What about the outliers? I am an outlier. I have saved my life on two occasions….how? Ignoring doctors whose recommendations were based on data compilations and recommendations resulting from such. That is, I trusted my gut and went against their advice. Both doctors apologized in the aftermath and said they were glad I did not follow what was essentially advice based on algorithms and resulting standards of practice.
The sad part….I expect part of why I prevailed is that I have “Esquire” behind my name….,whereas others who try to self advocate get gaslit and dismissed because the “expert” class trusts the science and does not leave room for intuition or lived unique experiences.
Ultimately, the question will be….
(not unlike what was faced during the COVID con/crisis…doesn’t matter which was you view the whole affair)…
Will there be room outside the sanctioned AI system for one to dissent, object or insist that the “one size fits all” approach ( a business model of efficiency/economy) is not appropriate, despite the claim that these technological ‘advances’ are invaluable?
Or will the citizen be expected to comply and accept treatment as AI designated…regardless of a desired different choice….because of the growing perception that AI cannot be wrong and that the community as a whole benefits if we surrender our distinct individual choices?
And furthermore….how do we know whether the AI system is being fed honest intel? Clearly our CDC and FDA are not….
Systems are only as valuable as the honesty of the input….
Figures can lie and liars figure….
Who controls the input? Who is curating the info? That is….all institutions and systems have gatekeepers….why will the technology we are asked to trust and upon which the masses will become increasingly dependent be any different?
And once dependence is established….remember the systems can be manipulated because technology is a tool….it’s owners will have far more control and power than our currently flawed but human systems/institutions? Are we prepared to trust the technocrats care about us as they suggest that AI will make us all happy and secure? What about human rights…..
Will share again this snapshot from 2002! Gives you a clue as to what they think of human rights in the bigger scheme of things? Not to mention their belief that global governance and a top down approach is called for….
Will AI help them achieve their goals? Or do you believe AI will help free us from the current tyranny we are experiencing relative to individual rights and ability to thrive under current systems/institutions?
I've healed a bunch of things doctors didn't think was possible. Creating problems to treat is what they do. Eliminating disease would eliminate their revenue streams.
As a retired physician, your above concerns are well written but blithely ignored by the ‘Medical establishment’. So- well said!
While algorithms have a role to play; giving AI decisions over life and death? Read the novel Cell by Robin Cook.
On the other hand, one can only hope that patients won’t lie to their robot doctors, because the patient is never a bad actor (just ask Morgan & Morgan!). Also, said robot doctors will actually examine a patient before sending them to the doughnut of truth.
Well, yes, lie, or have faulty memories. Like, when was your last surgery? Mom was in the hospital after a fall, and noted a stent procedure, had to remind her she had a pacemaker replaced in 2022. She doesn't have dementia, she is mentally sharp, just physically weak, but laying in a hospital bed in pain you aren't your own best advocate or may forget stuff.
With over 40 years of experience, those lies are told in the ER daily. That’s where AI cannot discern truth unless patients are forced to have detectors places during the history.
Quite the dystopian scenario.
So, yes, we are not talking about dementia; in that case we expect memory lapses.
I am referring to purposeful omissions.
I was practicing in an era where glaring purposefull omissions were grounds for ‘please find another physician’.
In real-world medicine, patients often present with overlapping symptoms, incomplete histories, or unexpected complications. If an AI system cannot handle minor shifts in question formatting, it may also struggle with these kinds of real-life variability.
“These AI models aren’t as reliable as their test scores suggest,” Bedi said. “When we changed the answer choices slightly, performance dropped dramatically, with some models going from 80% accuracy down to 42%. It’s like having a student who aces practice tests but fails when the questions are worded differently. For now, AI should help doctors, not replace them.”
Nothing can replace wisdom. It takes time and experience to practice medicine well. Shift work makes that a bit harder to obtain, but it still can accomplished.
I am really getting tired of being told that AI everything is 'inevitable' and I just need to learn to accept and use it. What happens when the grid goes down due to all these data centers sucking up all of the electric power and all of these AI dependent people have to learn to think again? In my region there are at least a half dozen new data centers proposed with our electricity demand anticipated to DOUBLE in less than 5 years. Legislature just passed a bill letting the electric utilities to charge us up front to build new capacity generation. Expect we peons to take it in the shorts while the data center builders get tax breaks.
There's something wrong with this reflexive support of new construction at public cost.
There will be a need for people who keep their minds separated from AI. Intuition is not an AI thing, and will become a valuable commodity for decision making in the future.
What about the outliers? I am an outlier. I have saved my life on two occasions….how? Ignoring doctors whose recommendations were based on data compilations and recommendations resulting from such. That is, I trusted my gut and went against their advice. Both doctors apologized in the aftermath and said they were glad I did not follow what was essentially advice based on algorithms and resulting standards of practice.
The sad part….I expect part of why I prevailed is that I have “Esquire” behind my name….,whereas others who try to self advocate get gaslit and dismissed because the “expert” class trusts the science and does not leave room for intuition or lived unique experiences.
Ultimately, the question will be….
(not unlike what was faced during the COVID con/crisis…doesn’t matter which was you view the whole affair)…
Will there be room outside the sanctioned AI system for one to dissent, object or insist that the “one size fits all” approach ( a business model of efficiency/economy) is not appropriate, despite the claim that these technological ‘advances’ are invaluable?
Or will the citizen be expected to comply and accept treatment as AI designated…regardless of a desired different choice….because of the growing perception that AI cannot be wrong and that the community as a whole benefits if we surrender our distinct individual choices?
And furthermore….how do we know whether the AI system is being fed honest intel? Clearly our CDC and FDA are not….
Systems are only as valuable as the honesty of the input….
Figures can lie and liars figure….
Who controls the input? Who is curating the info? That is….all institutions and systems have gatekeepers….why will the technology we are asked to trust and upon which the masses will become increasingly dependent be any different?
And once dependence is established….remember the systems can be manipulated because technology is a tool….it’s owners will have far more control and power than our currently flawed but human systems/institutions? Are we prepared to trust the technocrats care about us as they suggest that AI will make us all happy and secure? What about human rights…..
Will share again this snapshot from 2002! Gives you a clue as to what they think of human rights in the bigger scheme of things? Not to mention their belief that global governance and a top down approach is called for….
Will AI help them achieve their goals? Or do you believe AI will help free us from the current tyranny we are experiencing relative to individual rights and ability to thrive under current systems/institutions?
https://joi.ito.com/weblog/2002/08/14/notes-from-brai.html
After nearly being killed twice by doctors, I have become my own doctor. I'm over 60 and on no regular meds except some OTC for sinus stuff.
I don't think I'll be trusting the AI that has been programmed by the establishment either.
I've healed a bunch of things doctors didn't think was possible. Creating problems to treat is what they do. Eliminating disease would eliminate their revenue streams.
As a retired physician, your above concerns are well written but blithely ignored by the ‘Medical establishment’. So- well said!
While algorithms have a role to play; giving AI decisions over life and death? Read the novel Cell by Robin Cook.
On the other hand, one can only hope that patients won’t lie to their robot doctors, because the patient is never a bad actor (just ask Morgan & Morgan!). Also, said robot doctors will actually examine a patient before sending them to the doughnut of truth.
Well, yes, lie, or have faulty memories. Like, when was your last surgery? Mom was in the hospital after a fall, and noted a stent procedure, had to remind her she had a pacemaker replaced in 2022. She doesn't have dementia, she is mentally sharp, just physically weak, but laying in a hospital bed in pain you aren't your own best advocate or may forget stuff.
With over 40 years of experience, those lies are told in the ER daily. That’s where AI cannot discern truth unless patients are forced to have detectors places during the history.
Quite the dystopian scenario.
So, yes, we are not talking about dementia; in that case we expect memory lapses.
I am referring to purposeful omissions.
I was practicing in an era where glaring purposefull omissions were grounds for ‘please find another physician’.
Now….you are a number.
Just saw this in one of the random newsletters I get. Makes your point - human interaction is 'messy'
https://www.psypost.org/top-ai-models-fail-spectacularly-when-faced-with-slightly-altered-medical-questions/
In real-world medicine, patients often present with overlapping symptoms, incomplete histories, or unexpected complications. If an AI system cannot handle minor shifts in question formatting, it may also struggle with these kinds of real-life variability.
“These AI models aren’t as reliable as their test scores suggest,” Bedi said. “When we changed the answer choices slightly, performance dropped dramatically, with some models going from 80% accuracy down to 42%. It’s like having a student who aces practice tests but fails when the questions are worded differently. For now, AI should help doctors, not replace them.”
Nothing can replace wisdom. It takes time and experience to practice medicine well. Shift work makes that a bit harder to obtain, but it still can accomplished.
People who should know better are placing excessive trust in AI output which is only as good as the input.
This is affecting things like the power grid for example, and design of public transportation.
How about those Amish? 😎
I am really getting tired of being told that AI everything is 'inevitable' and I just need to learn to accept and use it. What happens when the grid goes down due to all these data centers sucking up all of the electric power and all of these AI dependent people have to learn to think again? In my region there are at least a half dozen new data centers proposed with our electricity demand anticipated to DOUBLE in less than 5 years. Legislature just passed a bill letting the electric utilities to charge us up front to build new capacity generation. Expect we peons to take it in the shorts while the data center builders get tax breaks.
There's something wrong with this reflexive support of new construction at public cost.
There will be a need for people who keep their minds separated from AI. Intuition is not an AI thing, and will become a valuable commodity for decision making in the future.