Standard Medical

From the Y Combinator listing

How Standard Medical describes itself in Y Combinator's public directory. Original listing (opens in a new tab)

A primary care clinic where AI earns clinical autonomy

Standard Medical is building a primary care clinic where AI earns clinical autonomy. Physician attention is the scarcest resource in medicine, and nearly everything wrong with healthcare follows from that scarcity: the waitlists, the prices, the counties with no doctor at all. We are building the way out. The clinic is designed for AI to do more than draft notes or recommend next steps. For defined clinical workflows, the AI progresses on the same principle used in medical training: supervised first, then progressively entrusted as it demonstrates competence, clearing safety and performance gates for each capability. We'll begin with prescription renewals and routine lab ordering and review, then expand into the rest of longitudinal primary care and common, low-acuity urgent care. Physicians set its scope, supervise its work, and take every complex or unusual case. Any authority the AI earns can be revoked if performance slips. We're pursuing participation in Utah's first-in-nation AI regulatory sandbox to test this model and seek authorization under state oversight, as Washington moves to take clinical AI national. First patients: Utah, 2026. The model is built to repeat state by state. Long term, we want routine care to be increasingly autonomous, nearly free to deliver, and available whenever a patient needs it. The goal is one physician safely caring for a hundred times more patients, with the marginal cost of routine care driven toward zero.