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Fragmented by Design: The Electronic Health Record Problem That Limits What AI Can Know About You

Fragmented by Design: The Electronic Health Record Problem That Limits What AI Can Know About You

The promise of AI-powered diagnostics rests on a foundational assumption: that the AI has access to complete, accurate patient data. In reality, most Americans' health information is scattered across dozens of incompatible electronic systems, siloed by institutional boundaries, and partially obscured by privacy regulations that were written before interoperability was technically feasible. This investigation examines why the data fragmentation problem is so entrenched—and what it will take to so