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ChatGPT Health

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Re: ChatGPT Health

#611

Post by pardon_me »

qiine wrote: post #518
ethbr1 wrote: post #452

Earlier quoted context omitted.

Patients should always advocate for their own care. This includes researching their own condition, looking into alternate diagnoses/treatments, discussing them with a physician, and potentially getting a second opinion. Especially the second opinion. There are good and bad physicians everywhere. But advocating also does not mean ignoring a physician's response. If they say it's unlikely to be X because of Y, consider…

> Patients should always advocate for their own care. This includes researching their own condition I believe you do not fully appreciate how long and exhausting this is especially when sick...

Nothing he stated suggests this. Not giving a nod to how difficult it is doesn't mean people don't care. Unfortunately it is still true, we all have to advocate for our own care and pay attention to ourselves. The fact that this negatively affects the people who need the most care and attention is a harrowing part of humanity we often gloss over.

Re: ChatGPT Health

#612

Post by pardon_me »

geekasm wrote: post #565
ethbr1 wrote: post #452

Earlier quoted context omitted.

Patients should always advocate for their own care. This includes researching their own condition, looking into alternate diagnoses/treatments, discussing them with a physician, and potentially getting a second opinion. Especially the second opinion. There are good and bad physicians everywhere. But advocating also does not mean ignoring a physician's response. If they say it's unlikely to be X because of Y, consider…

> researching their own condition what a joke. so if I am sufferring with cancer, I should learn the lay of the land, treatments available ... wow. if I need to do everything, what am I paying for ?

Face-time. Their knowledge, training, and ability to write letters. Just because it's expensive, doesn't mean they are spending their evenings researching possible patient conditions and expanding their knowledge. Some might, but this isn't TV.

Anyway, what are you paid for? Guessing a programmer, you just sit in a chair all day and press buttons on a magical box. As your customer, why am I having to explain what product I want and what my requirements are? Why don't you have all my answers immediately? How dare you suggest a different specialism? You made a mistake?!?

Re: ChatGPT Health

#613

Post by utopiah »

ryandrake wrote: post #562
542354234235 wrote: post #484

Earlier quoted context omitted.

I hear about people winning the lottery all the time. There were two $100m+ winners just this week. The anecdotes just keep piling up! That doesn't mean the lottery is a valid investment tool. People just do not understand how statistically insignificant anecdotes are in a sufficiently large dataset. Just for the US population, a 1 in a million chance of something happening to a person should happen enough to be repo…

You guys are getting downvoted but you're 100% right. You never hear the stories about someone typing symptoms into ChatGPT and getting back wrong, bullshit answers--or the exact answer their doctor would have told them. Because those stories are boring. You only hear about the miraculous cases where ChatGPT accurately diagnosed an unusual condition. What's the ratio of miracle:bullshit? 1:100? 1:10,000?

> You guys are getting downvoted but you're 100% right.

Classic HN. /s

Re: ChatGPT Health

#614

Post by threethirtytwo »

nradov wrote: post #608
threethirtytwo wrote: post #601

Earlier quoted context omitted.

There's a need for law. The fact nobody negotiates for results based treatment is similar to how everyone really needs insurance to afford medical treatments. It's not law to have medical insurance but basically everyone needs it regardless. The problem is systemic. It's not purely related to law. Side effects and incentives stemming both from law and outside of law force things to be this way. Stop manipulating the…

You seem to be assuming that a different payment model would reduce diagnostic errors. There is no evidence for that. Anything related to biology is necessarily probabilistic and highly error prone. Some care quality improvements are certainly possible but those aren't necessarily tied to payment models. It's more important to focus on evidence-based clinical practice guidelines.

>You seem to be assuming that a different payment model would reduce diagnostic errors.

No. The payment model should change to be fair, I never said the payment reduces diagnostic errors. The patient should be informed about the probabilistic nature of the diagnosis. A contract (not in fine print) to protect the doctor from lawsuits from misdiagnosis should be signed by the patient to reflect this. Then the payment should be Heavily reduced to reflect the unreliability of the diagnosis. By heavily I mean becoming a doctor should not be a profession that is associated with extreme wealth because the unreliability of their diagnosis/treatment does not convey that level of value.

>Some care quality improvements are certainly possible but those aren't necessarily tied to payment models.

I don't think it's "some" quality improvements. The US has some of the worst outcomes in the 1st world in terms of quality of care. There are massive improvements that can be made here.

>It's more important to focus on evidence-based clinical practice guidelines.

Agreed, and until the evidence, clinical practice guidelines and effectiveness of doctors rises to the level of significant reliability, both payment and respect should be adjusted to reflect the current level of low reliability.

Re: ChatGPT Health

#615

Post by ethbr1 »

pardon_me wrote: post #611
qiine wrote: post #518

Earlier quoted context omitted.

> Patients should always advocate for their own care. This includes researching their own condition I believe you do not fully appreciate how long and exhausting this is especially when sick...

Nothing he stated suggests this. Not giving a nod to how difficult it is doesn't mean people don't care. Unfortunately it is still true, we all have to advocate for our own care and pay attention to ourselves. The fact that this negatively affects the people who need the most care and attention is a harrowing part of humanity we often gloss over.

A boxing referee says "Protect yourself at all times."

They do this not because it isn't their job to protect fighters from illegal blows, but because the consequences of illegal blows are sometimes unfixable.

An encouragement for patients to co-own their own care isn't a removal of a physician's responsibility.

It's an acknowledgement that (1) physicians are human, fallible, and not omniscient, (2) most health systems have imperfect information sync'ing across multiple parties, and (3) no one is going to care more about you than you (although others might be much more informed and capable).

Self-advocacy isn't a requirement for good care -- it's due diligence and personal responsibility for a plan with serious consequences.

If a doc misses a diagnosis and a patient didn't spend any effort themselves, is that solely the doctor's fault?

PS to parent's insinuation: 20 years in the industry and 15 years of managed cancer in immediate family, but what do I know?

Re: ChatGPT Health

#616

Post by [deleted] »

soared wrote: post #89
paulgrimes1 wrote: post #41

Here’s something: my chatGPT quietly assumed I had ADHD for around 9 months, up until October 2025. I don’t suffer from ADHD. I only found out through an answer that began “As you have ADHD..” I had it stop right there, and asked it to tell me exactly where it got this information; the date, the title of the chat, the exact moment it took this data on as an attribute of mine. It was unable to specify any of it, aside…

It doesn’t have itself as a data source to reference, so asking “tell me when you said this” etc will never work

[deleted]

Re: ChatGPT Health

#617

Post by rsync »

heavyset_go wrote: post #323
paulgrimes1 wrote: post #41

Here’s something: my chatGPT quietly assumed I had ADHD for around 9 months, up until October 2025. I don’t suffer from ADHD. I only found out through an answer that began “As you have ADHD..” I had it stop right there, and asked it to tell me exactly where it got this information; the date, the title of the chat, the exact moment it took this data on as an attribute of mine. It was unable to specify any of it, aside…

ChatGPT used the name on my credit card, a name which isn't uncommon, and started talking about my business, XYZ, that I don't have and never claimed to. Did some digging and there was an obscure reference to a company that folded a long time ago associated with someone who has my name. What makes it creepier is that they have the same middle name, which isn't in my profile or on my credit card. When I signed up for…

“ When I signed up for ChatGPT, not only did I turn off personalization and training on my data, I even filled out the privacy request opt-out …”

You did all of that but then you gave them your real name?

Visa/MC payment network has no ability to transfer or check card holder name. Merchants act as if it does, but it doesn’t. You can enter Mickey Mouse as your first name and last name… It won’t make any difference.

Only AMEX and Discover have the ability to validate names.

FWIW, I have a paid account with OpenAI, for using ChatGPT, and I gave them no personal information.

Re: ChatGPT Health

#618

Post by Mouvelie »

yoaviram wrote: post #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 heal…

May your piece stay at the highest level of this comment section.

Re: ChatGPT Health

#619

Post by freddie_mercury »

mangamadaiyan wrote: post #258
qgin wrote: post #126

I help take care of my 80-ish year old mother. ChatGPT figured out in 5 minutes the reason behind a pretty serious chronic problem that her very good doctors hadn't been able to figure out in 3 years. Her doctors came around to the possibility, tested out the hypothesis, and it was 100% right. She's doing great now (at least with that one thing). That's not to say that it's better than doctors or even that it's a goo…

Something to think about: perhaps the problem is with the duration of the appointment, and the difficulty of getting one in the first place? Elsewhere in the world, doctors can and do spend more than 12 minutes figuring out what's wrong with their patients. It's the healthcare system that's broken, and it _can_ be fixed without resorting to chatgpt. That it won't is the reality, though

> Elsewhere in the world, doctors can and do spend more than 12 minutes figuring out what's wrong with their patients.

Where? According to "International variations in primary care physician consultation time: a systematic review of 67 countries" Sweden is the only country on the planet with an average consultation length longer than the US.

"We found that 18 countries representing about 50% of the global population spend 5 min or less with their primary care physicians."

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