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After reading news reports suggesting that the risks associated with taking 81 mg. "adult" aspirin (ASA) every day might outweigh the benefits for many, possibly including myself, I messaged my primary care physician (PCP) to let her know that I planned to stop. She replied after a few days suggesting she might disagree, but that we could discuss it further during our next encounter.

Nobody will pay my PCP for this work. Somebody should pay her for it. Such a discussion hardly justifies a phone call, much less a video encounter. Forget about an office visit.

This job could best fit the EMR (electronic medical record) with a little AI (artificial intelligence): The EMR my physician uses should track every patient's meds, including ASA. It should also have a complete list of every patient's illnesses. Plug in data from a new study, and AI can determine who should obtain net risk reduction from daily ASA. The EMR would send the analysis to the PCP for review, applying her own knowledge and values and those of her patients, before communicating a preliminary recommendation to all patients electronically. Those patients who wanted more personalized discussion could pursue it at their discretion.

EMRs cost money. They should earn their keep in ways that enhance patient care while making that care more cost effective. This should also generate reasonable revenue for medical providers commensurate with its value in preventing more costly future intervention.