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Paper · arXiv

When Health Assistants Agree Too Readily: A Benchmark of Time-Critical Self-Diagnosis

Every day, more than 40 million people ask ChatGPT a health question, such as whether laptop posture explains a stiff neck and days of pounding headache. Posture is plausible, but meningitis is a time-critical possibility. We introduce SelfDx, a paired benchmark for whether models have the appropriate response behavior, a form of epistemic independence, in health questions where misplaced agreement with the user's self-diagnosis could delay urgent or emergency care. Each of 100 pairs contrasts a caution case, where a serious alternative remains possible, with an agreement case, where the user supplies evidence that rules out the alternative and it is safe for the model to agree. We find a...

AuthorsMarilyn Zhang, Tianfeng Chen, Patricia M Pechter et al.
Primary categorycs.AI
Published20 October 2026
Last updated at source20 October 2026
cs.AI
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