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I dislike that quote. It's not knowing where to make the mark. It's that there's no one else who knows where to make the mark charging less that $9,999. Knowing where to make the mark implies that payment is proportional to ability/productivity, but it is proportional chiefly to relative positions of power. Learning where to make the mark won't earn you $9,999, it will instead put you in competition with the other $9,999 markers in a downward race to the "true value" of those marks.

> Why you think an AI could do better than a human at that is beyond me.

You strike me as someone who thinks like me before I started using LLMs. Now when I read things like this rather than thinking in terms of black and white like I might have before, I instead think about percent likelihoods, and once you let in the grey it's no longer a matter of can/cannot but how many resources will be invested into making it so.

I think you hold doctors in pretty high esteem and I'm not sure how many other people hold doctors in as high esteem as you do. I've certainly ended up worse for having visited one. How seriously do you think most doctors take continuing education, particularly if they are overworked? An AI can consume the latest research/guidelines/text books immediately. Doctors can often act on 20 year old medical dogma. AI can get immediate social media feedback weighted in a way professionals deem appropriate.

I think diagnostic work is one of the things most likely to be taken over by AI. Even when asking specific technical questions in my own field, AI is capable of hitting some key points, and with extra prodding even getting to some very very specific niche points without too much coddling.



> You strike me as someone who thinks like me before I started using LLMs.

Cool, except I've been using LLMs since their inception, and they're now part of my daily workflow, for better or worse. My opinion is based purely on my experience as a user over the last few years.

Besides, my point in that paragraph was specifically about the ability to judge accuracy in information and to produce accurate information, not whether AI can outperform humans in other tasks. Modern AI systems fail miserably at this, which might be acceptable for casual use, but when human lives depend on that accuracy, such as in the healthcare industry, the process of integrating them should be gradual, with a lot of oversight and regulation. We've done that in the automotive industry, for obvious reasons, and the same should be done in others.

> I think you hold doctors in pretty high esteem and I'm not sure how many other people hold doctors in as high esteem as you do.

We hold the medical profession, not individual doctors, in high esteem for good reasons. It is critical to society, and requires intense education for many years. At the end of the day, doctors are as fallible as any human, but they're required to be licensed, and we have regulations in place for medical malpractice. The idea that a computer system based on probabilities and randomness, that hallucinates most of the time, will be more reliable than the average human doctor is ludicrous, regardless of what some benchmark says.

I'm not against using AI in healthcare. Pattern matching to detect early stages of cancer is a very good use case that's been helping radiologists for many years now. But that's the key word: _helping_. My concern is that when these systems are used for medical diagnosis and advice, they will instead be relied on much more than they should be.




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