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Kaiser nurses say AI, surveillance are making their jobs and patient care worse

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Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#241

Earlier quoted context omitted.

The last time was 2009-2010 for the Democrats. The Republicans have never held 60 seats. But the real crime is that the left never exploited that. If I was in charge, I’d have mountains of draft legislation vetted, proofread, run by every lawmaker, and printed out years before any potential majority just in case it ever came about. Whoever was in charge of the DNC in 2009 should feel ashamed of letting a generational…

The 60 seats business needs to stop. Fillibuster is a senate procedure rule. That's about the weakest a thing could be. At any point Democrats could have gotten rid of the filibuster with a 51 majority. Democrats would much rather let congress do nothing than do something. It's hurt their reputation so much.

It's an oddly convenient tool. Especially if you value passing good laws less than allowing bad laws to pass. And it seems like our government is indeed run like a business; highly risk adverse to the point where it's better to spend more time in meetings than doing actual work. These people won't be chastised as much as they deserve for doing nothing, so that won't push them either.

I like the idea of the filibuster, but like most things it degraded from a way to force the stand to consider your ideas at all costs, to a blatant stalling tactic, to a lazy button to push against anything you disagree with. I'd rather throw it out these days than keep it, but ideally we'd completely revamp it to close such obvious loopholes and bring back some skin in the game.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#242

Earlier quoted context omitted.

Ed: I disagree. My recollection is that machine learning was routinely sold as “AI” even when it obviously wasn’t. (IBM’s Watson was good at Jeopardy but not real medical applications.) This isn’t exactly the same, but nothing in the book Paradigms of Artificial Intelligence would be considered AI today.

You must be thinking of a different machine learning. All the on-device machine learning, backend machine learning, OCR, etc. was all called "machine learning" before LLMs. Yes, the field of artificial intelligence still existed, often used machine learning, and called the result "AI". But Apple would call keyboard prediction machine learning. Microsoft would call OCR machine learning. YouTube called machine transcri…

Counter example, the book that is the foundation of much coursework and learning for people in AI, has a whole section on "Machine Learning" with all that k-means and such in there - https://aima.cs.berkeley.edu/

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#243

Earlier quoted context omitted.

I never heard people calling machine learning "AI" until large language models made it trivial to market it as such. Like, I remember back when Netflix, for instance, was going around advertising how machine learning (not AI) powers their recommendations.

> I never heard… You should listen better. The University of Edinburgh had an entire Department of Artificial Intelligence when I was an undergrad there in the 1990s, and one of the things it researched was machine learning.

I don't see how including machine learning under the artificial intelligence umbrella counts as calling machine learning AI.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#244

Earlier quoted context omitted.

You must be thinking of a different machine learning. All the on-device machine learning, backend machine learning, OCR, etc. was all called "machine learning" before LLMs. Yes, the field of artificial intelligence still existed, often used machine learning, and called the result "AI". But Apple would call keyboard prediction machine learning. Microsoft would call OCR machine learning. YouTube called machine transcri…

Counter example, the book that is the foundation of much coursework and learning for people in AI, has a whole section on "Machine Learning" with all that k-means and such in there - https://aima.cs.berkeley.edu/

I'm really not sure how that's a counterexample. The section is called machine learning, not AI. Machine learning is a useful tool for artificial intelligence, so I'd be surprised if a book about AI did not talk about it.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#245

Earlier quoted context omitted.

Counter example, the book that is the foundation of much coursework and learning for people in AI, has a whole section on "Machine Learning" with all that k-means and such in there - https://aima.cs.berkeley.edu/

I'm really not sure how that's a counterexample. The section is called machine learning, not AI. Machine learning is a useful tool for artificial intelligence, so I'd be surprised if a book about AI did not talk about it.

Machine learning is just what we call AI that works.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#246

Earlier quoted context omitted.

> will you give up identity politics for the deplorables vote? That phrase gets used a lot, I'm curious what you mean by that. If you mean "woke", then you're probably missing the irony of how that is actually used politically. Based on the phrasing of your question, I'm guessing you might have an irony deficiency. But please go on. Political discussion here is frowned upon because it usually devolves into partisan n…

identity politics is used as a distraction to class politics, if you materially make peoples lives better they will vote for you.

I agree with the former, and conceptually with latter. But we've seen people vote against their best interests because of the promise of destroying those who've they've been taught to hate. Contemporary US immigration "policy" is a case in point.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#247

Earlier quoted context omitted.

> I never heard… You should listen better. The University of Edinburgh had an entire Department of Artificial Intelligence when I was an undergrad there in the 1990s, and one of the things it researched was machine learning.

I don't see how including machine learning under the artificial intelligence umbrella counts as calling machine learning AI.

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Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#249

I RFTA and the majority of the complaints are about call center metrics and the pressure to ration care. These are real concerns about misuse of metrics, but not AI. The AI empathy thing was a 2024 pilot that was discontinued. FWIW my wife works for Kaiser and finds a lot of value in the the medical LLM tools available to her. She tells me being able to do live translation, summarize notes, and quickly get comprehens…

I personally will not use a provider who uses llm tools. I know it makes me and my coworkers less careful and lazier. Qualities I dont want in a health care providor. Ive actually moved primary care physicians over this once already, found the oldest guy I could who barely knows how to use a laptop but spends a bunch of extra time with me.

Likewise. I basically

- will not see a “provider”. A doctor (MD/DO) only please.

- will not see a doctor who uses LLM tools (or therapists for that matter)

- Make it abundantly clear that if you do then we’re not a match.

- Will pay significantly more/go out of my way for for this.

Re: Kaiser nurses say AI, surveillance are making their jobs and patient care worse

#250

Earlier quoted context omitted.

> I never heard… You should listen better. The University of Edinburgh had an entire Department of Artificial Intelligence when I was an undergrad there in the 1990s, and one of the things it researched was machine learning.

I don't see how including machine learning under the artificial intelligence umbrella counts as calling machine learning AI.

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