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Robert Wachter

Robert Wachter · 15 Oct 2026

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  1. As AI-enabled decision support becomes more robust, more persuasive, and perhaps even agentic, it will quietly encode one set of values and disseminate it at scale.
  2. But AI's real impact on costs will come through its effect on clinical decisions.
  3. As these tradeoffs become explicit, we can expect a vigorous debate about rationing. And in the U.S., we can guarantee it will be politicized.

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