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

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

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  • waffelhard@f.reun.deW 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.

    mabande@mastodon.socialM This user is from outside of this forum
    mabande@mastodon.socialM This user is from outside of this forum
    mabande@mastodon.social
    wrote last edited by
    #17

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

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    • jer@chirp.enworld.orgJ 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

      wronglang@bayes.clubW This user is from outside of this forum
      wronglang@bayes.clubW This user is from outside of this forum
      wronglang@bayes.club
      wrote last edited by
      #18

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

      jer@chirp.enworld.orgJ 1 Reply Last reply
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      • wronglang@bayes.clubW wronglang@bayes.club

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

        jer@chirp.enworld.orgJ This user is from outside of this forum
        jer@chirp.enworld.orgJ This user is from outside of this forum
        jer@chirp.enworld.org
        wrote last edited by
        #19

        @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

        wronglang@bayes.clubW 1 Reply Last reply
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        • jer@chirp.enworld.orgJ 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

          cstross@wandering.shopC This user is from outside of this forum
          cstross@wandering.shopC This user is from outside of this forum
          cstross@wandering.shop
          wrote last edited by
          #20

          @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.

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          • zzt@mas.toZ 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.

            zzt@mas.toZ This user is from outside of this forum
            zzt@mas.toZ This user is from outside of this forum
            zzt@mas.to
            wrote last edited by
            #21

            @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.frT 1 Reply Last reply
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            • zzt@mas.toZ 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.frT This user is from outside of this forum
              tarmil@mastodon.tarmil.frT This user is from outside of this forum
              tarmil@mastodon.tarmil.fr
              wrote last edited by
              #22

              @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.

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              • jer@chirp.enworld.orgJ 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

                wronglang@bayes.clubW This user is from outside of this forum
                wronglang@bayes.clubW This user is from outside of this forum
                wronglang@bayes.club
                wrote last edited by
                #23

                @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.

                cstross@wandering.shopC 1 Reply Last reply
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                • davidgerard@circumstances.runD davidgerard@circumstances.run

                  TIL that saying "holy shit don't use ChatGPT for medical advice" is a "purity test". i didn't know that before. in fact I still don't.

                  davidgerard@circumstances.runD This user is from outside of this forum
                  davidgerard@circumstances.runD This user is from outside of this forum
                  davidgerard@circumstances.run
                  wrote last edited by
                  #24

                  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.cafeL 1 Reply Last reply
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                  • davidgerard@circumstances.runD 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.cafeL This user is from outside of this forum
                    lu_leipzig@troet.cafeL This user is from outside of this forum
                    lu_leipzig@troet.cafe
                    wrote last edited by
                    #25

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

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                    • davidgerard@circumstances.runD davidgerard@circumstances.run

                      TIL that saying "holy shit don't use ChatGPT for medical advice" is a "purity test". i didn't know that before. in fact I still don't.

                      floppyplopper@todon.nlF This user is from outside of this forum
                      floppyplopper@todon.nlF This user is from outside of this forum
                      floppyplopper@todon.nl
                      wrote last edited by
                      #26

                      @davidgerard
                      big news for the fans of scott adams dying at least 🤔

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                      • wronglang@bayes.clubW 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.

                        cstross@wandering.shopC This user is from outside of this forum
                        cstross@wandering.shopC This user is from outside of this forum
                        cstross@wandering.shop
                        wrote last edited by
                        #27

                        @wronglang @Jer @davidgerard No, the CEO is only hurt *very indirectly* and usually they'll have moved on to another job (with better pay/options) before the pigeons come home to roost. Consider it took more than two decades for the OxyContin scandal to lead to court verdicts, and the Purdue owners still escaped most liability for thousands of deaths by declaring bankruptcy. How many CEOs did Purdue have during that period?

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