Stage 4: tested with real people.
The rule that placed itA randomized trial or field study has tested it with real people doing the task.
The evidenceIn a randomized study of 1,298 UK adults, people using chatbots made no better decisions than people using search or their own judgment. Oxford Internet Institute · Nature Medicine, Feb 9, 2026.
A stage says how far the evidence has got. It is not a rating of the AI and not advice.
- 1ClaimedNo evidence yet
- 2LaunchedEvidence found
- 3Independently testedEvidence found
- 4Tested with real peoplePlaced here
- 5Regulator-clearedNo approval process exists
- 6Widely used with a verified recordEvidence found
Everything we found.
In ladder order, newest first within each kind. Makers' own claims are labeled as theirs.
What has launched
- ChatGPT Health (OpenAI)
ChatGPT Health (OpenAI) is available to the public.
OpenAI (company-reported) · Jan 7, 2026
What independent tests found
- BMJ Open audit study (researchers in the US, Canada and UK)
In an expert-graded audit of 250 answers from ChatGPT, Gemini, Meta AI, Grok and DeepSeek on health topics prone to misinformation, about half were problematic.
“Nearly half (49.6%) of responses were problematic: 30% somewhat problematic and 19.6% highly problematic.”
BMJ Open · Apr 2026
Tested with real people
- Randomized trial, 1,298 UK adults
In a randomized study of 1,298 UK adults, people using chatbots made no better decisions than people using search or their own judgment.
“Those using LLMs did not make better decisions than participants who relied on traditional methods”
Oxford Internet Institute · Nature Medicine · Feb 9, 2026
How many people use it
- Pew Research Center, Feb 2026
20% of US adults use it (Pew Research Center, Feb 2026).
Pew Research Center, Americans and AI 2026 · Jun 17, 2026
- KFF, May 2026
29% of US adults use it (KFF, May 2026).
KFF Tracking Poll on Health Information and Trust · Jun 17, 2026
Not found in our sources yet: what the makers claim. No regulator approves AI for this task, so the approval step doesn't apply.
Track record and tools.
Failures and court cases are shown beside the stage, never folded into it. Tools are listed because the evidence names them, in no order of merit.
- ChatGPT HealthOpenAI
- ChatGPTOpenAI
- GeminiGoogle
- Meta AIMeta
- GrokxAI
- DeepSeekDeepSeek
Can AI do these yet?

Spot breast cancer on a mammogram
Stage 5 of 6Regulator-cleared
Transpara has been FDA-cleared since 2018, most recently in Aug 2026

Check a mole for skin cancer
Stage 5 of 6Regulator-cleared
EU Class III CE mark lets DERM clear benign cases alone (company)

Be my therapist
Stage 4 of 6Tested with real people
Pilot trial: therapy chatbot did no better than ChatGPT on depression
