Viewpoint

Clinical AI—Whom Does It Serve and Who Pays?

JAMA Health Forum 10.1001/jamahealthforum.2026.1531

June 18, 2026 at 11:15 AM EDT

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This Viewpoint proposes that routine adoption of clinical artificial intelligence (AI) requires explicit alignment of payer, primary beneficiary, value metric, and life cycle accountability.

Corresponding Author: Shunsuke Takagi, PhD, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan (takagi.s.659d@m.isct.ac.jp).

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