TIL that saying "holy shit don't use ChatGPT for medical advice" is a "purity test".

[mab_813@fedi.at]

@davidgerard

Everyone should have access to medical professionals who take their problems seriously.

If they have that and still ask ChatGPT for medical advice... sigh

[dwm@mastodon.social]

@cstross @davidgerard

Hmm, and presumably anyone operating a general-purpose chatbot that could conceivably be prompted to give such advice (e.g. as the conversational interface to a regular web-page) are also plausibly at risk?

[waffelhard@f.reun.de]

@cstross @davidgerard Any coin can give medical advice. I just ask the coin: should I take this medicine, say "head". Then I throw the coin. I hope the people at the coin minting facility get imprisoned for that.

[ra@mstdn.social]

@cstross @davidgerard needs an IANAD subroutine.

[photo55@mastodon.social]

@cstross @davidgerard
I think that applies to veterinary advice, but not to human. Hence Chiropractic, Homeopathy, assorted woo.
When people complain to the GMC that someone ^^^ is giving bad advice, the GMC says that they only have powers over registered medical practitioners.
But there are laws about animals.

[gbargoud@masto.nyc]

@davidgerard

There is a bill in New York to make any companies that deploy chat bots that act like licensed professionals liable in the same way as those professionals:

Just a moment...

(www.nysenate.gov)

[zzt@mas.to]

@davidgerard this one hit close to my heart because I’ve had two family members die in large part because their caretaker ignored medical advice and used awful alternative medicine information from the internet to try and treat them.

an LLM can’t do critique. as you’ve said, truth is not a data type in an LLM. all of these models suck in every form of medical crankery available on the internet, mix it with words from authentic medical sources, and present it all as credible.

[zzt@mas.to]

@davidgerard I know that alternative medicine has a body count; I’ve seen it in the flesh. I know what some of the horseshit on the Internet can do if you’re very desperate or very trusting.

the LLM lowers the trust barrier because the crank information is no longer crank flavored, but it’s still dangerous as fuck to follow the advice.

I keep seeing LLMs be presented as better than nothing and that’s wrong. I wish the people who needed help could get it, but the LLM is worse than nothing.

[jer@chirp.enworld.org]

@cstross @davidgerard who will you imprison? The ceo? The programmers? The qa team?

One of the big draws of tech is the ability to turn human error (and malfeasance) into "computer error". And society has been trained to believe software errors aren't anyone's fault so there's no one to hold accountable

That needs to change. Companies need to be accountable for their "computer errors" - especially when they're baked into design and not actually errors

[drewtowler@mas.to]

@davidgerard I don't even know what that means. I'm referring to "purity test".

[cstross@wandering.shop]

@dwm @davidgerard Yes, although it all depends on whether the GMC (and the Police) have the guts to go after a large foreign corporation with deep pockets. It probably won't happen unless there's a major death-related scandal and/or one of the aforementioned corporations decides to go after the competition, i.e. small locally run and/or open source models with broad training sets.

[mabande@mastodon.social]

@waffelhard @cstross @davidgerard …as coins are often claimed to be able to replace doctors by the coin minting industry and its adherents.

[wronglang@bayes.club]

@Jer @cstross @davidgerard it's the CEOs job to manage legal risk. Imprison the CEO.

[jer@chirp.enworld.org]

@wronglang @cstross @davidgerard I actually agree. It would certainly justify the vast amounts of money they make if they had to take personal responsibility for their harmful decisions. Might make them think a little harder about their decisions

[cstross@wandering.shop]

@Jer @davidgerard That's a broader corporate liability question. Personally I'd LIKE to see the C-suite and boards of corporations that kill people sentenced to serious prison time. (Lower level staff too, but only if it's found that they made decisions that led to deaths on their own initiative. The directors *are responsible for the company's actions*.)

Going further: the current privileged legal status of corporations is an obscenity and needs to be de-legitimized.

[zzt@mas.to]

@davidgerard LLMs get alternative medicine patients to the “I don’t care what you say, *I* feel better” point of no return so much quicker because they don’t know it’s alternative medicine. some of it might even be legitimate medicine that works! and all this does is make them less skeptical until they get output that’s plausible but fatal, or until the damage from what they’ve been doing builds up and they can’t survive anymore. and thanks to the LLM, they’ll fight off anyone who tries to help.

[tarmil@mastodon.tarmil.fr]

@zzt @davidgerard Lies are never more effective than when they're sprinkled with truth, and that's exactly the bread and butter of LLMs: truth-flavoured bullshit.

[wronglang@bayes.club]

@Jer @cstross @davidgerard I'm into it and I'm also not sure it's necessary. A corporation is just a bunch of greedy people in a trench coat. If you hurt the board with financial consequences for the company that CEO is going to get hurt in the way the care about the most. The broader problem is that we don't properly enforce consequences for companies at all even when the law is pretty clear.

[davidgerard@circumstances.run]

the person advocating ChatGPT for medical advice was a GNOME developer too

i'd watch out for signs of GNOME as the next big FOSS project to fill with slop, there's certainly advocates in there

[lu_leipzig@troet.cafe]

@davidgerard I'm kinda surprised they haven't already, given their general behaviour over the years. (Other than the inevitable dependency on harfbuzz ofc.)