Part IV: AI You Can Argue With

When AI makes a medical decision, how do you argue back? Transparency, explainability, and trust aren’t optional, they’re the future of ethical care.

Why Transparency and Trust Still Matter, Even with a Machine

Trust is fragile in healthcare, especially if you’ve been misheard, misdiagnosed, or dismissed.

And yet, we’re building clinical AI systems that don’t explain themselves.
That can’t be questioned.
That don’t even know when they’re wrong.

These so-called “black box” models can detect patterns in massive data sets that humans might never notice but their reasoning is invisible, even to the people who built them. And when the consequences of those invisible decisions are life-or-death, a lack of transparency becomes a moral failure.

Because here’s the reality:
You can’t consent to care if you don’t understand it.
You can’t trust a system you can’t argue with.