Once upon a time the notes may have been recorded by a staff member of the doctor's office or by the doctor themselves (usually after the meeting). Budgetary constraints push HCPs towards cutting staff and those rolls are being replaced by AI and that is not okay.
Staff, Nurses, Doctors are all under the clear guidance of HIPAA and understand their responsibility towards patient privacy - it isn't a perfect system and there are notable disclosures and violations that have happened in the past but once third party systems are involved - especially non-deterministic third party systems - then the client's understanding of privacy may be severely compromised.
I love voice to speech and meeting summarization for thinking sessions with coworkers where maybe someone is motivated to take notes (and better participates through that action) but the emphasis is on everyone being present and being able to talk freely. The doctor's office is a fundamentally different environment, though. 1. Aside - an unnecessary shame - no one should feel guilt over trying to overcome a disability.