S1, E25 - Reflections 3: What Happens When Principles Meet Reality

S1, E25 - Reflections 3: What Happens When Principles Meet Reality

From Practical AI in Healthcare by Steven Labkoff, MD and Leon Rozenblit, JD, PhD

February 22, 2026 · 46 min

About this episode

Steve and Leon discuss the disconnect between AI principles and real-world applications in healthcare.

Steve and Leon have reviewed blocks of guest episodes twice before on Practical AI in Healthcare. Both times the themes snapped into place. This time they didn't -- and the disagreement between them became the episode. Across five recent conversations, they found stories that kept spilling past the edges of their framework: AI that works but can't get paid, laws that already apply but nobody realizes it, and a scientific record under threat from AI-generated paper mills. The hosts' attempt to make sense of it all reveals where their thesis holds, where it breaks, and what needs to change.

People in this episode

Hosts: Steven Labkoff, MD, Leon Rozenblit, JD, PhD

Topics covered

  • AI in healthcare
  • ethical implications
  • legal challenges
  • scientific integrity
  • healthcare payment issues

Keywords

  • AI
  • healthcare
  • legal issues
  • scientific integrity
  • payment challenges

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