I only tried GPT4 but it has a way better command of language than many people I know and I include myself in that. If GPT4 doesn't understand language, then I don't either.
I haven't been really impressed with ChatGPT. It basically seems like a more useful search engine.
And no, AI can't diagnose yet - even expert systems forty years ago did better and it wasn't good enough.
LLMs are trained to summarize text with extremely high accuracy. There is no confabulation of text summarized within the context window. Confabulation only occurs with facts recalled from outside of the context window, which is not a text summarization task. Same goes for human memory. Ironically you have hallucinated a "fact" about LLMs.