arXiv:2606.14145v1 Announce Type: new Abstract: Healthcare is essential, expert, and episodic by design - built around the roughly one hour per year a person spends with a clinician. The 8,759 hours outside clinical settings, where eating, sleeping, movement, medication, and stress actually shape long-term health, have no comparable infrastructure. The bottleneck for personalized health is not raw data or reasoning capability; it is the absence of that infrastructure layer. This paper introduces the Personal Care Utility (PCU): a layered, event-driven architecture proposed as the missing utili
The proliferation of data from wearables and other health monitoring devices, combined with advancements in AI's reasoning capabilities, creates an opportune moment for an infrastructural approach to personalized health beyond episodic clinical visits.
This concept introduces a missing infrastructure layer for personalized health, moving beyond reactive clinical care to proactive, continuous health management, potentially revolutionizing how health is maintained daily.
The focus shifts from expert-driven, episodic healthcare to an event-driven, layered architecture where individuals manage health across 8,759 non-clinical hours, moving from 'healthcare' to 'personal care utility'.
- · AI-powered health platforms
- · Preventative health services
- · Data integration specialists
- · Individuals with chronic conditions
- · Traditional episodic healthcare providers
- · Fragmented health data systems
- · Reactive treatment models
Increased individual agency and responsibility in managing health through continuous data collection and AI-driven insights.
Reduced burden on conventional healthcare systems as more preventative measures become automated and personalized outside clinical settings.
New regulatory frameworks and ethical considerations will emerge around personal health data ownership, AI decision-making in health, and interoperability standards for Personal Care Utilities.
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