Categories
Medical

Day 985 and Know So Little

Every time I have have cause to interact with any medical speciality I find myself blown away by just how little we know.

I’ve been going back to doctors to understand what my options are for living with an autoimmune condition and having children. And the truth is we just don’t know much.

I made a life altering decision several years ago by letting a medical decision be framed to me like a consumer product. We opted to freeze eggs and embryos and it turned our entire lives inside out. It triggered an autoimmune response in me that I’ll live with forever.

Somehow in the intervening half decade years we’ve learned precious little about women’s health and fertility. And we are advocating for somehow knowing even less.

Because that’s what we’ve done by letting the government into our health decisions. Don’t kid yourself into thinking when we involve government and bureaucrats we somehow improve our knowledge and safety. At it’s most friendly, when the government shows up it’s about ass covering. At it’s most hostile it’s about control.

We argue about ethics, safety and life as if we even have a shared ideal of any of those concepts. Whose life? My life? My unknown children? I’m not convinced we ever cared about women’s health as an independent variable. We treat fertility as a sideshow and hormones as some variable over which we pretend to have control. And yet every time I try to assess my own risks I find out that we known just about nothing. There are no good answers. And it’s all poorly understood risks.

Categories
Community Internet Culture

Day 980 and I Am Beff Jezos

Humans are horny for hierarchy. We are eager to give our power away as a species. Please will someone else just be responsible for making our decisions for us? Can someone point me to the person in charge? “Take me to your leader!”

If someone seems smarter, richer, more capable, more aggressive, heck even if they have better taste than us, they become an instant candidate for us delegating our authority over to them. My most popular blog post ever was about dickriding. Yes it was about Elon Musk’s fans.

I’ll be the first to say that people who court you to gain power should be viewed as suspect. But someone who has power is not themselves always suspect by default. I know it’s a fine distinction. But people fall into positions of authority simply by going out and being competent. Competence is a fast route to power.

Sure being competent has a lot of downsides. Suddenly you’ve got power you maybe didn’t want. We have an incentive shunt power off to someone else as it generally sucks to be in charge. It’s energetically expensive to be responsible. Just ask one of your friends with a toddler.

Sometimes we have to wield power because it’s our job to take care of our corner of the universe. Again ask someone with a toddler. We are in charge of sustaining some portion of the grand experiment called life. Even if it’s just our own families. Even if it’s just yourself.

So why am I titling this post “I am Beff Jezos?” Right now online there is a movement gaining recognition for encouraging people to have agency and build for the future. It’s a movement that wants you to own your own power. And to help others get more power of their own.

One of the anonymous posters associated with it calls himself Based Beff Jezos as a play on Jeff Bezos the founder of Amazon and the meme “based” as in Lil B’s “based means being yourself.” It’s a silly joke.

The movement itself identifies as e/acc which is a shorthand for effective accelerationism. It encourages people to do more, build more, take charge of their own corner of the world and make the future arrive sooner. The tagline? Accelerate.

It’s principles are simple. The future will arrive and we should build like it’s coming. Slowing things down, or even worse, going backwards, is not a solution to our problems. We can only go forward. If you’d prefer a driving metaphor, we should accelerate into the curve. Slowing down just spins out the car. Civilization is the car.

So what, you want to just uplift humanity, build AI and populate the universe with the maximum diversity and quantity of life?

e/acc

The movement is more of a meme space than anything else. It is decentralized. I’ve not met anyone that runs it though I’ve spoken to many vocal supporters. And I’ve chatted with folks that are at the nexus of of its online presence. Everyone is positive and friendly. Most of them are anonymous. I’m not even of sure if some of the accounts are singular or plural. Which is pretty cool. It doesn’t have a president or a CEO or even a founder who owns anything with any amount of authority. It could be one dude or multiple dudes gender non specific.

It’s just a bunch of people who make stuff. It’s popular amongst engineers but it’s an ethos that to anyone who can make something. Even this blog post counts. I am e/acc as much as anyone.

Naturally if no one is in charge it’s a bit threatening. If there is no hierarchy how do we control it? If no one is in charge then what will we do if someone under their banner does something bad?

Such is the beauty of an idea. A meme can’t really be owned. A decentralized group of goofballs on the internet can’t really be snuffed out for bad think. Maybe a few nodes go down. They literally cannot kill all of us.

I Am Spartacus

The messages does seem to be resonating. I know being hopeful has improved my mood. A decent number of people who make shit want the future to come a little faster. They want more people with more ownership of the building process.

More complexity and more abundance is appealing even if it seems impossible to achieve. Don’t worry, just build for your corner of the world. Put power and responsibility in as many hands as possible. We can build it together.

You too can have a toddler and own the joy of being responsible for your corner of the universe. It’s dangerous for sure. Folks will tell you for your own good you need to have a hierarchy and someone responsible for the power.

But guess what? It can be you. And sure heads will get bonked. Crying will ensue. Remember I said ask someone with a toddler? What if you are the competent and in charge parent? Shit right?

We’ve got to go forward. I am Beff Jezos. You too are Beff Jezos. And they can’t stop us all from arriving at the future. Go ahead and accelerate into the curve.

Categories
Culture Internet Culture

Day 977 and Insecurities

A toxic morass of content has been circling on Twitter and corners of the chattering classes on TikTok, Substack, and podcasts that I’ve taken to calling gender bait.

Topics like “body counts” and the relative degrees of acceptable promiscuity in women (as little as possible) is everywhere. We are main charactering single women for sleeping in on Sundays. Hot takes on how women are failing men is everywhere.

The insecurity is palpable. The lust for control is high. How many people you’ve had sex with and how it affects marriage and family formation has been a contentious topic in culture wars in America for sometime. For a private matter between partners, it’s shocking how much it’s become fodder for social media grist.

Presenting scorn to women for being without significant others and children strike me as callus. Fertility is one of the most sensitive possible areas for anyone. I know it has been for me. You never know why someone is childless.

I wouldn’t recommend diving into gender bait topics if you aren’t already aware of the discourse and it’s champions. This variant appears to have gained momentum with a YouTube celebrity boxer feud.

It’s now percolated out to every engagement farmer looking to grow their outrage crops. And it looks like business is booming. Sadly, lonely people are desperately searching for control and reassurance and gender bait gives it to them.

It feels as if we are repeating the same slut shaming I saw as a teenage girl but on some new variant of reactionary steroids.

If you are looking for ways to judge, shame and coerce others into behaving in a way that provides you comfort without their consent please consider that the problem might be you. It’s your insecurities speaking when you apply sweeping generalization to an individual you may not even know.

Once you are secure in your value and worth it’s a lot easier to get what you want from others simply by having boundaries and standards. There is no need to rain judgement on others. You wouldn’t want them doing it to you. Apply the golden rule and nurture empathy. The security you will find will last longer than any temporary control you may find through shame or judgement.

Categories
Community Internet Culture Politics

Day 973 and Reinforcement

I’ve spent a lot of time this summer thinking about who gets to decide the boundaries of society.

Automation of civic and cultural life has been happening at the speed of capitalism. It’s about to happen at the speed of artificial intelligence’s processing power.

At least during most of techno-capitalism, corporations and governments were still run by humans. You could blame an executive or elected official. What happens when more decisions are snapped into reality by a numerical boundary?

High frequency traders have found many an arbitrage they whittled into nothingness. Who will get whittled away when the machines decide how society should run?

We got a taste of the horrors of treating people like statistics instead of humans during the first Biden era crime bill with mandatory minimum sentencing. And here we are rushing to find new ways to nudge consensus back to hard lines and institutionalization.

I don’t know how we handle virtue in a world without grace. Alasdair MacIntyre’s After Virtue seems prescient. Forgiveness in the face of horrific reality has been the hallmark of humanity’s most enduring religions. But then again so has swift punishment and inscrutable cruelty. Humans are quite a species.

I am, like many others, concerned about reinforcement learning in machine learning and artificial intelligence. How and where we set the boundaries of the machines that determine the course of daily life has been a pressing question since the invention of the spreadsheet.

Marx certainly went on about alienation from our contributions to work. But division of labor keeps dividing. And algorithms seem to only increase the pace of the process.

Categories
Biohacking Medical Startups

Day 971 and Patients Rights With Artificial Intelligence

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.

Categories
Emotional Work

Day 966 and Permission

I’ve been running a risk analysis on something personal. I think it’s worth considering the consequences of any decision. Especially when you take on some amount of risk.

We live in a time of safety. Some of us run the numbers and assume we will be the worst case scenario. Some of us presume the best case scenario.

Reality is never so black and a white. A risk for one person is good sense for another. We all have different values.

You shouldn’t be looking for permission from life. You will never get it. But you have to decide what risk parameters make sense for you. Maybe you like to play things a little faster. Maybe you like to play it safe.

I do think it’s worth evaluating how much you value what everyone tells you and what you think might work without accounting all the risks. Maybe some things are just worth it.

Categories
Community Internet Culture

Day 956 and A Mood

It’s clearly the deep dog days of summer as I’m in a bit of a mood. I’ve got all kinds of things on my mind and yet it’s slow going executing on anything. The doldrums has certainly gripped me. And yet I take hope.

This corner of Twitter is going through a paroxysmal fit of whether it’s rational to be embracing pro-social behavior. Without having to cite all my sources we had Jane Goodall being packaged into a deceleration meme about removing a billion or so people.

And a guy named Roko was shocked that people might hope the golden rule is a universal ideal. And so a few of us jumped into a metaphorical blender for the good of the species.

So I think my entire mood when staring down the barrel of the future is “what’s it going to cost me in my soul?”

At this stage of the simulation I have to ask
What color are the pills, and how many people are dying?

The cost of knowing it’s not just about us is slamming into the hard reality that you can’t do a damn thing about other people. And so we have to ask if we preserve what we have or do we leap into the great unknown. I don’t know anyone who is in the mood for much safety at the moment. There doesn’t seem like much to be had.

Categories
Culture Medical Politics

Day 948 and Assigning Value

What does assigning value mean to you? How do you begin to investigate what is valuable? If someone asked you to value “object X” do you know what tools you would use first to make a measurement?

If I tell you determining value is a cultural problem, you may investigate the problem of value through religious or philosophical frameworks. If I tell you value is an artistic problem, you may use taste in finding value.

If I tell you that assigning value is primarily a computing problem, you may search for weightings, databases and referents to determine value.

So what happens when determining value has to account for multiple or even contradictory frameworks? Which framework assigns the ultimate value? And how do we align them?

Congratulations, you’ve known become an artificial intelligence alignment researcher. I bet you thought that required a doctorate but it doesn’t.

It’s not an entirely intractable problem. The Industrial Revolution found ways to align competing frameworks. We assigned labor value and made currencies to facilitate the exchange of different goods.

Markets can, and do, spring up for all kinds of previously impossible to value things. Capitalism done its best to make cultural value fungible and legible to an agreed upon value. Sure, artisans and artists complain we conclude incorrect values regularly. But we don’t always agree on value.

Generally we’ve found that what can pay for itself survives and what can profit for others thrives.

Not all people are motivated by profit, but we all are motivated to survive. And so we contribute what we believe has value to each other and hope the frameworks of value that others have will align with ours. The balance between the two has held together humanity for sometime.

But deciding on value isn’t the same thing as a thing driving a profit and we have to remember that truth. Between the gaps in the models of what we value is the epsilon of what cannot be calculated.

If you’d like to read a horror story on how assigning fungible value in a database can end up assigning a value to something we humans generally don’t consider interchangeable at all, then I’d go read this piece on how public hospice care’s incentives have been perverted by private equity profit motive.

I don’t always agree with the author of the piece Cory Doctorow. But I think he’s raising a powerful point on how we are assigning value when we overlay competing frameworks.

This is the true “AI Safety” risk. It’s not that a chatbot will become sentient and take over the world – it’s that the original artificial lifeform, the limited liability company, will use “AI” to accelerate its murderous shell-game until we can’t spot the trick

If you aren’t familiar with Doctorow, he’s a powerful voice in right to repair circles, a classical hacker opposed to corporate oligopoly, and a bit of a anarcho-syndicaticalist in his preferred solutions.

I like markets more than governments for most things. More of us can contribute to markets than we can contribute to specialist bureaucracies

But we have assigned value to end of life care inside the convoluted system of profit motives and medical ethics and it’s not the value most of us share on life.

And that’s going to happen a lot more as we get further and further abstracted away from the existing models of value that govern our lives. So remain skeptical when someone tells you that they know what you value. How they assign value might be different than you.

Categories
Culture Medical Politics

Day 945 and Secrets and Safetyism

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.

If you’ve got the money, you can store your sex toys and drugs in layered secret drawers behind a hidden bust of Socrates. But some asshole will post a primer online and your benzodiazepines and vibrator will be long gone.

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.

To quote myself in my own investor letter last month.

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.

Categories
Chronicle Emotional Work

Day 941 and Unreasonable

Today marks our one year anniversary of moving to Montana. I noted yesterday just how much we achieved in just 365 days.

I’ve tended to think in terms of time in terms of days over the past three years because no other metric seemed sensible. Too much changes every day even as too little seems to be different.

I do believe that what gets measured gets managed. So it makes sense that someone like me who writes every single day thinks that days are the manageable metric. Not that being manageable means anything is under control. Merely that I have some metric to measure back into to make life seem more reasonable.

I am however all too human. We are feeling animals with the capacity to reason. It’s important that it’s not the other way around. Much as I like to reason my way through life I’ve learned to remember feelings matter. This has made me both much more open and also much more careful about how I treat myself.

I suppose this makes me unreasonable simply by definition. Humans are unreasonable because we do not operate through reason entirely I’d encourage even my most autistic friends to remember that this means you are unreasonable too.

Narratives are the comfort we seek as our apophenia runs rampant. Spotting the one thing that is not like the others is how we survive. We seek sense in the chaos. It’s an unreasonable thing to do when we know we’ve not yet managed to measure even a fraction of our reality. One day I hope I come to terms with that.