Logos Stick said:

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It seems AI is moving folks to HC, which is not safe either imo.

All the jobs deemed safe will now have a glut of supply. When you have more supply than demand, salaries will fall.


"Goldman Sachs analysis confirms the trend, showing enrollment growth in majors with low AI displacement risk and strong job growth, such as healthcare, while computer science grads face elevated unemployment and declining entry-level opportunities."

COLLEGE STUDENTS ARE ABANDONING CODING FOR HEALTHCARE CAREERS AS AI RESHAPES JOB OUTLOOK — YF

STUDENTS SHIFT FROM COMPUTER SCIENCE TO HEALTHCARE AMID AI DISRUPTION FEARS

— First Squawk (@FirstSquawk) June 20, 2026

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I have friends and family who left working the patch when the OT dried up, and the insane paychecks dwindled to go become LVNs and RNs.

They're not making anywhere near what they used to, but thanks to there being an endless supply of people needing healthcare, their jobs are secure AF.

I'm sure, like with anything else, as soon as there's a glut of employees, the hospitals and doctors' offices will start paying less, but for right now, it's as good a gig as there is.

All thanks to private insurance, Medicaid, and Medicare.

A problem is that there are plenty of healthcare workers in cities but not in rural areas. It is tough to get folks to move away from cities where there is less pay and infrastructure. Perhaps more folks will want to move to rural areas these days. They need NPs and CRNAs in less populated areas but the market is getting saturated in many urban areas. CRNA programs are popping up everywhere and churning out new grads.

NormanEH said:

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Half my team of 12 just got laid off. I made it out of the recompete with a downlevel and pay cut.

Data analysts, developers and coder folks beware. It's going to get very very ugly. Learn to plumb.

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Was on campus recently in San Antonio chatting with students and were in data analytics (junior/senior). They thought that they were pretty safe against threat of AI.

Deans and professors should be held accountable for the nonsense they spout to keep up student count. Students generally defer and believe them.

I think of all the time my teams spent just on tableau / power BI / Cognos... They all (Tableau particularly) required a host of tricks. With AI - you could get rid of at least 60% of analytic positions and still see more output.

Entry level jobs are going to become rarer than honest politicians. It is going to get very very very ugly, to riff on NormanEH.

it's not like you can just decide to do these HC jobs.

This board loves to **** on nurses but getting a BSN is not some easy major anyone can just do. The colleges limit the seats and you need good math and science skills or you won't make it and attrition rate is pretty steep. Plus you have to be okay with the physical demands and frankly have a strong stomach and thick skin or you won't make it even if you're good at the classroom stuff.

Not following.

Are you implying that people who are capable of getting computer science and computer engineering and math degrees but are now choosing HC degrees instead won't be able to get HC degrees or do those jobs?!

Logos Stick said:

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Not following.

Are you implying that people who are capable of getting computer science and computer engineering and math degrees but are now choosing HC degrees instead won't be able to get HC degrees or do those jobs?!

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I'm saying a good chunk of them won't make it through those programs or survive their first 2 years. HC is not for the faint of heart. It's not a 9-5 job just sitting on your butt in front of a computer with a guaranteed hour long lunch every day.

slaughtr said:

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Ragoo said:

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SquirrellyDan said:

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Kaiser von Wilhelm said:

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Urban Ag said:

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Ironically, healthcare is the single biggest market sector I hope to see AI/robotics replace. Not unlike self driving cars, the machines are going to do it better.

I look forward to my robodoc/nurse at a fraction of the cost. This is ultimately the end game for healthcare.

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This. Many healthcare providers diagnose by typing things into their computer to get info, which spit out data for them to use. AI would do a majority of healthcare roles more efficiently. Also factoring in that most PCPs literally do nothing, and often don't even touch patients, it's not a role that would be difficult to replace. ER, surgeons, nursing, etc where doctors actually physically do things while also being knowledgable, those are the jobs that will remain stable for a long time. PCP is pretty much useless and any monkey can do it. Speaking from someone from the inside, in case anyone questions.

PCP is one of the best bang for buck professions there is. Little thought required to get a big paycheck. Yep, bring on AI and maybe ill actually get decent care for the ridiculous money we spend for the first time since ACA.

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Agree 100%. Physicians and especially mid level providers essentially are working from a script that matches symptoms to treatments, referrals, or tests. AI can do this flawlessly with up to date, accurate, information.

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imagine the system is so debottl necked that yearly we can go get a full mri for $500 and an AI can read the images with extreme detail and accuracy. Identifying hidden concerns and writing a 1-5 year treatment or therapeutic program to address everything. Currently the dollars are in reactive medicine - whoever is first to revolutionize preventative with AI and existing tools/imaging is going to change the world forever.

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Again, you have to have a State Medical license to provide any kind of medical care in every state in America. How does an AI get a State Medical license? Do you think the Healthcare industry and politicians they give money to are gonna give up that requirement?

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you have a DR review the outputs. This isn't difficult.

Maroon Dawn said:

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Logos Stick said:

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Not following.

Are you implying that people who are capable of getting computer science and computer engineering and math degrees but are now choosing HC degrees instead won't be able to get HC degrees or do those jobs?!

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I'm saying a good chunk of them won't make it through those programs or survive their first 2 years. HC is not for the faint of heart. It's not a 9-5 job just sitting on your butt in front of a computer with a guaranteed hour long lunch every day.

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They most certainly will be able to get the degree if they choose. Implying that a nursing degree is intellectually more difficult to obtain than the degrees I listed is out in left field.

They may hate the job after getting into it. Happens.

I am sorry but I live out of state.
As I said, if it's her absolute passion and if she won't incur a lot of debt, go for it. But she shouldn't expect to shadow a doctor now and think that'll be how medicine will be once she finishes, either.

Ragoo said:

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slaughtr said:

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Ragoo said:

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SquirrellyDan said:

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Kaiser von Wilhelm said:

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Urban Ag said:

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Ironically, healthcare is the single biggest market sector I hope to see AI/robotics replace. Not unlike self driving cars, the machines are going to do it better.

I look forward to my robodoc/nurse at a fraction of the cost. This is ultimately the end game for healthcare.

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This. Many healthcare providers diagnose by typing things into their computer to get info, which spit out data for them to use. AI would do a majority of healthcare roles more efficiently. Also factoring in that most PCPs literally do nothing, and often don't even touch patients, it's not a role that would be difficult to replace. ER, surgeons, nursing, etc where doctors actually physically do things while also being knowledgable, those are the jobs that will remain stable for a long time. PCP is pretty much useless and any monkey can do it. Speaking from someone from the inside, in case anyone questions.

PCP is one of the best bang for buck professions there is. Little thought required to get a big paycheck. Yep, bring on AI and maybe ill actually get decent care for the ridiculous money we spend for the first time since ACA.

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Agree 100%. Physicians and especially mid level providers essentially are working from a script that matches symptoms to treatments, referrals, or tests. AI can do this flawlessly with up to date, accurate, information.

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imagine the system is so debottl necked that yearly we can go get a full mri for $500 and an AI can read the images with extreme detail and accuracy. Identifying hidden concerns and writing a 1-5 year treatment or therapeutic program to address everything. Currently the dollars are in reactive medicine - whoever is first to revolutionize preventative with AI and existing tools/imaging is going to change the world forever.

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Again, you have to have a State Medical license to provide any kind of medical care in every state in America. How does an AI get a State Medical license? Do you think the Healthcare industry and politicians they give money to are gonna give up that requirement?

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you have a DR review the outputs. This isn't difficult.

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That's exactly what I said. AI is already helping Radiologists, for instance, but a person is going to have to sign out every report/exam. Unless they just completely chuck the whole medical licensure system. Over my career I have had Medical licensure in 6 States. Every State is different. Everyone has their own demands. Like in Texas you have to pass a jurisprudence exam. Plus. You have to keep it current with fees at least every two years. And you can't do exams in any State unless you have license in that state. Even remotely. They aren't going to give that up.

boulderaggie said:

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Learn a trade!

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Too many people are unable, afraid, or unwilling to get dirty.

Its funny, but hard, manual, filthy labor is the only way Ive ever had a chance to get a leg up.


Trying the "clean job" never worked for me. Im probably not smart enough. But im hard working enough to overcome everything else.

I like the sound of that. Count me in. Don't be forgetting the South China Sea and the Malacca Strait…

If an artificial intelligence doctor were able to issue prescriptions for antibiotics, this would lead to the redundancy of traditional medical practitioners.

slaughtr said:

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BMX Bandit said:

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In our lifetime, it won't happen.

100 years from now? I wouldn't bet against it.

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Even after my lifetime, an AI will "advise" a Healthcare provider who will sign off on it. This will mean there will be far fewer actual humans per capital to provide care, but I guarantee someone's name will be on the note.

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I believe in Utah a program has already been implemented where AI is being used to authorize and refill prescriptions.

The AI doctor is not necessarily going to need a medical license like a person. Medical licenses are regulated by state's medical boards. State legislatures can set adjust what needs to be licensed and what doesn't. Just the same as they approved Physician Assistants and Nurse Practitioners.

So no it's not going to be a 100 years off. It's going to be when states decide and currently states are influenced by money and lobbyists.

Rural jobs offers in my specialty are the best I've ever seen. The new grads are almost all women who want to work urban jobs with low call frequency. Outlying areas can't recruit new docs in. Private equity has stepped in to fill some of these spots but they are costly. Great time to know where the jobs are and negotiate favorable contracts.

doubledog said:

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If an artificial intelligence doctor were able to issue prescriptions for antibiotics, this would lead to the redundancy of traditional medical practitioners.

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This would lead to a massive increase in the need for Infectious Disease doctors, because antibiotic resistance would go through the roof and someone will need to be treating multi drug resistant organisms. Hopefully AI helps us develop new antibiotics, and I believe it will, but overuse will lead to more and more superbugs that will only respond to IV antibiotics, if anything at all..

I do agree that AI will be a big help to primary care. One thing AI plus or minus a robot won't do is to be able to perform a good physical examination. Not any time soon. AI is and always will be "garbage in, garbage out".

I have an AI product that goes along with my EMR. It is not incredibly agentic, it mainly just transcribes everything the patient says and every question I ask and what I say regarding their physical exam, impression, and plan and puts it into a note. It largely is replacing my scribe. I do run Open Evidence on my iPad alongside my EMR and it is amazing for complex issues.

I know it's chic to criticize physicians on F16 of TexAgs, particularly primary care physicians, but AI running alongside an astute clinician with good physical examination skills should significantly increase the value of medical care and reduce medical errors going forward.

Cheers.

Kool said:

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doubledog said:

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If an artificial intelligence doctor were able to issue prescriptions for antibiotics, this would lead to the redundancy of traditional medical practitioners.

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I know it's chic to criticize physicians on F16 of TexAgs, particularly primary care physicians, but AI running alongside an astute clinician with good physical examination skills should significantly increase the value of medical care and reduce medical errors going forward.

Cheers.

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I apologize; my comment was not intended as a criticism of physicians. Currently, antibiotics are excessively prescribed, and even chickens receive antibiotics. Artificial intelligence will continue to learn and improve. As I mentioned, it will not take the replace of your primary care physician; rather, it will alleviate some of their workload and reduce redundancy.

No, no, not at all. I didn't take your post that way. I just know from reading and participating in F16 long enough what the "temperature" is regarding feelings about the medical field. Unfortunately, I think that Fauci and COVID did damage that might never be undone.
People don't realize how bad of an issue antibiotic resistance is already, and anything that increases antibiotic usage is fraught with peril, shall we say.
We gud.

NormanEH said:

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Half my team of 12 just got laid off. I made it out of the recompete with a downlevel and pay cut.

Data analysts, developers and coder folks beware. It's going to get very very ugly. Learn to plumb.

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I disagree. Like most cases in history, it's not time to abandon ship but you do need to learn to adapt. If you work in any of those three fields and aren't constantly learning and adapting then you were going to get left behind no matter what the market did.

Kool said:

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doubledog said:

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If an artificial intelligence doctor were able to issue prescriptions for antibiotics, this would lead to the redundancy of traditional medical practitioners.

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This would lead to a massive increase in the need for Infectious Disease doctors, because antibiotic resistance would go through the roof and someone will need to be treating multi drug resistant organisms. Hopefully AI helps us develop new antibiotics, and I believe it will, but overuse will lead to more and more superbugs that will only respond to IV antibiotics, if anything at all..

I do agree that AI will be a big help to primary care. One thing AI plus or minus a robot won't do is to be able to perform a good physical examination. Not any time soon. AI is and always will be "garbage in, garbage out".

I have an AI product that goes along with my EMR. It is not incredibly agentic, it mainly just transcribes everything the patient says and every question I ask and what I say regarding their physical exam, impression, and plan and puts it into a note. It largely is replacing my scribe. I do run Open Evidence on my iPad alongside my EMR and it is amazing for complex issues.

I know it's chic to criticize physicians on F16 of TexAgs, particularly primary care physicians, but AI running alongside an astute clinician with good physical examination skills should significantly increase the value of medical care and reduce medical errors going forward.

Cheers.

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Umm...tell me you have zero experience with any PCP anywhere without telling me.

And yes, I know you have a red physicians tag.

Im willing to bet quite a lot that antibiotic use would actually go DOWN with AI. It would have to go through a lot of specific parameters to determine if antibiotics would be appropriate. Unlike human PCPs, which give out drugs without a seconds hesitation. Patients will inevitably, at least initially, be frustrated that their new "doctor" won't just give them antibiotics for every ailment they come in with.

Kool said:

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No, no, not at all. I didn't take your post that way. I just know from reading and participating in F16 long enough what the "temperature" is regarding feelings about the medical field. Unfortunately, I think that Fauci and COVID did damage that might never be undone.
People don't realize how bad of an issue antibiotic resistance is already, and anything that increases antibiotic usage is fraught with peril, shall we say.
We gud.

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Absolutely 1000% this. Add in first hand experience, and the profession is pretty much dead for this generation. I treat myself since any doctor I see doesnt really take me seriously, and often doesnt seem to know with they're doing. The solution always ends up being referral, since anything beyond a snotty nose is too much for them to worry about. If I didn't have such ****ty insurance (thanks ACA), id skip the useless PCP step and go to the specialist that I know is needed. PCPs are either antibiotic dispensers or referral machines. That's literally all they're good for in the current system, and they know it. ****ty insurance is the only reason I waste my time seeing mine once a year.

Martels Hammer said:

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Let's bring back piracy and Viking raids.

Europe is vulnerable right now. Plus the Scandinavian countries probably deserve some payback

My raiding party will focus on women and legos.

Who is with me?

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Username fits

Updating the ignore button. What a clown.

AGHouston11 said:

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slaughtr said:

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BMX Bandit said:

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In our lifetime, it won't happen.

100 years from now? I wouldn't bet against it.

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Even after my lifetime, an AI will "advise" a Healthcare provider who will sign off on it. This will mean there will be far fewer actual humans per capital to provide care, but I guarantee someone's name will be on the note.

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I believe in Utah a program has already been implemented where AI is being used to authorize and refill prescriptions.

The AI doctor is not necessarily going to need a medical license like a person. Medical licenses are regulated by state's medical boards. State legislatures can set adjust what needs to be licensed and what doesn't. Just the same as they approved Physician Assistants and Nurse Practitioners.

So no it's not going to be a 100 years off. It's going to be when states decide and currently states are influenced by money and lobbyists.

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Physician Assistants and Nurse Practitioners are licensed by the State Medical Board. All providers are.
Every medical exam/procedure has a person who is medically and legally responsible. State Medical Boards are not going to abandon that. Even if all 50 of them separately did though, are the administrators of every medical facility going to take the medical liability? The software company that made the AI? For millions of exams nationwide? Right. Sure.
Medical facilities go out of their way to prove that all of their providers are licensed, keep up with their CME, are reappointed every two years with peer references, and have no liability issues. Solely so when there is a bad outcome they can claim they did their due diligence and they are not responsible for a bad outcome. The provider is. Doctors, nurses, PA's, CRNa's, assistants… all licensed by the Medical board.

NormanEH said:

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Data analysts, developers and coder folks beware. It's going to get very very ugly. Learn to plumb.

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I pulled the rip cord in '25. I might be among the luckiest cohorts in history: Engineer/Analyst hitting retirement age just at the advent of AI.

reineraggie09 said:

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Also a decent amount of fraud. Spoke to PCP's that brag about knowing which questions to ask to get the appointment coded as a higher level visit. One or two questions significantly increases the PCPs pay.

As for AI in healthcare, I'm very concerned about the language models AI will use to train. Not all published studies are good studies with good conclusions. A lot of crap out there that I'm afraid AI will take at face value.

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This has always been the case with coding for office visits before AI and even before EMRs. But technology has made it easier, true enough.

Speaking as an EHR dev and systems analyst, this is a great post.

At least they're heading toward careers than advance the good. Learn trades, healthcare, engineering, etc. No more degree programs that end in "studies."

Trades aren't the answer for a huge majority of kids today, they can't even change a tire much less weld, wire or frame a house, install plumbing or fix an engine or machine. I don't know if it is being raised with the phone/internet or lack of growing up playing with erector sets and Lincoln logs, but damn we have an overall pretty unhandy generation coming up.

Urban Ag said:

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Ironically, healthcare is the single biggest market sector I hope to see AI/robotics replace. Not unlike self driving cars, the machines are going to do it better.

I look forward to my robodoc/nurse at a fraction of the cost. This is ultimately the end game for healthcare.

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Nah. Your friendly neighborhood lawyers will prevent that, at least until after I'm retired and dead.

And once the law is outsourced to AI, they'll be able to do it at a fraction of the cost!

AnScAggie said:

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Trades aren't the answer for a huge majority of kids today, they can't even change a tire much less weld, wire or frame a house, install plumbing or fix an engine or machine. I don't know if it is being raised with the phone/internet or lack of growing up playing with erector sets and Lincoln logs, but damn we have an overall pretty unhandy generation coming up.

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A lot of the generation coming up had a father that was off in Iraq or Afghanistan for long periods of time. A lot of those fathers either didn't come back or came back changed. Obviously, I'm not saying it was the same in every household, but we have seen the same affect on previous generations that follow a war. Especially for every conflict post WWII. That doesn't even count the number of deadbeat dads there already are, and growing.

Our fathers are where a lot of us got our knack for being handy. I grew up poor. The kind of poor where a .22 was our primary means of obtaining food for stretches of time. If something broke then it wasn't a trip to the hardware store or call a tradesman. My dad was constantly working on fixes around the house, and he made me help every time.

The first time a kid experiences having to fix something, change a tire, or something as simple as putting together furniture from a box can't be when they are 18 and out on their own for the first time.

Urban Ag said:

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Ironically, healthcare is the single biggest market sector I hope to see AI/robotics replace. Not unlike self driving cars, the machines are going to do it better.

I look forward to my robodoc/nurse at a fraction of the cost. This is ultimately the end game for healthcare.

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The lawyers and human psychology will prevent that from happening, at least in our lifetime.

But we still need to ship in 10000000000000 H1Bs because we lack programming skills in America because we just are lazy and stupid, amirite CEOs?

infinity ag said:

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But we still need to ship in 10000000000000 H1Bs because we lack programming skills in America because we just are lazy and stupid, amirite CEOs?

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This is so true. But what about the Administration's involvement here?

I have a son in college and I can tell you that there was a lot of excitement when Trump started talking about limiting H1B visas. These kids in college are having a really tough time right now getting internships and getting employment, especially as companies are unsure as to how implementation of AI will affect their workforce needs. I can tell you from what he said, Trump lost quite a bit of support after he dropped that idea, presumably because big business whispered in his ear.

He Who Shall Be Unnamed said:

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infinity ag said:

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But we still need to ship in 10000000000000 H1Bs because we lack programming skills in America because we just are lazy and stupid, amirite CEOs?

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This is so true. But what about the Administration's involvement here?

I have a son in college and I can tell you that there was a lot of excitement when Trump started talking about limiting H1B visas. These kids in college are having a really tough time right now getting internships and getting employment, especially as companies are unsure as to how implementation of AI will affect their workforce needs. I can tell you from what he said, Trump lost quite a bit of support after he dropped that idea, presumably because big business whispered in his ear.

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I think Trump has done a lot to mitigate the impact of H1Bs:

* $100,000 FEE ON NEW H-1B PETITIONS
Signed via proclamation Sept. 19, 2025; effective Sept. 21, 2025.
Applies to new petitions; previously fees ran ~$2,000-$5,000.

* FEE LIMITS / EXEMPTIONS
One-time fee, not recurring. Doesn't apply to existing visas,
renewals, or petitions filed before Sept. 21, 2025. Doesn't apply
to people already in the U.S. requesting change of status (e.g.,
international students/graduates). National-interest exemptions
exist but are "extraordinarily rare."

* TIME-LIMITED
The entry restriction expires ~Sept. 21, 2026, absent extension.

* NO TRAVEL BLOCK
Current H-1B holders can still travel in and out of the U.S.;
no visas revoked under the proclamation.

* WEIGHTED LOTTERY FAVORING HIGH EARNERS
DHS final rule published Dec. 29, 2025; effective Feb. 27, 2026
(FY 2027 cap season). Replaces the random lottery; highest wage
level gets 4 entries, next tier 3, and so on. Lower-paid workers
aren't excluded but have lower odds.

* HIGHER PREVAILING WAGES (PROPOSED)
Rule published March 27, 2026 would raise required H-1B salaries
~21-33%. Entry-level Wage Level I would jump from the 17th to
34th percentile.

* EXPANDED SCREENING / VETTING
State Dept. announced expanded vetting for H-1B and dependent
H-4 visa applicants.

* LEGAL STATUS
The $100,000 fee is being challenged in court; long-term status
is unsettled.