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Why AI Voice Agents Fail in Production: 36 Lessons From a Year of Live Medical Phone Lines
Voice AI·33 min read·Oct 8, 2026
Why AI Voice Agents Fail in Production: 36 Lessons From a Year of Live Medical Phone Lines

A year of running AI voice agents on live medical phone lines: the outage our own tests caused, why a passing test suite lied, what speech-to-text noise does to an agent, and 36 fixes that held up in production.

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