Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article, "In medicine and law, professions that society relies upon for accuracy." He argues that labeling AI errors as "hallucinations" is a dangerous euphemism that trivializes real psychiatric conditions and downplays the serious threat these errors pose to professions built on trust. He insists on using the term "fabrications" to accurately describe the plausible-sounding but often entirely false information generated by large language models. Citing alarming examples, including a study where 47 percent of AI-generated medical citations were fake and a legal case built on invented precedents, Muhamad explains how these fabrications directly threaten patient safety and justice. With no clear accountability for algorithmic errors, he calls for urgent action, including rigorous education on AI's limitations, mandatory disclosure of its use, and a commitment to terminology that reflects the ethical gravity of the problem.

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AI isn't hallucinating, it's fabricating—and that's a problem

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