How to Build a HIPAA Compliant AI Ecosystem Without the Cloud

Healthcare cannot rely on cloud RAG because patient data leaves your network and your system logs, stores, and exposes it outside your control. You sign a Business Associate Agreement (BAA), connect your pipeline to a managed vector database, and assume compliance is complete. That assumption is wrong. The BAA covers the provider’s infrastructure. It does not cover what your application sends, logs, or exposes during retrieval and generation. You remain responsible for every path your system se...