We Tested 25 Local LLMs for Medical Use. Here’s What Shipped.

Vitaly Garie / Unsplash Over the past year we’ve been building a medical AI assistant that turns doctor-patient audio into SOAP notes, ICD-10-GM codes, and billing entries at Meda AI. The common questions from doctors are: How about data privacy? Can you make sure our data is secure? On Premise deployment with 100% Local AI would solve a lot of these type of questions. Our constraint is simple: a hallucinated patient age, a wrong dosage, or a fabricated allergy is not a funny glitch. It’s a patient safety incident.