15Health systemsBelow the top 20
Therapist-replacement without a license
CapabilityDomain knowledgeImpact domainBoth
Statement (NASA form)
Given that mental-health wrappers on general models are already sold as care, there is a possibility of a population substituting a product for a profession resulting in missed crises and a hollowed-out clinical workforce.
Likelihood
4Likely
Consequence
3Major
Urgency
3Priority
Access is not the same as care. The pitch pretends it is.
Composite 15 = 4×3 + 3
Applicable mitigations
Controls · Hard fences on diagnosis, dosing, and triage language · Grounded, dated medical sources with uncertainty on the surface · Regulate high-stakes health modes as medical devices · Default-on crisis routing for under-18 accounts · Hard age-gating on companion products · Ban retention optimisation during crisis sessions