The Body is the Interface
A justice-driven exploration of how artificial intelligence is reshaping sexual and reproductive health—and what it means to design digital systems that center care, autonomy, and equity from the start.
- Indexed issues, last 90 days
- 5
- Latest publication
- Sep 9, 2026
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- Earliest in this view
- Jul 7, 2026
Latest issues
ChatGPT Can Connect to Epic. That Doesn’t Mean Epic Chose OpenAI. (opens the original)
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Last week, I wrote about OpenAI’s new integration with Epic and what it means for sexual and reproductive health organizations.There is an important clarification to make.This Substack is reader-supported. To receive new posts and support my work, consider becoming a free or paid subscriber.<div class="f
The Risk Isn’t That ChatGPT Can Read an Epic Chart. It’s What Happens Next. (opens the original)
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On September 1, OpenAI announced that healthcare organizations can connect Epic to ChatGPT for Healthcare.Clinicians can ask ChatGPT what has changed since a patient’s last visit, review medications and labs, identify unresolved follow-up, and summarize information from an authorized patient record.OpenAI has built meaningful controls around that access. The Epic connection is currently read-only. Users authenticate through their own Epic accounts. Existing chart permissions remain in place. Org
AI Treats the Same Question Differently by Language. For SRH, That Matters. (opens the original)
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Someone reading your AI-translated patient resources, or interacting with your AI scheduler, chatbot, or helpline assistant, is not guaranteed the same quality of answer in Arabic that they'd get in English. Anthropic's own research shows the model can be warmer and more agreeable in one language and more rigorous and risk-aware in another, on the same question. For an SRH organization, that difference can be the line between someone getting a clear warning about a drug interaction and getting a
The ICE-Medicaid Leak Is a Reproductive Health Story (opens the original)
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by Lyndsay Sanborn, MHPAFederal officials shared data on millions of Medicaid enrollees with ICE in January. ICE forwarded it to Palantir. When plaintiffs in the states’ lawsuit asked how the government confirmed Palantir purged the file, the answer was a redacted transcript showing ICE personnel asking Palantir over Microsoft Teams to delete it.The story broke on July 17 in a filing by more than twenty state attorneys general suing over
HIPAA Compliant” Is a Marketing Claim, Not a Promise (opens the original)
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Every week I watch a clinician paste something sensitive into an app because the app says it is HIPAA compliant. The phrase sounds like a guarantee. It reads like a lock on a door. It is neither. It is a marketing claim, and in reproductive health care it is a dangerous one.Start with what HIPAA actually does. It binds three kinds of players: health plans, clearinghouses, and health care providers who send health information electronically. The law calls them covered entities. When a covered ent
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