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'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

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Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#51

Earlier quoted context omitted.

You make up a CV that exactly matches the job advert and see whether there's a response

Why would a human also not choose a perfect CV over other options. What does this prove about AI.

You want a perfect candidate not a perfect CV. A perfect CV is highly likely to have lies and was made up based on the job ad, addressing every single requirement bullet.

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#52
Never in a million years could I have imagined there would be something worse than navigating the health care system. Hours of phone calls with deliberately confusing systems, impotent customer service representatives and no choices. It's like the movie Brazil already. Why wouldn't they add AI? Great idea.

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#53
post #33

Earlier quoted context omitted.

" For those thinking that AI will reduce healthcare costs by improving efficiency, I point you to the 'electronic medical records' hype of 15 years ago. Are per capita healthcare costs any lower now? " Can you elaborate? In countries like Denmark or Estonia electronic medical records are well used among doctors and patients.

The idea was that with all this healthcare data, patients would realize better outcomes. Like, your super-Doctor is going to realize that 6 months ago, you went to urgent care of XYZ condition, and that's going to shine some kind of light on your situation now, so he's going to be better prepared to treat you. The reality is, the vast majority of that data is useless noise, nobody has the time to make any kind of ana…

A major contributing factor to the lack of realized benefits with electronic health records in the United States is that the interoperability specification, CCDA, is only loosely complied with under the "meaningful use" rule from Health and Human Services. Certification is done on site at the EHR manufacturer, in an environment controlled by the manufacturer. The demonstration of compliance does not have to be done in a default "out of the box" environment, but merely that the system is _capable_ of being configured in a way that allows for emitting standards-compliant CCDA.

In practice, this means that most manufacturers do not build systems that are standards compliant by default, and definitely do not install systems that are standards compliant in their initial configuration. Then, individual healthcare practices add customization on top of that, which further complicates data integration.

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#54
post #5

This is not healthcare per se but insurance policy. It doesn't say anything about the use of AI in actual medicine.

Given how tightly integrated insurance is with what treatments Doctors are allowed to give you, it's absolutely a problem for the entire healthcare system. "Before you go on this medication that's specifically targeted at your symptoms and diagnosis, you must first try and fail these 5 other treatment methods, including a round of anti-anxiety meds and counseling."

I've actually had anti-anxiety medications relieve a whole raft of symptoms that obviously turned out to be anxiety. There are many problems with healthcare systems, but I have to say that lorazepam is really the best drug I ever took; I can see why people become dependent, so I take it quite sparingly.

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#55

I'm not sure I understand why AI is supposed to make anything better, at least under the regulatory regime we have right now. 1. AI doesn't do anything new. It's just human thinking done better in the best case scenario. So the plus side is that we may come up with ideas that a human might have come up with 10-15 years later. However, a lack of ideas is not the problem we face at all. We have solutions to nearly ever…

You don't understand because you think we have a society built around making life better for everyone. It's not. Our society currently is optimized for one thing: Making sure the rich stay rich, and the poor stay poor. In that respect, AI is amazing. AI requires a small upfront cost, then can do the job of thousands of people for the pay of less than one. It works 24 hours, and will never ask for more money. And it w…

Hasn't the poverty rate consistently decreased?

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#56

> Even when users successfully appealed these AI-generated determinations and win, they’re greeted with follow up AI-dictated rejections just days later, starting the process all over again. Wait, what? Does that mean they can just take your money and reject your request to cover treatment until you die even if you had every right to do so?

Unless you have expertise in fighting them, yes.

https://www.propublica.org/article/blue-cross-proton-therapy...

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#57

I got a new job recently and I have been saying this is what I will be doing, writing AI to deny claims, AS A JOKE. We pay taxes so the government can pay to subsidize these healthcare corps that just serve to funnel money to its already rich shareholders. Healthcare is a pathetic broken mess and it will never get better.

https://www.marketwatch.com/investing/index/sp500.35?country... is up by less than the S&P over the last few years.

I'm not saying the healthcare system is great or anything (I generally agree with "pathetic broken mess"), but it's not making its investors particularly rich. Most of the excess cost is getting spread out within the system itself and never makes it through the other end. If you want to blame doctors, nurses, admins and suppliers that's arguably a better place to start.

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#58
post #33

Earlier quoted context omitted.

" For those thinking that AI will reduce healthcare costs by improving efficiency, I point you to the 'electronic medical records' hype of 15 years ago. Are per capita healthcare costs any lower now? " Can you elaborate? In countries like Denmark or Estonia electronic medical records are well used among doctors and patients.

I think the point is that one of the big hype phrases is that it will decrease costs of healthcare and lower people's bills, but even if you lower the cost, there is no actual incentive to lower patient bills, so the extra value simply goes to owners and investors rather than the end consumer.

Would you rather be treated in a modern hospital or one from 50 years ago? Would you choose the historical hospital if it charged you the same fraction of median income as it did back then?

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#59

> Even when users successfully appealed these AI-generated determinations and win, they’re greeted with follow up AI-dictated rejections just days later, starting the process all over again. Wait, what? Does that mean they can just take your money and reject your request to cover treatment until you die even if you had every right to do so?

Yep, and ever since a certain insurance provider has switched to an AI system, I've had nearly all my Type 1 Diabetic prescriptions rejected (that I've had no problem getting for over a decade).

Then it takes hours on the phone for every prescription to finally get one approved. Rinse and repeat every 3 months.

Re: 'AI' Is Supercharging Our Broken Healthcare System's Worst Tendencies

#60
post #12

Its supercharging the worst in everything its applied to. Try getting a job right now. All of the automated systems that are doing screening will throw you out if you aren't 100% compatible with whatever they're looking for. Sure, its cheaper than human screening, but now you've got a position not filled for even longer, which is probably costing you in other ways.

As a hiring manager, based on the average candidate that gets forwarded to me after presumably several rounds of filtering (some mechanical, some human), the idea that there is some kind of smart matching going on is slightly ridiculous: they can't tell a security-focused software developer resume from an assurance-focused security specialist, for example.
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