You have to justify it, but most places have sections in the document where you request review to justify it. It’s not any different from giving one patient heart medicine that you think works and another patient a sugar pill.
Real life use is full of ill posed questions open ended statements inaccurate assessment of symptoms, and conclusory remarks sprinkled in between. Real use of chat bots for Health by non-clinicians looks very different than scenario based evaluation.
One of the things that people need to come to grips with is that like Wikipedia people will use ChatGPT because it is there. And the alternative is to be rich and have a primary care doctor that you can reach out to at a moments notice. Until that is different people will use these web services. It’s the same thing as Wikipedia or WebMD.
This isn’t like AI image generation where you’re going to convince yourself that you can tell the difference based on how you think it looks. Do you really think no one in the production chain of any of the software that you use picked up copilot in the last two years?
What signal are you hoping to receive that this is happening?