Stanford Legal

Artificial Intelligence holds the potential to transform much of our lives and healthcare professions are embracing it for everything from cost savings to diagnostics. But who is to blame when AI assisted healthcare goes wrong? How is the law developing to balance the benefits and risks? In this episode, Pam and Rich are joined by health policy expert Michelle Mello and Neel Guha, a Stanford JD/PhD candidate in computer science, for a discussion on the transformative role of AI in healthcare. They examine AI’s potential to enhance diagnostics and streamline workflows while addressing the ethical, legal, and safety challenges this new technology can bring. The conversation highlights the urgency of adapting regulatory frameworks, the complexities of liability among hospitals, developers, and practitioners, and the need for rigorous testing to ensure patient safety as AI integration in healthcare advances.Connect:Episode Transcripts >>> Stanford Legal Podcast WebsiteStanford Legal Podcast >>> LinkedIn PageRich Ford >>>  Twitter/XPam Karlan >>> Stanford Law School PageStanford Law School >>> Twitter/XStanford Lawyer Magazine >>> Twitter/XLinks:Michelle Mello >>> Stanford Law page(00:00:00) Chapter 1: Understanding AI in MedicineThe episode begins with a broad introduction to AI's applications in medicine. Neel Guha explains generative AI systems and their rapid advancement, including practical applications like chatbots, imaging, and decision-making tools. Michelle Mello highlights AI's widespread integration, from diagnostic tools like radiological imaging and predictive algorithms to administrative uses that aim to reduce physician burnout.(00:07:04) Chapter 2: The Benefits and Risks of AI in HealthcareThe group explores the advantages of AI in medicine, such as enhanced diagnostic precision, reduced administrative burdens, and improved patient outcomes. Michelle Mello identifies potential risks, like automation bias, where reliance on AI might lead to unchecked errors, highlighting the tension between time-saving tools and maintaining human oversight.(00:08:22) Chapter 3: Legal Challenges and Liability in AI-Driven MedicineThe conversation turns to the legal implications of AI in healthcare. Neel Guha outlines scenarios where AI contributes to patient harm, discussing negligence claims, product liability, and the complexity of determining accountability. Michelle Mello and the hosts analyze how liability standards might evolve, comparing AI's systematic errors to human fallibility and addressing the interplay of human-AI collaboration in preventing mistakes.(00:14:47) Chapter 4: The Challenges of AI and Transparency in Decision-MakingThe group explores parallels between medical and anti-discrimination fields in understanding machine learning's opaque decision-making. Neel Guha delves into the evolution of AI systems from rule-based programming to complex machine learning, emphasizing challenges in identifying points of failure across stakeholders like hospitals, physicians, and developers.(00:17:35) Chapter 5: Regulation and Liability of AI in HealthcareMichelle Mello discusses the regulatory framework for AI as a medical device, comparing outdated 1976-era regulations to modern challenges. The conversation shifts to gaps in tort liability and the risks of developers limiting their liability through contracts. Proposals for redistributing liability to incentivize better private governance are examined alongside the need for robust AI quality assurance akin to crash tests or clinical trials.(00:23:13) Chapter 6: The Road Ahead: Balancing Innovation and SafetyThe speakers analyze the distinct challenges of regulating AI across diverse healthcare environments. Neel Guha and Michelle Mello discuss adapting evaluation practices to align with AI's real-world complexities. Optimism prevails as Michelle highlights AI’s potential to address critical issues like diagnostic delays, advocating for guardrails to ensure safety without stifling innovation. The episode concludes with reflections on Stanford's interdisciplinary approach to these pressing issues.

Matt Platkin, who was the youngest-ever AG in the country when he was appointed in 2022, discusses some of his public safety initiatives such as the ARRIVE Together program, which pairs mental health professionals with law enforcement to improve responses to mental health crises. Among other pressing issues facing New Jersey, Platkin also addresses his state's comprehensive approach to gun violence, which focuses on data-driven crime enforcement, community violence prevention, and legal accountability for firearm manufacturers.Connect:Episode Transcripts >>> Stanford Legal Podcast WebsiteStanford Legal Podcast >>> LinkedIn PageRich Ford >>>  Twitter/XPam Karlan >>> Stanford Law School PageStanford Law School >>> Twitter/XStanford Lawyer Magazine >>> Twitter/XLinks:Matt Platkin >>> State of New Jersey Page(00:00:00) Chapter 1: The Role and Challenges of State Attorneys General Show Notes: Host Rich Ford introduces Matt Platkin, Attorney General of New Jersey, and dives into the multifaceted role and responsibilities of state attorneys general, especially in enforcing public safety and overseeing large-scale law enforcement. Platkin shares insights on the expectations and hurdles faced by AGs, highlighting the critical role they play in protecting communities.(00:03:42) Chapter 2: Innovative Crisis Intervention Programs The discussion shifts to the "ARRIVE Together" program, a pioneering mental health and law enforcement collaboration aimed at de-escalating crisis situations. Platkin explains how pairing officers with mental health professionals in crisis response has drastically reduced force incidents and arrests in New Jersey. He also touches on the broader need for mental health resources, noting how training and interdisciplinary cooperation contribute to more effective, compassionate responses.(00:09:10) Chapter 3: Public Health Approaches to Opioid and Gun Crises Platkin outlines New Jersey's proactive strategies to tackle the opioid and gun violence epidemics, focusing on diversion programs, community partnerships, and civil enforcement. He discusses the impactful results of addressing these issues as public health crises, noting the state’s success in reducing both opioid fatalities and gun-related violence through data-driven enforcement, community engagement, and targeted litigation against non-compliant businesses.(00:17:34) Chapter 4: Interstate Coordination and the Role of AGs in Federal LitigationAttorney General Matt Platkin explains the importance of collaboration among state attorneys general, including bipartisan efforts in federal litigation. He shares examples of major joint cases, such as those against Meta and Apple, and discusses how AGs coordinate on issues that transcend state lines, often through bipartisan associations.(00:20:14) Chapter 5: The Evolution and Influence of the New Jersey Supreme CourtPam Karlan asks Platkin about New Jersey’s innovative Supreme Court. Platkin delves into the unique aspects of New Jersey’s government structure, including the influential role of the state Supreme Court in affordable housing and school funding cases. He shares insights on recent judicial reforms and the impact of balanced partisan representation on the court.(00:25:08) Chapter 6: Path to Public Service and Career ReflectionsPlatkin recounts his journey from law school to Attorney General, sharing pivotal moments like working on Cory Booker’s campaign and volunteering in San Antonio. He reflects on how early career risks and public service aspirations shaped his path, highlighting the impact of his experiences on his leadership in New Jersey’s government.

Stanford Law's Daniel Ho and computer science/law student Mirac Suzgun discuss the enduring impact of racially restrictive covenants in real estate with host Rich Ford. Though unenforceable since 1948, these clauses are a lingering reminder of housing segregation and racism in the United States, as Professor Ho's own experience of discovering a covenant barring Asians from purchasing his home highlights. The conversation also looks at legislative efforts to remove the covenants and an innovative AI tool developed by Stanford's RegLab that helps counties identify and redact these covenants, streamlining the process while preserving the historical record.Connect:Episode Transcripts >>> Stanford Legal Podcast WebsiteStanford Legal Podcast >>> LinkedIn PageRich Ford >>>  Twitter/XPam Karlan >>> Stanford Law School PageStanford Law School >>> Twitter/XStanford Lawyer Magazine >>> Twitter/XLinks:Dan Ho  >>> Stanford Law School PageStanford’s RegLab >>> Stanford Page(00:00:00) Chapter 1: Introduction to Racial Covenants and AB 1466Host Rich Ford introduces the episode, guests Professor Dan Ho and SLS student Mirac Suzgun, and the topic of racial covenants in real estate. They discuss the persistence of racially restrictive covenants, despite being declared unenforceable by the Supreme Court in Shelley v. Kramer (1948), and highlight California’s AB 1466 law, which aims to address the issue.(00:04:00) Chapter 2: The Role of AI in Redacting Racial CovenantsDan Ho explains how Santa Clara County faced the challenge of identifying and redacting racial covenants from millions of historical deed records. The conversation shifts to the AI tool developed by Stanford’s RegLab, which automates the identification of racially discriminatory language in property documents. Mirac Suzgun elaborates on the stages of the AI tool, including OCR and machine learning, to help counties meet their legal obligations.(00:10:01) Chapter 3: Historical Context and Persistence of Racial CovenantsRich Ford and Dan Ho delve into the history of racial covenants, explaining their rise after the Buchanan decision (1917) and their persistence even after the Shelley v. Kramer ruling. They discuss how these covenants, though unenforceable, served as a community signaling function, reinforcing housing segregation for decades.(00:16:13) Chapter 4: The Legacy of Racial CovenantsRich Ford and Mirac Suzgun discuss the evolution of state-sponsored race segregation and the role of private covenants in perpetuating housing discrimination. They emphasize how these covenants, often embedded in property deeds, remain binding on homeowners, illustrating the historical entrenchment of racial segregation in real estate.(00:18:48) Chapter 5: Uncovering Historical Data and ResponsibilityDan Ho shares findings from a study revealing the prevalence of racial covenants in Santa Clara County. The discussion highlights the significant responsibility of a small number of developers in enforcing these covenants, contrasting this with the example of Joseph Eichler, who resisted such practices and promoted housing reform.(00:23:11) Chapter 6: Utilizing Technology for Social JusticeThe conversation shifts to the innovative tools developed to identify and address racial covenants in property records. The hosts explore the implications of these discoveries for understanding historical injustices and the importance of retaining historical records while advocating for modern social justice initiatives, plus closing remarks.

How are victims of intimate partner violence meant to protect themselves—and, often, their children—without winding up dead, in hospital, or prison? It’s a situation that many find themselves in. Approximately 15 percent of women in the United States are victims of intimate partner violence, according to the National Domestic Violence Hotline. But the legal system is not set up to help them. In this episode the executive director of the Stanford Criminal Justice Center, Debbie Mukamal, and Stanford Law student Jacqueline Lewittes join Pam and Rich to discuss the Center's new study “Fatal Peril: Unheard Stories from the IPV-to-Prison Pipeline and Other Stories Touched by Violence,” that offers groundbreaking data and personal stories from women currently in prison because of intimate partner violence. They also touch on the systemic failures in the justice system in handling these complex cases.  Connect:Episode Transcripts >>> Stanford Legal Podcast WebsiteStanford Legal Podcast >>> LinkedIn PageRich Ford >>>  Twitter/XPam Karlan >>> Stanford Law School PageStanford Law School >>> Twitter/XStanford Lawyer Magazine >>> Twitter/XLinks:Debbie Mukamal  >>> Stanford Law School PageFatal Peril: Unheard Stories from the IPV-to-Prison Pipeline >>> Stanford Law School Page(00:00:00) Chapter 1: Introductions and Goals of the Research Hosts Pam Karlan and Rich Ford discuss how the project on women incarcerated for killing their abusers began during the pandemic, sparked by a lack of national data on these cases with Debbie Mukamal and SLS student Jacqueline Lewittes. Mukamal explains how her team's long-standing relationships with the California Department of Corrections facilitated their research access despite COVID-19 restrictions.(00:04:12) Chapter 2: Research Design and Challenges The team outlines the complexities of designing the study, including broadening the focus beyond intimate partner killings and overcoming barriers like accessing reliable court records. They explain how they relied on direct interviews and used validated tools like the Danger Assessment and Composite Abuse Scale to assess the severity of abuse.(00:08:42) Chapter 3: Striking Findings and Legal Implications Explore key findings, including the prevalence of traumatic brain injuries among respondents and the failure of self-defense laws to protect abused women. Jacqueline highlights a specific case that illustrates how memory loss due to abuse complicates self-defense claims, underscoring the systemic legal failures.(00:18:30) Chapter 4: The Role of Intimate Partner Violence in Homicide CasesThe group delves into the startling statistics of women convicted of homicide in connection to intimate partner violence. Debbie Mukamal discusses how nearly 74% of women in their study had experienced abuse at the time of the offense, breaking down the subcategories of cases, from those who killed their abuser to others involving child fatalities.(00:21:25) Chapter 5: Systemic Failures in Protecting Abuse VictimsExamine the various ways in which the legal system fails to protect women who are victims of abuse. From denied protective orders to mistreatment by police and ineffective legal defense, the discussion highlights the failures at multiple levels and the resulting harsh sentences.(00:23:55) Chapter 6: Law Reform and the Impact of Trauma on Legal CulpabilityThis segment focuses on potential legal reforms, including changes to homicide statutes and the need for better understanding of traumatic brain injury (TBI) in abuse survivors. Debbie Mukamal and Pam Karlan discuss the implications of TBI on a woman’s ability to recall facts, and how reforms could better account for their experiences.