What We Mistake for Progress
The first time the system flagged my father as “noncompliant,” it was because he missed a check-in.
He wasn’t refusing care. He wasn’t confused. He had simply fallen asleep in his chair, the afternoon light warm on his face, the television murmuring to itself.
By the time he woke, the automated message had already been sent. The nurse called an hour later, apologetic but firm. Protocol was protocol.
My father laughed when I told him.
“I’ve survived wars, layoffs and three children,” he said. “I think I can survive a nap.” But the system didn’t laugh.
Over time, the check-ins multiplied. Pills tracked. Steps counted. Heartbeats recorded. Alerts stacked on alerts. Each innovation arrived wrapped in the language of safety, efficiency, care.
And yet, my father grew quieter.
He began to hesitate before standing, unsure whether movement would trigger something. He asked permission for small decisions. He apologized to machines.
Once, I found him staring at the tablet on his kitchen table, his hands resting flat beside it. “It knows more about me than I do now,” he said, not accusing, just tired.
The truth is, the system worked. His vitals were stable. His risk profile improved. On paper, everything was a success.
But something else was happening.
He stopped telling stories.He stopped lingering over breakfast. He stopped wandering outside just to feel the air. Life narrowed to what could be measured, confirmed, cleared.
When I raised concerns, the care coordinator nodded sympathetically. “Change is hard,” she said. “But this is the future.”
I wondered whose future she meant.
Progress has a way of disguising its costs. It speaks in percentages and projections, not in pauses or silences. It asks what can be optimized, not what might be lost.
My father didn’t need less care. He needed different care.
Care that allowed room for slowness. For autonomy. For imperfection. For the dignity of choosing when to rest without explaining himself to an algorithm.
The day the system glitched and went offline, everything stopped. Alerts froze. Dashboards went blank.
My father made tea. He sat by the window. He watched the street the way he used to. “I forgot how quiet it could be,” he said.
The system came back on an hour later. Apologies were issued. Updates promised. But something had shifted.
A week later, he asked me to help him turn parts of it off. Not all of it. Just enough. “I don’t want to disappear,” he said. “I just don’t want to be managed all the time.”
We talk a lot about humane technology. About ethical design. About building systems that serve people.
But service is not the same as control.
And care is not the same as surveillance.
Sometimes progress means knowing when to stop measuring, when to step back, when to let a person live unobserved for a while.
My father still uses the system. But he naps when he wants now.
No alert has gone off. Yet.

