Navigating Modern Medicine: Exercise as Medicine, AI Skill Preservation, and Compassionate Release Reform

The crisp scent of disinfectant clung to Dr. Anya Sharma’s white coat as she reviewed Mrs. Kapoor’s chart.

Mrs. Kapoor, a vibrant woman in her late 60s, was struggling with rising blood pressure, yet hesitated when Dr. Sharma suggested daily brisk walks.

Mrs. Kapoor asked if there was a pill for this, her eyes hinting at a lifetime of trusting medication over movement.

Dr. Sharma smiled gently, explaining how a simple walk could be more potent than a whole pharmacy.

Later that day, Anya found herself staring at the latest AI diagnostic tool, a powerful new assistant that promised to streamline complex cases.

Yet, a quiet unease settled in her gut.

Would embracing this efficiency cost her something vital in her own clinical intuition?

The day culminated with an urgent email about a patient in correctional care, terminally ill, whose compassionate release was stalled in bureaucratic limbo, the decision resting not with medical experts, but with legal officials.

It was a stark reminder that medicine, at its heart, was a human endeavor, even as its tools evolved at breakneck speed.

In short, this article delves into three critical areas of modern medicine: the transformative power of exercise as a polypill for blood pressure, the vital need to protect clinician skills amidst the rise of AI, and the urgent call for medical professionals to oversee compassionate release for incarcerated patients.

These are not isolated anecdotes but touchpoints of a profession at a profound inflection point.

As healthcare grapples with escalating chronic conditions and rapidly advancing technology, the very definition of care is being rewritten.

We see the pervasive challenge of hypertension, affecting millions, yet often met with a narrow focus on pharmaceutical solutions.

Simultaneously, the promise of AI in healthcare offers unprecedented efficiency, but also casts a long shadow on the essential human element of diagnosis and care.

Beneath it all, the ethical imperative to provide humane care, even to those incarcerated, challenges current systemic barriers.

These are not just clinical problems; they are operational, ethical, and strategic dilemmas demanding a human-first approach to health policy and digital health strategy.

The stakes are high: each 1 kg of weight loss, for instance, reduces blood pressure by 1 mm Hg, a simple metric with profound potential, often overlooked, as noted by the American College of Cardiology/American Heart Association in their 2025 guidelines.

Exercise as Medicine: The Polypill Effect

Exercise has too long been seen as a lifestyle choice, a recommendation often given with a shrug.

But what if it were prescribed with the same gravity as a medication?

The latest thinking suggests that physical activity is not just good for you; it is a powerful, multifaceted medical intervention—a true polypill.

This is not just about weight loss; it is about direct physiological impact.

Movement is not merely a general health booster; it is a direct, measurable treatment for conditions like hypertension.

It is a form of preventive medicine that actively intervenes at a cellular level, offering pleiotropic effects across many chronic diseases.

As Linda S. Pescatello, PhD, articulated in the Journal of the American College of Cardiology, physical activity is a polypill because of its pleiotropic effects across many chronic diseases and conditions.

Consider Mrs. Kapoor again.

When Dr. Sharma explained that all types of movement—aerobic, resistance, and mind-body practices like tai chi and yoga—could actively reduce her blood pressure, a light flickered.

The 2025 American College of Cardiology/American Heart Association hypertension guidelines now explicitly recommend structured exercise for prevention and treatment, noting yoga’s stress-relieving blood pressure benefits.

Equipping patients with home monitoring devices allows them to witness the immediate benefits of movement, fostering compliance and ownership over their health journey.

This shifts the paradigm from passive pill-taking to active self-management, a powerful testament to exercise as medicine.

Healthcare providers and health policy makers should actively integrate diverse physical activity prescriptions, tailored to patient capabilities, as a first-line therapy for hypertension and other chronic conditions.

This also requires a strategic shift in patient education and engagement for better blood pressure control.

Our industry stands at a pivotal juncture, where innovation meets established practice.

Recent discussions shed light on crucial conversations that will define healthcare for decades to come, demanding strategic foresight in how we integrate new knowledge and tools.

AI in Healthcare: Balancing Efficiency and Skill Preservation

The integration of artificial intelligence in healthcare is a double-edged sword.

While offering immense efficiency, it poses a tangible threat to clinician skill preservation.

Tyler M. Berzin, MD, and Eric J. Topol, MD, warned in The Lancet that the choices made now about how AI systems are designed, integrated, and trained around will determine whether these systems elevate the profession or quietly erode the skills that define it.

A Polish study referenced in The Lancet observed a measurable deterioration in polyp detection skills among 19 gastroenterologists and surgeons after just three months when AI support was removed, with rates falling below baseline.

This shows that unregulated or thoughtless AI integration risks eroding essential clinical skills, fostering dependency on algorithms and potentially embedding biases.

Organizations must implement deliberate AI-off intervals in workflows, mirroring models from aviation and nuclear industries, to ensure hands-on training and rehearsal of critical scenarios.

This involves robust training programs and strategic oversight on AI in healthcare.

Compassionate Release: The Need for Medical Oversight

The process of compassionate release, or medical parole, designed for terminally ill incarcerated individuals, is often hampered by a lack of medical expertise in decision-making.

Nicole Mushero, MD, PhD, and Mark Spencer, MD, argued in JAMA Internal Medicine that current evaluations, often conducted by criminal justice officials, are inadequate.

They advocate for external medical review boards, stating:

clinicians are better able to evaluate if people meet medical criteria than those officials currently responsible, who do not have medical training.

Many medically eligible individuals die incarcerated each year due to denials.

The current system for compassionate release is failing, leading to inhumane outcomes for dying patients due to non-medical personnel making medical decisions.

Health systems and policy advocates should push for legislative changes to transition medical parole evaluations to independent medical review boards staffed by healthcare professionals with expertise in palliative care, geriatrics, and general medicine.

This is a critical area for health policy and medical ethics.

Actionable Steps for a Human-Centered Healthcare Strategy

Navigating these complex challenges requires a proactive, human-centered strategy.

Here are actionable steps for organizations and practitioners to embrace.

1. First, shift the narrative from optional exercise to essential movement prescription.

   Encourage healthcare providers to tailor diverse physical activities—aerobic, resistance, yoga, tai chi—as a first-line therapy for conditions like hypertension.

   Empower patients with knowledge and support to engage with their personalized plans.

2. Second, implement AI-off skill maintenance by designing workflows with mandatory intervals where clinicians operate without AI assistance.

   This deliberate practice, akin to flight simulations in aviation, is crucial for preserving diagnostic and procedural skills, especially in areas like polyp detection.

3. Third, champion medical parole reform by advocating for the establishment of independent medical review boards to oversee compassionate release evaluations.

   These boards, composed of experts in palliative care, geriatrics, and general medicine, can ensure medically sound and humane decisions, moving away from a system that denies many due to a lack of medical understanding.

4. Fourth, leverage technology for patient empowerment, not replacement.

   Utilize tools like home blood pressure monitors to allow patients to see the immediate effects of exercise on their bodies.

   This data-driven feedback loop can significantly increase compliance and patient engagement with their prescribed movement regimens, as Pescatello noted.

5. Fifth, foster continuous learning and adaptability.

   Encourage ongoing education for clinicians, not just in new technologies but also in foundational skills.

   This dual focus ensures that while AI enhances efficiency, human expertise remains paramount and evolves alongside the tools.

6. Finally, prioritize ethical AI design and integration by ensuring that AI systems are developed with human oversight, transparent algorithms, and a commitment to minimizing bias.

   The goal is to elevate the human profession, not quietly erode the skills that define it, as Berzin and Topol emphasized in The Lancet.

Risks and Trade-offs in Healthcare Innovation

The journey toward a more effective and humane healthcare system is not without its pitfalls.

Integrating AI, promoting exercise, and reforming compassionate release all carry inherent risks and trade-offs that demand careful consideration.

A significant risk with AI in healthcare is the potential for deskilling—the gradual loss of human proficiency due to over-reliance on automated systems, as highlighted by the Polish study on polyp detection.

This dependency can lead to a failure in developing essential competencies during training or an adoption of errors ingrained in the algorithms.

The trade-off for convenience and efficiency is a potential erosion of critical thinking and hands-on expertise.

To mitigate this, robust safeguards are essential.

These include the aforementioned AI-off intervals, mandatory hands-on training, and constant human validation of AI interpretations.

For medical parole, the risk is continued injustice and inhumane treatment if reforms are not implemented.

The trade-off might involve navigating complex legal and bureaucratic hurdles.

Mitigation requires strong advocacy for health policy reform and collaboration between legal and medical professionals to establish objective, medically sound review processes, aligning with principles of medical ethics.

Metrics and Review Cadence

To ensure these initiatives are effective, clear metrics and a consistent review cadence are essential.

Tools and Technologies include:

• Wearable devices and home monitors for tracking patient activity levels, blood pressure, and encouraging self-management.

• Electronic Medical Records (EMRs) are integrated with AI tools for diagnostic support, but with built-in AI-off functionalities for skill maintenance.

• Independent Medical Review Boards are dedicated, external panels for compassionate release evaluations.

Key Performance Indicators for Exercise as Medicine include:

• Patient compliance with movement plans, aiming to increase adherence by a set percentage within 12 months, and a reduction in hypertension medication, striving to decrease average dosages or the number of medications for suitable patients.

• For AI Skill Preservation, metrics include clinician diagnostic accuracy during AI-off intervals to maintain or improve baseline accuracy and prevent skill deterioration, and the proportion of AI-off training sessions to ensure a designated percentage of training time is dedicated to human-only diagnostics.

• For Medical Parole Reform, KPIs include the approval rate by medical review boards, aiming to increase medically eligible compassionate release grants by a certain percentage, and the time from application to decision, seeking to reduce average processing time to under a specific number of days.

Performance should be reviewed quarterly for patient outcomes and clinician skill audits.

Policy review for medical parole reform should be ongoing, with annual legislative advocacy updates and case reviews to refine processes.

This structured approach allows for agility and continuous improvement in healthcare delivery.

Frequently Asked Questions

What types of exercise are most beneficial for blood pressure control? All forms of physical activity, including aerobic, resistance training, and mind-body exercises like tai chi and yoga, can effectively help reduce blood pressure, as outlined in an editorial in the Journal of the American College of Cardiology.

How can healthcare professionals prevent AI from eroding their skills? Safeguards include implementing deliberate AI-off intervals in workflows and hands-on training, mimicking industries like aviation, to preserve human proficiency, as suggested in The Lancet.

Why should medical professionals, not criminal justice officials, oversee compassionate release? Medical professionals possess the necessary medical training to accurately assess if an incarcerated person meets the medical criteria for release, ensuring more appropriate and humane decisions, unlike criminal justice officials who lack such medical expertise, according to an editorial in JAMA Internal Medicine.

Glossary

Polypill:

A single intervention, in this case physical activity, that has pleiotropic effects, meaning it provides benefits across many different chronic diseases and conditions.

Pleiotropic Effects:

Multiple distinct effects resulting from a single gene or, in this context, a single intervention like exercise.

Compassionate Release (Medical Parole):

A pathway in most legal systems for incarcerated individuals with terminal diagnoses or severe incapacitation to be released from prison for humane reasons.

AI-Off Intervals:

Deliberate periods within clinical workflows where healthcare professionals practice skills without the aid of artificial intelligence to maintain and prevent skill erosion.

Hypertension Guidelines:

Official recommendations from medical bodies, such as the American College of Cardiology/American Heart Association, on the prevention, diagnosis, and treatment of high blood pressure.

Adenoma Detection Rate:

A quality metric in colonoscopy, referring to the proportion of screening colonoscopies in which at least one adenoma, a type of polyp that can become cancerous, is detected.

Dr. Anya Sharma, at the end of her week, reflected on Mrs. Kapoor.

She had seen a spark of understanding in her eyes, a willingness to try the polypill of movement.

Anya understood that the future of medicine was not just about the latest AI, but about thoughtfully integrating technology to elevate human care, not diminish it.

It is about fighting for systemic changes, like ensuring that compassion guides policy for the most vulnerable.

The choices before us are clear: Will we allow technology to quietly erode our skills and humanity, or will we leverage it to amplify our empathy and expertise?

The path forward demands an unwavering commitment to human-first principles, where innovation serves compassion, and every patient, from Mrs. Kapoor to the incarcerated, receives dignity in their care.

Let us build a healthcare system that remembers its heart, even as its mind grows ever sharper.

It is time to move forward, together.

References

• American College of Cardiology/American Heart Association. 2025 American College of Cardiology/American Heart Association hypertension guidelines.

• Berzin, T. M., & Topol, E. J. Preserving Clinical Skills in the Age of AI Assistance. The Lancet.

• Mushero, N., & Spencer, M. Compassionate Release Reform — Moving Medical Parole to Medical Professionals. JAMA Internal Medicine.

• Pescatello, L. S. Exercise as First-Line Therapy: Why It’s Time to Prescribe Movement for Blood Pressure Control. Journal of the American College of Cardiology.

Article start from Hers……

Navigating Modern Medicine: Exercise as Medicine, AI Skill Preservation, and Compassionate Release Reform

The crisp scent of disinfectant clung to Dr. Anya Sharma’s white coat as she reviewed Mrs. Kapoor’s chart.

Mrs. Kapoor, a vibrant woman in her late 60s, was struggling with rising blood pressure, yet hesitated when Dr. Sharma suggested daily brisk walks.

Mrs. Kapoor asked if there was a pill for this, her eyes hinting at a lifetime of trusting medication over movement.

Dr. Sharma smiled gently, explaining how a simple walk could be more potent than a whole pharmacy.

Later that day, Anya found herself staring at the latest AI diagnostic tool, a powerful new assistant that promised to streamline complex cases.

Yet, a quiet unease settled in her gut.

Would embracing this efficiency cost her something vital in her own clinical intuition?

The day culminated with an urgent email about a patient in correctional care, terminally ill, whose compassionate release was stalled in bureaucratic limbo, the decision resting not with medical experts, but with legal officials.

It was a stark reminder that medicine, at its heart, was a human endeavor, even as its tools evolved at breakneck speed.

In short, this article delves into three critical areas of modern medicine: the transformative power of exercise as a polypill for blood pressure, the vital need to protect clinician skills amidst the rise of AI, and the urgent call for medical professionals to oversee compassionate release for incarcerated patients.

These are not isolated anecdotes but touchpoints of a profession at a profound inflection point.

As healthcare grapples with escalating chronic conditions and rapidly advancing technology, the very definition of care is being rewritten.

We see the pervasive challenge of hypertension, affecting millions, yet often met with a narrow focus on pharmaceutical solutions.

Simultaneously, the promise of AI in healthcare offers unprecedented efficiency, but also casts a long shadow on the essential human element of diagnosis and care.

Beneath it all, the ethical imperative to provide humane care, even to those incarcerated, challenges current systemic barriers.

These are not just clinical problems; they are operational, ethical, and strategic dilemmas demanding a human-first approach to health policy and digital health strategy.

The stakes are high: each 1 kg of weight loss, for instance, reduces blood pressure by 1 mm Hg, a simple metric with profound potential, often overlooked, as noted by the American College of Cardiology/American Heart Association in their 2025 guidelines.

Exercise as Medicine: The Polypill Effect

Exercise has too long been seen as a lifestyle choice, a recommendation often given with a shrug.

But what if it were prescribed with the same gravity as a medication?

The latest thinking suggests that physical activity is not just good for you; it is a powerful, multifaceted medical intervention—a true polypill.

This is not just about weight loss; it is about direct physiological impact.

Movement is not merely a general health booster; it is a direct, measurable treatment for conditions like hypertension.

It is a form of preventive medicine that actively intervenes at a cellular level, offering pleiotropic effects across many chronic diseases.

As Linda S. Pescatello, PhD, articulated in the Journal of the American College of Cardiology, physical activity is a polypill because of its pleiotropic effects across many chronic diseases and conditions.

Consider Mrs. Kapoor again.

When Dr. Sharma explained that all types of movement—aerobic, resistance, and mind-body practices like tai chi and yoga—could actively reduce her blood pressure, a light flickered.

The 2025 American College of Cardiology/American Heart Association hypertension guidelines now explicitly recommend structured exercise for prevention and treatment, noting yoga’s stress-relieving blood pressure benefits.

Equipping patients with home monitoring devices allows them to witness the immediate benefits of movement, fostering compliance and ownership over their health journey.

This shifts the paradigm from passive pill-taking to active self-management, a powerful testament to exercise as medicine.

Healthcare providers and health policy makers should actively integrate diverse physical activity prescriptions, tailored to patient capabilities, as a first-line therapy for hypertension and other chronic conditions.

This also requires a strategic shift in patient education and engagement for better blood pressure control.

Our industry stands at a pivotal juncture, where innovation meets established practice.

Recent discussions shed light on crucial conversations that will define healthcare for decades to come, demanding strategic foresight in how we integrate new knowledge and tools.

AI in Healthcare: Balancing Efficiency and Skill Preservation

The integration of artificial intelligence in healthcare is a double-edged sword.

While offering immense efficiency, it poses a tangible threat to clinician skill preservation.

Tyler M. Berzin, MD, and Eric J. Topol, MD, warned in The Lancet that the choices made now about how AI systems are designed, integrated, and trained around will determine whether these systems elevate the profession or quietly erode the skills that define it.

A Polish study referenced in The Lancet observed a measurable deterioration in polyp detection skills among 19 gastroenterologists and surgeons after just three months when AI support was removed, with rates falling below baseline.

This shows that unregulated or thoughtless AI integration risks eroding essential clinical skills, fostering dependency on algorithms and potentially embedding biases.

Organizations must implement deliberate AI-off intervals in workflows, mirroring models from aviation and nuclear industries, to ensure hands-on training and rehearsal of critical scenarios.

This involves robust training programs and strategic oversight on AI in healthcare.

Compassionate Release: The Need for Medical Oversight

The process of compassionate release, or medical parole, designed for terminally ill incarcerated individuals, is often hampered by a lack of medical expertise in decision-making.

Nicole Mushero, MD, PhD, and Mark Spencer, MD, argued in JAMA Internal Medicine that current evaluations, often conducted by criminal justice officials, are inadequate.

They advocate for external medical review boards, stating:

clinicians are better able to evaluate if people meet medical criteria than those officials currently responsible, who do not have medical training.

Many medically eligible individuals die incarcerated each year due to denials.

The current system for compassionate release is failing, leading to inhumane outcomes for dying patients due to non-medical personnel making medical decisions.

Health systems and policy advocates should push for legislative changes to transition medical parole evaluations to independent medical review boards staffed by healthcare professionals with expertise in palliative care, geriatrics, and general medicine.

This is a critical area for health policy and medical ethics.

Actionable Steps for a Human-Centered Healthcare Strategy

Navigating these complex challenges requires a proactive, human-centered strategy.

Here are actionable steps for organizations and practitioners to embrace.

1. First, shift the narrative from optional exercise to essential movement prescription.

   Encourage healthcare providers to tailor diverse physical activities—aerobic, resistance, yoga, tai chi—as a first-line therapy for conditions like hypertension.

   Empower patients with knowledge and support to engage with their personalized plans.

2. Second, implement AI-off skill maintenance by designing workflows with mandatory intervals where clinicians operate without AI assistance.

   This deliberate practice, akin to flight simulations in aviation, is crucial for preserving diagnostic and procedural skills, especially in areas like polyp detection.

3. Third, champion medical parole reform by advocating for the establishment of independent medical review boards to oversee compassionate release evaluations.

   These boards, composed of experts in palliative care, geriatrics, and general medicine, can ensure medically sound and humane decisions, moving away from a system that denies many due to a lack of medical understanding.

4. Fourth, leverage technology for patient empowerment, not replacement.

   Utilize tools like home blood pressure monitors to allow patients to see the immediate effects of exercise on their bodies.

   This data-driven feedback loop can significantly increase compliance and patient engagement with their prescribed movement regimens, as Pescatello noted.

5. Fifth, foster continuous learning and adaptability.

   Encourage ongoing education for clinicians, not just in new technologies but also in foundational skills.

   This dual focus ensures that while AI enhances efficiency, human expertise remains paramount and evolves alongside the tools.

6. Finally, prioritize ethical AI design and integration by ensuring that AI systems are developed with human oversight, transparent algorithms, and a commitment to minimizing bias.

   The goal is to elevate the human profession, not quietly erode the skills that define it, as Berzin and Topol emphasized in The Lancet.

Risks and Trade-offs in Healthcare Innovation

The journey toward a more effective and humane healthcare system is not without its pitfalls.

Integrating AI, promoting exercise, and reforming compassionate release all carry inherent risks and trade-offs that demand careful consideration.

A significant risk with AI in healthcare is the potential for deskilling—the gradual loss of human proficiency due to over-reliance on automated systems, as highlighted by the Polish study on polyp detection.

This dependency can lead to a failure in developing essential competencies during training or an adoption of errors ingrained in the algorithms.

The trade-off for convenience and efficiency is a potential erosion of critical thinking and hands-on expertise.

To mitigate this, robust safeguards are essential.

These include the aforementioned AI-off intervals, mandatory hands-on training, and constant human validation of AI interpretations.

For medical parole, the risk is continued injustice and inhumane treatment if reforms are not implemented.

The trade-off might involve navigating complex legal and bureaucratic hurdles.

Mitigation requires strong advocacy for health policy reform and collaboration between legal and medical professionals to establish objective, medically sound review processes, aligning with principles of medical ethics.

Metrics and Review Cadence

To ensure these initiatives are effective, clear metrics and a consistent review cadence are essential.

Tools and Technologies include:

• Wearable devices and home monitors for tracking patient activity levels, blood pressure, and encouraging self-management.

• Electronic Medical Records (EMRs) are integrated with AI tools for diagnostic support, but with built-in AI-off functionalities for skill maintenance.

• Independent Medical Review Boards are dedicated, external panels for compassionate release evaluations.

Key Performance Indicators for Exercise as Medicine include:

• Patient compliance with movement plans, aiming to increase adherence by a set percentage within 12 months, and a reduction in hypertension medication, striving to decrease average dosages or the number of medications for suitable patients.

• For AI Skill Preservation, metrics include clinician diagnostic accuracy during AI-off intervals to maintain or improve baseline accuracy and prevent skill deterioration, and the proportion of AI-off training sessions to ensure a designated percentage of training time is dedicated to human-only diagnostics.

• For Medical Parole Reform, KPIs include the approval rate by medical review boards, aiming to increase medically eligible compassionate release grants by a certain percentage, and the time from application to decision, seeking to reduce average processing time to under a specific number of days.

Performance should be reviewed quarterly for patient outcomes and clinician skill audits.

Policy review for medical parole reform should be ongoing, with annual legislative advocacy updates and case reviews to refine processes.

This structured approach allows for agility and continuous improvement in healthcare delivery.

Frequently Asked Questions

What types of exercise are most beneficial for blood pressure control? All forms of physical activity, including aerobic, resistance training, and mind-body exercises like tai chi and yoga, can effectively help reduce blood pressure, as outlined in an editorial in the Journal of the American College of Cardiology.

How can healthcare professionals prevent AI from eroding their skills? Safeguards include implementing deliberate AI-off intervals in workflows and hands-on training, mimicking industries like aviation, to preserve human proficiency, as suggested in The Lancet.

Why should medical professionals, not criminal justice officials, oversee compassionate release? Medical professionals possess the necessary medical training to accurately assess if an incarcerated person meets the medical criteria for release, ensuring more appropriate and humane decisions, unlike criminal justice officials who lack such medical expertise, according to an editorial in JAMA Internal Medicine.

Glossary

Polypill:

A single intervention, in this case physical activity, that has pleiotropic effects, meaning it provides benefits across many different chronic diseases and conditions.

Pleiotropic Effects:

Multiple distinct effects resulting from a single gene or, in this context, a single intervention like exercise.

Compassionate Release (Medical Parole):

A pathway in most legal systems for incarcerated individuals with terminal diagnoses or severe incapacitation to be released from prison for humane reasons.

AI-Off Intervals:

Deliberate periods within clinical workflows where healthcare professionals practice skills without the aid of artificial intelligence to maintain and prevent skill erosion.

Hypertension Guidelines:

Official recommendations from medical bodies, such as the American College of Cardiology/American Heart Association, on the prevention, diagnosis, and treatment of high blood pressure.

Adenoma Detection Rate:

A quality metric in colonoscopy, referring to the proportion of screening colonoscopies in which at least one adenoma, a type of polyp that can become cancerous, is detected.

Dr. Anya Sharma, at the end of her week, reflected on Mrs. Kapoor.

She had seen a spark of understanding in her eyes, a willingness to try the polypill of movement.

Anya understood that the future of medicine was not just about the latest AI, but about thoughtfully integrating technology to elevate human care, not diminish it.

It is about fighting for systemic changes, like ensuring that compassion guides policy for the most vulnerable.

The choices before us are clear: Will we allow technology to quietly erode our skills and humanity, or will we leverage it to amplify our empathy and expertise?

The path forward demands an unwavering commitment to human-first principles, where innovation serves compassion, and every patient, from Mrs. Kapoor to the incarcerated, receives dignity in their care.

Let us build a healthcare system that remembers its heart, even as its mind grows ever sharper.

It is time to move forward, together.

References

• American College of Cardiology/American Heart Association. 2025 American College of Cardiology/American Heart Association hypertension guidelines.

• Berzin, T. M., & Topol, E. J. Preserving Clinical Skills in the Age of AI Assistance. The Lancet.

• Mushero, N., & Spencer, M. Compassionate Release Reform — Moving Medical Parole to Medical Professionals. JAMA Internal Medicine.

• Pescatello, L. S. Exercise as First-Line Therapy: Why It’s Time to Prescribe Movement for Blood Pressure Control. Journal of the American College of Cardiology.