What the AI health conversation consistently misframes is who is driving adoption. The share of users turning to chatbots because they cannot afford care — 19% — or because they cannot access a provider — 18% — does not appear in most safety critiques of AI diagnostics [4]. Those critiques are built around a user who chose AI over an available doctor, which describes 65% of users seeking quick answers but leaves out the structural cohort for whom AI is the only option on the table. Sixty-six million Americans…