The use of Artificial Intelligence (AI) in healthcare, including in caring for cancer survivors, has gained significant interest. However, gaps remain in our understanding of how such AI systems can provide care, especially for ethnic and racial minority groups who continue to face care disparities. Through interviews with six cancer survivors, we identify critical gaps in current healthcare systems such as a lack of personalized care and insufficient cultural and linguistic accommodation. AI, when applied to care, was seen as a way to address these issues by enabling real-time, culturally aligned, and linguistically appropriate interactions. We also uncovered concerns about the implications of AI-driven personalization, such as data privacy, loss of human touch in caregiving, and the risk of echo chambers that limit exposure to diverse information. We conclude by discussing the trade-offs between AI-enhanced personalization and the need for structural changes in healthcare that go beyond technological solutions, leading us to argue that we should begin by asking, ``Why personalization?''

翻译：人工智能（AI）在医疗健康领域的应用，包括对癌症幸存者的照护，已引起广泛关注。然而，我们对此类AI系统如何提供照护，特别是为持续面临照护差异的种族和少数族裔群体提供服务的理解仍存在不足。通过对六位癌症幸存者的访谈，我们识别出当前医疗系统中的关键缺陷，例如缺乏个性化护理以及文化和语言适应性不足。将AI应用于照护被视为解决这些问题的一种途径，它能够实现实时、文化契合且语言适宜的互动。我们也揭示了AI驱动个性化可能带来的隐忧，例如数据隐私、照护过程中人文关怀的缺失，以及可能形成信息茧房从而限制接触多元信息的风险。最后，我们讨论了AI强化的个性化与医疗体系结构性变革需求之间的权衡，后者超越了单纯的技术解决方案，这促使我们主张应首先追问：“为何需要个性化？”