• 0 Posts
  • 316 Comments
Joined 3 years ago
cake
Cake day: June 12th, 2023

help-circle


  • That makes sense and seems obvious. I’ve worked in tech for over 20 years and have learned the most while banging my head against the keyboard trying to solve a problem. I wouldn’t have learned all I know now without that experience. I doubt that process is specific to tech. If AI can just give us the answers, what kind of long term impact does that produce? Ideally it frees us up for higher/order thinking but that seems like a pie-in-the-sky dream to me. I’m concerned but hope those concerns end up unwarranted.





  • This is pervasive throughout any segments where AI is leveraged. I’ve heard it called a Diamond-shaped market. What used to be a pyramid of entry-level to mid tier to experienced staff no longer has entry level. So it’s just mid tier and experienced staff. There is no one in the pipeline to move up. What happens then? The genie is out of the bottle. The big AI shops could close up now and it would only slow the decline as local models are getting more performant. I’m impressed at what Qwen can do on a MacBook with 32 gig of ram. The question I have is, what’s the solution? I got nothing other than hoping the process of decline drags out longer than I think it will.








  • It’s more about who pays the malpractice suit. Doctors have their own malpractice insurance so those same people not incentivized to provide bad care are also financially on the hook if they provide bad care. Malpractice insurance is crazy expensive. If you see a hospital exec recommend a certain care strategy, that is cause for concern but medical staff have all the downside and no upside in giving bad care. That’s just hospitals though. Things change in private practice but there a malpractice suit could end their entire livelihood so the risk ain’t worth it. A hospital admin/investor would probably say the risk is worth it but the medical staff would absolutely know they would be taking the fall for it.


  • Because it takes medical staff to perform that action. If a hospital administration increases profits by 10-20%, the investors and execs get a bonus. The people providing the treatment are not financially incentivized to impact patient outcomes negatively. Pharma reps aren’t directly incentivized for that either but they pushed opioids for bonuses without issue…that’s a whole different conversation however. Anyways, the nurse administering an IV isn’t going to get a fat check for making you sick…they will however get in trouble for malpractice. Your hospital admin or exec ain’t getting their hands dirty by giving care either. So the only people providing care are those not incentivized to provide bad care and actively terrified of a malpractice suit in the event they provide less than standard care.


  • This is just a symptom of a failed healthcare system. The way things typically work is that you go into a hospital and receive care. The hospital has insurance and billing specialists which submit what they did to insurance to get money. The insurance pays the least amount they can and the patient gets the bill for the rest. Insurance companies know they should be covering more but patients don’t have the capacity and capability (in most cases) to dig deep into medical reimbursements to get what they are owed. Insurance companies like this as they keep that money. Now however, hospitals are using AI to get the full amount they are owed and thus having patients pay less and insurance pay more.



  • I don’t know much about Cuba. Anyone have a guess on how they would do in an engagement similar to Iran? I don’t recall seeing news about them building missiles or drones, they don’t seem to have allies that could help, and I have no idea if the local population is going to be looking to resist. Even if the population wants to resist, what are the odds they can? Sure guerrilla warfare will be likeliest outcome but would that allow them to hold a majority of the island?