AI Strategy• Jul 27, 2026
Domain-Engineered vs General AI: Why Pointing a Foundation Model at Healthcare Does Not Work
Domain-specific AI is a system where the model, the data, the guardrails, and the workflow are all engineered around one industry's rules and one job. Vertical AI beats horizontal AI when the cost of a wrong answer is high, because the accuracy gap shows up exactly where it hurts. A foundation model on its own does not carry your specialty, your consent rules, or your escalation path. Someone has to build that.
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