On clinician-governed AI, the evidence behind it, and the 2,400-year tradition it stands on.
An investor’s brainstorm about AI agents in healthcare got the ideas right. The replies surfaced the real problem: trust.
The demand for mental health support found its supply in consumer AI. The supply was never designed for the job.
Every consumer chatbot giving mental health advice was trained on the internet. None was trained by a clinician.
The real AI product in healthcare is not a chatbot. It is the hours it gives back.
Users generate data, data trains the model, the model serves providers, providers generate data. Ours is already turning.
Billions went into AI mental health. None of it built a clinician-designed foundational model with a public API.
Socrates questioned beliefs. Seneca wrote grief counseling in letters. The medium changes; the medicine does not.