Why is nobody running medical transcription on-prem? Compliance may be blocking open ASR
fudgemunch24 · reddit · 2026-11-09
A Reddit deep-dive argues ambient medical scribes are structurally flawed: streaming ASR borrowed from captioning keeps revising mid-visit, most tools batch notes rather than being truly live, and closed cloud solutions are expensive and compliance-hostile. The open-source R2T2 model sends only finalized tokens, enabling real-time downstream processing and context training to protect drug names — but lacks clinical benchmarks. The author finds no on-prem clinical ASR case studies and asks whether compliance teams have killed the approach before it shipped.
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