362 karma · joined August 4, 2023
I think that the ruthless pursuit of efficiency destroys a lot of what makes us human.
So for now, the second best solution is the "doc-in-a-box"/urgent care outfit that doesn't have all the expensive machines and can therefore charge less, or you can see an NP/PA who can charge less because they have less formal education.
As a medical student, I'd like to dispel this myth. The surgeons tell us all the time that they could teach a monkey to do surgery. What matters is putting in the 10,000 hours if takes to become proficient at surgery, and not everyone has the time/resources/opportunity to get that training. However, I believe that almosy anyone taken from the streets and given 10,000 hours of training could become a world-class surgeon
For example, I don't read Medium articles as often as I used to, in part because I can just ask my programming questions directly to ChatGPT. Granted, this is to be expected because ChatGPT can customize it's response based on my unique situation whereas the Medium article is fixed, but it's still unfair to the author of the Medium article that ChatGPT was trained on, because without their effort, none of this would have been possible. And yet, because I am no longer generating as revenue for Medium, the original authors are no longer being compensated for the value they provided me.
I personally believe that LLM hosts should be required to pay for training data. With RAG, I think it makes sense to charge per-query, but for base models, content authors would probably need to organize into larger groups to facilitate payment.
True, but academic publishers charge an absurd amount of money in return for very little value. The publisher provides a platform for "editorial oversight" by peer reviewers, but they do not pay the peer reviewers. I would argue that "editorial oversight" in the form of peer review may be worth thousands of dollars per publication, simply providing a platform for that review and profiting from volunteer work should not be compensated as highly as it is right now.