It feels like at some point we're going to need to re-evaluate the concept of intellectual property. I don't know how to bring about this conversation in a way that broader society will actually engage with it, but it really feels like software and digital assets are just too fundamentally different from the things we've been selling and buying for most of human history. Even if you think about a printed book, sure we've been defending peoples' rights to restrict reprinting of their ideas for a long time, but that came alongside broad support for institutions like libraries.
We now live in a world where you cannot be a professional engineer without expensive CAD software, you cannot run most businesses without some expensive licensed software for managing your books, HR, supply chain, etc. or you will just get destroyed in the market by more efficient competition. I guess my thought process on this is a little simplified, as I was thinking about how software you can run yourself is "infinitely copyable" for free. This question gets more nuanced with SaaS. While some of the enshittification can be argued to be rent-seeking behavior to have a bigger moat, you cannot perform a "DRM crack" of a webapp like you could with software restricted by CD keys and the like, creating SaaS versions of most products provide real benefits. Running a large hosted service is a serious ongoing commitment that takes real investment to maintain.
It feels like we haven't finished this necessary conversation in the pre-LLM world, about how software was creating giant powerful institutions that we were totally unprepared to regulate. In a world that looks so likely to be coming pretty soon, where LLMs can maintain a SaaS with very little human input, I just don't think we're ready for the consolidation of power that is coming.
And to the particular point being made about biomedical research, it is already pretty trivial to argue we have cartoon villain levels of evil already happening with both deciding how research dollars are allocated (diseases that disproportionately affect the poor are worked on less), and how many people we are leaving out of the modern medical system to just suffer or die at home.
We need to grapple with the fact that we have developed really powerful tools to reduce suffering, and alongside that development we have created legal tools and institutions that indefinitely keep innovations behind paywalls with prices chosen by powerful rich people. Maybe these two things need to exist together to create incentives for investment, but it feels like we need to have better conversations about how we can actively manage the knobs and levers of the economy to produce better outcomes for more people.