The Pitt and Virgin River Effect
March 29, 2026
As healthcare races to embrace AI and financially driven efficiencies, two of the most popular shows are showing an alternative reality. In a recent episode of The Pitt, the computer system went down. Doctors were forced into a non-digital mode.
In Virgin River, the encroachment of corporate healthcare into the sleepy town cared for by Doc Mullins and Mel, his NP, captured the tension between humanity and profitability.
It’s interesting that such popular shows chose to present humanity over technology. Could it be a signal of what patients are craving?
I think the answer is yes. And if you do too…please read on.
Because beneath all the excitement about AI, automation, metrics, growth, consolidation, and efficiency, people still want something profoundly human. They want to feel seen. They want to feel heard. They want to feel like the person caring for them is not just processing them, but actually guiding them.
And that desire is not merely emotional.
It is biological.
Why humanity still matters biologically
When people feel frightened, uncertain, or out of control, their nervous system shifts into protection mode. Stress chemistry rises. Vigilance increases. They become more guarded, less trusting, and less able to think clearly.
That is the state many patients are in before they ever arrive.
They may be afraid of pain.
They may be afraid of cost.
They may be afraid of bad news.
They may be carrying memories of prior disappointment, confusion, or even shame.
Now layer onto that a rushed interaction, a distracted provider, too much screen time, impersonal systems, or a sense that they are simply being moved along.
The result is not just dissatisfaction.
It is dysregulation.
By contrast, when a patient feels welcomed, understood, reassured, and safe, the body responds differently. Oxytocin, often associated with bonding, trust, and human connection, helps explain why caring, relational interactions feel so different from transactional ones. Patients may not know the chemistry, but they know the feeling.
And that feeling matters.
Because a patient who feels safe is more likely to listen well, speak honestly, ask questions, trust guidance, and move forward with confidence.
In other words, trust is not just a marketing concept.
It is not just a communication skill.
It is also a neurobiological event.
What these shows may be revealing
That may be part of why The Pitt and Virgin River resonate.
They are not simply showing clinical care.
They are showing the human conditions under which care is best received.
In both shows, the real tension is not just medicine versus illness.
It is system versus relationship.
Efficiency versus presence.
Profitability versus humanity.
Technology versus trust.
And perhaps audiences are responding because they instinctively recognize what patients experience every day:
When care feels human, the nervous system softens.
When care feels transactional, the nervous system braces.
That’s not sentimentality.
It’s biology.
The false choice
Technology is not the villain.
AI is already reshaping healthcare. It can improve workflows, support diagnosis, enhance communication, help create educational tools, and reduce friction throughout the patient journey.
But the real danger isn’t technology itself.
The danger is using technology in a way that strips away the conditions that create trust.
Because AI can answer questions.
It can summarize information.
It can automate tasks.
It can increase speed.
But it cannot, by itself, create the neurochemical experience of human safety.
It cannot replace the calming tone of voice.
The thoughtful pause.
The empathetic expression.
The sense that someone truly understands.
Those moments matter far more than many practices realize.
So the goal should not be to reject technology.
The goal should be to use technology in ways that preserve, protect, and even enhance the human elements that help patients regulate, connect, and trust.
Patients do not want less humanity
They want less friction
This distinction is critical.
Patients are not asking for colder care.
They are asking for easier access to good care.
They want:
• fewer barriers
• less confusion
• quicker answers
• more convenience
• clearer next steps
But once they enter the relationship, they still want what human beings have always wanted in moments of uncertainty:
A competent, confident, caring guide.
A trusted advocate.
Someone who can make sense of what feels confusing.
Someone who can help them feel safe enough to move forward.
That is where the opportunity lies.
The future does not belong to practices that become more robotic.
It belongs to practices that reduce friction without reducing humanity.
The new premium is trust
As healthcare becomes more systematized, trust becomes more valuable.
As content becomes more automated, authentic expertise becomes more valuable.
As experiences become more digital, embodied human connection becomes more valuable.
This is not just philosophical.
It is practical.
A patient who feels safe is more likely to:
• stay engaged
• accept recommendations
• follow through
• refer others
• remain loyal
Why?
Because trust lowers resistance.
And resistance is not only intellectual. It is physiological.
That means hospitality, empathy, listening, and clarity are not “soft skills” at all. They are trust-building mechanisms that influence how a patient’s brain and body respond to care.
This may be one of the most overlooked advantages in modern practice.
This is where your practice comes in
For dentists and other healthcare providers, this moment presents both a challenge and an opportunity.
The challenge is obvious: if you do nothing, you risk becoming increasingly indistinguishable from everyone else. More generic. More commoditized. More forgettable.
But the opportunity is equally real: this may be one of the greatest moments ever to differentiate through humanity.
Not sentimentality.
Not vague claims about caring.
Not polished slogans.
Real humanity.
Humanity expressed through:
• how you listen
• how you explain
• how you follow up
• how you reduce fear
• how your team communicates
• how clearly your philosophy comes through before a patient ever arrives
Because in the age of AI, patients are not waiting until the first appointment to form impressions.
They are searching. Reading. Asking questions. Comparing options. Looking for clues as to who feels trustworthy.
Which means your humanity can no longer live only inside the practice.
It has to be translated into words, stories, teaching, content, and visible authority.
The practices that will stand out
The practices that thrive in the next chapter of healthcare will likely not be those that resist technology.
Nor will they be the ones that surrender to it.
They will be the ones that understand something deeper:
Technology can create efficiency.
But only human connection creates emotional safety.
And emotional safety is often what allows patients to say yes.
That is why the future belongs to practices that can combine:
clinical excellence + wise use of technology + visible human trustworthiness
They will use AI where it helps.
They will preserve human connection where it matters most.
And they will communicate that difference clearly enough that patients can feel it before the first visit.
Because when patients sense both competence and care, both modernity and humanity, both efficiency and understanding, they stop feeling like they are entering a system.
They feel like they are entering a relationship.
And relationships still win.
A question worth asking
Perhaps the popularity of The Pitt and Virgin River is telling us something.
Perhaps people are not merely entertained by these stories.
Perhaps they are comforted by them.
Perhaps they are drawn to the idea that in a world becoming more digital, more corporate, and more impersonal, there is still a place for the thoughtful professional, the trusted guide, the reassuring voice, and the healer who understands that care is not just about systems.
It is about people.
It is about trust.
And trust is not only felt emotionally.
It is experienced biologically.
That may be the real effect.
Not just The Pitt Effect.
Not just the Virgin River Effect.
But the growing public desire for healthcare that feels human enough to calm the nervous system, clear enough to inspire confidence, and trustworthy enough to move people forward.
And that desire creates an opening for practices willing to lead.
The Be The Author-ity™ Program
If this shift resonates with you, this is the time to act.
The practices that will stand out in the future will not be those that simply “do marketing.” They will be the ones that build visible trust, teach clearly, communicate their philosophy, generate oxytocin, and become recognized as the trusted authority in their market.
That is exactly what The Be The Author-ity™ Program is designed to help you do.
It is for practices that want to use today’s tools without losing their soul. Practices that want to educate, lead, and differentiate through books, content, ideas, and strategic authority assets that build trust with patients, referral sources, and even AI-driven search.
Because in a world that feels increasingly automated, the most powerful authority may be the one that feels unmistakably human.
Interested? For more information, email your cell # to: info@practiceperfectsystems.com

Dr. Michael Goldberg is one of the leading educators on dental practice management in the United States.
Michael ran and sold a prestigious group practice in Manhattan and has been on Faculty at Columbia University and New York-Presbyterian Medical Center for 30 years including Director of the GPR program and Director of the course on Practice Management.
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