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srlb
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AI in 2026 cannot palpate an abdomen, intubate a patient, feel a thyroid nodule, test a patellar reflex, reduce a dislocated shoulder, perform a colonoscopy, or deliver a baby.
That is not a temporary limitation. It is structural.
When we scored AI capability across seven clinical dimensions for 240 visit reasons in 20 specialties, the physical/procedural dimension averaged 1.5 out of 5. The cognitive dimensions averaged 3.0 to 4.1. No specialty broke 2.0 on procedure. Not one.
History-taking averaged 4.1 — approaching specialist level. Patient communication 3.6. Follow-up management 3.5. Documentation, which runs through every workflow component, is arguably where AI already outperforms most physicians in speed and completeness.
The 2.6-point gap between the cognitive ceiling and the procedural wall is not closing with larger language models. Language models do not have hands. Closing that gap requires robotics, haptic sensing, and physical infrastructure at clinical scale — none of which exists beyond narrow research applications.
This matters for how we think about workforce planning.
The specialties in Tier 3 of our ranking — Ophthalmology, General Surgery, ENT, Emergency Medicine, Orthopedic Surgery, Anesthesiology — are not there because AI cannot reason about their clinical problems. It can. They are in Tier 3 because the physician's physical presence is the treatment. You cannot automate a knee replacement. You cannot automate airway rescue.
The specialties in Tier 1 — Radiology, Internal Medicine, Dermatology, Family Medicine, Endocrinology — are there because their workflows are dominated by cognition, synthesis, and documentation, with physical intervention consuming a smaller share of total effort.
The implication is straightforward. AI's near-term value is not about replacing any specialty. It is about absorbing the cognitive and administrative burden that consumes 40-60% of every physician's workday across every specialty. The procedural work stays human. The paperwork does not have to.
Health systems investing in AI as a documentation, intake, and decision-support engine will see returns now. Health systems waiting for AI to replace proceduralists will be waiting a long time.
Post 3 of a series. Post 1: consensus ranking. Post 2: adversarial reconciliation methodology.

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In 2024, @travelx__ completed 112.5 million transactions on Algorand.
They tackle airline inefficiencies with on-chain NFTickets, enabling consumers to transfer and resell tickets effortlessly. This approach reduces customer service costs and boosts airline revenue.
Airlines like @flybondioficial, @AirEuropa, and @VivaAerobus are already on Algorand via @travelx__, with more expected to join in 2025.

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@KobeissiLetter @JoGeo15 Donny isn’t going to get 4 trillion in investments, but likely will add that to our deficit next year!
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@WarMonitor3 Which means there will be boots in the ground in the next few weeks
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@bernhardjwolf1 @SenLummis Could also just privatize it and let airports run it… would remove the stupidity of our government and the current retard pork shoveling congress
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@89srlb @SenLummis The TSA was a lie from day 1. The box cutters used on 9/11 (if the narrative is even true) were legal on board aircraft at the time. It was not a screening failure;even if found, they would have passed.
The TSA is just another corrupt scam to fleece taxpayers and impose control.
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Missed paychecks. Travel disruptions. Long airport wait times.
Hardworking Americans are paying the price for Senate Democrats’ political games. Stop the insanity and fund DHS.
Homeland Security@DHSgov
Right now, our heroic TSA officers are not being paid, and many cannot pay their rent, buy food, or afford to put gas in their cars. Some are even staying in airports overnight because they can’t afford their commute. Democrats must end this madness, reopen DHS, and pay these heroic agents.
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@89srlb @MalcolmNance He couldn't run even if a 13 year old girl was used as a bait.
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@Steph_iscrypto If it involves pedo Donny I want nothing of it… tired of winning
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@defense_civil25 @GuerreroAzul07 Maybe it’s because Pedo Donny wasn’t very nice to them with the whole Green’snd thing?
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@MehekCooke @sergioruas Annndd republicans are playing games protecting pedo Donny we have an amazing country…
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🚨#BREAKING: According to reports the Trump administration is considering deploying thousands of additional United States Military troops to the Middle East.
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@WarMonitor3 I heard the Epstein files are located in the strait of Hormez!
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