The Context Bleed — Why LLMs Fail at Patient Privacy

from Maya Builds AI Hosted by Maya Chen

A patient logs into their portal for an ear infection visit summary and discovers another patient's complete psychiatric evaluation attached to the file. Language models have no native concept of tenancy boundaries or access control. In this episode of High-Stakes AI, Maya Lin explains the distributed mechanics of context-window contamination, why prompt-based privacy guardrails fail under concurrent load, and how to engineer ephemeral execution sandboxes that guarantee zero-trust HIPAA compliance. Runtime Agent Governance: letsaskclaire.com Follow Maya on X: @mayabuildsai

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The Context Bleed — Why LLMs Fail at Patient Privacy

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This episode was published on October 12, 2026.

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