Closing the Solidarity Gap Requires Closing the Accountability Gap for Patient-Facing AI.

Galatzan, Benjamin J; Dudding, Katherine M; Johnson, Elizabeth A · J Med Internet Res · 2026

editorial · Level V

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Abstract

This commentary extends recent discussion of the solidarity gap associated with patient-facing AI by examining gaps in governance and risk allocation, health care professionals' responsibilities in practice, and opportunities for professional stewardship and advocacy. We argue that equitable implementation requires shared accountability and meaningful health care professional participation in the design, evaluation, reimbursement, governance, and oversight of patient-facing AI before ambiguity results in patient harm.

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