The AI Bubble Nobody's Talking About with Brian Singer, CTO as RSI

In this episode of Modern CTO, host Joel Beasley sits down with Brian Singer, CTO at RSI and founder of The Singer Concept, to discuss the often-overlooked 'AI bubble' in healthcare technology. Singer argues that the real danger isn't overinvestment in AI as a concept, but the widespread misrepresentation of software development firms as AI companies—many of which lack real AI capabilities and instead offer basic automation APIs. He warns that desperate healthcare executives, under pressure to improve margins, are falling prey to these vendors, leading to costly, never-ending custom development cycles with little ROI. Singer shares his solution: a shared-risk model where vendors prove value through low-cost proofs of concept and only get paid if they deliver measurable results—aligning incentives and protecting both parties. He also highlights critical governance risks, such as AI hallucinations, biased decision-making in claims processing, and the need for internal AI oversight. On a broader scale, he discusses infrastructure challenges like data center strain, carbon emissions, and the need for decentralized energy solutions. Despite concerns about job displacement, Singer remains optimistic, emphasizing that AI will create new roles—like prompt engineers—and that human judgment will remain essential in complex, high-stakes domains. He concludes with a vision of AI as a tool for preventive healthcare and systemic efficiency, akin to Star Trek’s medical scanners.