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ChatGPT Health

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Re: ChatGPT Health

#471
This thread reads like an advertisement for ChatGPT Health.

I came to share a blog post I just posted titled: "ChatGPT Health is a Marketplace, Guess Who is the Product?"

OpenAI is building ChatGPT Health as a healthcare marketplace where providers and insurers can reach users with detailed health profiles, powered by a partner whose primary clients are insurance companies. Despite the privacy reassurances, your health data sits outside HIPAA protection, in the hands of a company facing massive financial pressure to monetize everything it can.

https://consciousdigital.org/chatgpt-health-is-a-marketplace...

Re: ChatGPT Health

#472

Going to a probabilistic system for something that can/should be deterministic sets off a lot of red flags. I’ve worked medical software packages, specifically a drug interaction checker for hospitals. The system cannot be written like a social media website… it has to fail by default, and only succeed when an exact correct solution was determined. This result must be repeatable given the same inputs. The consequence…

Human doctors are probabilistic systems.

This type of naive response really is bothersome!

Humans are probabilistic systems?! You might want to inform the world's top neuroscientists and philosophers to down tools. They were STILL trying to figure this out but you've already solved it! Well done.

Re: ChatGPT Health

#473
post #288

Earlier quoted context omitted.

This actually highlights a big privacy problem with health AI. Say I’m interested in some condition and want to know more about it so I ask a chatbot about it. It decides “asking for a friend” means I actually have that condition and then silent passes that information on data brokers. Once it’s in the broker network it’s truth. We lack the proper infrastructure for to control our own personal data. Hell, I bet there…

What's the difference between Googling diseases/symptoms and asking ChatGPT?

An opaque layer of transformation.

The former shows you things people (hopefully) have written.

The latter shows you a made-up string of text "inspired by" things people have written.

Re: ChatGPT Health

#475

This thread reads like an advertisement for ChatGPT Health. I came to share a blog post I just posted titled: "ChatGPT Health is a Marketplace, Guess Who is the Product?" OpenAI is building ChatGPT Health as a healthcare marketplace where providers and insurers can reach users with detailed health profiles, powered by a partner whose primary clients are insurance companies. Despite the privacy reassurances, your heal…

This. It’s the same play with their browser. They are building the most comprehensive data profile on their users and people are paying them to do it.

Re: ChatGPT Health

#476

Earlier quoted context omitted.

What ? In most countries, including the U.S, they are a very highly paid profession (I'm not talking about the internship phase)

"Rich doctor" is a thing only in the U.S., and that's due to collusion and price fixing, not because American doctors are better somehow. In the rest of the world doctors are basically like white-collar car mechanics, and often earn less money and respect.

It's about the same pay as a (professional) engineer. In the US, both engineers and doctors are very highly paid. In the UK and Japan they are paid about 50-100k if experienced, which is somewhere about 2-4x less than their US counterparts.

Re: ChatGPT Health

#477

Earlier quoted context omitted.

I wouldn't be surprised it's because people self diagnose and talk about their """adhd""" all the time on reddit &co. where chatgpt was trained a lot.

Do you think the majority of those people are lying or do you think it's possible that our pursuit of algorithmic consumption is actually rewiring our neural pathways into something that looks/behaves more like ADHD? Personally, I'm on the fence. I suspect that I've always had a bit of that, but anecdotally, it does seem to have gotten worse in the past decade, but perhaps it's just a symptom of old age (31 hehehe).

> Do you think the majority of those people are lying

I don’t think they’re lying, but it is very clear that ADHD has entered the common vernacular and is now used as a generic term like OCD.

People will say “I’m OCD about…” as a way of saying they like to be organized or that they care about some detail.

Now it’s common to say “My ADHD made me…” to refer to getting distracted or following an impulse.

> or do you think it's possible that our pursuit of algorithmic consumption is actually rewiring our neural pathways into something that looks/behaves more like ADHD?

Focus is, and always has been, something that can be developed through practice. Ability to focus starts to decrease when you don’t practice it much.

The talk about “rewiring the brain” and blaming algorithms is getting too abstract, in my opinion. You’re just developing bad habits and not investing time and energy into maintaining the good habits.

If you choose to delete those apps from your phone or even just use your phone’s time limit features today, you could start reducing time spent on the bad habits. If you find something to replace it with like reading a book (ideally physical book to avoid distractions) or even just going outside for a 10 minute walk with your phone at home, I guarantee you’ll find that what you see as an adult-onset “ADHD” will start to diminish and you will begin returning to the focus you remember a decade ago.

Or you could continue scrolling phones and distractions, which will probably continue the decline.

This is a good place to note that a lot of people think getting a prescription will fix the problem, but a very common anecdote in these situations is that the stimulant without a concomitant habit change just made them hyperfocus on their distractions or even go deeper into more obsessive focus on distractions. Building the better habits is a prerequisite and you can’t shortcut out of it.

Re: ChatGPT Health

#478

My uncle had an issue with his balance and slurred speech. Doctors claimed dementia and sent him home. It kept becoming worse and worse. Then one day I entered the symptoms in ChatGPT (or was it Gemini?) and asked it for the top 3 hypotheses. The first one was related to dementia. The second was something else (I forget the long name). I took all 3 to his primary care doc who had kept ignoring the problem, and asked…

what was the second diagnosis?

Re: ChatGPT Health

#479

My uncle had an issue with his balance and slurred speech. Doctors claimed dementia and sent him home. It kept becoming worse and worse. Then one day I entered the symptoms in ChatGPT (or was it Gemini?) and asked it for the top 3 hypotheses. The first one was related to dementia. The second was something else (I forget the long name). I took all 3 to his primary care doc who had kept ignoring the problem, and asked…

I've heard a lot of such anecdotes. I'm not saying its ill-intentioned, but the skeptic in me is cautious that this is the type of reasoning which propels the anti-vax movement. I wish / hope the medical community will address stories like this before people lose trust in them entirely. How frequent are mis-diagnosis like this? How often is "user research" helping or hurting the process of getting good health outcome…

> I wish / hope the medical community will address stories like this before people lose trust in them entirely.

Too late for me. I have a similar story. ChatGPT helped me diagnose an issue which I had been suffering with my whole life. I'm a new person now. GPs don't have the time to spend hours investigating symptoms for patients. ChatGPT can provide accurate diagnoses in seconds. These tools should be in wide use today by GPs. Since they refuse, patients will take matters into their own hands.

FYI, there are now studies showing ChatGPT outperforms doctors in diagnosis. (https://www.uvahealth.com/news/does-ai-improve-doctors-diagn...) I can believe it.

Re: ChatGPT Health

#480

Earlier quoted context omitted.

I've heard a lot of such anecdotes. I'm not saying its ill-intentioned, but the skeptic in me is cautious that this is the type of reasoning which propels the anti-vax movement. I wish / hope the medical community will address stories like this before people lose trust in them entirely. How frequent are mis-diagnosis like this? How often is "user research" helping or hurting the process of getting good health outcome…

I think the ultimate answer is that people must take responsibility for their own health and that of their children and loved ones. That includes research and double-checking your doctors. True, the result is that a good number of people will be convinced they have something (eg. autism) that they don't. But the anecdotes are piled up into giant mountains at this point. A good number of people in my family have had a…

>But the anecdotes are piled up into giant mountains at this point

This is disorganized thinking. Anecdotes about what? Does my uncle having an argument with his doctor over needing more painkillers, combine with an anecdote about my sister disagreeing with a midwife over how big her baby would be, combined with my friend outliving their stage 4 cancer prognosis all add up to "therefore I'm going to disregard nutrition recommendations"? Even if they were all right and the doctors were all wrong, they still wouldn't aggregate in a particular direction the way that a study on processed foods does.

And frankly it overlooks psychological and sociological dynamics that drive this kind of anecdotal reporting, which I think are more about tribal group emotional support in response to information complexity.

In fact, reasoning from separate instances that are importantly factually different is a signature line of reasoning used by alien abduction conspiracy theorists. They treat the cultural phenomenon of "millions" of people reporting UFOs or abduction experiences over decades as "proof" of aliens writ large, when the truth is they are helplessly incompetent interpreters of social data.

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