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Paul J. Swider

AI insights from a 30-year healthcare tech veteran who's built mission-critical systems worldwide and knows what actually works in academic medical centers, hospitals, and hospital systems.

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Substack
PricingFreemiumPublishesTwice weekly
Issues70Founded2 years agoLast Issue18 days ago
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Latest Issues

Thirty Years of Building for Healthcare

Most of my career has been spent building things that people in healthcare need to use on an ordinary Tuesday.

A hospital workflow. A way to account for a clinician’s time. A system that helps a team get through its day with less administr...

18 days ago

Microsoft Is Fighting the Agent Wars With Purview

Microsoft Purview

View all my published articles

Updated September 27, 2026. This revision corrects several factual claims and reflects Microsoft’s September 25 Copilot announcement.

Microsoft is running a playbook that has worked for th...

a month ago

I Want Scout to Win. Codex Just Works. Cursor Might Beat Them All.

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Here’s an uncomfortable admission from a Microsoft guy. The agent I want to win is not the agent I rely on. And the one I rely on may not have the highest ceiling. That tension says more about the state of AI...

2 months ago
2

CHAI Is Not a Regulator. It Is a Library.

View all my published articles

In October 2025, the Secretary of Health and Human Services wrote that we must not let CHAI build a “regulatory cartel.” Four months later, the assurance labs program failed. Many health leaders stopped watch...

2 months ago

Your Hospital Already Knows How to Govern AI

Pharmacy would never put a medication on formulary because the manufacturer gave a polished demonstration. So why would we approve an AI system that way?

AI needs an indication, evidence, restrictions, monitoring, accountability, and a cle...

2 months ago

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  • Paul J. Swider

    Healthcare AI Navigator - A technical brief for healthcare executives seeking a strategic advantage through technical innovation and Microsoft AI.

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