Unless GPT-4 is running locally on our own computers, there's absolutely no way dumping a patient's entire medical history into this thing could possibly be considered ethical or legal.
Unless GPT-4 is running locally on our own computers, there's absolutely no way dumping a patient's entire medical history into this thing could possibly be considered ethical or legal.
Emphasis mine, but isn’t this a rather extreme view to be taking? Ethics deals in the edge cases, after all, so we can easily imagine a scenario where patient consent is obtained and the extra computational analysis provides life-saving insight.
Conversely, the output could mislead the doctor sufficiently to cost the patient their life, so I’m not making any absolute statements either ;)
For the record, and pedantry aside, I do agree with your overall point. Dropping patient history into this thing is incredibly ill-advised. The fact OpenAI retains all your input, including to the API, and provides no low-cost options for privacy is one of the biggest hurdles to major innovation and industry adoption.
Of course, this is illegal, so the ethics are moot; even if such technology would save my life, there is no way the hospital would accept the liability.
I think you mean, new lawyer.
There is absolutely no way that feeding private medical data patients reveal to doctors in confidence to what's essentially the surveillance capitalism industry could possibly be considered ethical. Absolutely no way.
It hasn't even been a week since some medtech got caught selling out data to advertisers. Let us not doubt even for one second that this is unethical and illegal, or even speculate about possible scenarios where it might not be. These corporations do not deserve the benefit of the doubt.
> Dropping patient history into this thing is incredibly ill-advised.
It's illegal
In the US, the HIPAA Privacy Rule operates independently from the HIPAA Security Rule, for good reason. On their own, patients can do anything they want with their own data. But in the context of medical care, patients can't consent to having their personal health data processed in insecure systems. It is the same ethical reason that employees can't waive their rights to OSHA safety rules or why you can't consent to sell yourself as a slave. If you could waive security rules, then every doctor would include a waiver in their intake forms, and it's a race to the bottom. So unless OpenAI has a HIPAA-compliant data security infrastructure, it's illegal and unethical.
Sir, would you be OK with sending all your medical records to US to be potentially mined for profit by for-profit amoral organization like Microsoft? It may help, although 3rd parties like NSA will eventually access them. No thank you. What about your litigation papers at court? Fuck hell no. Just do your job that I pay you to do, doctor/lawyer.