Every technology healthcare has adopted moved through the same curve: a bleeding-edge few went first and documented what broke, and the majority followed. Large language models skipped that entirely. Jeremy Harper, a biomedical informatician who has worked at Epic, Ohio State, and Regenstrief, and who wrote Large Language Models (LLMs) for Healthcare, explains what we gave up by going all at once. Ambient scribes are everywhere, and because most vendors discard the audio as soon as they transcribe it, nobody can say how often the notes are wrong. He offers a fix borrowed from de-identification, a one-question test for any AI vendor, and a lament for the reusable knowledge we keep paying for and deleting.

Steve and Leon close Season 1 by looking back across all fifty-two episodes. They start with what surprised them (how fast conservative institutions adopted, and how slowly AI literacy is moving), then work through five conclusions a year of guests kept reaching independently: the models are no longer the hard part, almost nobody monitors these systems after deployment, an interface built for a novice can degrade an expert, "compared to what" is the question everyone skips, and money is usually the real gate. They also notice the show has started talking to itself, with guests answering each other across dozens of episodes. Several questions are left open on purpose and handed to Season 2.

In their seventh Reflections episode, and their fifty-first overall, Steve and Leon look back across six conversations: Mika Newton on interoperability that finally started working, Peter Embi on monitoring clinical AI after deployment, Vimla Patel on how clinicians actually reason, Renee Deehan on an engine built so it can't hallucinate, Christine Dymek on AI literacy, and Jeremy Harper on an adoption curve that broke. They decide against forcing a single grand lesson and find three threads anyway: keeping a human in the loop as a deliberate design decision, the national clearinghouse for AI errors that still doesn't exist, and whether literacy is even the right word for what healthcare workers need.