If AI is going to matter here, it has to make care safer, easier, or more humane for someone other than the executive who signed the contract. It has to respect the fact that clinicians carry real responsibility, not theoretical liability, and that patients are turning to technology because they feel shut out, not because they’re excited about the future of automation. Trust lives in that tension, and it cannot be hand-waved away. The work ahead is not convincing people that AI is inevitable. The work is building tools in a way that deserves to be trusted, and building a workforce that is capable of evaluating and shaping those tools, not just operating them. If we let access to advanced education shrink and continue to treat expertise as optional, then we shouldn’t be surprised when the oversight capacity we need just isn’t there.