AI in Healthcare: What’s Different and What Isn’t
Host J. Carlisle Larsen interviews Dr. Robert Wachter of UCSF about lessons healthcare can draw from the EHR rollout era as AI enters clinical settings. Wachter identifies the structural reasons why previous digital transformations underdelivered—misaligned incentives, workflow disruption, and insufficient clinician involvement—and examines which of those dynamics are present or absent in the current AI moment. His analysis is a measured counterpoint to both AI hype and AI dismissal.
Healthcare executives making AI adoption decisions benefit from this historical grounding. Wachter’s framework helps distinguish AI applications likely to deliver sustained clinical value from those at risk of repeating the EHR implementation failures.
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