> extremely restrictive and expensive licensing options
The license is meaningless if training AI is considered fair use, and if you never agreed to the license.
They might be able to lean heavily on medical researchers and the like (who probably need a license for other uses), but when push comes to shove I suspect Google and OpenAI would win.
The bigger issue is software development, imo. eg the IT team at a hospital or the medical office can't build a tool to help coding efficiency or accuracy. Further, public resources/websites with code-related information get DMCA takedowns. It's a stranglehold on innovation/progress.
The license is meaningless if training AI is considered fair use, and if you never agreed to the license.
They might be able to lean heavily on medical researchers and the like (who probably need a license for other uses), but when push comes to shove I suspect Google and OpenAI would win.