This seems like the kind of foolishness it takes a lot of money to believe. Anthropic blew up their contract with the Pentagon over concerns on lethal autonomous weapons and mass domestic surveillance. OpenAI rushes in to do what Anthropic wouldn't.

If you think that means your company isn't going to be involved in lethal autonomous weapons and mass domestic surveillance... I don't really know what to tell you. I doubt you really believe that. Obviously you will be involved in that and you are effectively working on those projects now.

Median family income in the US is a little over 100k. 400k to afford childcare is a ridiculous lie/error.

Yes, that’s the point they’re claiming: a median family cannot afford healthcare. Are there any figures in particular asserted by the article that you consider faulty, or merely the conclusion?

"Uh, excuse me. This ad for a payday loan company says the vast majority of households can't afford this thing that most households with children do, in fact, afford and pay for. Which figures do you dispute?"

Concluding something farcical and then asking people to debate it is silly and a waste of time. 400k is an extremely high household income. Childcare is a common expense for families with children. The claim that only extremely high income people can afford a common expense is wrong on its face and needs no further analysis.

Nonsense. There are many ways to get free or reduced price medical care in the US, especially if you are poor. Your doctor will have resources to help you if needed.

You can also rack up huge medical debt and then not pay it. The hospital will sell your debt to bill collectors who will call you for a while, and eventually sue you. At that point you can offer to settle for pennies on the dollar, or you might lose the lawsuit and have to declare bankruptcy which would mean you have negative credit for a few years.

Obviously it will be a difficult time, and hopefully you have something else, but they won't just let you die because you can't afford it.

Also if you have a low paying job its probably not a big loss to quit it and go on Medicaid if you have a six or seven figure illness. Though it seems like they are trying to change this path for 2027.

Well, unfortunately the current administration has blocked a bill that would have prohibited medical debt from reflecting on your credit score.

If someone is dying of colorectal cancer, trying to get them to worry about their credit score is not only not helpful, it's actively harmful. Messing up your credit for a few years is in the category of "inconvenience" and it's not the kind of thing that you need to worry about when surviving cancer.

You’re right. I am just bitter and angry because I have to get my endoscopy done and I owe my life to my doctoral program that gives me excellent health insurance.

Aren't all of these things you can do with Claude Code? Granted, the chat app one is novel, but you could ask Claude Code to set that up.

Thats basically what this guy did. He vibe coded a chat interface.

I agree with you that someone who is good with a screen reader can efficiently move through web interfaces. A good screen reader user is faster than the typical user.

However, not all blind people are good with screen readers. For them, an AI assistant would be useful. Even for good screen reader users an AI could be useful.

An example: Yesterday, I needed to buy new valve caps for my car's tires. The screen reader path would be something like walmart -> jump to search field, type "valve cap car tire" and submit -> jump to results section -> iterate through a few results to make sure I'm getting the right thing at a good price -> go to the result I want -> checkout flow. Alternatively, the AI flow would be telling my AI assistant that I need new car tire valve caps. The assistant could then simultaneously search many provider options, select one based on criteria it inferred, and order it by itself.

The AI path, in other words, gets a better result (looking through more providers means it's likelier to find a better path, faster delivery, whatever) and also, much easier and faster. Of course, not only for screen reader users, but also just everyone.

The first email I ever wrote was to Scott Adams. He actually replied!

I was a child and had just read and enjoyed one of his older books, maybe the Dilbert Principle. I came from a religious household and I was surprised by something in the book that revealed him to be an atheist.

I looked up his email, or maybe it was in the back of the book, and wrote him a quick message about how and why he should convert. He replied to me (unconvinced) and I replied back, at which point he realized I was a child and the conversation ended.

When I heard he was dying of cancer I wrote him another email, again offering my own unsolicited thoughts, this time on cancer and experimental treatments. He did not reply, but I thought there was a kind of symmetry to it -- I wrote him towards the start of my life and again towards the end of his.

Interesting guy, I've enjoyed several of his books and the comics for many years. He had a big impact. Tough way to die.

You can feel animosity towards someone without thinking they've met the elements of a crime.

The 20k model has no subscription? How does that work? Surely it's using a fair amount of compute, isn't it?

They will brag about each unit sold to investors to demonstrate product/market fit, and then raise probably 10-100x the sales price per unit from investors.

how far we've fallen where the concept of owning something that you bought seems preposterous to some people

The only part of this article I believe is the legal and bureaucratic burdens part.

"Human radiologists spend a minority of their time on diagnostics and the majority on other activities, like talking to patients and fellow clinicians"

I've had the misfortune of dealing with a radiologist or two this year. They spent 10-20 minutes talking about the imaging and the results with me. What they said was very superficial and they didn't have answers to several of the questions I asked.

I went over the images and pathology reports with ChatGPT and it was much better informed, did have answers for my questions, and had additional questions I should have been asking. I've used ChatGPT's information on the rare occasions when doctors deign to speak with me and it's always been right. Me, repeating conclusions and observations ChatGPT made, to my doctors, has twice changed the course of my treatment this year, and the doctors have never said anything I've learned from ChatGPT is wrong. By contrast, my doctors are often wrong, forgetful, or mistaken. I trust ChatGPT way more than them.

Good image recognition models probably are much better than human radiologists already and certainly could be vastly better. One obstacle this post mentions - AI models "struggle to replicate this performance in hospital conditions", is purely a choice. If HMOs trained models on real data then this would no longer be the case, if it is now, which I doubt.

I think it's pretty clearly doctors, and their various bureaucratic and legal allies, defending their legal monopoly so they can provide worse and slower healthcare at higher prices, so they continue to make money, at the small cost of the sick getting worse and dying.