It is my "insurance company" because I am using traditional, everyday Medicare. It is the government that is electing to use AI to reduce the costs of care by economically selecting care for Medicare patients (preauthorization). The trial starts January 2026 and is starting in 6 states: Arizona, NJ, Washington, Ohio, Oklahoma and Texas. Involved AI companies stand to reap a bonus of 30% of savings by choosing cheaper (cost-saving) treatments. Sam Altman and other AI leaders praised the administration at a recent AI lunch at the WH. Maybe Open AI is participating in the trial - very likely so. Politics aside, I would like to make my health decisions with my doctor, not an AI algorithm.