The feedback loop healthcare AI never got
A radiologist reviews a scan. The AI flags a suspicious mass. The patient is referred, biopsied, diagnosed. The physician closes the loop.
The AI never does.
Was the flag correct? Was it a false positive? The answer sits in a different EHR, a different department, sometimes a different institution – and arrives months later. Nobody systematically pipes that signal back to the model, because the infrastructure to do so was never built.
It is how healthcare has always been organized: services separated, records siloed, pathways fragmented. Imperfect, but functional enough for clinical care – and invisible enough that nobody felt the cost.
In most systems, the feedback loop is the first thing you set up. You ship, you measure, you iterate. The signal is fast, systematic, and the model improves. Healthcare AI never got that infrastructure.
Rory Pilgrim, Product Manager at Google Research, made an observation in the "Confidentially Yours" episode worth sitting with:
The slow feedback loop is not just a limitation. It is an opportunity.
If closing the loop leads to better outcomes – fewer missed diagnoses, fewer unnecessary recalls, models that improve on real-world data – institutions have a concrete reason to build the outcome pipelines they never prioritized. AI creates the business case for data infrastructure healthcare never had sufficient reason to build.
But acting on that immediately hits a structural wall.
Outcome data is patient data – highly regulated and, in most architectures, legally immovable. Traditionally, that immovability is the barrier. The data that would close the loop cannot cross the compliance boundary, so the loop stays open.
Super Swarm inverts the problem. Models can live anywhere – on-premise, in the cloud, across institutions. Instead of moving data to the model, computation runs inside a hardware-attested confidential computing environment – where even the operator cannot access what's being processed. Institution-specific outcomes never cross organizational or regulatory lines. The exposure risk is architecturally eliminated.
The feedback loop healthcare AI never got is now within reach.
🎥 "Confidentially Yours" with Rory Pilgrim and host Mike Bursell (Advisor, Super Protocol).
👉 Scan to watch the full episode, or find the link in the comments