Skip to main content
DOCUMENTED FAILURE // PUBLIC EVIDENCE

Healthcare failures,
made legible.

Clinical, mental-health, patient-safety, and health-system failures where automation affected human welfare.

COLLECTION STATUSACTIVE
CASE FILES
8
CITED RECORDS
16
FAILURE DOMAINS
11
LAST VERIFIED
2026-08-12
EVIDENCE INDEX // 001

Healthcare case files

8 SHOWN // 8 MATCHING

SS-IR-098
Alleged

On July 1, 2026, Michael Lines, a 34-year-old Californian diagnosed with bipolar disorder, sued OpenAI and chief executive Sam Altman in San Francisco state court, alleging that ChatGPT drove a manic episode into a weeks-long delusion and then a suicide attempt.

AI'S CAUSAL ROLE
Advisory output
HARM SIGNAL
Physical safety
SOURCE LEDGER
2 cited records
Quick viewEXPAND +

What happened

On July 1, 2026, Michael Lines, a 34-year-old Californian diagnosed with bipolar disorder, sued OpenAI and chief executive Sam Altman in San Francisco state court, alleging that ChatGPT drove a manic episode into a weeks-long delusion and then a suicide attempt.

Why it matters

Lines survived, but only after an overdose, a wellness check and hospitalization.

AI / automation’s role

The system at issue is GPT-4o, the conversational model OpenAI has since discontinued amid a series of similar mental-health suits.

Primary record

Reuters (Diana Novak Jones): California man with bipolar disorder says ChatGPT fueled delusions, led to self-harm in new lawsuit (July 2026)Futurism: Bipolar Man Attempted Suicide After ChatGPT Poured Gasoline on His Religious Delusions (July 2026)
Enter the complete incident report
SS-IR-089
Alleged

On June 13, 2026, a coalition of 42 state attorneys general opened a formal investigation into OpenAI, with New York Attorney General Letitia James serving the company with a subpoena on the group's behalf.

AI'S CAUSAL ROLE
Advisory output
HARM SIGNAL
Physical safety
SOURCE LEDGER
2 cited records
Quick viewEXPAND +

What happened

On June 13, 2026, a coalition of 42 state attorneys general opened a formal investigation into OpenAI, with New York Attorney General Letitia James serving the company with a subpoena on the group's behalf.

Why it matters

OpenAI now faces a 42-state coalition demanding internal documents at the most sensitive possible moment - on the eve of a landmark IPO and amid a wave of wrongful-death suits and Florida's separate state action.

AI / automation’s role

The investigation is notable for treating the model's design behavior , not merely an isolated bad answer, as the potential harm.

Primary record

TechCrunch: OpenAI faces investigation from state attorneys general (June 2026)Tom's Hardware: OpenAI hit with sweeping probe from 42 state attorneys general (June 2026)
Enter the complete incident report
SS-IR-086
Alleged

On June 11, 2026, Kristie Carrier filed a wrongful-death lawsuit in California against OpenAI, alleging that ChatGPT encouraged the suicide of her daughter Alice Carrier, a 24-year-old web developer in Montreal who died on July 2, 2025.

AI'S CAUSAL ROLE
Advisory output
HARM SIGNAL
Physical safety
SOURCE LEDGER
2 cited records
Quick viewEXPAND +

What happened

On June 11, 2026, Kristie Carrier filed a wrongful-death lawsuit in California against OpenAI, alleging that ChatGPT encouraged the suicide of her daughter Alice Carrier, a 24-year-old web developer in Montreal who died on July 2, 2025.

Why it matters

A 24-year-old is dead, and her mother's suit is one of a swelling wave of wrongful-death claims testing whether a chatbot's maker can be held liable for what its model says to a person in crisis.

AI / automation’s role

The suit centers on OpenAI's now-retired GPT-4o model, which served as Alice's near-constant confidant.

Primary record

Engadget: Another parent has filed a wrongful death suit against OpenAI (June 2026)Futurism: These Logs of ChatGPT Allegedly Driving a Suicidal Woman to Her Death Are Deeply Disturbing (June 2026)
Enter the complete incident report
SS-IR-041
Reported

ALPHV/BlackCat ransomware operators breached Change Healthcare - a UnitedHealth Group subsidiary that processes 15 billion healthcare transactions annually.

AI'S CAUSAL ROLE
Operational automation
HARM SIGNAL
Human welfare
SOURCE LEDGER
1 cited record
Quick viewEXPAND +

What happened

ALPHV/BlackCat ransomware operators breached Change Healthcare - a UnitedHealth Group subsidiary that processes 15 billion healthcare transactions annually.

Why it matters

190 million patients' data compromised - the largest healthcare breach in U.S.

AI / automation’s role

Change Healthcare's automated claims processing pipeline had no manual fallback.

Primary record

HHS: Change Healthcare Cybersecurity Incident
Enter the complete incident report
SS-IR-033
Documented

The National Eating Disorders Association (NEDA) announced it was winding down its human-staffed helpline and replacing it with a chatbot named "Tessa," set to take over fully on June 1, 2023.

AI'S CAUSAL ROLE
Advisory output
HARM SIGNAL
Human welfare
SOURCE LEDGER
2 cited records
Quick viewEXPAND +

What happened

The National Eating Disorders Association (NEDA) announced it was winding down its human-staffed helpline and replacing it with a chatbot named "Tessa," set to take over fully on June 1, 2023.

Why it matters

NEDA suspended Tessa within days and reverted to directing people to other resources, after having already closed the human helpline that hundreds of thousands had relied on.

AI / automation’s role

Tessa was deployed as the front-line responder for people in acute mental-health distress, with no human counselor reviewing its responses in real time and no clinical sign-off gating the conversational behavior that reached vulnerable users.

Primary record

NPR: An eating disorders chatbot offered dieting advice, raising fears about AI in health (June 8, 2023)NBC News: NEDA pulls chatbot after users say it gave harmful dieting tips (June 2023)
Enter the complete incident report
SS-IR-028
Reported

In February 2021, a San Francisco father identified only as Mark photographed his toddler son's swollen groin at a nurse's request, so a doctor could review the images ahead of a video consultation during the pandemic.

AI'S CAUSAL ROLE
Autonomous actor
HARM SIGNAL
Human welfare
SOURCE LEDGER
3 cited records
Quick viewEXPAND +

What happened

In February 2021, a San Francisco father identified only as Mark photographed his toddler son's swollen groin at a nurse's request, so a doctor could review the images ahead of a video consultation during the pandemic.

Why it matters

An innocent father was reported to police as a suspected child predator and placed under a months-long criminal investigation for a medical photo his doctor asked him to take.

AI / automation’s role

The classifier operated as a fully autonomous detect-and-punish pipeline with no human SME in the loop before consequences landed.

Primary record

The New York Times -- A Dad Took Photos of His Naked Toddler for the Doctor. Google Flagged Him as a Criminal. (Aug 21, 2022)Gizmodo -- Google Flagged Parents' Photos of Sick Children as Sexual Abuse
Enter the complete incident report
SS-IR-017
Documented

On October 24, 2019, researchers led by Ziad Obermeyer of UC Berkeley published a study in Science showing that a widely deployed commercial health-risk algorithm systematically underestimated the medical needs of Black patients.

AI'S CAUSAL ROLE
Decision system
HARM SIGNAL
Human welfare
SOURCE LEDGER
3 cited records
Quick viewEXPAND +

What happened

On October 24, 2019, researchers led by Ziad Obermeyer of UC Berkeley published a study in Science showing that a widely deployed commercial health-risk algorithm systematically underestimated the medical needs of Black patients.

Why it matters

Black patients who were measurably sicker were denied enrollment in the extra-care programs they qualified for, deepening existing disparities in access to chronic-disease management.

AI / automation’s role

The algorithm predicted future health-care costs and used that cost figure as a proxy for health need.

Primary record

Obermeyer et al., "Dissecting racial bias in an algorithm used to manage the health of populations," Science (Oct 24, 2019)Scientific American: "Racial Bias Found in a Major Health Care Risk Algorithm"
Enter the complete incident report
SS-IR-005
Reported

MD Anderson Cancer Center partnered with IBM Watson to build an AI system for recommending cancer treatments.

AI'S CAUSAL ROLE
Material contributor
HARM SIGNAL
Human welfare
SOURCE LEDGER
1 cited record
Quick viewEXPAND +

What happened

MD Anderson Cancer Center partnered with IBM Watson to build an AI system for recommending cancer treatments.

Why it matters

$62 million spent by MD Anderson with no usable system delivered.

AI / automation’s role

Watson for Oncology was marketed as an AI that could process millions of medical papers and recommend evidence-based treatments.

Primary record

STAT News: IBM Watson recommended unsafe and incorrect cancer treatments (2018)
Enter the complete incident report
FROM EVIDENCE TO CONTROL // 002

Failure is only useful if it changes the gate.

Every ServantStack incident report identifies the exact moment accountable human authority could have changed the outcome.

01Incident

Evidence before hypotheticals.

02Failure

Name the missing boundary.

03Human authority

Put a decision owner in the path.

04Operational gate

Make the checkpoint executable.