Philly's AI Pharmacist

Want to Understand “AI Doctors”? Watch the Robotaxi Battle

The fight over AI doctors is more than the tech’s capability. It will decide who gets licensed, who carries liability, and who gets to write medicine’s…

Jun 30 • Ryan Sears, PharmD

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One year of Philly’s AI Pharmacist! I hope it doesn’t last another

Why I want my newsletter to be obsolete as soon as possible.

Jun 22 • Ryan Sears, PharmD

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May 2026

I want Utah’s AI healthcare pilots to succeed. What does “success” look like?

Why AI healthcare companies cannot elaborate on patient safety before go-live, and why they must once patients are involved.

May 20 • Ryan Sears, PharmD

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The 13 Narratives of Healthcare AI Companies (and how to reconcile them)

A framework for reading what healthcare AI companies tell investors, regulators, patients, and clinicians--and what to do when the stories don’t line…

May 18 • Ryan Sears, PharmD

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April 2026

Legion Health addressed YOUR questions. What do the answers (and the silences) tell us?

A thoughtful response is not the same as a complete public record. In a pilot with nationwide ambitions, that distinction matters.

Apr 24 • Ryan Sears, PharmD

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Chatbots “prescribing” psych meds? Here are the corrections, root causes, and bitter truths.

Learning how Utah got here does not require you to agree with their decision. It *will* force you to examine the desperate state of its mental…

Apr 9 • Ryan Sears, PharmD

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The Most Dangerous AI Agent Failure Isn't a Mistake. It's an Invention.

A 672-line implementation plan, three governance roles, and 17 stress tests weren't enough. Here's the silent failure pattern that slipped through, and…

Apr 6 • Ryan Sears, PharmD

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I Forced Claude Code to Refuse My Bad Requests

Agentic tools want to GO. Sometimes they should STOP.

Apr 2 • Ryan Sears, PharmD

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March 2026

The clinics that could benefit from AI the most might be the least equipped to govern it safely

⏱️ 5 minute read

Mar 24 • Ryan Sears, PharmD

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January 2026

The "Access-Competency" Paradox in Healthcare AI (and how I'm trying to solve it)

It's a circular dilemma: Healthcare professionals are denied access to the tools required to build AI literacy because they're not competent. They can't…

Jan 18 • Ryan Sears, PharmD

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November 2025

Corrupting the Mental Map: AI poses a critical risk to how healthcare students learn.

To an experienced clinician, AI's hallucinations are a nuisance. To an uninformed student, they are the truth.

Nov 19, 2025 • Ryan Sears, PharmD

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September 2025

AI is not Healthcare’s Magic Bullet

A critically ill ICU patient deteriorates while the hospital’s AI model stays silent. Later, researchers find it missed two-thirds of patient declines.

Sep 28, 2025 • Ryan Sears, PharmD

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