Ohio’s Medicaid bureaucracy, and later ran or represented a healthcare company reportedly placed on a federal fraud exclusion list.

Abukar Dahir Osman, often referred to by the nickname “Baale,” currently serves as Somalia’s Permanent Representative to the United Nations, a post he has held since 2017.

As of this month, Osman holds one of the most powerful rotating positions in global diplomacy: President of the UN Security Council.

In that role, he:

  • Oversees Security Council meetings
  • Sets the Council’s agenda
  • Manages resolutions and presidential statements
  • Speaks for the A3+ bloc (African nations plus Caribbean representation) on issues like Afghanistan and Yemen

But before assuming global authority in New York, Osman spent years embedded inside Ohio’s public welfare system.

Osman relocated to the United States in the late 1980s and built his career in Ohio’s taxpayer-funded social services apparatus.

From 1999 to 2012, he worked at the Franklin County Department of Job and Family Services, serving as:

  • Case Manager
  • Social Program Specialist

Osman was also a supervisor for the Medicaid office in Franklin County, Ohio, from 2007 to 2012.

Mr. Osman also founded Beacon Educational Services, according to his profile on the UN.  He served as a consultant for the organization from 2007 to 2010.

The most alarming revelation involves Progressive Health Care Services Inc., an Ohio-based home healthcare company linked to Osman.

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Report Alleges Somalia’s Foreign Minister, Whose Ohio Healthcare Company Receives U.S. Tax Dollars, Also Controls LLC at SAME ADDRESS as Somali Money Transfer Firm Accused of Terror Financing

A new report alleges that Somalia’s Foreign Minister Abdisalam Abdi Ali, a U.S. citizen whose Ohio-based healthcare company has raked in millions from American taxpayers, also controls an LLC operating out of the same address as a Somali money transfer firm previously accused of funneling funds to terrorist organizations.

Abdisalam Abdi Ali was appointed Minister of Foreign Affairs and International Cooperation of Somalia in May 2025.

Born in Somalia but building a life in the U.S., Ali established Ritechoice Healthcare Services LLC in Toledo, Ohio, over a decade ago. Shockingly, two additional healthcare companies operate out of the same office suite.

The company specializes in home health care, providing services such as nursing aides and therapy to vulnerable populations, including the elderly and disabled.

These operations have reportedly received substantial funding from U.S. government programs like Medicaid and Medicare, which reimburse providers for caring for low-income patients.

But the plot thickens with Ali’s business partner, Abdul J. Surey, who was listed as president of Ritechoice Healthcare Services LLC, according to LibsofTikTok.

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