In 2024, Dr. Jason Hall recorded one of his most provocative episodes of The Trillium Show: “Smart Kids—Don’t Go to Medical School.” Two years later, he’s revisiting it—and some of the predictions feel even more relevant.
The episode looks at three major changes reshaping medicine: the loss of physician autonomy, the growing influence of hospital systems and insurance companies, and the rapidly expanding role of AI in diagnosis and patient care.
If medicine increasingly becomes a profession built around protocols, algorithms, and pattern recognition, what happens when AI can do more of that work faster and cheaper? And what does that mean for a student committing the next decade of their life to becoming a physician?
Jason still loves medicine and surgery. But the profession has changed dramatically since he entered it, and the path that made sense for one generation may not make the same sense for the next.
Whether you’re considering medical school, raising a child who is, or simply wondering where American medicine is headed, this episode asks a question that has only become harder to ignore:
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