Meta launched Muse Image and Muse Video, generative AI models that can create images using public Instagram photos unless users opt out. This opt-out-by-default approach raises immediate concerns for healthcare organizations managing institutional social media accounts and patient privacy. Healthcare systems need to audit their Instagram presence, understand Meta's consent mechanisms, and establish clear policies on whether clinical photos or patient-adjacent content can be used for AI training. The vendor landscape for healthcare AI is shifting as major consumer tech platforms integrate generative capabilities with personal data; healthcare IT leaders should assess how this affects their own AI vendor contracts and data governance frameworks.