Matthew E. Tick, DO

what the fuck.. Cargill is using AI cameras in *slaughterhouses* to extract millions of dollars of extra meat off the bones of animals.. here’s the TLDR: >workers get real-time smiley face ratings per cut. green, yellow, red. > 1% improvement = 200 million more pounds of beef per year. >proprietary AI camera system called “CarVe” >scans every cut in real time on the fabrication floor >flags meat left on the bone that workers missed >rates each cut green, yellow, or red so workers adjust instantly >piloted in Friona, TX. now rolling out across all plants this is not a tech company. this is a slaughterhouse in Texas. and AI is already grading every cut in real time.​​​​​​​​​​​​​​​​ this is insanity.

Every independent physician I talk to has the same problems. 1) Payer contracts they’ve never fully analyzed. They also believe they can’t negotiate as a group. 2) Overhead they can feel but can’t pinpoint. 3) They pay insurance premiums as expenses and do not deploy captives or self-funding. 4) And zero competitive intelligence about what’s happening in their own market. Not because they’re unsophisticated. Ok, they are and they are busy seeing patients while the hospital system across town hires consultants to do the analysis for them. AI eliminates that gap overnight. Upload your payer contracts. AI reads every fee schedule, maps it against your case mix, and tells you which procedures lose money with which payers. That analysis used to cost $250,000 from a consulting firm. Now it costs very little. Pull your market data. AI tracks which physicians in your zip code are independent vs. employed, which competitors are hiring, which service lines have gaps. The intel that corporate strategy departments generate quarterly, you can generate on demand. Independent medicine doesn’t die from clinical inferiority. It dies from information asymmetry. AI closes that asymmetry permanently. This is how independents win.

There will be reform. The voting numbers matter less than bonds, inflation, and imminent disasters (due to decay of the grid, the defense industrial base, etc.) The Trump admin already proposed Medicare reforms. Social Security will be cut, by law, within 6 years. We will win.