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(1) Tech developers asking regulators to solve their Class 1 problems should set off alarm bells. In "The Talented Doctor Ripley (GPT): When Artificial Intelligence Lies about Medicine" (https://graboyes.substack.com/p/the-talented-doctor-ripley-gpt), I wrote about the dangers of AI insinuating incorrect information into medical journals and practice patterns, but also about the menace of injecting regulators into Class 1 problems--as in Sam Altman's plea to regulate ChatGPT. (2) My https://graboyes.substack.com/p/jambalaya-liztruss-vs-trussliz-and, includes two videos that highlight how daunting Class 2 problems can seem before social forces smooth things over. The videos--hilarious in retrospect--are aimed at senior citizens, terrified by the new technology of rotary telephones.

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Love those videos, Robert. Shows us that there's definitely a period of 'literacy' that has to happen before we can use a new tool. You can demo this by giving a rotary phone to a teenager in 2023!

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Right! Plus, the teenager today won't make a phone call, anyway. :)

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I love this framing. This is a small nit to pick, but I'm curious about your opinion. It's my understanding that robotic surgery has become ubiquitous in performing prostatectomies. First, would you agree that's correct? Second, in that single use case, is it potentially in class 2?

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Great article, thank you. I'm fascinated by what those guys are doing with the phonograph in the photograph. It looks like a Far Side comic. If I could just think of a good caption for it...

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File under 'rando images from the NLM'. I'm not sure what they're doing. I can only guess that it's some kind of early medical education recording.

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The problem I see after reading oyur excellent analysis is this, with the advent of Corporate Medicine run by CPA's, the Class 1 problems are selected by them with no feedback. Then when we have a class 2 solution, they ho no intention of listening, since they "run the show", and they regard providers as replaceable widgets.

Matthew Corey PA-C

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No argument here. Beyond CPAs, technology is often created with ‘exit’ top of mind — Who will buy or acquire this widget. To your point, we are forced to live with the thing that ‘seems like a good idea.’

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thanks for your reply...

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