The Bluesky voices on healthcare AI share a structural complaint that has nothing to do with the technology's accuracy: power over clinical decisions has been transferred to systems that patients and physicians cannot interrogate or override. A user citing Kaiser called for AI to be kept 'OUT OF YOUR HEALTHCARE' entirely [1] — not because the technology cannot work, but because the institutional context it operates within, one in which insurance companies already use algorithmic tools to deny care, makes any AI authority dangerous by default . That political economy…