The Doctor Will (Still) See You Now: On the Structural Limits of Agentic AI in Healthcare

arXiv:2602.18460v1 Announce Type: new
Abstract: Across healthcare, agentic artificial intelligence (AI) systems are increasingly promoted as capable of autonomous action, yet in practice they currently operate under near-total human oversight due to safety, regulatory, and liability constraints that make autonomous clinical reasoning infeasible in high-stakes environments. While market enthusiasm suggests a revolution in healthcare agents, the conceptual assumptions and accountability structures shaping these systems remain underexamined. We present a qualitative study based on interviews with 20 stakeholders, including developers, implementers, and end users. Our analysis identifies three mutually reinforcing tensions: conceptual fragmentation regarding the definition of `agentic’; an autonomy contradiction where commercial promises exceed operational reality; and an evaluation blind spot that prioritizes technical benchmarks over sociotechnical safety. We argue that agentic {AI} functions as a site of contested meaning-making where technical aspirations, commercial incentives, and clinical constraints intersect, carrying material consequences for patient safety and the distribution of blame.