From the preface of the ebook International Well being Care Equivalency within the Age of Nanotechnology, Nanomedicine and Synthetic Intelligence, Edited by Frank Boehm:
For the reason that publication of my first ebook (Nanomedical Machine and Methods Design: Challenges, Prospects, Visions – CRC Press, 2013), it turned more and more evident that synergies between the concurrently speedy advances in nanotechnology and nanomedicine together with the latest exponential progress in synthetic intelligence (AI) would possible facilitate the capability to actualize three envisaged world scale paradigm shifting expertise platforms. Thus, I endeavored to discover these potentialities by way of the simultaneous era of what I contemplate to be a set of three companion books. The rationale is that I consider these functions shall be inextricably linked.
This quantity, International Well being Care Equivalency within the Age of Nanotechnology, Nanomedicine and Synthetic Intelligence, delves into the potential emergence of an envisaged equitable, cost-effective, non-monopolizable, globally distributed/decentralized AI/QC-driven healthcare system, which might function on secure/safe nested quantum encrypted blockchains. With the attainment of mature International Well being Care Equivalency (GHCE), which might be considerably expedited when superior AI (and shortly sufficient the emergence of Synthetic Basic Intelligence (AGI) and Synthetic Superintelligence (ASI)) are coupled with quantum computation (QC):
we will envisage a future world the place any particular person on the planet has entry to the identical superior and price efficient nanomedical diagnostic and therapeutic applied sciences, regardless of how rich or impoverished they’re, regardless of the place they occur to reside, or below what situations they dwell. Progress towards this purpose shall be incremental, with every successive wave of nanomedical applied sciences being extra superior than the earlier wave.
A number of nascent iterations, operational/efficacy trials, and the beta testing of GHCE shall be pushed by additional advances in 3D printing. More and more sturdy telemedical infrastructures will start to progressively transition most of the widespread well being issues of sufferers (in addition to wholesome people) to be resolved by numerous nanomedical means in their very own properties. These early developmental levels could be guided by readily accessible top-tier on-line physicians on demand, and/or doubtlessly, formally licensed medical AI brokers which were granted entry (by sufferers and/or their caregivers) to complete data of their medical histories, knowledge, and particular wants. These medical personnel would initially be accepted to prescribe solely sure medicines at particular dosages, which might be safely fabricated in a affected person’s dwelling utilizing envisaged countertop microwave-sized home equipment known as Manufacturing facility at Dwelling (F@H) methods.
The feedstocks for F@H methods might initially be comprised of the complete vary of chemical constituents required to synthesize primary medicines, in addition to amino acids for the fabrication of therapeutic peptides. With additional technological advances, standardized nanoparticles of varied species would possibly function F@H feedstocks, that are then customized functionalized, replete with focusing on molecules, to generate a dynamic vary of excessive precision diagnostic, therapeutic, and theranostic nanoparticles to deal with myriad situations (from colds to cancers). Extra superior iterations of F@H would depend on molecular and atomic feedstocks to allow the fabrication of molecular/atomic decision (passive and semi-autonomous) nanodevices that combine nanoelectronics, sensing, communications, and computational capacities. Lastly, the feedstocks of mature F@H methods can be comprised of pristine atomic species that allow the molecular manufacturing (MM) of autonomous nanomedical robots (~Ø1 μm) at atomic decision which might be endowed with additional capabilities (e.g., propulsion, navigation, and a full armamentarium of cell restore instrumentation).
A strong, massively decentralized healthcare system would, for essentially the most half, render hospitals and clinics out of date. Exceptions would, after all, be these required to accommodate maternity and pediatric wants, handle emergency trauma circumstances, pandemic responses, large-scale mass casualties from pure disasters, excessive climate occasions, or attributable to anthropogenic conflicts. Damaged bones, critical accidents, burns, and so on. would nonetheless require triaged care. That mentioned, commonest illnesses, and much more critical illnesses, corresponding to cancers, could be eradicated by way of envisioned domestically (F@H) fabricated autonomous sentinel class nanomedical units (Domschke and Boehm, 2018), which might considerably increase the human immune system in opposition to all “non-self” bacterial and viral pathogens, in addition to poisonous brokers. This is able to considerably scale back the necessity to ever go to a hospital or clinic for therapy (aside from emergencies… albeit even many of those may also be quickly addressed sooner or later by sufficiently refined legions of autonomous nanorobots that repeatedly reside throughout the human physique (in dwell mode) till instantaneously activated by way of a perceived inflicted trauma).
Moreover, most age-correlated illnesses could be negated, as getting older itself can be addressed by specialised lessons of autonomous nanomedical units that frequently monitor the physique for/handle atherosclerosis, osteoporosis, in addition to any irritation, or myopathy. The prerequisite expertise platform and tipping level towards mature GHCE will arrive with the emergence of hypothetical (for now) molecular manufacturing (MM); the subject of my second ebook, Molecular Manufacturing: The Way forward for Nanomedicine (Boehm, CRC Press, 2025). It’s envisaged that MM might allow the cost-effective home fabrication of the superior autonomous nanomedical units described above, exemplars of which I articulate in my first ebook.
The third ebook on this sequence, Nanomedical Mind/Cloud Interface: Explorations and Implications (Boehm, Institute of Physics Publishing (IOPP), 2025), explores how a hypothetical (for now) nanomedically enabled mind/cloud interface (B/CI) might endow us with capacities to instantaneously entry the complete breadth of human data, considerably improve our skill to study, and allow ultrahigh decision absolutely sensorial immersive experiences (together with the episodic inhabitation of every other consenting participant on the planet), whereas empowering us to maintain tempo/combine with AI. Consequently, this expertise platform might, in impact, facilitate even additional enhancements/efficacies for MM and GHCE, which from the writer’s perspective would shut the loop. This, as every of those three expertise platforms would possible synergistically cross-pollinate; all with the innate capability to reciprocate. In the end, the broad tech-trusted acceptance and ubiquitous implementation of a mature B/CI could also be nothing lower than the subsequent evolutionary step for humanity, one the place we seamlessly merge with our applied sciences.
To be real looking and clear, since GHCE would represent such a very huge and multifaceted paradigm shifting endeavor, it couldn’t be anticipated to all of a sudden magically supplant present (2025) medical and healthcare paradigms and infrastructures. Fairly, it would encourage and herald the emergence of a major evolutionary leap, or certainly, revolution in medication and healthcare, whereby medical personnel, in addition to medical gadget and pharmaceutical infrastructures, stay engaged, albeit taking part in completely different roles. This, with the intention of considerably enhancing the standard and personalization of healthcare for all of humanity, which might concomitantly be of immense profit planetwide.
It might be the case that GHCE rolls out by way of disparate eventualities, or the mixture of multiples. On one hand, since massive pharma (as an example) and different giant companies have already got monumental manufacturing infrastructures in place, they may initially be repurposed to generate and provide the molecular/atomic feedstocks required to synthesize myriad diagnostic and therapeutic compounds and functionalized nanoparticles by way of F@H methods (which themselves would must be manufactured), not just for their present buyer bases worldwide, but additionally to serve virtually everybody on the planet. They could even be engaged with and have a stake within the preliminary growth of varied lessons of nanomedical units (passive, semi-autonomous, and absolutely autonomous), which might subsequently be fabricated domestically in a massively distributed/decentralized method.
Because of the globally decentralized molecular manufacturing (MM) (by way of F@H methods) of nanomedicines, and additional downstream, autonomous nanomedical robotics, the centralized management and monopolies over medicine and healthcare would ultimately fade to obsolescence. In the end, Recykl@Dwelling (R@H) methods would emerge with the capability to disassemble all method of family wastes right down to their atomic constituents, which might then be recycled/repackaged as pristine atomic feedstocks to repeatedly resupply the F@H/molecular manufacturing items. This is able to shut the loop.
Some might maintain the view that massive pharma, medical health insurance, large medical gadget and medical tools conglomerates, hospitals, and so on. primarily function on the premise of maximizing backside line income, or institute cultural paradigms of revenue above all else, which seem unlikely to vary. We will see. Issues inexorably do remodel, maybe induced by the unseen energies of quantum entangled alchemy, modifications of coronary heart, of conscience, or in any other case.
GHCE would possibly effectively initially roll out in the actual world (spanning a sure temporal area) as an extra extension and coalescing of/development in-home healthcare; increasing on standard telemedicine, home healthcare robotics, 3D printing, and so on. As soon as the benefits of more and more distributed, decentralized, and personalised GHCE change into more and more evident, related and sensible for the advantage of sufferers, communities, and eventually complete populations who change into extra deeply engaged with it, a essential mass threshold is probably going be attained and exceeded, after which all method of (perceived as outdated) paradigms will start to fall away.
“Though the attainment of GHCE would certainly be a very extraordinary achievement, we should keenly acknowledge that in actuality, such a large endeavor on a worldwide scale would require intense and sustained excessive spirited collaboration between like minded people who’ve extensively different backgrounds inside numerous areas of experience. Extremely specialised laboratories, dynamic administrative establishments, regulatory our bodies, and authorities companies worldwide can even be very important conditions for its realization, as will important sources and time. We’re all superb people, every with our personal distinctive abilities and experience which may contribute and be utilized to this noble enterprise. Our working collectively would possibly culminate in a constructive essential mass on a worldwide scale towards the precise realization of GHCE, which might in the end be of profit for every considered one of us, as we’re lastly “all” supported in our pure human proper of optimum well being for all times.”
Frank J. Boehm, NanoApps Medical, 2025
It’s hoped that the potential ideas herein might encourage others downstream to cumulatively create a essential mass of targeted intention towards the potential realization of International Well being Care Equivalency for the advantage of humankind and the planet.
Domschke A, Boehm FJ. Chapter 19: “The “Sentinel”: A Conceptual Nanomedical Technique for the Enhancement of the Human Immune System. In Immune Facets of Biopharmaceuticals and Nanomedicines. Bawa R., Szebeni J., Webster TJ, Audette GF. (eds.), Singapore: Pan Stanford. 2018.
