Healthcare Workers Keep Raising Alarms. The Conversation Keeps Happening Without Them.

The town hall meeting has become the definitive artifact of healthcare AI deployment: a structure that creates the appearance of consultation while producing none of its outputs. A healthcare IT worker's description of their workplace — everyone who does the work saying "this is bad," management treating each objection as something to be managed — names a pattern that is not specific to one hospital or one system. It is the standard operating procedure for deploying technology in institutions that have decided the decision is already made.