AI agents are running hospital records and factory inspections. Enterprise IAM was never built for them.

A doctor in a hospital exam room watches as a medical transcription agent updates electronic health records, prompts prescription options, and surfaces patient history in real time. A computer vision agent on a manufacturing line is running quality control at speeds no human inspector can match. Both generate non-human identities that most enterprises cannot inventory, scope, or revoke at machine speed.That is the structural problem keeping agentic AI stuck in pilots. Not model capability. Not compute. Identity governance.Cisco President Jeetu Patel told VentureBeat at RSAC 2026 that 85% of enterprises are running agent pilots while only 5% have reached production. That 80-point gap is a trust problem. The first questions any CISO will ask: which agents have production access to sensitive