Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases | ChatGPT Health performance in a structured test of triage recommendations

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For implementers, this promise-heavy design constrains optimization opportunities. The spec mandates specific promise resolution ordering, making it difficult to batch operations or skip unnecessary async boundaries without risking subtle compliance failures. There are many hidden internal optimizations that implementers do make but these can be complicated and difficult to get right.

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