Medical Custody - Bryant McGill

# Medical Custody **Domain:** Medicine / Rights / Infrastructure **Doc Type:** Canonical Governance Node **Maturity:** Developed ## Definition **Medical custody** is the authority and responsibility exercised by institutions and professionals over treatment, clinical data, devices and life-sustaining infrastructure. ## Evolutionary Nexus MYCIN in [[articles/The Evolutionary Roots of Silicon Valley|The Evolutionary Roots of Silicon Valley]] exposed the gap between a capable recommendation system and an institution authorized to diagnose or treat. ## Continuity Context Neural interfaces and post-biological maintenance blur clinical care with infrastructure operation. Custodians need bounded authority, documented intervention, patient consent, independent review and continuity plans when providers fail. ## See Also [[wiki/Clinical Decision Support|Clinical Decision Support]], [[wiki/Continuity Due Process|Continuity Due Process]], [[wiki/Residual Sovereign|Residual Sovereign]], [[wiki/Medical AI|Medical AI]] ## Relationships - **Collection route:** [[collections/Neurotech|Neurotech]]. - **Source context:** [[articles/Technologies for Consciousness Mapping and Transfer|Technologies for Consciousness Mapping and Transfer]] and [[articles/Mind Uploading and AI — The Host is Reusable and the Person is the Delta|Mind Uploading and AI — The Host is Reusable and the Person is the Delta]]. - **Inference provenance:** [[research/Research Inferences|Research Inferences]]. ## Research Inference Attractors  These are secondary semantic placements for the inference attractor network. Each statement keeps its original ID and tier; its canonical cluster page links back to every destination. Source register: [[research/Research Inferences|Research Inferences]]. Interpretive context: [[articles/Technologies for Consciousness Mapping and Transfer|Technologies for Consciousness Mapping and Transfer]] and [[articles/Mind Uploading and AI — The Host is Reusable and the Person is the Delta|Mind Uploading and AI — The Host is Reusable and the Person is the Delta]]. Collection route: [[collections/Neurotech|Neurotech]]. - **INF-0355 — Plausible.** Placing inference near the patient keeps the control loop running when the network fails, which is a safety requirement rather than an optimization. Autonomous local operation with periodic supervisory sync is the architecture every life-critical distributed system converges on. - **Canonical cluster:** [[wiki/Networked Body|Networked Body]] - **INF-0356 — Plausible.** Testing an intervention on a patient's model before applying it to the patient converts treatment selection into simulation. Simulation-guided care is standard in engineering disciplines and arrives in medicine as soon as the models are validated. - **Canonical cluster:** [[wiki/Networked Body|Networked Body]] - **INF-0359 — Plausible.** Instrumented homes with autonomous therapeutic loops move the site of care from the hospital to the dwelling. Relocation of care restructures the hospital's economics, and institutional resistance to that restructuring is the primary brake on the trajectory. - **Canonical cluster:** [[wiki/Networked Body|Networked Body]] - **INF-0360 — Analytic.** As models outperform clinicians on specific tasks, deviation from model recommendation acquires liability exposure. Liability, not evidence, is what converts an advisory system into a mandatory one. - **Canonical cluster:** [[wiki/Networked Body|Networked Body]] - **INF-0370 — Analytic.** When measurement is continuous and ambient, per-event consent becomes impractical and defaults govern outcomes. Default settings are therefore the actual privacy policy, and they are set by product designers rather than by legislators. - **Canonical cluster:** [[wiki/Networked Body|Networked Body]] - **INF-0374 — Analytic.** As diagnostic and therapeutic capability moves into consumer devices, the boundary between self-care and medicine erodes from the consumer side. Regulatory systems designed around a prescriber as gatekeeper will be tested by tools that need no gatekeeper to function. - **Canonical cluster:** [[wiki/Networked Body|Networked Body]] - **INF-0375 — Plausible.** A control loop that runs from birth to death, adjusting physiology continuously, makes health a maintained state rather than a series of episodes. Maintained-state medicine is the medical expression of the same continuity architecture the uploading literature describes. - **Canonical cluster:** [[wiki/Networked Body|Networked Body]] - **INF-0431 — Plausible.** Replacing lost neurons risks the information they carried, which makes neural regeneration an identity question rather than only a medical one. Any successful therapy here will produce the first clinical data on how much of a person survives cell turnover. - **Canonical cluster:** [[wiki/Brain Preservation|Brain Preservation]] - **INF-0434 — Plausible.** Preservation initiated as a planned medical procedure under controlled conditions yields far better outcomes than emergency response after death. Legal recognition of elective preservation is therefore the intervention that would most improve quality, and it is a statutory rather than technical change. - **Canonical cluster:** [[wiki/Brain Preservation|Brain Preservation]] - **INF-0442 — Strongly indicated.** Multiple copies under independent governance in different jurisdictions is the only architecture that survives the failure of any single institution or state. Independence of governance matters more than the number of copies. - **Canonical cluster:** [[wiki/Brain Preservation|Brain Preservation]]