# 441. The Fight Over AI Use in Mental Healthcare (ft. Ciara Keegan, Ilana Marcucci-Morris) Page: https://stenobird.com/podcast/this-machine-kills-428599/441-the-fight-over-ai-use-in-mental-healthcare-ft-ciara-keegan-ilana-marcucci-morris Text version: https://stenobird.com/podcast/this-machine-kills-428599/441-the-fight-over-ai-use-in-mental-healthcare-ft-ciara-keegan-ilana-marcucci-morris.md Podcast: [This Machine Kills](https://stenobird.com/podcast/this-machine-kills-428599) Published: 2026-01-21T03:20:05+00:00 Episode link: https://soundcloud.com/thismachinekillspod/441-the-fight-over-ai-use-in-mental-healthcare-ft-ciara-keegan-ilana-marcucci-morris Audio file: https://feeds.soundcloud.com/stream/2251230269-thismachinekillspod-441-the-fight-over-ai-use-in-mental-healthcare-ft-ciara-keegan-ilana-marcucci-morris.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/this-machine-kills-428599/episodes/441-the-fight-over-ai-use-in-mental-healthcare-ft-ciara-keegan-ilana-marcucci-morris Duration seconds: 4186 ## Resource We chat with Ciara Keegan and Ilana Marcucci-Morris from the National Union of Healthcare Workers about their ongoing contract dispute with Kaiser Permamente over the use and role of AI in healthcare, especially mental and behavioural health. We discuss the impacts of AI on labor conditions and patient care in giant hospital systems like Kaiser — plus the ways Kaiser wants to leave the door open for deeper integration of AI and replacement of healthcare providers. ••• Kaiser, Don't Deny | NUHW https://kaiserdontdeny.org/ ••• Will AI Replace Your Therapist? Kaiser Won’t Say No https://www.kqed.org/science/1999553/will-ai-replace-your-therapist-kaiser-wont-say-no ••• Therapists went on a hunger strike to protest 'assembly line' conditions and the automation of mental healthcare https://www.bloodinthemachine.com/p/therapists-went-on-a-hunger-strike Standing Plugs: ••• Order Jathan’s book: https://www.ucpress.edu/book/9780520398078/the-mechanic-and-the-luddite ••• Subscribe to Ed’s substack: https://substack.com/@thetechbubble ••• Subscribe to TMK on patreon for premium episodes: https://www.patreon.com/thismachinekills Hosted by Jathan Sadowski (bsky.app/profile/jathansadowski.com) and Edward Ongweso Jr. (www.x.com/bigblackjacobin). Production / Music by Jereme Brown (bsky.app/profile/jebr.bsky.social) ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/this-machine-kills-428599/episodes/441-the-fight-over-ai-use-in-mental-healthcare-ft-ciara-keegan-ilana-marcucci-morris/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/this-machine-kills-428599/441-the-fight-over-ai-use-in-mental-healthcare-ft-ciara-keegan-ilana-marcucci-morris.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.