AI In Healthcare: The Promise, The Risks, And The Guardrails We Need Now

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Boluwatife Ayodele Avatar

(Writer, Healthcare Leadership & Wellbeing)

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AI In healthcare Is no longer A futuristic Idea—It’s Already Here

Artificial intelligence is rapidly becoming an integral part of the world’s healthcare systems, influencing diagnosis, treatment, decision-making, and the patient experience.

This wave of progress and advancement isn’t slowing down. Instead of resisting, we should learn to use AI responsibly and safely.

Right now, someone is asking an AI model like the famous ChatGPT about chest pain.

Somewhere else, a patient battling depression is talking to an AI chatbot.

A specialist is depending on an algorithm to analyse a scan that could shape the outcome of critical treatment.

The pandemic accelerated this shift dramatically. Physician adoption of AI tools jumped from 38% in 2023 to 66% in 2025, signalling a significant cultural change in medicine and healthcare.

The Powerful Promise Of AI In Healthcare

AI’s potential in healthcare is hard to ignore—and even harder to resist.

  • It can detect hidden patterns that the human eye might miss.
  • It can quickly analyse enormous datasets to uncover disease trends.
  • It can guide treatment decisions and flag risks long before symptoms appear.

In 2025, spending on AI in healthcare surged to $1.4 billion, nearly tripling previous investment.

This isn’t hype; it’s happening in real hospitals and clinics around the globe:

  • Oncologists are detecting cancers earlier.
  • Surgeons are using real-time AI feedback in the theatre.
  • Rural clinics in underserved regions now use AI tools that were once available only in large medical centres.

The promise is clear: healthcare that is smarter, faster, and more accessible—even in the most remote villages.

But That Promise Comes With An Ethical Minefield To Navigate

1. The Accountability Gap

If an AI tool gives unsafe advice, who is responsible?

The developer?

The hospital?

The clinician who trusted it?

With human practitioners, ethical frameworks guide responsibility.

AI sits in a grey zone—and that makes its mistakes dangerous. Who takes the blame?

2. The Empathy Illusion

Mental-health AI chatbots have been found to violate basic psychological ethics.

No algorithm, no matter how advanced, can replicate empathy—a core element of mental-health care.

3. Algorithmic Bias

AI learns from real-world data, and real-world data is full of inequalities.

If the data is biased, the AI’s output (suggestions, perceptions, and ‘opinions’) will be biased.

  • Diagnostic models trained on urban, high-income groups may misdiagnose rural patients.
  • Treatment algorithms may favour one demographic while being ineffective or harmful for another.

The risk is predictable: unequal healthcare becomes automated healthcare.

4. The Privacy Paradox

AI needs data—lots of it.

But every additional data point increases the risk of privacy breaches.

Think about all the apps and health tools you’ve used without reading the fine print.

What happens when your medical data is repurposed or mishandled?

Even with stringent laws like HIPAA and GDPR, technology moves faster than regulation.

It’s no surprise that 86% of countries view legal uncertainty as the biggest barrier to the adoption of healthcare AI.

We Need Guardrails—Now More Than Ever

1. Transparent Systems

Patients and clinicians should know how AI systems make decisions and what data they rely on.

2. Rigorous Testing + Continuous Monitoring

AI must be evaluated before and after deployment to ensure safety across different populations and changing environments.

3. Human Oversight

AI should support clinicians—not replace them.

Context, nuance, empathy and judgement must remain in human hands.

4. Clear Liability Rules

When AI causes harm, responsibility must be defined.

Without this, trust collapses.

5. Inclusive And Diverse Development

AI tools must be trained on representative data.

Marginalised and underrepresented groups should be involved in design, research and testing.

6. Modernised Informed Consent

Patients must know when they are interacting with AI and how their data will be used.

Consent in the AI era must go deeper than a ticked box.

Bottom Line: AI Will Reflect What We Put Into It

AI is not a saviour or a threat—it is a tool that mirrors our values.

Used responsibly, AI can enhance early detection, personalise treatment, support clinicians, and expand access to underserved communities.

Used recklessly, it can widen inequalities, erode privacy, increase harm, and undermine trust—especially among vulnerable populations.

The choices we make today will shape the healthcare future we wake up to tomorrow.

Because at its core, healthcare is not about data or algorithms.

It’s about people—and they deserve care that is intelligent, fair, compassionate, and trustworthy.


View Selected References

  1. UN News. (2025, November). UN Calls for Legal Safeguards for AI in Healthcare. United Nations World Health Organization Report.
  2. Iftikhar, Z., et al. (2025, October). How LLM Counselors Violate Ethical Standards in Mental Health Practice: A Practitioner-Informed Framework. AAAI/ACM Conference on Artificial Intelligence, Ethics and Society.
  3. Weiner, E.B., Dankwa-Mullan, I., Nelson, W.A., & Hassanpour, S. (2025). Ethical Challenges and Evolving Strategies in the Integration of Artificial Intelligence into Clinical Practice. PLOS Digital Health, 4(4): e0000810.
  4. NVIDIA. (2025). State of AI in Healthcare 2025 Survey Report.
  5. Menlo Ventures. (2025, November). 2025: The State of AI in Healthcare.
  6. World Health Organization. (2025). Harnessing Artificial Intelligence for Health. WHO Digital Health and Innovation.
  7. NCBI Bookshelf. (2025). 2025 Watch List: Artificial Intelligence in Health Care. National Center for Biotechnology Information.
  8. Poon, E.G., et al. (2025). Adoption of Artificial Intelligence in Healthcare: Survey of Health System Priorities, Successes, and Challenges. Journal of the American Medical Informatics Association, 32(7):1093-1100.

 

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Boluwatife Ayodele Avatar

(Writer, Healthcare Leadership & Wellbeing)