Not AI hype. Not AI doom. A clear-eyed guide to what’s at stake — and how to help shape what comes next.
Support the work by purchasing on Amazon or making a donation — or download a free electronic copy below ↓
Medicine is entering a new era — one where artificial intelligence tools can interact directly with patients and outperform doctors on several clinical tasks. As AI capabilities and adoption advance with remarkable speed, we are running out of time to meaningfully influence how it is integrated into health care.
This book offers a timely tour of real-world events and cutting-edge research on medical AI, highlighting both its successes and its failures. It examines the many technical, legal, and ethical challenges involved, and argues that, if left unchecked, AI development and integration may ultimately drive physician replacement.
- How AI tools work — and why they can fail
- How medicine uses AI tools currently
- Risks to patient privacy and the ethics of transparency
- Regulatory gaps and legal ambiguity around AI in clinical practice
- Equity, sustainability, and the limits of current governance models
- AI’s potential to replace doctors
- How patients, physicians, and policymakers can shape what comes next
“A sober, evidence-based examination of the challenges and promises we all face, and is essential reading for anyone who wants to help create a better future for medicine.”
Adam Rodman
Director of AI Programs, Shapiro Center for Research and Education, Harvard Medical School & Beth Israel Deaconess Medical Center
“A vital, clear-eyed roadmap for responsible integration… Dr. Tsuei offers an essential framework for ensuring that the next generation of medical tools enhances — rather than erodes — the standard of care.”
Nigam Shah
Chief Data Scientist, Stanford Health Care
“A rare and urgent contribution that equips the general public, not just clinicians or technologists, to meaningfully engage in the decisions that will shape whether AI serves or subverts the mission of medicine.”
Leo Anthony Celi
Senior Research Scientist, Laboratory for Computational Physiology, Massachusetts Institute of Technology
- 📖 The physical copy is available for purchase on Amazon.
- 💻 The electronic copy is available as a free download.
- 🙏 This book was self-funded because I believe this conversation needs to happen now. If it resonates with you and you’re able to, I’d truly appreciate a purchase on Amazon or a donation — please email me to contribute. Every contribution helps sustain this kind of independent work.
Tsuei, S. (2026). Medical AI: Promises and perils at a critical moment. Zenodo. https://doi.org/10.5281/zenodo.19430028