One thing that people seem to take for granted is that these government-hosted instances would be open to the public for account creation, while this doesn’t necessarily have to be the case. Not everyone can get a statedepartment.gov email address. Not everyone needs to be able to get a @statedepartment.mastodon.gov handle. Just leave it to public officials only.
I’m part of a coalition trying to prevent a private equity firm from buying out a local nonprofit hospital and using AI to “Improve efficiency” is one of their plans that we’ve had to study (done by people much more competent than I).
The main thing they plan to use AI for is filling out paperwork - nurses will record their introductory interviews with patients and the AI (basically, speech recognition + knowing what fields to fill out for certain information) will automatically fill out that patient’s chart.
I’m sure they’re planning on using AI for other purposes as well, but this is the most prevalent use - speech recognition and filling out charts automatically.