@tiotasram
Four excellently well put points.
There is little that I could add that would add value to what you wrote, but I will add; one of the reasons that competent (i.e. with domain knowledge) people are having to push back against the force feeding of inappropriate tools is the conflation of the general ML / MV that has been used forever (with increasing success in medical fields) with LLMs, and the FOMO adoption of (largely LLM based) AI in every field.