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Switzerland

AI Enters Medicine, But Can Doctors Be More Human?

How bad is it?
How bad is it?
Tori Otten

PARIS — With breakthroughs in Artificial Intelligence promising to revolutionize all aspects of our lives, the field of medicine is far from immune. Radiology will be one of the first medical fields to be transformed by AI, French daily Les Echos reported earlier this month, with algorithms on the verge of being able to establish diagnoses on their own. Meanwhile, a robot in China just took the national medical exam — passing with a top score, and in one-tenth the time as the living-and-breathing doctors-to-be.

Of course, one thing a robot doctor could never do is be human — though it looks like some humans are having trouble with that, too. It turns out that doctors today are struggling with the side effects of "hypertechnicity;" that is, with all the technological advances to keep on top of, they are falling short when it comes to bedside manner and emotional support of their patients. The Swiss daily Le Temps reported this week on Alexandre Wenger, a literature professor at the University of Geneva, who is trying to combat this problem by encouraging medical students to take literature and writing courses — part of a movement called "narrative medicine" that traces its roots to Columbia University in the 1990s.

No substitute for hard science requirements

Wenger's classes today are designed to keep medical students in touch with their humanity. For example, he has them analyze excerpts from Leo Tolstoy's The Death of Ivan Ilych, including a passage where a military doctor talks to the main character, a judge, who is dying. "By peeling it back, word by word, this excerpt lets us confront the patient's perspective — what he understand, his feelings — in the doctor's words," Wenger told Le Temps.

Wenger does not suggest that medical students substitute comparative lit. courses for their hard science requirements. "If a doctor is getting ready to operate on me, I'd obviously prefer it if he studied surgery instead of Horace," said Wenger.

Instead, the goal is to create a sense of balance. "A doctor has to be able to interpret a patient's story, to understand the meaning and the actors, in order to make a diagnosis," said Wenger. "Care becomes the construction of a common story, where the words are a shared support."

No doubt, an AI startup somewhere is trying to build a robot that can do that too.

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Geopolitics

Senegal's Democratic Unrest And The Ghosts Of French Colonialism

The violence that erupted following the sentencing of opposition politician Ousmane Sonko to two years in prison left 16 people dead and 500 arrested. This reveals deep fractures in Senegalese democracy that has traces to France's colonial past.

Image of Senegalese ​Protesters celebrating Sonko being set free by the court, March 2021

Protesters celebrate Sonko being set free by the court, March 2021

Pierre Haski

-Analysis-

PARIS — For a long time, Senegal had the glowing image of one of Africa's rare democracies. The reality was more complicated than that, even in the days of the poet-president Léopold Sedar Senghor, who also had his dark side.

But for years, the country has been moving down what Senegalese intellectual Felwine Sarr describes as the "gentle slope of... the weakening and corrosion of the gains of Senegalese democracy."

This has been demonstrated once again over the last few days, with a wave of violence that has left 16 people dead, 500 arrested, the internet censored, and a tense situation with troubling consequences. The trigger? The sentencing last Thursday of opposition politician Ousmane Sonko to two years in prison, which could exclude him from the 2024 presidential elections.

Young people took to the streets when the verdict was announced, accusing the justice system of having become a political tool. Ousmane Sonko had been accused of rape but was convicted of "corruption of youth," a change that rendered the decision incomprehensible.

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