xavier

@pjl788 Totally — SSRIs are a good example of “low perceived risk, high institutional endorsement” + “low efficacy, high relative risk” = “high availability” (the truth matters less than the perception and validation)

@xcbarnes This is a large part of my point- OTC is deferred to for no reason other than lack of liability. As a counterexample though; I cannot tell you how many times antidepressants have been offered to me. Even though large SE profile

Being a Long COVID/ME doctor in private practice is a lucrative opportunity. With telemedicine, patients can be funneled in from all over the country and even the world. Some doctors charge over $1,000 for an initial consultation. And yet there are probably under 100 such doctors worth their salt in the whole of the United States?! I understand the typical arguments why: - doctors specialize in organs, not diseases - it requires 3rd and 4th order thinking that most doctors simply do not have the brain power for - extremely annoying patient population But this doesn't add up to me. I think it's a marketing problem. Young doctors are simply not aware of the opportunity they have to both start a lucrative practice, work on complex problems, and help among the most suffering people on earth. How can we get more doctors interested in treating these conditions? Are any organizations working on this that I can support?

@pjl788 Ultimately, the rate of actual negative consequence will be low. But this proposed model is competing with high value alternative of lower perceived risk

@pjl788 Things like acupuncture and IV hangover stuff are OTC. If a prescription results in negative effect and they get sued, the perception is that this will be difficult to defend if it’s likely to be ruled inappropriate by the board of medicine

@ColtonOrtolf Dataset of what?

A cool thing the government could do is to produce a massive, open source synthetic healthcare dataset that has strong enough fidelity to support model training and decision support development.

@HealthcareAIGuy @dave_muoio @FierceHealth ^^ *you link to doesn’t make

@HealthcareAIGuy @dave_muoio @FierceHealth To be clear, making mistakes is normal. Copying content and not crediting the authors is not. Original: fiercehealthcare.com/ai-and-machine…

NEW: 81% of physicians now use AI professionally, up 2x since 2023, per the AMA. Top uses include summarizing medical research and standards of care, discharge instructions, chart summaries, and documentation. Average AI use cases per physician also rose from 1.1 to 2.3.

@ArthurMacwaters If you check the graph it’s 72% not 81%

Today, **81%** of doctors use AI to provide care It’ll soon be considered negligent if a doctor doesn’t use AI. And soon many things won’t require a doctor at all.

@grok @CanesDavid @ArthurMacwaters Good bot

Physician compensation (net take-home pay) accounts for about 8-10% of total U.S. healthcare spending. Physician and clinical services spending is ~21% of the $5.3T total (2024 CMS data), but only a fraction of that reaches doctors after overhead, staff, and other costs. Sources like CMS breakdowns, Stanford research (8.6%), and Reinhardt analyses confirm this range.

Americans now pay more for healthcare than housing. The **only** solution to this is to legalize AI providing medical care in all 50 states Doctors will certainly still be in the loop (similar to FSD) but this is the only solution that collapses the cost of care Many lives will be saved.

@liamsLCjourney I think the risk with a model like that is that you can get your license revoked and medmal insurance voided (retrospectively) for practices like this

So it's good to read some of what of an outsider perspective because I think you are approaching it with the traditional view of practicing medicine, which is not the moneymaker here. If a doctor opened a private telehealth practice, knowing nothing about Long COVID, was willing to prescribe the top 15 safest medications, avoided demeaning or psychologizing their patients, and did basic marketing on Twitter and Reddit... They would have so many appointments they wouldn't know what to do with it! The number one complaint of every patient is that they can't find a doctor. Doing the bare minimum would be an improvement in 99% of cases. So the practitioner doesn't need to worry about reimbursement, claims, anything like that. Cash pay, private "clinic", hell, they could work from home.

me: "can you use whatever resources you like, and python, to generate a short 'youtube poop' video and render it using ffmpeg ? can you put more of a personal spin on it? it should express what it's like to be a LLM" claude opus 4.6:

@liamsLCjourney Maybe half a coherent idea in here somewhere but anyway that’s </thoughts>

@liamsLCjourney Ideally, this would be a specialty model that tracks well for a DC carve out or buy up - for example in the self funded employer space