2026 Predictions: The Year AI Reshapes Medicine For Everyone
Steve Brown, CEO of CureWise, Shares his AI Predictions for 2026
In 2023 and 2024, I built AI demos for techno-optimists who planned to live to 120. In 2025, I learned I had cancer and became obsessed with building AI for precision medicine, for my own survival. That contrast taught me something about the distance between what technology makes possible and what actually changes our lives.
We already have AI that predicts protein structures, reads pathology slides, and spots patterns across millions of records. What we don’t have is the connective tissue that turns those predictions into decisions that matter. The gulf between frontier research and the exam room where someone hears “cancer” remains enormous.
That starts to shift in 2026. Big tech will build for medicine at scale. Precision medicine will become accessible through platforms like CureWise, empowering patients to understand their own biology and advocate for their best treatment options. Yet progress will meet resistance. The real challenge isn’t the models or the data, it’s us, how we translate, regulate, and trust what we’ve built. And nowhere is that test sharper than in cancer, the disease that forces us to decode life itself.
Prediction 1: Big Tech Turns Its AI Toward Health
By 2026, the major AI labs will finally turn their full attention to healthcare. They will not build hospitals or run trials. They will build health copilots, general intelligence that helps people and clinicians think through medical problems.
These models already know more medicine than most institutions can store. They have absorbed decades of textbooks, case reports, and trial data. They can summarize patient histories, flag contradictions, and outline likely diagnoses. What they have lacked is a way into real life. That begins to change as they are embedded in the systems we already use to search, message, and document care.
OpenAI will introduce a general health assistant that acts like a translator between patients, doctors, and data. It will turn questions, symptoms, notes, and lab results into clear summaries and probable next steps. The system will live inside patient portals and electronic health records, guiding both sides of the encounter without stepping into diagnosis or prescription.
Google will extend its reach from search to health reasoning. DeepMind’s biology models and Isomorphic Labs’ drug-design engines will stay upstream, but Google’s near-term play is integration, linking wearables, medical records, and lifestyle data into one adaptive view of health.
Anthropic will compete on trust and interpretability. Claude will position itself as the safest and clearest health copilot, able to explain how it reaches conclusions across imaging, genomics, and clinical text.
The economics make it inevitable. U.S. healthcare spending will exceed $5 trillion by 2026. A small gain in accuracy or efficiency is worth hundreds of billions. For Big Tech, medicine is no longer a niche market; it is the next platform.
What changes in 2026 is not capability but presence. The same AI systems that learned to code and write will begin mediating medical knowledge in real time, turning general understanding into everyday guidance.
This is where the story of AI in health starts, with universal copilots that make medical reasoning accessible to everyone. But true precision, the kind that matches biology to therapy and patient to outcome, will come from a different layer entirely.
Prediction 2: Precision Medicine Gets Democratized
If Big Tech’s health copilots generalize medicine, CureWise will make it personal. The shift beginning in 2026 moves from population models to individual biology, from “What usually works?” to “What works for me?”
Precision medicine won’t mean finding a single answer or a single drug. It will mean managing an entire process around a disease that keeps changing. Every cancer is a moving target. Cells mutate, defenses adapt, and treatments succeed or fail in real time. Managing that complexity takes more than intelligence; it demands orchestration.
The world needs an application layer built for cancer. Its complexity is beyond what chatbots or dashboards can manage. What comes next are systems that bring together every kind of intelligence and align them into one coherent strategy.
CureWise is designed for that role. It starts with each patient’s own medical record, not a population average. It brings together genomic sequencing, proteomic and transcriptomic data, pathology, imaging, and the clinical notes that capture real symptoms. The result will be a living model of the disease that updates with every scan, lab result, and clinical response.
On offense, it analyzes combinations of agents most likely to target the cancer’s specific vulnerabilities. On defense, it monitors immune health, treatment toxicity, and the balance between therapies that extend life and those that preserve quality of life. It factors in sleep, exercise, nutrition, and stress because biology never stops at the lab panel. It also keeps scanning the horizon for new trials, drugs, and discoveries that could change the odds.
CureWise is more than a chatbot. It is an intelligent management system built for the complexity of cancer, where reasoning, data, and action have to move together. It coordinates every dimension of care, translating information into strategy rather than conversation.
As platforms like CureWise scale in 2026, precision medicine begins to shift from academic theory to patient-driven practice. Individuals gain access to the same intelligence that once required an entire cancer institute. Each case feeds back into the system, accelerating the collective understanding of disease.
The era of general health copilots will make medicine more informed. The era of precision systems will make it personal, and that difference will save lives.
Prediction 3: Translation and Policy Become the Make-or-Break Factor
By 2026, the greatest obstacle to progress in medicine won’t be biology or technology. It will be permission. The models will already know how to predict, synthesize, and recommend with superhuman precision. The question will be whether we’re allowed to use them.
Just as medicine approaches its most promising moment, a new disease spreads faster than cancer itself—bureaucratic panic. In 2025 alone, more than a thousand AI-related bills were introduced across the United States, many written by legislators who couldn’t explain how a neural network works. Fifty different state regulators now compete to define “responsible AI,” each with its own rules, definitions, and political incentives. A system built to protect the public is instead smothering innovation under a pile of good intentions and bad understanding.
This confusion isn’t limited to healthcare. The “AI doomers,” convinced that intelligence itself is dangerous, are shaping laws that treat lifesaving medical systems as if they were weapons. While cancer mutates every few weeks, policymakers debate hypothetical apocalypses. The tragic irony is that, in trying to save humanity from imagined machines, we risk blocking the ones that could save actual lives.
Medicine wasn’t designed for this pace. Clinical trials take years, regulatory reviews take longer, and reimbursement systems still run on the logic of averages. But AI learns continuously. It can already analyze thousands of variables across millions of patient cases and propose targeted therapies that outperform traditional care. The gap between what the technology can do and what the system allows widens every day.
By 2026, that tension reaches breaking point. The first hospitals using adaptive, AI-guided treatment begin showing measurable survival advantages. Patients notice. Doctors notice. The pressure on regulators intensifies.
Three shifts start to take shape. Regulators pilot adaptive trials that learn from every patient instead of ending when the paper is published. The FDA grants conditional approvals when AI predictions align with early real-world results. Insurers begin covering AI-guided treatments once data-driven evidence outpaces traditional trials, even when those treatments are off-label.
Progress will still be fragile. One failure that harms patients could trigger years of backlash. The real test won’t be technological but cultural, a question of whether society can tell the difference between real risk and imagined fear.
If we get it right, 2026 becomes the year policy catches up with possibility. If we get it wrong, bureaucracy will delay the cure longer than cancer ever could.
Prediction 4: Cracking Cancer Means Cracking the Code of Life
In 2026, we begin to take the first real steps toward decoding life itself. Cancer will lead the way. It is not one disease but a biological process that reveals how life grows, defends, and survives. To cure it, we have to understand the same rules that make life possible.
Cancer takes hold when three things go wrong. A mutation drives uncontrolled growth. The immune system fails to recognize the threat. And the cell disables its own self-destruct sequence, the mechanism that normally kills damaged or dangerous cells. Every major class of therapy has attacked one of these vulnerabilities. Chemotherapy tried to destroy anything that was dividing. Immunotherapy trained the body to mark what did not belong. Newer drugs target the survival circuits that let cancer outlive its mistakes. Each advance pushes us closer to the source code of biology.
In 2026, that pursuit accelerates. For the first time, researchers will sequence entire cancer cells, not just fragments of DNA floating in the bloodstream. AI systems will model how those cells evolve under pressure, predict new mutations, and simulate drug responses before they appear in the clinic. Early versions of these models will design personalized drug combinations that adapt as the tumor does.
Every cancer will start to look like its own ecosystem, and every patient will need a treatment strategy as unique as their biology. AI will make that scale possible. It can map cell signaling, immune response, and metabolic stress at once, then forecast which combinations of drugs, timing, and support therapies give the best chance of success.
The first working systems for whole-cell genomics and dynamic treatment prediction will emerge in 2026. They will not solve cancer, but they will mark the beginning of understanding it at the level life understands itself.
Cracking cancer means cracking the code of life. In 2026, we start to learn the language.
Conclusion: From Survival to Understanding
In 2025, I started building what I needed to stay alive. I learned how immunotherapy really worked, how my cancer’s specific genetics opened new doors to disrupt its survival mechanisms, and how to manage the immune, metabolic, and lifestyle sides that shape every treatment outcome. I accelerated my own research because I had to.
Somewhere in that process, survival turned into understanding. I stopped waiting for answers and began building systems to find them. The same reasoning I used to connect my data now drives what we’re creating for everyone else.
In 2026, that approach scales. What was once an act of self-preservation becomes a framework for empowering others. The intelligence that helped me advocate for better care in 2025 will become accessible to anyone.


Thanks for your wonderfully astute definition of the cusp we’ve reached, and for clearly defining the potential for reward as well the risks in delayed uptake.