In both health care and public health — distinct but overlapping fields — generative AI is already reshaping how systems operate. Clinical settings are leveraging generative AI tools to draft clinical notes and messages to patients , while the public health sector is exploring the ways these systems can tailor health messaging to different communities .

Yet across health care and public health, adoption of generative AI tools has often come with limited transparency and oversight, and little to no engagement with patients and communities, particularly those most impacted by structural inequity.

While centering community voices and priorities should be essential in generative AI development, governance, and implementation in any sector or domain, it is particularly critical in h

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