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ChatGPT Health is a marketplace, guess who is the product?

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Re: ChatGPT Health is a marketplace, guess who is the product?

#71

Post by simianwords »

trollbridge wrote: post #18
bwb wrote: post #12

ChatGPT has made a material difference in my ability to understand health problems, test results, and to communicate with doctors effectively. My wife and I were talking last night about how helpful it was in 2025. I hope that it continues to be good at this. I want regulators to keep an eye on this and make smart laws. I don't want it to go away, as its value is massive in my life. (One example, if you are curious:…

This sounds like excellent evidentiary material for a future insurer or government health provider to decide you're uninsurable, not eligible for a job, and so on. And the great thing about it is that you already signed all your rights away for them to do this exact thing , when we could have had an open world with open models run locally instead where you got to keep your private health information private.

Can you explain the exact way in which this is possible? It’s not legal to be denied jobs based on health. Not to deny insurance

Re: ChatGPT Health is a marketplace, guess who is the product?

#73

Post by SecretDreams »

hsuduebc2 wrote: post #52
SecretDreams wrote: post #27

LLMs for medical info are good, but they're easily abuseable. I've got a friend who is an anxious mom. They use gpt/Gemini to "confirm" all of their suspicions and justify far more doctor/medical visits than is at all reasonable, while also getting access to more recurring antibiotics than is reasonable. LLMs are basically giving them the gun powder to waste the doctor's time and slam an already stressed medical syst…

Yeah, it’s a very powerful tool, and it needs to be used carefully and with intent. People on Hacker News mostly get that already, but for ordinary users it’s a full-on paradigm shift. It moved from: A very precise source of information, where the hardest part was finding the right information. To: Something that can produce answers on demand, where the hardest part is validating that information, and knowing when to…

> This happened in a year or two so I can't really blame. The truth machine where you doesn't needed to focus too much on validating answers changed rapidly to slop machine where ironically, your focus is much more important.

Very much this for the general public. I view it as borderline* dangerous to anyone looking for confirmation bias.

Re: ChatGPT Health is a marketplace, guess who is the product?

#74

Post by zdragnar »

monooso wrote: post #62
lotsofpulp wrote: post #34

Earlier quoted context omitted.

If an insurer is able to reduce (or recoup) costs from likelier risks, then the remaining insureds benefit from lower premiums. If the goal is providing subsidies (i.e. wealth transfers), then insurance is not the way to do it. That is the government’s role.

Not a US citizen, so a genuine question: do US health insurance companies have a track record of passing on such savings to consumers? That has not been my impression as an outside observer.

Ostensibly, the Affordable Care Act was supposed to reduce the average family's premiums by $2,500 a year.

When that didn't happen, the story changed to that number being how much more premiums would have risen.

Insurance premiums have only gone up as far as I can remember, though there's a ton of variables at play here. Inflation is an obvious one, plus continual introduction of more and more costly treatments- biologic injections, cancer therapies and so forth. The unfortunate increase in obesity rates in my lifetime (along with all the health complications) has been a significant contributor as well.

It all adds up.

Re: ChatGPT Health is a marketplace, guess who is the product?

#75

Post by [deleted] »

bwb wrote: post #12

ChatGPT has made a material difference in my ability to understand health problems, test results, and to communicate with doctors effectively. My wife and I were talking last night about how helpful it was in 2025. I hope that it continues to be good at this. I want regulators to keep an eye on this and make smart laws. I don't want it to go away, as its value is massive in my life. (One example, if you are curious:…

[deleted]

Re: ChatGPT Health is a marketplace, guess who is the product?

#76

Post by simianwords »

jmyeet wrote: post #50
bwb wrote: post #12

ChatGPT has made a material difference in my ability to understand health problems, test results, and to communicate with doctors effectively. My wife and I were talking last night about how helpful it was in 2025. I hope that it continues to be good at this. I want regulators to keep an eye on this and make smart laws. I don't want it to go away, as its value is massive in my life. (One example, if you are curious:…

This kind of comment scares me because it's an example of people substituring professional advice for an LLM where LLMs are known to hallucinate or otherwise simply make stuff up. I see this all the time when I write queries and get the annoying Gemini AI snippet on a subject I know about and often I'll see the AI make provably and objectively false statements.

You are exaggerating. LLMs simply don’t hallucinate all that often, especially ChatGPT.

I really hate comments such as yours because anyone who has used ChatGPT in these contexts would know that it is pretty accurate and safe. People also can generally be trusted to identify good from bad advice. They are smart like that.

We should be encouraging thoughtful ChatGPT use instead of showing fake concern at each opportunity.

Your comment and many others just try to signal pessimism as a virtue and has very less bearing on reality.

Re: ChatGPT Health is a marketplace, guess who is the product?

#77

Post by monooso »

lotsofpulp wrote: post #64
monooso wrote: post #62

Earlier quoted context omitted.

Not a US citizen, so a genuine question: do US health insurance companies have a track record of passing on such savings to consumers? That has not been my impression as an outside observer.

Health insurance companies in the US are not allowed to deny coverage, and can only price premiums based on age (highest premium capped at 3x lowest premium, location, and tobacco use. https://www.healthcare.gov/coverage/pre-existing-conditions/ https://www.healthcare.gov/how-plans-set-your-premiums/ Health insurance premiums in the US are more tax than insurance. They also have low single digit profit margins with l…

> The insurance business in general is very competitive and not very profitable...

Knowing several Americans, and how much they pay for health insurance (and are still required to pay for some things "out of pocket"), this is incredible to me. And that's before you even get to the process of making a claim.

Such a broken system.

Re: ChatGPT Health is a marketplace, guess who is the product?

#78

Post by DudeOpotomus »

azan_ wrote: post #67
DudeOpotomus wrote: post #49

Earlier quoted context omitted.

Yes, trading your privacy and autonomy for perceived ease is how they are going to steal your future and your freedom.

Please read my comment again. If you lived with chronic pain that multiple doctors failed to correctly diagnose and ChatGPT actually suggested correct diagnosis then you wouldn’t call it just perceived ease, but something that made your life much, much better. I’m doctor and I’m all for empowering patients (as long as they consult ChatGPT output with actual doctors). It’s very easy to criticize people resorting to ll…

With all due respect, you are thinking like a good person, a human being who spent decades of their life to learn how to care for people. You took a pledge to Do-no-Harm. You are looking at these tools as tools.

The owners and future owners of said data do not care about anything other than profits and exploitation. They do not care about the patient, the doctor let alone the consequences of their doings. They took a pledge to make-profits regardless of the harm. A position fundamentally opposed to that of the medical doctor.

Re: ChatGPT Health is a marketplace, guess who is the product?

#79

Post by ipaddr »

lionkor wrote: post #68
vjvjvjvjghv wrote: post #32

Earlier quoted context omitted.

You could also list plenty of horror stories where people went to medical professionals and got screwed over. There is this myth that people can go to doctors and get perfect attention and treatment. Reality is far from that

Are medical professionals not usually held accountable, globally speaking?

Lawsuits against medical professionals are difficult in many cases impossible for the average person to win. They are held less accountable compared to other professions.

Re: ChatGPT Health is a marketplace, guess who is the product?

#80

Post by Flatterer3544 »

simianwords wrote: post #71
trollbridge wrote: post #18

Earlier quoted context omitted.

This sounds like excellent evidentiary material for a future insurer or government health provider to decide you're uninsurable, not eligible for a job, and so on. And the great thing about it is that you already signed all your rights away for them to do this exact thing , when we could have had an open world with open models run locally instead where you got to keep your private health information private.

Can you explain the exact way in which this is possible? It’s not legal to be denied jobs based on health. Not to deny insurance

And how would you know what they base their hiring upon? You would just get a generic automated response..

You would not be privy to their internal processes, and thusfar not be able to prove wrong doing. You would just have to hope for a new Snowden and that the found wrongdoings would actually be punished this time.

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