特朗普政府于2024年1月推出的WISeR试点项目使用人工智能系统对Medicare患者的医疗护理进行先期授权决策。1该项目改变了Medicare原有流程——Medicare此前未要求医生获得先期授权——现要求医疗决策必须通过AI系统批准。1
根据电子前沿基金会通过诉讼获得的联邦文件，医疗提供者反馈称该项目对患者造成了严重影响。1患者在等待审批期间因疼痛哭泣，医疗提供者甚至将这一做法描述为"对人类是种耻辱"。1
政府问责办公室5月确定特朗普官员在设立该项目时未遵循适当程序，并质疑了其法律合法性。1尽管存在这些问题，政府仍计划在未来几年内扩展该计划。1
The Trump administration launched the WISeR pilot program in January 2024, utilizing artificial intelligence to determine whether Medicare patients should receive prior authorization for medical care 1. This represented a significant departure from prior practice, as Medicare had not previously required physicians to obtain such authorization before providing treatment 1.
The program quickly encountered serious operational and ethical problems. Healthcare providers reported that the AI system malfunctioned and caused substantial review delays, resulting in patients experiencing prolonged suffering while awaiting coverage decisions 1. One provider characterized the initiative as "a disgrace to humanity" 1, while others documented instances of patients crying from pain during waiting periods 1.
In May, the Government Accountability Office determined that Trump officials had failed to follow proper procedures in establishing the program and raised questions about its legal foundation 1. The Electronic Frontier Foundation obtained federal documents through litigation that exposed the project's troubled implementation 1. Despite these documented failures, the government announced plans to expand the program over the coming years 1.
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