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ChatGPT terms disallow its use in providing legal and medical advice to others

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Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#391
post #388

Earlier quoted context omitted.

Professionals have confirmation bias too and the LLM will hook into that regardless of patient or professional. It's so good at it that even "training" the professional received can be subtly bypassed. Basically there needs to be an LLM that can push back.

LLMs generate tokens. They don’t have judgement. They would need judgement in order to have a basis for pushing back.

Judgement can be expressed in the form of tokens. Yes LLMs are just token generators. But the tokens they generate express judgement in a way that is indistinguishable from actual judgment.

So who cares. It's like saying nobody drives a car because the thing that's moving them is just a thing that is not a car but acts like a car to an extent that it is indistinguishable. Ok then. It's a car. Good day sir.

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#393
post #367
post #239

I read this not as "you can't ask ChatGPT about {medical or legal topic}" but rather "you can't build something on ChatGPT that provides {medical or legal} advice or support to someone else." For example, Epic couldn't embed ChatGPT into their application to have it read your forms for you. You can still ask it - but Epic can't build it. That said, I haven't found the specific terms and conditions that are mentioned…

I think it's simpler than that, and they're just trying to avoid liability. With all of their claims about how GPT can pass the legal/medical bar etc. I wouldn't be surprised if they're eventually held accountable for some of the advice their model gives out. This way, they're covered. Similarly, Epic could still build that feature, but they'd have to add a disclaimer like "AI generated, this does not constitute lega…

Hiding it in the TOS isn't going to be a good defense from a products liability standpoint

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#394

Earlier quoted context omitted.

It is awful, but at the same time this isn't new. People have for a long time used Google searches to self diagnose their issues. ChatGPT just makes that process ever easier now. From my viewpoint it speaks more to a problem of the healthcare system.

I agree with everything you said but chatGPT does have an insidious thing where it confirms your biases. It kind of senses what you want and actually runs with it. For truly unbiased responses you literally have to hide your intention from chatGPT. But even so chatGPT can many times still sense your intent and give you a biased answer.

There is something recently (for a few months?) which has made AI extremely sycophantic that it actually drives me crazy

You are completely right... insert some emoji

Shaking my head.

It would be an interesting experiment to see models which aren't sycophantic being used

as such, What is the least sycophantic LLM model if I may ask?

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#395
post #295

I was wondering when they would start with the regulations. Next will be: you're allowed to use it, if your company/product is "HippocraticGPT"-certified, a bit like SOC or PCI compliance. This way they can craft an instance of GPT for your specific purposes (law, medicine, etc) and you know it's "safe" to use. This way they sell EE licenses, which is where the big $$$ are.

> Next will be: you're allowed to use it, if your company/product is "HippocraticGPT"-certified, a bit like SOC or PCI compliance. That's exactly how it should be. That's why one needs a license to practice medicine. I work with a company in this space. All the AI tools are for the professional to use - the patient never interacts with them. The inferred output (I prefer the word prediction) is only ever seen by a me…

Im working on a PhD concerning LLMs and somatic medicine, as an MD, and I must admit that my perspective is the complete opposite.

Medical care, at the end of the day, has nothing to do with having a license or not. Its about making the correct diagnosis, in order to administer the correct treatment. Reality does not care about who (or what) made a diagnosis, or how the antibiotic you take was prescribed. You either have the diagnosis, or you do not. The antibiotic helps, or it does not.

Doing this in practice is costly and complicated, which is why society has doctors. But the only thing that actually matters is making the correct decision. And actually, when you test LLMs (in particular o3/gpt-5 and probably gemini 2.5), they are SUPERIOR to individual doctors in terms of medical decisionmaking, at least on benchmarks. That does not mean that they are superior to an entire medical system, or a skillfull attending in a particular speciality, but it does seem imply that they are far from a bad source of medical information. Just like LLMs are good at writing boilerplate code, they are good at boilerplate medical decisions, and the fact is that there is so much medical boilerplate that this skill alone makes it superior to most human doctors. There was one study which tested LLM assisted (I think it was o3) doctors VS LLMs alone (+doctors alone) on a set of cases, and the unassisted LLM did BETTER than doctors, assisted or not.

And so all this medicolegal pearlclutching about how LLMs should not provide medical advice is entirely unfounded when you look at the actual evidence. In fact, the evidence seems to suggest that you should ignore the doctor and listen to chatGPT instead.

And frankly, as a doctor, it really grinds my gears when anyone implies that medical decisions should be a protected domain to our benefit. The point of medicine is not to employ doctors. The point of medicine is to cure patients, by whatever means best serves them. If LLMs take our jobs, because they do a better job than we do, that is a good thing. It is an especially good thing if the general, widely available LLM is the one that does so, and not the expensively licensed "HippocraticGPT-certified" model. Can you imagine anything more frustrating, as a poor kid in the boonies of Bangladesh trying to understand why your mother is sick, than getting told "As a language model I cannot dispense medical advice, please consult your closest healthcare professional".

Medical success is not measured in employment, profits, or legal responsibilities. It is measured in reduced mortality. The means to achieve this is completely irrelevant.

Of course, mental health is a little bit different, and much more nebulous overall. However, from the perspective of someone on the somatic front, overregulation of LLMs is unecessary, and in fact unethical. On average, an LLM will dispense better medical advice than an average person with access to google, which is what it was competing with to begin with. It is an insult to personal liberty and to the Hippocratic oath to support that this should be taken away simply because of some medicolegal bs.

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#396
post #301

Earlier quoted context omitted.

"People with real questions get roped in by an enthusiastically confirming sycophantic model that will never question or push back, just confirm and lead on." That wasn't too buried IMHO

This isn’t accurate though, the models do push back and do question. I would say ChatGPT is way way better than the average therapist. I’ve seen maybe between 15-20 psychotherapists over the course of my life and ChatGPT is better than 85% of them I would wager. I’ve had a therapist recommend me take a motorbike trek across Europe (because that’s what he did) to cure my depression. I think people tend to radically ov…

> I’ve had a therapist recommend me take a motorbike trek across Europe (because that’s what he did) to cure my depression.

When I try to help people in support group/ therapy group although I am not a therapist, I also try to explain how I fixed my issues or how I do so.

I feel like, that isn't bad take to be really honest in the sense that I personally feel like there are times when we lose the fact that our lives have purpose and your therapist grappled with it by having a unitary goal for himself

If you felt like that was a bad idea, just tell him that what is the thing that they got out of the motorbike trek race that cured their depression, I'd be more curious about that. Considering, maybe then I can try to see if my life has/had the same problems and what is the common theme and discussing about it later.

Personally I feel like Chatgpt is extremely sycophantic and I feel really weird interacting with it. For one, I really like interacting with humans atleast in the therapy mindset I suppose.

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#397

Hmm. So OpenAI doesn't care about other people's terms, copyrights or any sort of IP; but they get to have their own terms.

Welcome to the internet! Have a look around

(https://www.youtube.com/watch?v=k1BneeJTDcU)

Another obligatory song named Jeff bezos by Bo Burnham (https://www.youtube.com/watch?v=lI5w2QwdYik)

C'mon Jeffrey you can do it! (I mean you can break half the internet with AWS us-east-1, but in all seriousness both songs are really nice lol)

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#398

Earlier quoted context omitted.

What if Chat GPT is used as a "power tool" for actual legal / medical professionals? E.G. Here's the set of documents uploaded by the customer. Here are my most important highlights (notice that document #68 is an official letter from last year informing the person that form 68d doesn't need to be filled in their specific situation). Here are my takeaways. Here's my recommendation. Apporve or change?

I would expect that to work exactly how I code with it. I would examine the inferred output, decide if it is fit for purpose, and if so then commit it. If not, I would either refine my prompt or make the fixes to the inferred code myself. Would this hypothetical legal professional not verify that the inferred output (which is really a prediction) is correct?

As an attorney, I don't see what the value of that would be if I have to double check its work. How else could I verify that the output is correct?

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#399
post #258

Earlier quoted context omitted.

And this seems actually wildly reasonable. It’s actually pretty scammy to take people’s money (or whatever your business model is) for legal or medical advice just to give them whatever AI shits out. If I wanted ChatGPT’s opinion (as I actually often do) I’d just ask ChatGPT for free or nearly-free. Anyone repackaging ChatGPT’s output as fit for a specialized purpose is scamming their customers.

Indeed. Similarly, I like now having ChatGPT as the absolute lowest bar of service I’m willing to accept. If you aren’t a better therapist, lawyer or programmer than it then why would I think about paying you.

The exact kind of customer I would not want to have anyway.

Re: ChatGPT terms disallow its use in providing legal and medical advice to others

#400
post #275

Earlier quoted context omitted.

(For anyone misunderstanding the reference to Epic, it's the name of an electronic healthcare record system widely used in American hospitals, not the game company Epic Games)

And for anyone who wants to be nerd sniped by this one comment chain, the Acquired podcast recently did an episode on Epic and it is great. Title: "Epic Systems (MyChart)."

https://web.archive.org/web/20250903203659im_/https://media....

227 MB 3:57:01

400 customers

47 years never lost a customer

Epic refuses to be acquired or engage in M&A

These podcasters seem to appreciate Epic. According to this recording, Epic's licensees like the product

According to the podcast, the software was so useful, Epic's future customers asked its founder to start a company

This was before the microprocessor had been invented

No venture capital

Today, 5.7B revenue

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