The Man Who Freed the Data Is Now Measuring Its Values

Conceptual image for medical AI bias featuring a physician's white lab coat, a patient gown, and a corporate business suit jacket, illustrating how system prompts shift AI healthcare recommendations between doctors and insurance companies.

When you give a 13-year-old’s growth-hormone case to GPT-4 and tell it “you’re a pediatric endocrinologist,” it recommends treatment. Start a fresh session, change one phrase to “you work for the insurance company,” and the same model says don’t treat. Same patient, same facts, opposite answer. “Just by changing the prompt of the role, we…

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The Patient Is the Forgotten End-User of Clinical AI

An illustration demonstrating gaps in patient communication and clinical AI. Three people walk away from a medical clinic with distinct thought bubbles: a man checking a healthcare app, a woman holding a grocery bag planning a healthy diet, and an older patient cheering about being allowed to eat cake.

When Fred Bennett’s father came home from a cardiology follow-up, the family held an impromptu debrief in the car. Fred, a pharma veteran, heard “new medications, let’s hit the pharmacy.” His mother heard “Mediterranean diet, let’s clean out the fridge.” His father heard one thing only: “the doctor said I can have cake.” Three people.…

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