A new health AI winter will not result from model limitations, but from structural drifts that destroy trust and trigger defensive regulation.
Systemic drifts
- massive centralisation and exhaustive data extraction
- confusion between prevention, information and clinical practice
- opacity and lack of auditability
- elite-only silos and citizen exclusion
- extra-European legal and geopolitical dependency
The cost of distrust
Distrust leads to social rejection, over-regulation, fragmentation and loss of European competitiveness.
The alternative
A sober, accessible and responsible AI is the durable antidote: explicit limits, non-clinical prevention, sovereignty and pedagogy.