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Comment by MisterKent | Hacker News Reader

Maybe I'm alone in this, especially on this site.

I'm beginning to become disillusioned with these things. We're replacing like 1000s of jobs with a system that will almost certainly do a worse job than before. And the money is split between hospital shareholders and VC.

I get that there's an efficiency (market) gain here. But these AI startups that target existing sector automations seem like they're most just attempting to drive wealth inequality in a period of already terrible westh inequality.

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These are topics that we at Cenote also mull over. Right now how we see things are:

1. If we perform worse, we won't deliver any value to the owner and we'll soon be out of a business

2. It's our bet that AI agents can actually perform these monotonous, detailed tasks very well and that this will free up humans to take on higher value work.

3. That higher value work being: calling patients, educating them, helping facilitate patient care. This is ultimately the work the owners we talk to are excited for their teams to take on!

Depends on how you perform worse (if you do so). It takes a while for medical errors to occur (in human or automated systems ) and then there is a lag before consequences for the patient, and not all negative outcomes lead to complaints or lawsuits.

Is a world where nobody needs to work a utopia or dystopia?

At this point a world where no one needs to work would be dystopian. Are we going to rely on the benevolence of our increasingly for-profit government. On the benevolence of our oligarchs to allow us the labor the robots aren't capable of doing yet? I see the promise of post-scarcity, but I haven't seen anything close to the technology it would require. Just greed. Corner cutting and rent collection for profit. I'd rather not see our medical back offices enshittified.

The insurance companies have already enshittified the medical back office to levels beyond comprehension.

Yeah, but why "extract value" out of every note? Seems like a better application for open source and non profits.

You're not alone.

I work in healthcare and it's a sea of bullshit all the way down.

And most of the time they're being started by kids right out of school with ZERO clinical experience.

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