The Lancet Voice

Can an algorithm decide who sees a doctor first — and what happens when it gets the call wrong?

The NHS is rolling out AI triage tools and ambient scribes across general practice, promising to shorten waiting lists and free up clinician time. In this episode of The Lancet Voice, host Niall Boyce and Chloe Wilson, senior editor at The Lancet, cast a questioning eye over the initiative.

Chloe raises concerns about AI triage — including the risk of downgrading seemingly innocuous but important symptoms — and questions whether AI in health care is adding efficiency, or simply cutting costs. The hosts also examine ambient scribes in the consulting room, discussing how AI scribes may change clinical practice, or even deskill physicians.

The issue isn't whether AI can help the NHS — it's whether we're asking it to do the right things, and if we are implementing it in the right way.

Let us know your thoughts in the comments!

The Lancet Voice is part of the Lancet Group podcast offering. 

Editorial team: Niall Boyce, Miriam Sabin, Jessamy Bagenal, Richard Horton, and Gavin Cleaver

Podcast editing: Matteo Simonetti

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On The Lancet Voice, host Niall Boyce and co-host Miriam Sabin are joined by Taissa Villa, editor-in-chief of The Lancet Regional Health Americas, and Professor Marcia de Castro — Andelot Professor of Demography and chair of the Department of Global Health and Population at Harvard University — to assess the state of health across Latin America.

2024 was dengue's worst year on record. Oropouche virus has broken out of the Amazon. Venezuela's earthquake exposed a health system already gutted by a decade of political crisis. PAHO estimates the combined burden of NCDs and mental health at seven trillion dollars — roughly the region's entire GDP. And US withdrawal from PEPFAR and the Global Fund now threatens malaria elimination programs that were within reach in Mesoamerica.

Yet Brazil's SUS remains the only free universal health system serving a population above 200 million, and Castro sees real grounds for hope in PAHO-led malaria elimination efforts.

The Lancet Voice is part of the Lancet Group podcast offering. 

Editorial team: Niall Boyce, Miriam Sabin, Jessamy Bagenal, Richard Horton, and Gavin Cleaver

Podcast editing: Matteo Simonetti

Visit https://www.thelancet.com/multimedia to learn more about our multimedia offering. 

Find the best science for better lives at thelancet.com

Follow us today at...
https://thelancet.bsky.social/
https://instagram.com/thelancetgroup
https://facebook.com/thelancetmedicaljournal
https://linkedIn.com/company/the-lancet
https://youtube.com/thelancettv

Retracted articles hit a high of 10,000 in 2023, representing an increase of almost ten times in ten years. The introduction of AI brings incredible benefits to science, but could also add to the seemingly endless tide of papers that are fraudulent, misleading, or just plain wrong.

What can journals such as The Lancet do to rise to this challenge, keeping the scientific record accurate, honest, and transparent? Editors Niall Boyce and Sabine Kleinert are joined by Professor Lex Bouter from Vrije Universiteit Amsterdam, and Professor Mai Har Sham of the Chinese University of Hong Kong to discuss a new Lancet Commission.

Click here to read the full article:

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)01528-4/fulltext

The Lancet Voice is part of the Lancet Group podcast offering. 

Editorial team: Niall Boyce, Miriam Sabin, Jessamy Bagenal, Richard Horton, and Gavin Cleaver

Podcast editing: Matteo Simonetti

Visit https://www.thelancet.com/multimedia to learn more about our multimedia offering. 

Find the best science for better lives at thelancet.com

Follow us today at...
https://thelancet.bsky.social/
https://instagram.com/thelancetgroup
https://facebook.com/thelancetmedicaljournal
https://linkedIn.com/company/the-lancet
https://youtube.com/thelancettv

The UK Government has just announced a ban on social media for under 16-year-olds. Why? Why now? And will it actually improve young people's health and wellbeing?

Lancet Editor Niall Boyce is joined by Esther Lau, Editor-in-Chief of The Lancet Child and Adolescent Health, to discuss the key issues and likely consequences.

 

The Lancet Voice is part of the Lancet Group podcast offering. 

Editorial team: Niall Boyce, Miriam Sabin, Jessamy Bagenal, Richard Horton, and Gavin Cleaver

Podcast editing: Matteo Simonetti

Visit https://www.thelancet.com/multimedia to learn more about our multimedia offering. 

Find the best science for better lives at thelancet.com

Follow us today at...
https://thelancet.bsky.social/
https://instagram.com/thelancetgroup
https://facebook.com/thelancetmedicaljournal
https://linkedIn.com/company/the-lancet
https://youtube.com/thelancettv

Bioethics are a matter of practical, everyday concern for physicians, and other health care providers, especially as medical science continues to advance, opening up new therapeutic possibilities. In this episode of The Lancet Voice, the bioethicist and oncologist, Ezekiel Emanuel, talks about applying bioethics to some of today's most pressing health problems, globally.

 

Click here to read the full article:

https://www.thelancet.com/journals/lancet/article/piis0140-6736(09)60137-9/fulltext

The Lancet Voice is part of the Lancet Group podcast offering. 

Editorial team: Niall Boyce, Miriam Sabin, Jessamy Bagenal, Richard Horton, and Gavin Cleaver

Podcast editing: Matteo Simonetti

Visit https://www.thelancet.com/multimedia to learn more about our multimedia offering. 

Find the best science for better lives at thelancet.com

Follow us today at...
https://thelancet.bsky.social/
https://instagram.com/thelancetgroup
https://facebook.com/thelancetmedicaljournal
https://linkedIn.com/company/the-lancet
https://youtube.com/thelancettv