I can’t argue this, but I can build an LLM based care provider today with likely decent results in patient outcomes for those adapted to it and good cost dynamics, and across a variety of critical use cases in the care vertical from providers to end delivery. I can not however change American society, our economic structure, or political dysfunction single handedly, can you? Should I not do the former and let people suffer in protest because the latter is not possible, and hold my breath hoping it’ll change? How many lives must be destroyed in protest hoping everything changes first?

Fine, let’s have socialized delivery of mental health care. Let’s go back in time 20 years and establish a pipeline of capable providers that doesn’t exist. Let’s do those things if we can. But I don’t see it happening in my life time.

I do however see an opportunity to take the technologies presented to use in the immediate present and providing a mechanism to bring help to people who need it today with good efficacy where it’s appropriate. Is it OpenAI that brings that? I doubt it - they’re selling shovels, not digging for gold. Is it a general model that provides direct care? Doubtful IMO. Is it a chatbot interface ? I doubt that too. But I think if we are creative and thoughtful we can use these technologies to address huge swaths of the care providing problem, which is more than talk therapy. And we can do it today, and don’t have to wait for MAGA/MAHA to accept reality on realities terms.