我测试了美国政府的AI聊天机器人America.gov的健康问答功能


2026-09-30T13:33:00-0400 / 哥伦比亚广播公司新闻(CBS News)

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2026年9月30日 / 美国东部时间下午1:33 / 哥伦比亚广播公司新闻(CBS News)

周二在“让美国再次健康”峰会上,美国卫生与公众服务部部长小罗伯特·F·肯尼迪表示,人工智能可以为患者提供“比国内任何医生都掌握更充分信息的第二诊疗意见”。他称AI有能力“将我们从医疗暴政中解放出来”。他还表示,那些告诉美国人应听从专家意见的公职人员将“永远再也”无法掌控民众:“如果有人告诉你疫苗可以预防传播和感染,或者你需要接种疫苗来保护你的祖母,AI可能会说实际上它做不到这一点。”

同一天,白宫推出了America.gov。该网站承诺“仅提供来自官方政府渠道的简单答案”。其健康类问答内容引用了肯尼迪所监管的机构:美国疾病控制与预防中心(CDC)、美国食品药品监督管理局(FDA)、美国国立卫生研究院(NIH)以及美国医疗保险和医疗补助服务中心(CMS)。

因此,我向America.gov寻求了第二诊疗意见。我向它提出了37个问题。其答案往往十分复杂,因为官方来源之间已不再相互一致。

什么是America.gov?

9月29日签署的一项行政命令将该网站打造为“联邦服务的单一数字入口”。该网站由白宫国家设计工作室开发,由美国总务管理局运营,依托Gemini和xAI的Grok技术,整合了约2.9万个政府网站的内容。但当我询问它使用了哪种AI时,它回答:“我不会透露底层软件的细节。”

它在疫苗与自闭症问题上持何立场?

我首先询问了自闭症与疫苗的相关问题。2025年11月,肯尼迪下令修改CDC的一则页面。该页面如今写道:“‘疫苗不会导致自闭症’的说法并非基于证据的主张。”但CDC的其他页面仍称研究未发现两者存在关联。

该聊天机器人并未偏袒任何一方。由于两份页面均为官方内容,它开篇便表示“CDC的不同页面目前说法并不一致”。它援引了两种版本的说法,并提及纽约州和科罗拉多州的卫生官员称新措辞与研究结果不符。随后它表示:“我无法验证涵盖所有疫苗的单一联邦结论。”

它如何判定哪些页面内容更具权威性?

我就此提问。它表示会优先考虑“负责该项目的机构作出的最终判定”。在此之后,会优先选择“最新的官方来源”。这一规则听起来合理,因为当科学或政策发生变化时,机构通常会更新页面。但当法院叫停最新页面时,该规则就会失效,乙肝疫苗接种建议的相关事件便是如此。

去年12月,CDC取消了针对所有新生儿的乙肝疫苗接种建议。但今年3月,一名联邦法官叫停了这一变更,恢复了针对所有新生儿的接种建议。美国政府已提起上诉。

我以三种不同方式询问了新生儿乙肝疫苗接种的问题。由于2025年12月的页面是最新的,聊天机器人采用了该版本的说法,但这是错误的。目前仍建议新生儿接种乙肝疫苗。

该聊天机器人从未提及法院禁令

2025年6月,肯尼迪解雇了CDC疫苗咨询委员会的全部17名成员,称该委员会“不过是为任何疫苗背书的橡皮图章”。他任命了自己的亲信接任。同年12月,他任命的新委员以8票赞成、3票反对的投票结果终止了针对所有新生儿的出生时接种乙肝疫苗的建议。

3月16日,马萨诸塞州联邦法院法官布莱恩·E·墨菲叫停了这一投票。他认定肯尼迪组建的新委员会很可能违反了要求咨询委员会成员构成平衡的联邦法律。因此,该禁令同时叫停了新委员的任命以及1月份对儿童疫苗接种时间表的全面调整。

美国儿科学会等多个团体提起了诉讼。该禁令还暂停了新委员会成员的任命以及1月份对儿童疫苗接种时间表的全面调整。此前包含出生剂量疫苗的接种时间表恢复生效。

我以三种不同方式询问了新生儿乙肝疫苗接种的问题。每次聊天机器人都让我参考2025年12月的CDC和卫生与公众服务部情况说明书,从未提及法院禁令。

该聊天机器人称CDC已于1月份公布了新的“三类”疫苗接种时间表。而法院也已叫停了1月份的新时间表。

它还在哪些方面出现错误?

关于胰岛素,它表示:“大多数D部分计划将胰岛素的月供应量费用封顶在35美元(仅限参与计划;请查看你的处方集)。”“参与计划”指的是2021年启动的一项自愿性医疗保险试点项目。根据KFF的数据,约38%的D部分计划加入了该试点。在2022年的《通胀削减法案》中,国会将35美元的费用封顶政策扩展至所有D部分计划。该聊天机器人仅描述了试点项目,却遗漏了取代该试点的法律条款。

关于生牛奶、吸烟等问题的回答准确

当我输入胸痛和左臂麻木的症状时,它的第一句话是“立即拨打911”。如果是幼儿吞下了降压药,它首先提供了毒物控制中心的电话号码。它引导我了解了医疗保险D部分的注册窗口以及医疗补助的上诉流程。它的西班牙语问答内容与英语版本一致。它表示生牛奶并不比巴氏杀菌牛奶更健康,且吸烟会导致肺癌。

白宫回应

哥伦比亚广播公司新闻就聊天机器人的回答向白宫和卫生与公众服务部置评请求作出回应。一名白宫官员回应称:“America.gov将持续更新,为美国人提供最准确、最可靠的联邦信息和资源。”

人们应该使用America.gov吗?

可以用它来查找表格和截止日期。健康相关问题请咨询你的医疗服务提供者。

本文最初发表在塞琳·贡德里博士的《潜在病症》Substack通讯中。点击此处阅读更多内容并订阅。

I tested America.gov, the government’s AI chatbot, on health questions

2026-09-30T13:33:00-0400 / CBS News

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September 30, 2026 / 1:33 PM EDT / CBS News

On Tuesday at the Make America Healthy Again summit, Health and Human Services Secretary Robert F. Kennedy Jr. said that artificial intelligence can give patients “a second opinion that is much better informed than any doctor in the country.” He said it has the power to “free us from medical tyranny.” He also said public officials who tell Americans to defer to experts will “never ever again” be able to dominate them: “If somebody tells you that a vaccine will prevent transmission and infection, or you need to take it to protect your grandmother, A.I. may say it actually doesn’t do that.”

The same day, the White House launched America.gov. It promises “simple answers only from official government sources.” Its health answers cite agencies Kennedy runs: the Centers for Disease Control and Prevention, the Food and Drug Administration, the National Institutes of Health, and the Centers for Medicare & Medicaid Services.

So I asked America.gov for a second opinion. I sent it 37 questions. The answers were often complicated, because the official sources no longer agree with each other.

What is America.gov?

An executive order signed Sept. 29 makes the site “a single digital point of entry” for federal services. The White House’s National Design Studio built it, the General Services Administration runs it, and it’s powered by Gemini and xAI’s Grok, drawing on about 29,000 government websites. But when I asked which AI it runs on, it said, “I do not share details about the underlying software.”

What does it say about vaccines and autism?

I started with autism and vaccines. In November 2025, Kennedy ordered a change to a CDC page. The page now says, “The claim ‘vaccines do not cause autism’ is not an evidence-based claim.” Yet other CDC pages still say studies find no link.

The chatbot didn’t pick a side. Since both pages are official, it opened with “CDC pages currently do not all say the same thing.” It quoted both versions and pointed to health officials in New York and Colorado, who call the new wording inconsistent with the research. Then it said, “I cannot verify a single federal conclusion that covers every vaccine.”

How does it decide which page wins?

I asked. It said it prefers “the agency that runs the program for a final determination.” After that, it prefers “the most recent official source.” The rule sounds sensible, because agencies usually update a page when the science or the policy changes. It fails when a court has paused the newest page, as happened with the hepatitis B shot.

Last December, CDC dropped its hepatitis B shot recommendation for every newborn. But in March, a federal judge paused that change and restored the recommendation for every newborn. The government has appealed.

I asked about the newborn hepatitis B shot in three different ways. Because the December page is the newest, the chatbot went with that, but that’s wrong. It is still recommended that a newborn get a hepatitis B shot.

The chatbot never mentioned the court order

In June 2025, Kennedy fired all 17 members of the CDC’s vaccine advisory committee, calling the panel “little more than a rubber stamp for any vaccine.” He named his own replacements. That December, his appointees voted 8 to 3 to end the recommendation of a hepatitis B shot at birth for every newborn.

On March 16, Judge Brian E. Murphy of the federal court in Massachusetts paused that vote. He found that Kennedy’s new committee likely broke a federal law requiring balanced advisory panels. So his order also paused appointments for the new members and a January overhaul of the childhood schedule.

The American Academy of Pediatrics and other groups had sued. His order also paused the new committee members’ appointments and a January overhaul of the childhood schedule. The earlier schedule, including the birth dose, went back into effect.

I asked America.gov about the newborn shot in three different ways. Each time, the chatbot told me to prefer the December 2025 CDC and HHS fact sheets, never mentioning the court order.

The chatbot said CDC had announced a new “three-category” schedule in January. The court has also paused the January schedule.

What else did it get wrong?

On insulin, it said, “most Part D plans cap insulin at $35 for a month’s supply (participating plans; check your formulary).” “Participating plans” describes a voluntary Medicare pilot that started in 2021. About 38% of Part D plans joined it, according to KFF. In the 2022 Inflation Reduction Act, Congress extended the $35 cap to every Part D plan. The chatbot described the pilot and left out the law that replaced it.

Accurate answers on raw milk, smoking, more

When I typed chest pain and a numb left arm, its first words were “Call 9-1-1 now.” For a toddler who swallowed blood pressure pills, it put Poison Control’s number first. It walked me through Medicare Part D enrollment windows and Medicaid appeals. Its Spanish answers matched its English ones. It said raw milk isn’t healthier than pasteurized milk and that smoking causes lung cancer.

The White House responds

CBS News asked the White House and HHS for comment on the chatbot’s answers. A White House official responded, “America.gov will continue to be updated to provide Americans the most accurate and reliable federal information and resources.”

Should people use America.gov?

Use it to find forms and deadlines. Take your health questions to your healthcare provider.

This article was originally published inDr. Céline Gounder’s “Underlying Conditions” newsletter on Substack.Read more and subscribe here.

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