Part I: How the Trump Administration and a Cohort of AI Startups Are Building a Regulatory On-Ramp for Autonomous AI Doctors, and Why Working Physicians Think the Genie Is Already Out of the Bottle

The administration is building a regulatory pathway for AI systems that diagnose and prescribe with no physician in the loop. Utah already has a pilot running. The Medical Licensing Board asked for an immediate suspension.A Nature Medicine study gave chatbots 1,200 real patient simulations. Correct diagnosis rate: 34%. They were worse than Google at guiding people to the right decision. These same models pass medical licensing exams.The self-driving car comparison is everywhere. But robotaxis are geofenced - Waymo refuses the hard routes. The entrepreneurs are pitching a general-purpose AI that handles everything. That is Level 5 in any weather, which the auto industry spent a decade learning to stop promising.The sleeper risk is the corporate practice of medicine doctrine. Most states bar corporations from practicing medicine. A chatbot owned by a VC-backed company that diagnoses and prescribes is, on its face, a corporation practicing medicine. Nobody running these pilots has a clean answer for who holds the license.Subscribe to www.onhealthcare.tech for free and paid articles, podcasts, and more. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.onhealthcare.tech/subscribe