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Why Storytelling Is Now the Most Valuable Skill in Tech
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The Radiology Case Study: AI Replaced the Visible, Not the Valuable
At 3:48 · chapter starts 2:55
When AI became competent at reading medical scans, the consensus was swift and confident: radiologists were done. Galloway dismantles this prediction with striking data. Since those forecasts, the Mayo Clinic's radiology staff grew 55% according to the New York Times, and radiology became the second-highest paid medical specialty in America in 2025, with average incomes 48% higher than a decade ago [1] — Scott Galloway "Predictions that AI would eliminate radiologists were spectacularly wrong. Since those predictions, Mayo Clinic's radiology staff grew 55% …" 02:55 . The diagnosis of failure is sharp and generalizable: we confused the most visible part of the job with the most valuable part. A study of radiologists across three hospitals found that only 36% of their time was actually spent reading scans — the task AI can automate [2] — Scott Galloway "Radiologists spend only 36% of time reading scans: A study across 3 hospitals found radiologists spent only 36% of their time reading scans…" 03:55 . The remaining 64% was human judgment: deciding what matters, guiding treatment, asking the right questions. Galloway's punchline is that AI didn't replace radiologists; it replaced the part of their job that was never really the point.
Predictions that AI would eliminate radiologists were spectacularly wrong. Since those predictions, Mayo Clinic's radiology staff grew 55% and the specialty became the second-highest paid in medicine. The reason: AI automated scan-reading, but only 36% of a radiologist's time was ever spent doing that.
Despite predictions that AI would eliminate radiologists, the Mayo Clinic's radiology staff grew 55% after AI arrived at reading scans.
In 2025, radiology was the second-highest paid medical specialty in America, with average incomes 48% higher than a decade ago.
A study across 3 hospitals found radiologists spent only 36% of their time reading scans — the part AI can do — with the rest being human judgment.
98% of typists disappeared during the 1980s as computers arrived. Scott Galloway's mother survived by moving upstream — from typing to managing her boss's entire professional life, becoming a personal assistant. Writing faces the same structural shift right now.