If you are working in artificial intelligence or medicine I’d like to pleased my case to you. Id just like to pass along a note.
The current “responsible” safety stance is that we should not have AI agents dispense healthcare advice as if they had the knowledge of a doctor. I think this is safetyism and rob’s sick people of their own agency
I have very complicated healthcare needs and have experienced the range of how human doctors fail. The failure case is almost always in the presumption that you will fall within a median result.
Now for most people this is obviously true. They are more likely to be the average case. And we should all be concerned that people without basic numerate skills may misinterpret a risk. Whether it’s our collective responsibility to set limits to project regular people is not a solved problem.
But for the complex informed patient knows they are not average? The real outliers. Giving them access to more granular data let’s them accelerate their own care.
It’s a persistent issue of paternalism in medicine to assume the doctor knows best and the presumption that the patient is either stupid, lying, or hysterical is the norm. It’s also somewhat gendered in my experience.
I now regularly work with my doctors using an LLM precisely so we can avoid these failure cases where I am treated as an average statistic in a guessing game. I’m a patient not a customer after all. I decided my best interest.
A strict regulatory framework constricts access without solving any of the wider issues of access to care for those outside of norms. Artificial intelligence has the capacity to save lives and improve quality of life for countless difficult patients. It’s a social good and probably a financial one too.
I know it’s a little bit odd to be getting chickens in August, but as of today our homestead is now home to eight egg laying hens.
Our new hens (in their well fortified chicken run) settling in at our hone.
Some of our friends are moving and needed a local home for their laying hens. Another one of our friends was giving up their old chicken coop so we figured it was a sign from the universe that it was time for us to become chicken people.
Unboxing chickens
My husband has spent the last two weekends repainting the coop, installing predator fencing, and otherwise preparing for the arrival of the chickens. Having not done the work of raising them up ourselves the pressure is on to make sure they are well protected.
A little red henhouse
You can’t just take on a friend’s chickens without feeling just a bit more responsibility than you otherwise would had you raised them up from chicks ourselves. We can’t let a literal fox into the henhouse.
This is alas real possibility as a red fox roams our pastures. We’ve got a very tasty infestation of prairie dogs that are suitably stupid enough for an even moderately clever fox. Hopefully the 18 inch predator apron is suitably troublesome to keep our all but the most enterprising. We’d rather the prairie dogs remain the easy snack and our hens too much effort.
The funniest bit of all of this is that I am slightly intolerant to eggs. I can manage eggs in a baked good I find omelettes, quiches and even mayonnaise to a quick path to nausea. Even the smell of eggs being scrambled makes me a bit sick to my stomach.
But I’ve got a fantasy that industrial eggs are the problem and I could come to tolerate eggs from chickens living the good life roaming around our lovely Montana land. And if not we will give them to our neighbors. If we can find one that doesn’t have their own chickens.
Everyone in my social circle was in a terrific mood yesterday. A small company that was widely supported by angels in my ecosystem was acquired by a larger startup that we all like. Happy investors that we were, Alex and I read the cap table over dinner and celebrated each co-investor that we liked.
It was a jubilant moment across my group chats in a darker wider climate for startups. The federal reserve’s inflation fight has meant tighter dollars. And that means less funding for early stage companies at lower valuations.
The focus has been good for the industry. A reminder that we can’t spend our way to innovation. We’ve relied on bigger companies, weaker talent, and unsustainable growth policies while the cash spigot was on.
I enjoyed the win. I’m happy for the founder and the team who will be going to such a great company. I’m happy a lot of investors got a win. But I know that the good mood will have to sustain us through some rough patches. So it’s good we are all banding together and the wins are shared.
Rounding the bend into a thousand posts is teaching me some lessons in humility and frailty. I am reaching to get words word as my mind is slow.
I am not reacting to something in an average way and it’s been a struggle to keep going over the laser week or two. I’ve put one foot in front of the other but I can see that I only slept for a couple hours last night. Ironic to be considering averages when one’s own responses are so slowed.
Much of my struggle is probably just some better living through chemistry problems. A new addition to the biohacking routine went awry. I’m struggling with the heat wave and the air quality of summer in the mountain west. The long days of bright lights slowly unspooling my sanity as I wait for cooler less cruel months to come. Just breathe in and out and try to eat and sleep.
Keeping secrets used to be a lot easier. Noble philosopher kings with priestly knowledge kept that shit under under lock and key so some uppity courtesan or eunuch didn’t get too clever.
Not that it was all that necessary. Nobody was accidentally misinterpreting the layers of mystical knowledge because illuminated manuscripts were expensive as fuck. And that was cheaper than the previous method which was memorizing oral histories. The expense of sharing information has acted as a control mechanism for centuries.
The metaphor I’m working with on this silly desk is that humans love to horde secrets. We’ve got a lot of incentives to keep knowledge locked away. Drugs and sex in my joke mere proxies for ways we access altered states. Eve’s apple was a metaphor for forbidden knowledge so I’m not reinventing the wheel here.
So where are we today on secrets? Well, I think we are trying desperately to put the genie back in the bottle.
We think we’ve got an open internet but ten years ago Instagram stopped including the metadata tags to allow Twitter to display rich content embedded directly in a Tweet. Now Twitter and Reddit are taking the same approach as Instagram did as data ownership becomes a hot issue.
Closed gardens are meant to keep thieves out and Eve in. And depending on who you are it’s likely you will experience the fall from grace of Eve and the persecution of the thief. God clearly knew something as his conclusion was that once you’ve tasted the bitter fruit there is no point in protecting paradise.
Every time there is more access to information we have the same debate. Fundamentally you either believe people should have access to information and how they apply it to their lives (side effects included) or you don’t.
I’m happy for you to argue the nuances of it. Want a recent example that looks complex and might actually be deadly simply?
The clown meme format asks if it’s a joke to conclude confident that “LLMs should not be used to give medical advice.”
I know it’s tempting to side with the well credentialed researcher over the convicted felon when faced with a debate over access to medical advice. But I don’t think it’s as simple as all that.
From Guttenberg to the current crop of centralized large language models, it’s just more complexity and friction on the same old story. It is dangerous to let the savages have access to the priestly secrets. I for one remain on team Reformation. Rest in power Aaron Schwartz.
Most builders remain deeply skeptical of Noble Lies, “for your own good” safetyism, regulatory capture, oligopoly control, and the centralized nation state control as the most effective methodology of innovation for a dynamic pluralistic human future. We are having cultural and financial reformations at a frightening speed. It’s beyond future shock now.
So if I have a gun to my head (and that day may come) I’d like to have it on record that I don’t think secrets have any inherent nobility. It’s just a control mechanism. Keeping people safe sounds noble. But you’d be wise to consider how you’d feel if your life depended on having access to medical data. How would you feel if the paternalism of a noble lie to keep you from it? It’s not great Bob.
I was very kindly tagged in a Twitter thread today with a lovely compliment about my daily writing habits. Does quantity have its own quality? As I close in on a thousand posts I think my answer is a strong “maybe!”
What are your favorite examples of “Quantity has a quality all its own?” Examples: @tylercowen writing a post a day, a column a month and a book a year for two decades Kanye’s “5 beats a day for 3 summers” Seinfeld’s “Don’t break the chain” one joke a day. Reply from Alan Simon @ almostmedia She’s not for everyone, but she’s been very dedicated and is approaching her 1,000th daily post.
One aspect of creation that is perhaps a bit understudied is just how much it is dominated by the truly prolific. The outliers practice a lot. Every single day I practice because I both enjoy it and I trust that doing a thing over time improves the thing. You can imagine how this predisposition makes me sympathetic to Calvinism.
I credit hippie parenting and the Waldorf curriculum. I was taught early on that it was good to make things even if you sucked at it. So I just spent a lot of my time sucking at creative endeavors and not finding it all that discouraging as I don’t mind being embarrassed.
So I suppose my quantity has demonstrated its own quality in its sheer persistence. Reminding yourself to do a daily practice has its benefits over time if you can stand it. Personally for me writing has always has a kind of blind optimism that has never been beaten out of me. I am a writer. I write. If it every becomes more than that I wouldn’t mind but I don’t need it to. The thing has been it’s own reward.
The social internet is having a bit of a chaotic moment. I haven’t been able to send Tweets consistently for about a day. And I didn’t miss it that much. It felt a little weird at first as I could load tweets, like them and chat in DMs but it was clear none of my replies were sending.
It’s a holiday weekend so for Twitter’s sake I’m sad to report I had other things to keep me occupied. That’s probably bad news for the platform.
We did a big kitchen clean out. Organized the meals for the upcoming week. Like any weekend lots of chores from laundry to deep conditioning was on the to do list.
The real prize of being offline is being outdoors. The weather was absolutely gorgeous this weekend, practically begging us to spend time on the porch or in the Adirondack chairs we put out by our small pond. The air was so clear today you could see from one end of Gallatin to another.
Two Adirondack chairs on fresh cut grass with a blue sky behind it. Is this what they mean when they say touch grass?
I’ve got two uninterrupted months in Montana ahead of me. Maybe I mention this as significant because I spent so much time on the road this spring. I’ve also had multiple catastrophic level dislocations professionally and personally in the front half of the year.
Catastrophic dislocation seems to be the new normal for everyone. I hate to consider that I may have some bargaining & denial about my own thesis at chaotic.capital. But I find myself wishing to be wrong about where I see the future heading. Wouldn’t it be better if our modern lives were getting simpler instead of more complex?
I know that’s a childish fantasy. The complexity in our world has brought about so much good. The costs have been high but the benefits were tangible.
And yet here I am hoping to have some uninterrupted time in a quiet corner of the American empire so that I can cultivate my own strengths. I want to reconnect to myself and recovery from the effort, pain, and grief of living. I want to live and work and build without the chaos of history turning back on again. I dislike how much I now believe ignorance to be bliss.
I should be shilling myself in today’s installment of writing everyday. But I’m a little tired to pull off the full bragging I’d like. One of my favorite financial news and analysis sources, Axios Pro-Rata, featured my little pre-seed fund chaotic.capital with an in-depth look at resiliency technology.
It’s a big deal to me because in-depth trade reporting is where the nuts and bolts of an industry are discussed. Anytime I’ve built something of value it was always the beat reporters who recognized it first.
I even had the good luck of preparing my quarterly investor update the day before this article hit everyone’s newsletter inboxes. So I’ve got all the materials ready to go.
Alas I’m wiped from a week of life happening (a death in the family) and the general excitement of the global summer solstice mania that’s gripping all the timelines.
I don’t typically look back on my posts except in my end of yearround ups in December when I try to come to grips with another trip around the sun. But a friend mentioned they had really enjoyed this week so I went and looked back. And I’d say this week is all bangers.
That’s not really typical as I have ups and downs as you’d expect from any daily habit. One of my promises to myself when I began this experiment was to not judge where I was on any given day and simply practice. But I sure brought the fucking goods this week.
I don’t think I’ve ever had a streak as good. I think my email bankruptcy post is probably the best of the bunch as a narrative as it’s a story I think anyone who has lived a longtime online will enjoy. But it’s a toss up between between the others as to which has the most emotional resonance.
If you are in love perhaps it’s my husbands birthday that will speak to you. If you have someone sick in your life or are in the throes of pain that’s probably the winner. But the one that can change your life with a metaphor? Probably the NPC post. I hope if you stumble across this roundup today I hope you will go read the bangers as I’m very proud of the quality of my work this week. Practice does indeed work. Thanks Allen Iverson!
