Why AI Governance Keeps Failing – And What We’re Missing

Across health, social protection, education, and public services, artificial intelligence is being deployed faster than governance systems can adapt. This gap is especially visible in low- and middle-income contexts, where institutional capacity is already stretched and the consequences of failure are borne disproportionately by vulnerable populations. In response, a familiar set of remedies has emerged:…

Health AI Will Fail Unless We Cross the Chasm

These reflections began at the HealthAI Global Governance Forum, held in Nairobi on 2 December 2025 specifically during a session on the “Innovative Pre-Market Approaches to Validate and Regulate AI in Health.”It was a session about the future of Software as a Medical Device (SaMD), regulatory adaptation, living labs, cognitive trust, continuous monitoring, and the…
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