For weeks, we’ve been exploring the sweeping generational transformation that Artificial Intelligence (AI) is bringing—and will continue to bring—to our society. In seven previous blogs, we discussed both how AI is changing everything and how many people underestimate the speed of this change, as well as its personal impact.
Because of my professional background, passions, and nonprofit work—particularly in education—I find myself right at the intersection of AI’s most immediate impacts: high-quality, white-collar professions that rely more on the brain than the hands.
The people I spend my personal time with are often retired and less concerned with the AI wave. My love of museums hasn’t been affected (yet), and even my passion for motorcycles feels relatively AI-proof. Harley-Davidson, which I’ve visited at both factories, uses robots heavily in manufacturing—especially for parts production and painting—but much of the final assembly remains human.
AI in Healthcare: The Big Three
Overnight, I received two dozen research papers on how AI is poised to revolutionize healthcare. And it will. But from what I see today, the clearest impacts are in three core areas: radiology, pathology, and genetics.
Why? Because despite advancements, humans are still too complex for machines to diagnose effectively and efficiently across the board. Based on my own research and experience, many doctors are already using AI—not as a diagnostic replacement, but as a tool, a next-generation library replacing physical books and journals.
If you’ve ever been in a doctor’s personal study or office, you’ve likely seen hundreds of books and dozens of diplomas and certificates. I’ve visited over 1,000 such offices in my career. AI now serves as a dynamic, living resource in place of those shelves of reference material.
Bill Gates on AI, Doctors, and Teachers
One browser tab has been open on my screen for 20 days. It’s a March 26, 2025, CNBC headline: Bill Gates: Within 10 Years, AI Will Replace Many Doctors and Teachers—Humans Won’t Be Needed ‘for Most Things’.
On a recent late-night show appearance, Gates suggested that AI could make most humans “no longer needed for most things.” He specifically cited professions like doctors and teachers, and said that as AI becomes more powerful and better at communicating, intelligence will essentially become free—and possibly more effective than humans in many roles.
Gates noted that advancements in medicine will change both how care is delivered and how many doctors are needed. While we’re not entirely convinced about AI replacing doctors, his argument for AI tutors and personalized education is far more compelling.
As we’ve discussed in earlier blogs, AI will affect nearly all jobs. While it will make many workers more productive, this assumes we continue increasing demand for work. In an aging society like the U.S., that’s far from guaranteed—and millions could be displaced as fewer people are needed to do the same tasks.
The Coming Wave Is Already Here
In The Coming Wave (2023), Microsoft executive Mustafa Suleyman wrote that AI will affect most jobs and have a “hugely destabilizing impact” on the workforce. AI will make us more efficient and enable economic growth—but it is fundamentally labor-replacing.
Gates agrees. He sees AI as an opportunity to solve real problems—from discovering new treatments to offering high-quality education for free. He also highlighted how LLMs (Large Language Models), though error-prone at launch, are improving at an incredible rate. Every time we interact with them, we help them learn.
He even said that if he were starting over today, he’d launch an AI-focused startup. “Somebody could raise billions of dollars for an AI company with just a few sketch ideas,” he claimed. While that may be true for someone like Gates, I can assure you it’s far more complex if you’re not already wired into the Silicon Valley ecosystem. From personal experience, I’ll also say that many VCs still don’t “get” healthcare. We’ve tried. Repeatedly.
Back to Real Life: Education and Healthcare
AI and Education
AI will dramatically impact education. Knowledge is cumulative and slow-moving. Creating a new course involves faculty, administration, book selection, syllabus design, and assessments. It’s labor- and time-intensive—while AI never sleeps, never runs out of material, and can adapt to millions of learners simultaneously.
AI allows for fully personalized learning, letting students go at their own pace, whether accelerated or stretched over time. Traditional higher education should be concerned. AI may not (yet) be accredited, but what happens when OpenAI, Gemini, or Google offers a certificate confirming 2,000 hours of advanced AI training with full testing and validation? Would companies like Google or IBM accept those credentials?
AI and Healthcare
Direct patient care is far less susceptible to AI replacement than education. Healthcare is deeply personal—every patient is unique, with over 10,000 disease codes and 20,000+ medications. AI can handle the math, but diagnosis is about more than data.
Doctors use a format called S.O.A.P. notes: Subjective, Objective, Assessment, Plan. The hardest part? The “subjective”—why is the patient here, and what’s really going on? That takes human observation and intuition.
We’ve built three Electronic Health Record (EHR) systems and managed over 40 medical centers. Based on what I’ve seen, I’m 100% sure that no AI is getting a license to prescribe medication in my lifetime. Full stop.
But AI can assist doctors. The issue is trust, liability, and patient safety. We’ll explore this more in upcoming blogs.
The Consumer Side: Empowering with AI
Where AI can make an immediate impact in healthcare is in the consumer experience. We’ve long advocated for a Universal Health Record (UHR)™, where consumers have access to all their health data in one place.
By using carefully curated AI (not general-purpose LLMs), we can help patients understand their conditions, communicate more effectively with providers, find clinical trials, and even contest insurance denials. Our mission has always been to empower consumers and support healthcare innovation in what’s becoming an increasingly complex—and sometimes hostile—environment.
About HealthScoreAI ™
Healthcare is at a tipping point, and HealthScoreAI is positioning to revolutionize the industry by giving consumers control over their health data and unlocking its immense value. U.S. healthcare annual spending has exceeded $5 trillion with little improvement in outcomes. Despite advances, technology has failed to reduce costs or improve care. Meanwhile, 3,000 exabytes of consumer health data remain trapped in fragmented USA systems of 500 EHRs, leaving consumers and doctors without a complete picture of care.
HealthScoreAI seeks to provide a unique solution, acting as a data surrogate for consumers and offering an unbiased holistic view of their health. Giving Consumers tools to respond to denial of care by insurers, we aim to bridge gaps in healthcare access and outcomes. By monetizing de-identified data, HealthScoreAI seeks to share revenue with consumers, potentially creating a new $100 billion market value opportunity. With near-universal EHR adoption in the USA, and advances in technology, now is the perfect time to capitalize on the data available, practical use of AI and the empowering of consumers, in particular the 13,000 tech savvy baby boomers turning 65 every single day and entering the Medicare system for the first time. Our team, with deep healthcare and tech expertise, holds U.S. patents and a proven track record of scaling companies and leading them to IPO.
Noel J. Guillama-Alvarez