Good morning. What is the state of U.S. business? It depends on where you are and what you do. I was in San Francisco earlier this week, debating the AI dividend with a dozen CEOs of major hospital systems at a dinner sponsored by Philips. If you’re Suresh Gunasekaran of UCSF Health, which consistently ranks among the world’s best in health outcomes and medical research, AI is becoming baked into a more seamless patient experience. “Being a medical student, a pharmacy student, a nurse is no longer the same in the age of AI,” Gunasekaran said.
For Providence CEO Erik Wexler, who faces staff shortages, rising costs and reduced Medicaid payments in 51 hospitals and 1,000 clinics spread across seven states with different regulatory environments, AI is perhaps less ubiquitous but equally powerful. The reaction to ambient technology that acts on insights gleaned from doctor-patient conversations? “This is life-changing technology,” Wexler told me. “When a physician says that, you feel like you’ve discovered plutonium.”
While many Americans may fear the impact of AI on their jobs, many welcome the prospect of it lowering their average $17,000 tab for health care, which is expected to account for almost 19% of U.S. GDP this year.
Americans’ struggle with affordability and access to health care are two persistent problems U.S. Chamber of Commerce President and CEO Suzanne P. Clark cited in her 2026 State of American Business remarks yesterday in an otherwise upbeat speech. She drew comparisons between this 250th anniversary year and the last time America had a big birthday in 1976. Along with fond memories of waving a little flag in the Englewood, Ohio bicentennial parade, she recalled a dour mood shaped by 5.7% inflation, 7.7% unemployment, soaring energy costs, rising crime, stagnating productivity and a “ballooning regulatory state”—not to mention fear of nuclear annihilation amid the Cold War.
Fast forward to today, she said, and there’s been a threefold increase in GDP, a homegrown energy revolution, a 40% rise in median household income and of course several waves of transformative technologies. The lesson for Clark? “Despite all of our challenges, we live in an era of abundance and advancement,” she said. “America is very good at getting better.”
In the AI age, the question for business leaders is how to accelerate adoption and transformation while keeping costs in check. 2026 may be the year where the focus shifts to outcomes. As Jeff DiLullo, chief region leader of Philips North America, advised health systems leaders at our dinner: “AI either has to increase access to care, increase the quality and the outcomes, or reduce staff burden. And if it can’t do those things, don’t do it.”
Contact CEO Daily via Diane Brady at diane.brady@fortune.com
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CEO Daily is compiled and edited by Joey Abrams, Claire Zillman and Lee Clifford.
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