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 systems, and who is accountable when one acts outside its scope? IANS Research found that most businesses still lack role-based access control mature enough for today's human identities, and agents will make it significantly harder. The 2026 IBM X-Force Threat Intelligence Index reported a 44% increase in attacks exploiting public-facing applications, driven by missing authentication controls and AI-enabled vulnerability discovery.Why the trust gap is architectural, not just a tooling problemMichael Dickman, SVP and GM of Cisco's Campus Networking business, laid out a trust framework in an exclusive interview with VentureBeat that security and networking leaders rarely hear stated this plainly. Before Cisco, Dickman served as Chief Product Officer at Gigamon and SVP of Product Management at Aruba Networks.Dickman said that the network sees what other telemetry sources miss: actual system-to-system communications rather than inferred activity. "It's that difference of knowing versus guessing," he said. "What the network can see are actual data communications … not, I think this system needs to talk to that system, but which systems are actually talking together." That