Money is a variable. Success is defined by the delta between intake and expenditure. Sometimes we go broke buying ram. Other times its unattainable because the prices driven up by AI .
Shoes are an occasional topic here and I have had a few posts with shoes but this one has to be the strangest follow-up. I had Solomon X ULTRA PIONEER MID shoes and the insoles wore out fast which sucks but, as someone who doesn’t drive I expect these things. My normal go to shoes are Merrell or Salomon, Merrell are the go to war boots that survive just about everything, Solomon are the light weight shoes you do the million mile march in and they keep going.
But sometimes insoles do wear out , and they make life horrible. They are the inner base of the shoe that makes your day horrible or they make the many steps on your feet not feel like you are playing the drums with your feet. The insole was wandering around the shoe making pain in my feet. I deal with a lot of pain in my feet on the day to day as i am prone to muscle spasms .
Salomon – with their lightweight shoes, they somehow do cut the divide of weight and utility perfectly. They do not fall apart , they last for years. After buying these in early winter I wore these day to day as the traveling shoe. they manage to stay warm in winter and do not leak .. But I did notice the insole starting to shed its lining. A week ago went on a quest to replace the insole with preferably the insole that belongs with the shoes. Merrell does it I figured a higher end Mid would do the same.. No. I looked for an hour and kept falling back to the Carhartt Insite Technology Footbed CMI9000 Shoe Accessory. After Two days they shipped in and I was initially worried they would not fit.
They fit well into the shoe, they had a raised arch to comfort the arch, i put them on and thought this might cause pain and instead i decided to press on and see how it went. After a day the arch relaxed into the Mid , The insole more or less perfectly formed into place. while it adds a bit of weight the comfort level definitely went up.
Mentally… when you do something like this, it feels like using a Toyota part on a ford, Which to the average person would seem like a mortal sin. But the secret here is what the industry tries to make you not pay attention to, That parts can be used on other manufacturer parts within reason.
So when you do the math, I am taking an insole meant for people who do construction all day where weights and tolerances need to be at the top, than place it into a shoe that balances high impact and survivability . Conventionally i just took the best of both worlds where repeated day to day use has a base that is form fitting and comfortable to the point of repeated usage plays out to a higher degree.
While this only a week into this, One could hope this is a force multiplier and a message to a both companies. Carhartt makes boots to survive the Armageddon Salomon makes shoes to climb the armageddon, there is a convergence that both companies are missing here….
So my not so closing thought here is, Sometimes instinct of doing something may not be enough but sometimes taking the gut feeling leap of “this might work” sometimes pays off in kind. So if you need extra miles and extra comfort this frankenshoe experiment shall continue…
Every now and then you need comfort in shoes, and being like me, I was feeling something in my shoes and the insoles were wearing out and a somewhat new pair of shoes. I do not tend to wear sneakers, due to no ankle support. I wear waterproof hikers year around just about because most time hikers support the arch and makes it easier to walk, as I do have disabilities.
But for the insole to self destruct in only less than 8 months of owning a shoe is pretty bad even though that The Solomon X ULTRA PIONEER MID is a Fantastic shoe. So looking around amazon I saw many insoles, most looking like pure foam and on stuff that is foam I need to use care in selecting a insert, because too much foam like sketchers is an easy path for me to fall on my face.
Given that Solomon does one bad thing here, They do not sell replacement Insoles for their shoes and that should be considered sin. Because a high end hiker that does not support their own brand force the user down the planned obsolescence route is ridiculous.
So I went with Carhartt Men’s Insite Footbed CMI9000 Insole, I figured the look the part. It took a day or two to get them and you know what.. they fucking fit. what surprised me is the amount of arch support. I know these are likely for carhartt boots but, I am willing to science it up for science.
So give or take this Franken-shoe or Dr Solomon and Mr Carthartt hide.. Test will be interesting.. Usually shoe companies do not play nice with each other. so given the fact that these solomon shoes that cost over 179$ and having a insole that died in months. Im willing to give the Carhartt insoles and chance and see what happens. who knows in a week I could be bitching my foot hurts. But you know what , if it works lets see..
So I was at the market, and I went to get some Propel packets. I noticed that the box has changed and that struck me as odd, and I looked at the packaging. They decided to shrink the package and make the product less useful.
The left package is the new package. The right is the package the old. Here’s the thing they are priced more expensive for less product.
oldnew
They jacked the price and made less product. they made it look like you were getting more in the individual packet by making them larger. But if you look at what they did they removed stabilizers so the shelf life is less . By Reducing it to 8 packets you lose 20% of the Product.
So thank you Gatorade for making me give you some haterade and making your product more shitty. Hype up on Vit b and enshitify the rest.
There have been so many articles today with coffee in mind. One was the Price of coffee is down. Jim Roemer a Meteorologist Is asking if coffee prices have bottomed
Have the Fundamentals Affecting Coffee Prices Bottomed for Now.
However, Brooke DiPalma Senior Reporter asks another question and it leaves the reader confused if you commonly look at news for coffee.
Coffee prices keep rising, and chains like Dutch Bros are swallowing most of the costs
Right now if you look at the spot commodity price there is a seperate story here. Jim Roemer, Likely sees that crops last year were affected by multiple things at once. Tariffs, Crop Failures , Weather issues. Jim is likely a better man to see this because his titles are vast. He Pluralist that can read both sides of the story. If you line up his skills Meteorologist, Commodity Trading Advisor, Principal, Best Weather Inc. & Climate Predict – Publisher, Weather Wealth Newsletter and Climatelligence. If he starts talking about markets I am likely to listen.
Now the fast food coffee prices are skyrocketed, Starbuck stopped selling coffee and is doing the $9 coffee “Experience” , the Coffee sellers of the drink are testing the markets of seeing how far they can press the price of the cup of coffee to the person. Its bullshit, I don’t want an experience, I want a coffee that’s it . No experience.
But these companies want a SAAS(shit as a service) , they want you to come in and “experience” a coffee rather than drink a coffee. Honestly, they are protecting their profits because prices have gone down, When the tariffs hit they burst priced the coffee and claimed tariffs, if anyone has done their homework tariffs are not an issue at this point. The coffee crops at this moment are 100% better than last years.
The thing is prices spike and than they feather fall downwards where the corp earns huge profits to the unknowing. The thing is … If even 5% of people even followed the commodity markets and mass messaged Starbucks and said “Hey . why are you charging so much for a coffee when the markets have gone down 25%” it would have CEOS and boards cringing in their seats on social media.
To which end even the home coffee has come up in price but not nearly as bad as the “cup”.. at $18 dollars a container its gross, The prices have stayed up since the tariffs hit and has not gone down by much more than a few cents. It’s all bullshit and another SAAS to force the consumer base to follow and eat the prices. I do understand the swing in contract prices and often they are delayed but, even this far along the prices should have dropped. I am not going to drop 10$ for 2 coffees when I can just brew a whole pot at home.
National Gas Tax suspension to fuck you over later, they are looking to suspend the tax.The current tas is at 18.4 cents a gallon. Notice the wording suspend. Not stop, likely they are going to not collect it and than raise it to 36.8 cents to make it back . Basically they are just giving you a defered loan.
President Donald Trump and congressional Republicans are proposing suspending the federal gas tax amid soaring prices at the pump caused by the war with Iran. The gas tax is currently 18 cents per gallon, and gas prices in the U.S. are about $4.50 per gallon on average. Voters are souring on Trump’s economy ahead of the 2026 midterm elections, and high gas prices are only adding to consumer discontent.
This is a deferment of 112.4 million a day!
Trump said in the Oval Office on Monday that he would “reduce” the tax, shortly after saying in an interview with CBS News that he wants to pause the tax “for a period of time.” “I think it’s a great idea,” he said in the CBS interview. “Yup, we’re going to take off the gas tax for a period of time, and when gas goes down, we’ll let it phase back in.”
Sure, the Administration will defer it till the next election and blame the democrats when a billion dollar bill is due back at the pump. People have no idea how much this would affect the national infrastructure system, all of the bridges, other things that would fall into disrepair due to federal funding being frozen due to this.
Trump cannot declare a gas tax holiday alone, since Congress has sole authority over taxation. But several Republican lawmakers on Monday floated suspending the gas tax, which clocks in at 18.4 cents per gallon, the same amount it’s been since 1993.
This is unlikely to pass, but this gas lay-away plan will hit the pumps when you least expect it.
Sen. Josh Hawley, R-Mo., on Monday said he would immediately introduce a bill to suspend the federal gas tax in a post to X. And Rep. Anna Paulina Luna, R-Fla., said she would be “introducing a bill in the House to suspend the federal gas tax in light of Trump’s recent remarks.” “American families need this relief on gas prices. My office will be working directly with President Trump to ensure we deliver this win for the American people,” she said in a social media post.
This is not relief, this is Gas HELOC plan. It will come back with interest later, because the 112.4M a day gains no interest, It is just a payment plan that is put back on the national debt. The other thing is if you look at the highway Adminstration, the infrastructure money will run out just before the election and who over gets the handoff on “The roads are falling apart” will be the media screaming for months.
Anna Paulina Luna, R-Fla “American families need this relief on gas prices. My office will be working directly with President Trump to ensure we deliver this win for the American people,” she said in a social media post.
This is not relief. its like a fart with the gas prices.. By holding the fart you save current environment because it seems not to stink, but it when comes to release and if you try to force it (collect the federal gas tax deferment) it gonna stink like when you are sick and can’t hold it anymore, and you try to let a little out and you shit yourself..
Gas prices in the U.S. currently sit at about $4.52 per gallon, according to AAA’s national average, approaching the highest recorded average price of $5.02 in June 2022. Slashing the federal gas tax would bring that down to roughly $4.34 per gallon.
This is just is a credit card at the pump, you save 18 cents at the pump and by the time the next time it comes to collect the taxes you’ll have to pay 36 cents because of interest.
In the end with a 14 gallon tank you save $2.58 and you can maybe afford cheap gas station coffee, that you have to pay back later. It’s a sham if they defer costs.
While the bill has not been filed yet. this is my thought on a gas tax moratorium to delay or defer gas taxes, in the end it will effect more than saving on your gas.
Attributions from:
CNBC: Trump, congressional Republicans float suspending federal gas tax amid Iran war
Is $9 for a Starbucks coffee a “premium experience?” The company’s CEO has defended it as such
$9 coffee?! NINE FUCKING DOLLAR COFFEE?! Moreover the Premium Experience? I want a coffee not a fucking show. I walk in to dunkin donuts and I walk out with a coffee in less than 3 to 5 minutes. Starbucks, You walk in to music that is almost too loud, 12 influencers mobbing the cake pops, A line 10 deep, 6 people waiting for a coffee, A dog and Usually a layout that makes you wonder who got drunk with the floor plans.
He explained that Starbucks is doing “really well” with Gen-Z and millennial consumers, and that the K-shaped economy — which refers to the growing disparity between high-income and low-income Americans — is not impacting Starbucks’ business, where the “average spend” is just under $10.
My guy I want my coffee flavored coffee, in a cup , not be given a sonnet , a poem or any other shit. The fact that Starbucks CEO Brian Niccol thinks getting a coffee is an experience. Starbucks trying to sell coffee as an admission fee is the same shit as software as a service. if a person drinks 1 coffee a day from starbucks 5 days a week. You are spending more than 2,349 dollars in a year.. for the same amount you can buy a BLACK&DECKER CAFÉCRAFT 12-Cup Coffee Maker for 30$ and 178 Cans of Maxwell House Smooth Bold Dark Roast Ground Coffee, 26.7 oz Canister for 13$ a Can.. 601 pots of a coffee if my math is right. Meaning A pot of coffee every day of the week and leaving enough room for Almost 2 pots every 3rd day.
The thing is , Brian Niccol Is not throwing this out for the Adults, he is throwing it out there for the “Influencers” and “Starbucks kids” He knows they will make a run on this because its a “premium coffee experience” because once the blind huddled masses hear about an EXPERIENCE.. they will run for it like the glass bear mugs that nearly get people killed at christmas.
“And then in other cases, people believe, ‘Well, this is a really affordable premium experience,’ because they’re saying like, ‘Well, it’s less than $10 and I get a really premium experience,’” he continued.
You want a premium experience? Stop drinking starbucks coffee for 24 days and Buy Dunkin instead, than with the leftover pay up front for 1 year of netflix up front. This is targeted at tiktok viral trends and sephora kids.
Niccol was named CEO of Starbucks in September 2024 and has since focused on improving the customer experience, including by installing better seating and creating a smoother pick-up process, according to The WSJ.
They forgot literally the stealing kids money for Niccol, The man should be renamed to Niccoltine, he just wants trend addicts to flood his store.
As for me, I’ll be having my own premium experience making my own coffee and using my own flavorings for 1/10th the price of the starbucks “Experience”.
It would seem my want of a good Non-AI coffeepot has been reinforced yet again. The IoT coffeepot has been caught spying.
A cluster of seemingly unrelated incidents ranging from exposed enterprise AI tools to a breached coffee machine has revealed the daunting reality that modern cyber risk is no longer confined to servers, endpoints or even employees. It now increasingly spans ecosystems, vendors and even the delivery mechanisms for the very tools designed to drive organizational productivity.
The problem with AI is it is veiled in a ton of secrecy that is no good for anyone. Because once the bad agents start figuring it out. We are in deep trouble. The convenience of the AI coffee pot might be nice but it comes with a ton of drawbacks most people don’t account for .
A digital forensics investigator, identified only as TR, was called in when a client suspected a rival had infiltrated their systems after a data breach. Instead of finding malicious software, TR discovered that an internet-enabled espresso machine, equipped with a default password, an outdated operating system, and no firewall, was the source of the leak. Threat actors exploited this device, which was connected to the client’s secure network, to exfiltrate sensitive data. The machine was sending packets internationally every time someone brewed a cup, bypassing all the client’s advanced security measures.
This does present the facts of IoT machines need just as much vetting as computers on a network, if your IT guy doesn’t find every IoT devices on the network he is creating a leak, and the corporate moto of just buy the cheapest thing is normally a recipe for disaster.
Firstly, Keep all of your IoT shit on its own network, If you have a store named BOBcorp, Put all IoT devices on BioT29384 network that is isolated from the main network. Second, You want a network monitor IoT devices are chatty in nature but if your network traffic jumps sniff it out and make sure its sanitized. IoT companies should give a master list of where their devices connect to. That way if your AI coffeepot is connecting to Nigeria you know something is wrong. Either that give google, Apple, Amazon, and other Hub Devices a choice to go through a master server on the devices Hub of choice, That way if all of the corps go through the hub device the IT staff have an easy way to poke at what the IoT stuff is doing.
By having a master hub list of devices if a device starts misbehaving or an attack vector is found. They can deauth the device. It stops companies from just vomiting out “smart” everything devices, That way if they lose there auth they will act fast to restore the trust in the devices.
Another thought here is with security layers is, that most IoT have BLE enabled by default, After pairing there should be a dipswitch to turn off the BLE until its needed for repairing to the network. BLE is notorious for sniffing what is around it .
FirstNet Trusted™ Could really do something to come out on top here. Because of corporate laziness of “just buy the cheapest thing” leads to the problem in the first place. since they are part of AT&T and there network knowhow.
Even passed that Cellphones on the corp networks need to be on their own network, Workers who place IoT or cellphones on the larger corp networks need to be taken off and the employee trained for network safety, it would create a top down security that would even extend to the workers home after. Rather than finding out too late that there beloved AI coffeepot has been stealing secrets for Months.
In the end, You are better off with a Coffeepot with a switch , and if you need it smart. Add a smart plug to it and than you can control it from afar without having so much bloatware you never know what it is connecting to.
Today will be interesting, we will learn how much large corps are going to play the shell game with earnings.
Amazon (AMZN) will report its first quarter earnings alongside rivals Google (GOOG, GOOGL), Meta (META), and Microsoft (MSFT) on Wednesday, with investors looking for more signs that the company’s massive artificial intelligence spending is paying off.
My personal feeling.. No. However this does not stop them from playing the shell game of hiding costs and contracts that have not been put to action yet. These companies account for 650 billion of cape ex spending.
The problem here is the market is betting the farm on a large loss leader. Big Tech knows this and they are trying to engineer there way through this problem by throwing more money and more power at it . AI as it stands right now is about as efficient as a 16 cylinder engine with only one sparkplug working. The problem is with AI being a subsidized land grab at the moment the scale is not fit for its current market. With A Slop being the top thing with AI right now and your average query to AI wasting enough power to light a lightbulb for months. In part why the Sam Altmans and the Bill Gates of the world looking for nuclear power plants to offset these cost to the of thousands of GWh of power.
Right now with power costs soaring, the cost per query is not sustainable, When your average British person can warm there tea 50 times over for a slop query. The problem here is the rate of return on LLM’s is degrading, as LLM’s are looking for more training data they are getting flooded with the very slop they are creating, The people now jailbreaking and hijacking AI’s to act like spongebob squarepants the sexy pirate is filling AI’s systems with irrelevant data to the point its becoming its own fever dream. So the 650B investment is poisoning the future well of returns.
For the quarter, Amazon is expected to report earnings per share (EPS) of $1.62 on revenue of $177.2 billion, according to Bloomberg analyst consensus estimates. The company saw earnings per share of $1.59 and revenue of $155.6 billion in Q1 last year.
Sure a revenue of 177.2 billion. but they are spending like they have a blank check. Eventually when that check clears will Amazon have enough in the bank to cover the check. When Returns on AI is only 15b the rate of return is much slower than the spending. They are building out now and hoping that the machine will have a return later or get bailed out in the end. We’ve heard this all before “too big to fail”. To any person that knows what that line means they just clenched their anus.
But in the end these calls will be interesting, If the earnings call shows a positive it shows that these companies are playing the shell game. Amazon is only getting 15b return per quarterly run shows that the math is flawed. To get that expensive back that will take 3.33 years, if Amazon stops investing today.
And the final flaw is , What if some other game changer comes out of a garage that has a home grown AI out of there garage that makes all these data centers look like nothing more than space heaters for towns. Deepseek has constantly outdone large llms for less than 5% of the money and that’s a secret that the hyperscalers hope you don’t see.
Post mortem: It would appear that all of the companies are posting strong numbers. How long this will last is the greatest question. Further is the biggest question. Metas numbers was the 8k layoff and 6k closed positions a part of there jump?
Every company beat there expectations, what does that mean to the little guy. Absolutely nothing. no lowered prices, it just means some CEO was able to light there cigar with a 100$ bill today.
In order to show some sort of profit, meta is firing 10000 people and closing 6000 open positions, This is biting off your arm to save your foot.
Meta said on Thursday it plans to lay off roughly 10% of its workforce, or about 8,000 people, the latest in a string of tech industry layoffs fueled in part by artificial intelligence.
The company is also closing around 6,000 open roles, Janelle Gale, Meta’s chief people officer, wrote in a memo published by Bloomberg that Meta confirmed to CNN.
This is insane. They are firing workers to replace with AI , the problem is AI can’t walk, it can’t improvise its position, and lastly without AI the only innovation they get is AI hallucination.
The company has also been splurging on talent for its superintelligence lab and has acquired buzzy AI startups like Moltbook and Manus as part of its ongoing efforts to compete with OpenAI and others.
The problem here is that in the past Meta had people working on all sorts of things. now they are doing a ground level overfocus and are putting all of the eggs into one basket and I feel like the payoff is not going to be what meta wants. Give or take companies are all jockeying for position to hit the innovation jackpot on AI. the problem is most of the companies that are playing the CAPEex game is doing it by scaling and not code.
Amazon said in January it would lay off 16,000 workers, its second large-scale layoffs in three months, emphasizing the need for efficiency. fintech firm Block’s announcement in February that it would lay off 40% of its workforce, more than 4,000 people, Meta CEO Mark Zuckerberg hinted at the start of this year that the company, which has invested heavily in AI, could see workforce changes because of the technology. On Meta’s January earnings call, he called 2026 “the year that AI starts to dramatically change the way that we work.”
“We’re starting to see projects that used to require big teams now be accomplished by a single very talented person,” Zuckerberg said.
Here’s my counter-point to this, You fired 16000 positions, if this person is supposedly replacing that many workers, what happens when your Very Talented Person gets sick? Or, a power outage? Or, LLM data loss. Now if your Very Talented Person gets sick your output goes from 14000 to … 1 , Whereas before one person gets sick your output goes from 14000 to 13999. And lets just say for instance the person that would of replaced your Very Talented Person makes an innovation that improves working by triple, you end up having your Replacement guys efficiency 13999 to 41,997.
Like many big tech companies, Meta eliminated tens of thousands of jobs in 2022 and 2023, reductions that were largely attributed to right-sizing after Covid-era spikes in usage and hiring. Last year, the company said it would cut about 5% of what it called its “lowest performers,” although it planned to backfill many of those roles.
This is not right-sizing, this is full on cannibalization, Everyone is jumping for the AI goldrush while some chinese man in his garage is laughing at the Cape-ex and deepseeking the best coffee ideas.
CNN just posted an article and It was pointing out that AI is being used, The title of the article is
5 ways your doctor may be using AI chatbots — and why it matters
Specialized medical AI chatbots have quickly become a go-to source for many doctors and trainees. The CEO of one of these medical chatbot companies recently claimed that more than 100 million Americans were treated by a doctor who used their platform last year.
You know what. If the doctor is using AI to help diagnose an issue i am ok with this, But, if the doctor is using the AI as a replacement of his diagnostic I would be against that, the challenge with AI is using it in a way that is not a replacement of the doctors own agency.
One thing that should be majorly addressed here, is that the doctor should tell you right out how he is using the AI and what data is being used. If you are like me, you want to have a transparent doctor. I’ve explained my conditions to doctor and I see it ever time, Mid explaination his or hand falls down to the pocket level and you see in like martial arts the Sen no Sen its the move that you know he is getting his phone to google what you just told him or her. They will excuse themselves in the moment to go google my condition..
My normal reaction is .. to call the doctor right out, I tell them if you are going to google this do it in front of me and not to be embarrassed, I am the zebra in your career. I do not need the illusion of mastery of you are a doc, I personally want you to accept that you are not the god of your position and every instance as a doctor is a learning experience. I am not going to look down on a doctor that doesn’t know a rare genetic condition. I will look up to a doctor that uses the moment as a “Classroom” moment where he becomes the learner and I am the master. Because as far as doctor/patient this is the higher praise you can give to a doctor and it shows him as the “master” that he is willing to learn.
“ChatGPT is like your crazy uncle,” said Dr. Ida Sim, a professor at the University of California, San Francisco, who studies how to use data and technology to improve health care.
Any AI can be turned into your crazy uncle if you input enough information to them, but if doctors collaborate with the patient and the AI , I think a more diverse diagnosis would be made without the “symptom checker” fatigue that AI’s can load out on any Doctor,patient or third party can come up with.
As for AI’s they are not great doctors, they are the median doctor that is good at anything that slightly drifts from the center, they will be good for health upkeep or catching stuff before it happens. but on major issues the AI’s are so far in left field that they are irrelevant and become crazy unclue(pun intended) bob, That will start diagnosing diabetes before neuropathy in a chemical exposure case if context is done wrong.
The most common use case
Millions of research papers are published every year — and keeping up with them all is impossible.
“You’d need like 18 hours a day to stay up to date,” said Dr. Jared Dashevsky, a resident physician at the Icahn School of Medicine at Mount Sinai.
But doctors are expected to stay current on new research and guidelines to maintain their licenses. Many say they now use medical chatbots as a reference tool to help them stay updated.
Yes, there are millions of papers, but for Dr. Jared Dashevsky he doesn’t need to keep up with all of them. that would be insane. Millions of papers come out a year, by the end of said year 400,000 of those papers are changed or phased out into new research. Cnn and the doctor are wrong here, if you have a patient with a rare condition, AI can be used to contextualize the papers and come up with a mean average of the output to give the doctor a clue, I am not expecting the doctor to read all of the papers because he would rabbithole down so many roads that treatment and diagnostics would be a mess.
Save the papers in rare research for the specialist, your GP doesn’t need to know the ins and outs of 1 million papers that half of the time fail in the real world because lab controls do not equal real world observation. The Doctor that is slightly questioning his diagnosis and inputs some weird statistical drift will get a better answer out of AI and know what specialist to give the information too. But the doctor can use the AI as tool to faster make information available to him. If he tries the google search method it leads to bullshit that starts saying vitamins and sunning your butthole is a cure.
But many doctors use unauthorized chatbots called shadow AIs, according to doctors CNN spoke with. Some of these shadow AIs also advertise HIPAA compliance features.
HIPAA is a federal law that requires certain organizations that maintain identifiable health information — such as hospitals and insurers — to protect it from being disclosed without patient consent.
Here’s where doctors can win, Create a system that strips out all PII and just get to a processor that strips out the information and gets down to the numbers. Otherwise, the companies on the other end use the data as resaleable materials and ignore HIPAA , The healthcare entity should have an end to end chain of ownership to show the patient where there data begins and ends. the second and LLM user that data that is protected by HIPAA the LLM should be charged, if they sell it to insurance companies or walmart to figure out sales trends. I’m not saying AI should not be used , I’m saying accountability should be transparent.
We’ve been through this bullshit with the human genome with everyone attempting the copyrighting of the DNA of the human body, Now we are at the precipice with code of the human condition itself. We have Named Entity Recognition (NER) system to strip names and Privacy to ensure that even if the AI “learns” from your data, it cannot be reverse-engineered to identify you. We need this institutionalized across the system.
Otherwise we are creating a dangerous system that the human credit score will make it where insurance will have a value on a child before its born and create ways that have been used in the past to make people uninsurable.
GIve or take, Google Classroom makes Google a school admin, but also if you look in to common-core most people don’t realise its a job app to corporations across america. We do not need this to happen again. Common core in itself can feed LLM’s and Hippa issues since the IEP, typically the most powerful force for education can be identified later in life by LLM who are technical admins and further if the information from Common core and human condition meet you have an identifiable plot to unmasking the user. It could be connected the child who had suicidal ideations in school over low stress can be weighted and for a temporary issue , cause a person insurance to go through the roof.
Dr. Carolyn Kaufman — a resident physician at Stanford Medicine — and other doctors say that patient information is making its way into unauthorized chatbots, potentially opening the door to new ways of commodifying patient data.
“Data is money,” Kaufman said, noting that she has never uploaded HIPAA-protected information onto an unapproved chatbot. “If we’re just freely uploading those data into certain websites, then that’s obviously a risk for the individual patient and for the institution, as well.”
This statement here is a perfect reflection of above.. In the end, IEPS , common core assessments and more need to be Air gapped and when you leave school an agreement should be made between the student(or parents) on who can assess the information.
AI chatbots have also stepped in to help doctors draft summaries of patient visits and long hospital stays. These notes are viewable on online patient portals and help doctors track a patient’s course and communicate plans across the care team.
I am not worried here, If anything AI could be useful in suggestions to add to the file and give a treatment idea to the doctor, But no doctor should take this as gospel.
“From a med student perspective … you’re seeing a lot of things for the first time,” said Evan Patel, a fourth-year medical student at Rush University Medical College. “AI chatbots sort of help orient me to what possibilities it could be.”
Just No, First, fourth, or fortieth , Should never go in with AI , If you end with AI as a counterpoint or a co-researcher in the end is ok, but the doctor should not cognitively offload to the AI to help with diagnosis. Because if that becomes standard the cognitive process of diagnostics goes out the window and dies.
Med Students out of the gate should be regulated that AI is a non-negotiable in any point of the process before, during and any time patient contact is being made. At any time after if a Student uses AI after for a confirmation or a research Node, that can be agreed to but using the AI as attending physician is career suicide.
This preserves the Agency of the Physician and Occam’s razor.. The problem with AI is humans with 8.3 billion variations that AI tends to only use the mean average. It leaves many doctors with zebras that AI will hallucinate to high hell about and be dangerous.
The Final Word here. AI is Ok, but used correctly, not shoehorned into the medical spectrum..
