
Table of Contents
Artificial Intelligence and Medicine
Kim Kyung-jin, Attorney at Law
AI in clinical care, hospitals, education, and research
AI in medical imaging, risk prediction, treatment planning, hospital operations, education, and research, with patient safety, privacy, and accountability.
[AI Library] Chapter 1. The Reorganization of Work
Artificial Intelligence and the Reshaping of Society
Chapter 1. The Reorganization of Work
Kim Kyung-jin
1. The Gap Between the Speed of Job Destruction and the Speed of Human Adaptation
On a Tuesday morning in May 2025, 6,000 layoff notices went out from Microsoft's Redmond campus. That was 3% of the entire workforce. More than 40% of those let go were software developers. An 18-year veteran TypeScript developer made the list. So did core contributors to the Python language. Even Gabriela de Queiroz, who had led Microsoft's AI startup support organization, was cut. The event proved, with cold clarity, that working in AI offered no protection.
Something was off. Microsoft was posting record-breaking results that quarter. First-quarter revenue hit $70.1 billion, up 13% year over year. The company wasn't struggling. CEO Satya Nadella said it plainly: "AI now writes 30% of our company's software code." Layoffs were no longer a distress signal. They had become a management strategy for the AI era.
Microsoft wasn't alone. Google slashed hundreds from its Assistant division. Amazon laid off 14,000 corporate employees in October 2025. Meta cut 3,600. Tesla, 14,000. The reason was always the same: "To focus on AI." In the first half of 2025 alone, 77,999 tech layoffs were directly linked to AI. That works out to 427 people per day. Of the 45,363 tech layoffs accumulated through March 2026, roughly 9,238 of them, or 20.4%, were attributed by the companies themselves to AI and automation. In 2025, that ratio had been under 8%. In the span of a year, the corporate vocabulary had shifted. They stopped sugarcoating it.
Widen the lens. Goldman Sachs estimates that by 2035, approximately 300 million full-time jobs worldwide will fall within the reach of automation. The World Economic Forum's 2025 Future of Jobs Report offered a more granular forecast: 92 million jobs lost by 2030, 170 million new jobs created, for a net gain of 78 million. That sounds like good news at first glance, but there's a catch buried in the numbers. The jobs disappearing and the jobs appearing don't go to the same people. According to the WEF, 77% of new AI-related positions require a master's degree. Another 18% require a PhD. A laid-off call center worker retraining as an AI researcher is, for all practical purposes, impossible.
Hashed CEO Seo-jun Kim put it sharply: "The AI shock is different from other shocks. Wars and geopolitics shift to a new phase within a year, but the AI shock will torment us for a full decade." If this mismatch, where technology outruns human adaptability, isn't addressed at the national level, the shockwave hits society as a whole. Bureau of Labor Statistics data shows that computer developer employment fell 27.5% over the two years from 2023 to 2025, the lowest level since 1980. Overall employment grew, yet developer job postings dropped 35%. This isn't a temporary blip. The structure itself is changing.
Anthropic CEO Dario Amodei warned at the 2025 VivaTech conference in Paris that "AI could eliminate half of entry-level white-collar jobs within the next five years." Workers in their 40s and 50s face an especially painful bind. Too little time to learn new skills, too early to retire. A December 2025 survey by HBR revealed an uncomfortable reality: many companies were carrying out layoffs not based on AI's actual performance, but on the expectation of what AI would deliver. The word "AI" had become a permission slip for layoffs. In a Resume.org survey of 1,000 U.S. hiring managers, 59% admitted that "citing AI as the reason for layoffs plays better with stakeholders."
The core of the problem is a speed gap. AI learns what a 20-year veteran developer knows in 20 minutes. When the recruiting platform Wanted Lab surveyed 180 working developers, roughly half said generative AI's coding ability already exceeded that of developers with one to three years of experience. Retraining a human takes years. Overhauling a university curriculum takes longer still. Technology advances exponentially; human adaptation is linear. Unless that gap narrows, turmoil in the labor market will continue.
2. The Collapse of the Billable Hour Economy
At a large law firm in Manhattan, three junior associates had spent two days on a single task: reviewing three years of meeting minutes and emails from a litigation matter to extract the key issues. The volume ran to thousands of pages. In billable hours, that came to about 60 hours, roughly $30,000 charged to the client. In the spring of 2026, the same team at the same firm handed the same type of work to an AI research tool. The results came back in five minutes.
Can you bill 60 hours for five minutes of output? The answer is already settled. Meta explicitly stated in its outside legal counsel guidelines that work product generated by AI should not be billed at attorney hourly rates. Cybersecurity firm Zscaler did the same. UBS issued billing guidelines in early 2026 with a separate AI-specific clause. The message is converging: nobody is willing to pay a human hourly rate for what a machine can do.
The billable hour was the operating system of the legal industry. How firms staffed cases, how they evaluated junior associates, how they compensated partners, how they grew revenue; all of it depended on this single billing mechanism. And that operating system is breaking down. As Hashed CEO Seo-jun Kim noted in "The Coming 30 Fractures," the entire B2B knowledge economy, from consulting to law to accounting, now faces the task of rewriting its rate cards. Four AI models independently assessed the probability of this happening within three years. The average was 80%.
There's a structural contradiction. Say two lawyers handle the same type of employment dispute. One finishes in 40 hours, the other takes 120. Under the billable hour model, the client pays three times more for the slower lawyer. The outcome is the same. The system punishes efficiency and rewards inefficiency. AI didn't create this contradiction. It just made it impossible to ignore.
According to Thomson Reuters' 2025 report, legal professionals expect AI adoption to save approximately 240 hours per year. Document summarization, preliminary research, deposition summaries, contract clause extraction, timeline construction: a significant portion of junior associate billing already falls within the capability of commercially available AI tools. Once clients begin systematically refusing to pay for those items, the only firms that survive will be the ones that use AI to handle the commodity layer and bill for the judgment layer above it.
Alternatives already exist. Value-based pricing has been standard in consulting, accounting, and investment banking for decades. The legal industry was simply the last holdout. Bob Glaves, executive director of the Chicago Bar Foundation, put it this way: "The billable hour has been the single biggest reason legal services have become unaffordable for ordinary people over the past 50 years." AI is the catalyst that hastens the end of that 50-year-old system.
This isn't just a legal story. Consulting faces the same pressure. A market analysis report that a McKinsey junior consultant used to spend two weeks drafting can now be roughed out by AI in a day. When AI handles voucher reconciliation in an accounting audit, audit hours get cut in half. Every industry where selling time was the job itself now faces the same question: "Is what we're really selling time, or judgment?"
Artificial Lawyer's 2026 outlook report predicted that "90% of legal documents will be generated by AI." It added a caveat: "The death of the billable hour is a premature diagnosis." For high-end work, risk assessments grounded in precedent, and expert judgment on market practice, time-based billing would persist. Fair enough. Not all legal work will change at once. But when the billable hour collapses for routine and commodity work, the entire revenue structure built on top of it starts to shake. Shrink the base of the pyramid and the top has to readjust.
Going forward, what professionals must prove is not their time but their judgment. The speed of this transition will vary by industry, but the direction is irreversible.
3. The Vanishing Line Between Continuous Performance Review and Continuous Surveillance
K, a team leader at a Korean IT company, has been using a new AI-powered performance management system since the second half of 2025. The system tracks each team member's code commit frequency, Slack message response time, share of speaking time in video meetings, and volume of documents produced, all in real time. The company boasts that the time spent on quarterly performance reviews has dropped by more than 90%. K's team members have a different take. "Your Slack response time goes up when you use the bathroom" started as a joke. It isn't one anymore.
Item 29 in CEO Seo-jun Kim's "30 Fractures" anticipated this situation: "AI continuously analyzes work output and collaboration patterns. Time spent on year-end reviews drops by over 90%. The moment continuous evaluation improves fairness, it becomes indistinguishable from continuous surveillance." Four AI models assessed the probability of this materializing within three years at 45%. The number may seem low, but there's no room for comfort. It's already partially here.
It's hard not to recall the analysis of Shoshana Zuboff, the scholar who coined the concept of surveillance capitalism. Platform companies extract user behavioral data and convert it into prediction products. The same logic is now entering the workplace. Under the banner of "employee engagement measurement," emotional states and work patterns are collected in real time. As of 2025, surveys indicate that more than 60% of large U.S. corporations use some form of employee monitoring software. That number climbed steeply after remote work expanded in the wake of the COVID-19 pandemic.
Here is how the boundary dissolves. An AI system learns an individual worker's patterns, detects early signs of declining productivity, and automatically sends "improvement recommendations." Up to this point, it's performance management. But when the same system starts analyzing the tone of emails, tracking facial expression changes in video meetings, and logging how long lunch breaks last, it becomes surveillance. Drawing a technical line between the two is impossible. The data that measures performance and the data that monitors behavior are the same data.
Evaluation is no longer after the fact; it's been folded into a real-time algorithmic feedback loop. Work has become a site of data extraction and behavioral modification, and workers have been converted into optimization variables within the system. The anxiety that came with one annual performance review and the anxiety of being measured 24 hours a day, 365 days a year are qualitatively different things.
Pushing back against this trend requires social consensus not on "what to measure" but on "what not to measure." Whether executing everything technology makes possible is an automatic corporate right, whether workers have a right not to be measured: these questions remain unanswered.
The EU's AI Act, which took effect in 2025, includes a provision banning the use of emotion-recognition AI in the workplace. But the boundary between performance data collection and emotion monitoring is technically blurry. Measuring Slack message response speed is performance management. Inferring emotional state from the tone of those messages is emotion recognition. Both pieces of information get extracted from the same data simultaneously. Whether it's practically possible to ban one while permitting the other is something no one has yet proven.
In Amazon's fulfillment centers, worker movements and task speeds have been tracked by the second for years. There were reports that bathroom break times factored into productivity scores. It became public that the system automatically generated termination recommendations, sparking controversy. Many people assumed this was an exceptional case confined to blue-collar labor. But now the same logic is moving into white-collar offices. Code commits, documents produced, meeting participation rates. Only the metrics have changed; the structure is identical.
While we delay the answers, the surveillance infrastructure is already being laid.
4. The Broken Junior Career Ladder and the Collapse of Professional Reproduction
The pathway to mastery is being severed. There used to be a sequence. A first-year associate at a law firm would read thousands of contracts with their own eyes. A new auditor at an accounting firm would cross-check hundreds of vouchers by hand. An intern developer at a software company would absorb design patterns by reading senior engineers' code. Those hours, tedious, repetitive, sometimes seemingly pointless, were what produced experts. It was a digital version of apprenticeship.
AI is blocking that pathway. From a company's perspective, it's a rational choice. If AI can process a document review in five minutes that takes a junior lawyer two days, why hire the junior? In April 2025, Duolingo CEO Luis von Ahn declared, "We will no longer hire contractors for work that AI can do." According to a Saramin survey, entry-level developer hiring in South Korea's IT sector fell 18.9% year-over-year in the first quarter of 2025. Goldman Sachs research found that the unemployment rate for 20-to-30-year-olds in technology-related occupations rose by roughly 3 percentage points starting in early 2025, a significantly higher figure compared to other occupations or the overall tech workforce.
Looking at the United States as a whole, entry-level job postings dropped 15% year-over-year, while companies mentioning "AI" in job ads surged 400% over two years. In January 2025, job listings in professional services hit their lowest point since 2013, a 20% decline from the prior year.
What's breaking here isn't just jobs. It's the very structure through which professions reproduce themselves across generations. Senior lawyers used to pass down their standards of judgment by re-checking documents that juniors had reviewed. Senior developers used to teach design philosophy by reviewing juniors' code. When juniors disappear, this chain of transmission snaps. The people who would become seniors in ten or twenty years lose the chance to build hands-on experience in the first place.
Item 15 in CEO Kim Seojun's "30 Fractures" memo captures this problem precisely. "Corporate legal teams will be cut in half. Agents will handle much of the contract review, regulatory compliance, and risk analysis. Demand for junior lawyers will decline. The ladder from junior to senior becomes a cliff." Probability of occurring within three years: 60%. Accounting faces the same reality. According to item 18 of the same memo, "Seven out of ten small and midsize businesses will finish their taxes without an accountant. The accountant's reason for existing will be compressed from balancing the books to making judgments beyond the numbers." Probability within three years: 85%.
A Gartner forecast shows how fast this transition is moving. By 2026, 20% of organizations will use AI to flatten their organizational structures and eliminate more than half of current middle management positions. Once an organization goes flat, the very steps that juniors would climb simply cease to exist.
Ultimately, this is the paradox of efficiency. In the short term, companies cut costs. In the long term, generational turnover in the expert class becomes impossible. Remove the bottom rung of the career ladder, and eventually there's no one left to reach the top.
The Atlantic reported that unemployment among recent college graduates in the United States has risen to abnormal levels. The analysis points to companies either replacing entry-level white-collar jobs with AI or spending on AI investments that crowd out budgets for new hires. This is not an individual's problem. An entire generation is being stripped of opportunities for professional, hands-on experience, and the consequences will surface ten to twenty years from now as an expertise vacuum across whole industries. Imagine removing clinical rotations from medical training. Could a doctor who only read textbooks operate on a patient? The same thing is happening across every knowledge industry: law, accounting, software development, consulting.
We are watching, in real time, a warning that the system for reproducing human expertise could collapse within a single generation.
5. The Disappearance of Middle Management and the Flattening of Organizations
In October 2024, Gartner released a forecast at its IT Symposium: "By 2026, 20% of organizations will use AI to flatten organizational structures and eliminate more than half of current middle management positions." The 2025 Gartner CEO Survey sent an even stronger signal. More than half of the CEOs surveyed said they planned to use AI to reduce middle management layers within the next five years.
Let's break down what middle managers do. They translate upper management's strategy into executable units for the front line. They assign tasks to team members and track progress. They measure performance and report to executives. They mediate conflicts and relay information up and down. Of these functions, task assignment, progress tracking, and performance reporting are areas where AI agents can already handle a significant share.
Item 1 in CEO Kim Seojun's "30 Fractures" memo compresses this shift: "As agents handle task assignment, progress tracking, and performance reporting, the span of control for senior managers expands more than fivefold. Most middle managers whose role was to move information up and down the hierarchy become unnecessary, apart from the top tier of leadership." Probability within three years: 65%. This aligns with Gartner's analysis. According to the 2025 Gartner CEO Survey, companies aim to enable a single manager to oversee roughly 20% more employees through AI. As span of control widens, the need for intermediate layers shrinks.
There is a flip side to this change. Most problems inside an organization arise in the "middle." The gap between executives who set the vision and frontline workers who execute, the clash of interests between departments, judgment calls in unexpected situations: middle managers have handled all of these. AI is good at data-driven work coordination, but figuring out why a team member's morale has dropped, or untangling an unspoken conflict between two departments, requires a different kind of capability.
Companies are moving fast regardless. In the short run, labor costs fall, decision-making speeds up, and reporting layers simplify. Workday announced in 2025 that it would lay off 8.5% of its workforce, roughly 1,750 people, to reallocate resources toward AI investment. A substantial share of those cut had been performing middle management functions.
A flattened organization is fast. But it's also fragile. When the buffering function, the mentoring function, and the conflict-resolution function that middle layers provided all vanish, the organization becomes directly exposed to leadership's judgment errors. In a company without middle managers, who will junior employees learn from? When they hit burnout, who will they talk to? AI does not yet have answers to these questions.
Gartner itself acknowledges these side effects. The same report warns that "traditional mentoring pathways may be damaged, development opportunities for junior employees may shrink, and remaining managers may be overwhelmed by a sharply increased number of direct reports." The disappearance of call centers falls into the same pattern. According to item 5 of Kim Seojun's memo, AI's handling rate will reach 90% within three years, putting 400,000 workers in South Korea in line for reassignment. Call center managers, team leads, and quality assurance staff are all targets of this flattening.
Historically, organizations have almost never operated without a middle layer. Roman legions had centurions. Medieval guilds had the journeyman tier between masters and apprentices. The existence of a middle layer is close to a universal feature of human organization. We do not yet have enough precedent to know what happens when that layer is removed by technology.
The flattening of organizational structures is inevitable. The question is speed. Strip away the middle layer too quickly, and the organization's immune system goes with it. If one-fifth of organizations move in this direction by 2026, as Gartner predicts, a significant number of them will discover the side effects of flattening only after the fact.
6. The Luxurification of Human Labor and the 'Handmade by Human' Premium
At a restaurant in Seoul's Cheongdam-dong neighborhood, the chef personally comes to the table when the final course is served. He describes where the ingredients were sourced and talks through the dilemmas he faced while cooking. The taste of the food isn't the whole story. The fact that a human made it by hand, the experience of hearing that person's story firsthand: these are what compose the price of a 300,000-won dinner. Even if restaurants emerge where AI analyzes recipes and robotic arms cook at precise temperatures, replicating this experience would be difficult.
Item 10 of CEO Kim Seojun's "30 Fractures" memo predicts this phenomenon. "A large premium attaches to the 'Handmade by Human' label. Handcrafted furniture, human chefs, and in-person consultations become luxury services. Inefficiency becomes the last competitive edge of human labor." Probability within three years: 75%. Item 5 of the same memo points in the same direction. As call centers vanish, "simply talking to a human will be billed as a premium service."
The logic of this change works like this. The easier AI makes it to replicate outputs, the more value shifts to the process. AI can combine pixels and data into convincing results, but it cannot capture the human context embedded within, the grammar of decision-making, the individuality born from imperfection. Just as a chef's story determines the value of a Michelin-starred meal, a growing number of domains are emerging where the simple fact that a human did it becomes the luxury itself.
Klarna's case illustrates this dynamic. In February 2024, the fintech company announced that its AI chatbot was doing the work of 700 customer service employees. In the first month alone, it handled 2.3 million inquiries and cut the average resolution time from 11 minutes to 2 minutes. The company projected $40 million in cost savings. Then, a year later in May 2025, CEO Sebastian Siemiatkowski reversed course. Saying that "AI alone led to a decline in quality," he began rehiring human customer service staff. From the standpoint of efficiency and cost, AI had been overwhelming. But efficiency was not the only thing customers wanted.
The luxurification has a shadow. When human labor becomes a premium, it also means the gap widens between those who can afford human labor and those who cannot. The wealthy see human doctors, consult human lawyers, and entrust their children to human teachers. Everyone else uses AI-substituted services. Labor requiring empathy, care, and creative improvisation moves upmarket, while efficiency-driven labor is handed over to AI.
This separation has already begun in financial services. Item 21 of Kim Seojun's memo captures it: "Services that have agents integrate market data and spending patterns to auto-rebalance portfolios will become mainstream. The rich will still have human advisors for concierge purposes, but for the general public, an agent will suffice. The stratification of finance will become more blatant." Healthcare follows the same pattern. According to item 7 of the same memo, 70% of primary care consists of pattern-based diagnosis and prescription. Once that migrates to an app, in-person consultations with a human doctor become a service reserved for those with the ability to pay.
A world where everything done by a human hand becomes a luxury is, put another way, a world where human contact is purchased with money. The image of an artisan furniture maker coexisting with an AI-automated factory is appealing. But if only the top 5% can afford the handcrafted furniture, that is not market diversity; it is the hardening of class.
The label 'Handmade by Human' is a hope and a warning at the same time. It means the unique value of human labor is being recognized, but it also carries the risk that this value could become a luxury only a few can afford. If inefficiency is the last competitive edge of human labor, then it falls to society to make that edge accessible to everyone. Otherwise, we end up building two separate worlds: the masses served by AI, and the elite served by humans. That fork in the road has already begun.
Kim Kyung-jin
Attorney · Former Member of the National Assembly · AI Policy Researcher
© 2026 Kim Kyung-jin. All rights reserved.



