Rafael Weuts, who worked for several years with the Belgian healthcare department RIZIV, described a different kind of failure mode, one where the technology itself worked, but the surrounding conditions weren't ready. His team had used AI to fix a genuinely painful search problem: a doctor searching for "sprained ankle" guidance could previously surface completely unrelated results due to word overlap. AI fixed that, and fixed it well.
But success created a new problem. Once an American medical chatbot became popular among doctors, the pressure to build something comparable, but locally relevant, sharpened. The catch: any system offering patient-specific advice automatically triggers the EU AI Act's high-risk classification for medical devices, and the certification norms for that category simply aren't ready yet.
Their workaround was pragmatic, RIZIV built something closer to a medical atlas rather than a system offering patient-specific advice, avoiding the regulatory trap while still delivering value. Weuts' broader point: succeeding here required someone who understood the technology, the regulation, and the domain simultaneously. An engineer alone builds something that can't be certified. A lawyer alone tells you it's illegal and stops there. Neither perspective alone gets the project across the line.