I know and appreciate Joseph, a Kenyan health leader from Murang’a County, for years of diligent leadership and contributions as a Scholar of The Geneva Learning Foundation (TGLF). Recently, he began submitting AI-generated responses to Teach to Reach Questions that were meant to elicit narratives grounded in his personal experience. Seemingly unrelated to this, OpenAI just announced plans for specialized AI agents—autonomous systems designed to perform complex cognitive tasks—with pricing ranging from $2,000 monthly for a “high-income knowledge worker” equivalent to $20,000 monthly for “PhD-level” research capabilities. This is happening at a time when traditional funding structures in global health, development, and humanitarian response face unprecedented volatility. These developments intersect around fundamental questions of knowledge economics, authenticity, and power in global health contexts. I want to explore three questions: Artificial intelligence within punitive accountability structures of global health For years, Joseph had shared thoughtful, context-rich contributions based on his direct experiences. …
