{"id":1605963,"date":"2025-12-15T16:24:18","date_gmt":"2025-12-15T21:24:18","guid":{"rendered":"https:\/\/observer.com\/?p=1605963"},"modified":"2025-12-15T16:24:18","modified_gmt":"2025-12-15T21:24:18","slug":"built-by-and-for-people-with-paralysis-this-als-tech-gives-a-i-a-human-voice","status":"publish","type":"post","link":"https:\/\/observer.com\/2025\/12\/built-by-and-for-people-with-paralysis-this-als-tech-gives-a-i-a-human-voice\/","title":{"rendered":"Built by and for People With Paralysis, This ALS Tech Gives A.I. a Human Voice"},"content":{"rendered":"<figure id=\"attachment_1605978\" aria-describedby=\"caption-attachment-1605978\" style=\"width: 768px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-1605978 size-full-width\" src=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?quality=80&amp;w=768\" alt=\"A While man in a wheelchair\" width=\"768\" height=\"724\" srcset=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg 768w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?resize=300,283 300w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?resize=635,600 635w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?resize=320,302 320w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?resize=50,47 50w\" sizes=\"(max-width: 768px) 135px, 200px\" \/><figcaption id=\"caption-attachment-1605978\" class=\"wp-caption-text\">Bernard Muller, CTO of The Scott-Morgan Foundation. <span class=\"media-credit\">Courtesy The Scott-Morgan Foundation<\/span><\/figcaption><\/figure>\n<p data-start=\"0\" data-end=\"618\">When British roboticist Dr. Peter Scott-Morgan was diagnosed with ALS in 2017, he was told the disease would gradually take his voice, his movement and, eventually, his place in the world. But he refused to accept the idea that losing speech should mean losing identity. As his body weakened, the Scott-Morgan turned to technology, experimenting with voice synthesis, gaze interfaces and avatar-based communication. His public transformation earned him the description of the world\u2019s first \u201c<a target=\"_blank\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/www.youtube.com\/watch?v=s4TN3OZ28UA\"><span style=\"font-weight: 400\">human cyborg<\/span><\/a>,\u201d but the label masked a deeper ambition: to redefine how disability and technologies like A.I. can evolve together.<\/p>\n<p data-start=\"620\" data-end=\"1061\">Following his death in 2022, the Scott-Morgan Foundation (SMF) carried forward his mission. The organization began translating Scott-Morgan\u2019s philosophy of dignity-by-design into real-world technology. One of those efforts took shape through Bernard Muller, the Foundation\u2019s chief technologist, who is fully paralyzed by ALS. Muller began architecting and co-developing what would become VoXAI.<\/p>\n<p><span style=\"font-weight: 400\">\u201cI built VoxAI letter by letter with my eyes. It\u2019s slow, it\u2019s stubborn work, but when your need is real, you just keep going,\u201d Muller told Observer, responding through the VoXAI system. \u201cI used A.I. agents as my &#8216;extra hands,&#8217; breaking tasks into small steps, testing, refining and letting automation do what my body no longer can. Earlier tools were less intelligent and basically limited to typing letters\u2014useful, but hardly empowering.\u201d\u00a0<\/span><\/p>\n<p data-start=\"1508\" data-end=\"2084\"><a target=\"_blank\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/21678421.2024.2447919\">ALS currently affects tens of thousands of people<\/a> in the U.S. and hundreds of thousands worldwide. As the condition progresses, up to 95 percent of patients eventually lose the ability to communicate through natural speech. Available solutions remain expensive and imperfect. High-end Augmentative and Alternative Communication (AAC) devices\u2014especially those requiring specialized hardware like eye tracking\u2014often cost between $10,000 and $15,000. For decades, that barrier has left millions effectively voiceless, relying on systems that flatten emotion and erase identity.<\/p>\n<p data-start=\"2086\" data-end=\"2472\">VoXAI was unveiled last week at the AI Summit New York. It&#8217;s a product of collaboration among Israeli A.I. startup D-ID, voice A.I. company ElevenLabs, Irisbond, Lenovo, Nvidia and several academic partners. D-ID\u2019s real-time avatar engine animates facial expressions, micro-emotions and natural mouth movements;\u00a0Irisbond\u2019s hardware enables precise eye-tracking control; ElevenLabs\u2019 voice synthesis recreates the user\u2019s pre-illness voice; Nvidia GPUs provide the real-time A.I. performance required for near-zero latency; and Lenovo supplies the robust hardware environment that keeps the system stable and accessible.<\/p>\n<p data-start=\"2086\" data-end=\"2472\">Founded in 2017 in Israel, D-ID initially gained recognition for its privacy technology and became a pioneer in generative A.I. video in 2019. Its systems now power digital presenters, learning companions and interactive avatars for Fortune 500 companies and public institutions.<\/p>\n<p data-start=\"2086\" data-end=\"2472\"><span style=\"font-weight: 400\">\u201cWhen it comes to disability, the biggest blind spot is assuming it is too small or niche to matter commercially,\u201d Gil Perry, co-founder and CEO of D-ID, told Observer. \u201cWe believe that expressive, real-time digital presence is becoming a new layer of communication infrastructure, and accessibility is where that value is most clear and most urgent.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cFor some people, expressive presence is a benefit; for others, it\u2019s a lifeline,\u201d Perry added. \u201cHealth care and assistive-tech providers needed a dependable expressive avatar layer that could plug into their systems and make communication feel truly human for those it matters most to.\u201d<\/span><\/p>\n<figure id=\"attachment_1606048\" aria-describedby=\"caption-attachment-1606048\" style=\"width: 970px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"lazyload wp-image-1606048 size-full-width\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?quality=80&amp;w=970\" alt=\"A screen of text prompts\" width=\"970\" height=\"1293\" data-srcset=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg 1536w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=225,300 225w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=768,1024 768w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=450,600 450w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=1152,1536 1152w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=970,1293 970w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=320,427 320w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=38,50 38w\" sizes=\"(max-width: 768px) 135px, 200px\" \/><noscript><img decoding=\"async\" class=\"lazyload wp-image-1606048 size-full-width\" src=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?quality=80&amp;w=970\" alt=\"A screen of text prompts\" width=\"970\" height=\"1293\" srcset=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg 1536w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=225,300 225w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=768,1024 768w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=450,600 450w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=1152,1536 1152w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=970,1293 970w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=320,427 320w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-1.jpeg?resize=38,50 38w\" sizes=\"(max-width: 768px) 135px, 200px\" \/><\/noscript><figcaption id=\"caption-attachment-1606048\" class=\"wp-caption-text\">Muller interacting with VoXAI. <span class=\"media-credit\">Courtesy The Scott-Morgan Foundation<\/span><\/figcaption><\/figure>\n<figure id=\"attachment_1606182\" aria-describedby=\"caption-attachment-1606182\" style=\"width: 768px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"lazyload size-full-width wp-image-1606182\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?quality=80&amp;w=768\" alt=\"Leah Stavenhagen and her VoXAI avatar.\" width=\"768\" height=\"1024\" data-srcset=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg 768w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=225,300 225w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=450,600 450w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=320,427 320w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=38,50 38w\" sizes=\"(max-width: 768px) 135px, 200px\" \/><noscript><img decoding=\"async\" class=\"lazyload size-full-width wp-image-1606182\" src=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?quality=80&amp;w=768\" alt=\"Leah Stavenhagen and her VoXAI avatar.\" width=\"768\" height=\"1024\" srcset=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg 768w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=225,300 225w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=450,600 450w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=320,427 320w, https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Leah-Stavenhagen-2.jpeg?resize=38,50 38w\" sizes=\"(max-width: 768px) 135px, 200px\" \/><\/noscript><figcaption id=\"caption-attachment-1606182\" class=\"wp-caption-text\">Leah Stavenhagen and her VoXAI avatar. <span class=\"media-credit\">Courtesy The Scott-Morgan Foundation<\/span><\/figcaption><\/figure>\n<p data-start=\"2824\" data-end=\"2993\">At its core, VoXAI is built on a simple yet transformative idea: assistive technology should not merely generate words on a user\u2019s behalf; it should help them express themselves.<\/p>\n<p data-start=\"2995\" data-end=\"3296\">Leah Stavenhagen, an ALS advocate and early VoXAI trial participant, said the hardest part of losing her speech was the invisibility that came with it. She recently began using the tool as a beta tester and demonstrated her digital avatar onstage during the platform\u2019s public debut at the AI Summit.<\/p>\n<p><span style=\"font-weight: 400\">\u201cWhen communication takes 30 seconds to several minutes for every response, conversations don\u2019t wait. By the time you\u2019ve composed your thoughts, the topic has already moved on,\u201d she told Observer, responding through the VoXAI system. \u201cPeople stop asking complex questions and start speaking about \u2018you\u2019 instead of \u2018to you.&#8217;\u201d<\/span><\/p>\n<p data-start=\"3628\" data-end=\"4115\">To communicate, users interact with a screen mounted in front of them via an eye-tracking device. As conversation unfolds around them, a microphone captures what others are saying, and the A.I. rapidly synthesizes three possible responses. The user selects one simply by moving their eyes. Once chosen, the avatar\u2014displayed on a screen above the user or on a connected device\u2014instantly delivers the response in the user\u2019s own voice, complete with facial nuance and emotional expression. The avatar continues to learn through ongoing interaction, absorbing preferences, social cues and personal history. The goal is to preserve a continuity of self that many people lose as their illness progresses.<\/p>\n<p><span style=\"font-weight: 400\">\u201cThe first time someone sees their avatar or hears their voice, there&#8217;s usually a moment of recognition because you\u2019re giving back something lost,\u201d LaVonne Roberts, CEO of the Scott-Morgan Foundation, told Observer.\u00a0<\/span><\/p>\n<p data-start=\"5686\" data-end=\"5913\">Assistive communication technology has long been defined by prohibitive pricing. SMF is attempting to upend that model by offering VoXAI free at the basic tier, with advanced features available for a $30 monthly subscription.<\/p>\n<p><span style=\"font-weight: 400\">\u201cIdentity preservation will become its own category. Voice cloning exists now, but we&#8217;re moving toward comprehensive digital identities where your voice, your expressions, your communication patterns are preserved and protected,\u201d said Roberts. \u201cAmbient A.I. systems that listen and respond to context without explicit commands will transform caregiving, elder care, and offer more independence for people living with mobility limitations.\u201d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>An A.I.-powered avatar platform aims to restore speech, identity and dignity for people living with ALS and paralysis.<\/p>\n <a class=\"moretag\" href=\"https:\/\/observer.com\/2025\/12\/built-by-and-for-people-with-paralysis-this-als-tech-gives-a-i-a-human-voice\/\">Read More<\/a>","protected":false},"author":129757851,"featured_media":1605978,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"apple_news_api_created_at":"","apple_news_api_id":"","apple_news_api_modified_at":"","apple_news_api_revision":"","apple_news_api_share_url":"","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"post_tag":[424005995,57760],"company":[424001968,423985278,35186],"channel":[186,12374,20429,423875666],"location":[],"nyo_column":[],"person":[],"nyo_post_hidden":[],"coauthor":[423983223],"class_list":{"0":"post-1605963","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"tag-ai-summit","8":"tag-als","9":"observer_company-elevenlabs","10":"observer_company-lenovo","11":"observer_company-nvidia","12":"channel-business","13":"channel-artificial-intelligence","14":"channel-startups","15":"channel-technology"},"acf":{"homepage_position":"","homepage_title":"","homepage_excerpt":"","alternative_og_image":"","headline":{"seo_headline":""},"subheadline":{"optimized_seo_description":"","optimized_social_excerpt":""}},"apple_news_notices":[],"parsely":{"version":"1.1.0","canonical_url":"https:\/\/observer.com\/2025\/12\/built-by-and-for-people-with-paralysis-this-als-tech-gives-a-i-a-human-voice\/","smart_links":{"inbound":0,"outbound":0},"traffic_boost_suggestions_count":0,"meta":[],"rendered":"","tracker_url":"https:\/\/cdn.parsely.com\/keys\/observer.com\/p.js"},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?quality=80","coauthors_byline":"By Victor Dey","display_channel":"","thumbnail":"<img width=\"300\" height=\"225\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?quality=80&amp;w=300&amp;h=225&amp;crop=1\" class=\"lazyload attachment-grid-thumbnail size-grid-thumbnail\" alt=\"A While man in a wheelchair\" decoding=\"async\" \/><noscript><img width=\"300\" height=\"225\" src=\"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?quality=80&amp;w=300&amp;h=225&amp;crop=1\" class=\"lazyload attachment-grid-thumbnail size-grid-thumbnail\" alt=\"A While man in a wheelchair\" decoding=\"async\" \/><\/noscript>","classes":["post-1605963","post","type-post","status-publish","format-standard","has-post-thumbnail","tag-ai-summit","tag-als","observer_company-elevenlabs","observer_company-lenovo","observer_company-nvidia","channel-business","channel-artificial-intelligence","channel-startups","channel-technology","entry-grid"],"parent_channels":"Business","thumbnail_url":"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?quality=80&#038;w=300&#038;h=225&#038;crop=1","thumbnail_url_2x":"https:\/\/observer.com\/wp-content\/uploads\/sites\/2\/2025\/12\/Bernard-Muller-2-e1765814499445.jpeg?quality=80&#038;w=600&#038;h=450","excerpt_bare":"An A.I.-powered avatar platform aims to restore speech, identity and dignity for people living with ALS and paralysis.","is_sponsored":false,"formatted_date":"2 days ago","read_time":"","jetpack_sharing_enabled":true,"amp_enabled":false,"_links":{"self":[{"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/posts\/1605963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/users\/129757851"}],"replies":[{"embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/comments?post=1605963"}],"version-history":[{"count":14,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/posts\/1605963\/revisions"}],"predecessor-version":[{"id":1606473,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/posts\/1605963\/revisions\/1606473"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/media\/1605978"}],"wp:attachment":[{"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/media?parent=1605963"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/post_tag?post=1605963"},{"taxonomy":"observer_company","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/company?post=1605963"},{"taxonomy":"channel","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/channel?post=1605963"},{"taxonomy":"location","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/location?post=1605963"},{"taxonomy":"nyo_column","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/nyo_column?post=1605963"},{"taxonomy":"nyo_person","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/person?post=1605963"},{"taxonomy":"nyo_post_hidden","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/nyo_post_hidden?post=1605963"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/observer.com\/wp-json\/wp\/v2\/coauthor?post=1605963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}