Consumer AI is becoming healthcare's front door and traffic controller

A peer-reviewed Nature Health Perspective argues that consumer health AI is shifting from an information tool toward control of the care pathway. Major platforms are connecting health-oriented language models to medical records, appointment booking, pharmacy fulfilment, payments, and clinical workflows. The paper examines ChatGPT Health, Amazon Health AI, Ant Group's Afu, and Claude for Healthcare, and says public-health importance increasingly depends on platform integration depth rather than model performance alone. Deeper integration could help patients complete care, especially where services are fragmented or resource constrained. It can also concentrate triage power and create new asymmetries in data and operational control. The proposed accountability framework focuses on evaluation, procurement, routing transparency, data governance, and exit options. Regulators should follow the entire pathway: who interprets symptoms, ranks providers, sees the record, takes payment, and lets a patient leave.