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Doctors, researchers, and companies have made big promises about how machine learning and AI may someday change medicine. But a particularly American issue may be holding doctors and data scientists here back: electronic medical records.

Machine learning algorithms only work if they have data — lots and lots of data. The conclusions they draw about what might happen to a particular person will generally only work if an algorithm has been trained with a bunch of records of people who have some similar characteristics. And especially in the traditional “doctor’s office,” companies that want to work on AI and machine learning must somehow pull in information from a plethora of EMRs — a burden not often seen in other countries.

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