This is the license to kill the insurance companies have been wanting. Killed your husband, oopsie daisy silly computer, we'll put in a ticket. Btw, shareholder dividends have been off the fookin hizzie lately, noone knows why.
Yup, exactly this. Insurance companies don’t want to keep doctors on their payroll, because they’re expensive and inconvenient when the doctor occasionally says that medical care is necessary. But they want to be able to back up their claim denials, so they’ll need to keep some whipped doctors around who will go in front of an appeal and say “nah this person doesn’t actually need chemo. They’ll be fine without it. It’s not medically necessary.”
Now they’ll be able to just spin up an AI, get it licensed, and then never let it actually say care is necessary. Boom, now they’re able to deny 100% of claims if they want, because they’re expensive have a “licensed” AI saying that care is never necessary.
I probably don't need to point this out, but AIs do not have to follow any sort of doctor-patient confidentiality issues what with them not being doctors.
I take it you're not, for example, trans. Because it sure is a top concern for them considering the administration wants to end their existence by any means necessary, so maybe it should be for you. At least I hope aiding in genocide would be a top concern of yours.
Kill people by preventing care on one side. Prevent people from unwanted pregnancy on the other. Maybe they want a rapid turnover in population because the older generations aren't compliant.
With the massive changes to the Department of Education, maybe they have plans to severely dumb down the next few generations into maleable, controllable wage slaves.
Currently insurance claim denial appeals have to be reviewed by a licensed physician. I bet insurance companies would love to cut out the human element in their denials.
A real world response to denied claims and prior authorizations is to ask a few qualifying questions during the appeals process. Submit claims and prior authorizations with the full expectation that they will be denied, because the shareholders must have caviar, right?
Anecdotal case in-point:
You desperately need a knee surgery to prevent a potential worse condition. The Prior Authorization is denied.
You have the right to appeal that ruling, and you can ask what are the credentials for the doctor who gave the ruling. If, per se, a psychologist says that a knee surgery isn't medically necessary, you can ask them which specialized training they have received in the field of psychiatry that brought them to that conclusion.
Very interesting. The way I see people fucking with AI at the moment, there's no way someone won't game an AI doctor to give them whatever they want. But also knowing that UnitedHealthcare was using AI to deny claims, this only legitimizes those denials for them more. Either way, the negatives appear to outweigh the positives at least for me.
So AI practitioners would also be held to the same standards and be subject to the same consequences as human doctors then, right? Obviously not. So this means a few lines of code will get all the benefits of being a practitioner and bear none of the responsibilities. What could possibly go wrong? Oh right, tons of people will die.
I see no existential, ethical, or legal problems with this.
/SARCASM
If it can qualify as a practitioner, it should qualify fully as a practitioner, either as a physician who's qualified to practice medicine or a nurse practitioner the same way.
Pragmatically I could see an AI performing as well as pharmacists who have limited prescription ability. However it would require a lot more holistic human interaction, which again gets into confidentiality and data privacy.
As written, I don't necessarily have a problem with it. It simply allows the possibility for AI to be approved. However, AI is nowhere near ready. I'm quite worried it'll be approved for use before it is ready though.
I’m not 100% against this. Sure it is a risk some might not be willing to make - but if I can take a strept test on my own and goto a robot and get my antibiotics at 12:30 am on a Sunday and it doesn’t cost me $150 office visit -sign me up. Most of the time docs just give a test and prescribe a pill. I can do it. They aren’t hard tests - usually 3 steps. Just make the tests available over the counter!!!
But all this could be done without ai, or any sort of machine learning. If it is a simple positive negative test why not have a machine that vends and reads a colorful dots?
there is almost no chance of that changing, and the medicine wouldn’t be dangerous
it’s not addictive
not expensive
can’t be abused
it’s a common medicine with no black market value
Yet every 30 days, the doctor needs to write a refill. I never talk to him, there are no tests, I just leave a voicemail and they send it to the pharmacy the next day. That doctor adds no value.
Most of us would say I should at least be able to get 90 day supply or automatic renewal by the pharmacy. However a way to save the cost of that useless doctor without actually fixing anything is to have an “ai” do it. Or a cron job
Not too long ago I wrote on Reddit that doctors were one of the easiest professions to replace with AI and everyone jumped at me telling me how ridiculous that was. Wish I wasn’t banned so I could back there and rub this in their faces.
Exactly. The argument never was that it would be better, just that it can fill the same role. As it is most doctors barely provide good care anymore. What do a few deaths mean to the capitalist grinder when you can increase profits by thousand of percentage points? The victim’s family can sue, the insurance companies will pay and everyone’s happy.