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Posts by Dan Munro

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ChatGPT Health performance in a structured test of triage recommendations - Nature Medicine A stress test of ChatGPT Health triage revealed missed high-risk emergencies and inconsistent activation of suicide-crisis safeguards, raising safety concerns for consumer-scale deployment.

But ChatGPT will calibrate/improve? Right?

"The study found that ChatGPT Health under-triaged 52% of cases that physicians agreed required emergency care."

#medsky

www.nature.com/articles/s41...

1 day ago 1 0 0 0
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EFF is Leaving X After almost twenty years on the platform, EFF is logging off of X. This isn’t a decision we made lightly, but it might be overdue.

After almost twenty years on the platform, EFF is logging off of X.

This isn’t a decision we made lightly, but it might be overdue. 🧵 (1/5)
www.eff.org/deeplinks/2...

1 day ago 14552 2697 515 362
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$2 million per ship — to cross a Strait that was free six weeks ago.

@nytimes.com
www.nytimes.com/2026/04/06/w...

3 days ago 21631 7140 1633 1524
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Sam Altman May Control Our Future—Can He Be Trusted? New interviews and closely guarded documents shed light on the persistent doubts about the head of OpenAI.

"In 2022, researchers at a pharmaceutical company tested whether a drug-discovery model could be used to find new toxins; w/in a few hrs, it had suggested 40,000 deadly chemical-warfare agents."

#Medsky

@ronanfarrow.bsky.social latest for @newyorker.com

www.newyorker.com/magazine/202...

3 days ago 1 1 0 0

Great performance by Michael Shannon tho ;-)

Not Malek's or Crowe's best ... ;-( Richard Grant's performance was - chef's kiss ;-)

4 days ago 0 0 0 0

What happened to your friend is tragic - and failures like that deserve accountability.

But advocating violence isn’t justice, it’s abandoning the rule of law and it wouldn't fix access to care, lower costs, or improved outcomes - and aren't those the real objectives we should focus on?

1 week ago 1 0 1 0
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No shortage of "ideas" on what to do - but I'm a hard-core realist - and we've lost so much ground on healthcare reform that I'm not optimistic on legislative steps forward.

Especially given all the BIG reversals in OBBBA - and the corruption of all 3 branches of our government.

1 week ago 1 0 1 0
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Review: THE AI DOC: Or How I Became An Apocaloptimist Missing the elephant in the room

open.substack.com/pub/lessig/p...

1 week ago 5 2 2 1

The bill will either die (like many previous efforts) - OR - passage won't have the pricing impact they're forecasting.

Unless/until we end ESI - we're just rearranging deck chairs - and hoping.

#Medsky

hc4.us/esi20

1 week ago 6 1 0 0
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11 Reasons Why We Need To End Employer Sponsored Health Insurance (ESI)

1) Universal *coverage* doesn't have to be single-payer

2) China did it in ~6yrs

3) Systemic change requires ending ESI

4) And THAT requires big tax reform

That's THE big hurdle. The math of uncapped pricing (@ $5+T/yr) says other "tweaks" are really just rearranging deck chairs

hc4.us/esi20

1 week ago 1 0 1 0

Neither - b/c as long as we have uncapped commercial pricing it's Casino Healthcare.

No single villain - payers, providers, hospitals, pharma, IT, med devices, MedEd - all have uncapped commercial pricing for ~165 million Americans. If you zero'd out ALL payer profits - you wouldn't dent $5+T/yr

1 week ago 0 0 0 0

We have laws against that - we should just use them.

Commercial hospital pricing (uncapped) isn't tied directly to payer ownership so it doesn't automagically collapse by separating the two - AND - higher pricing is likely w/ more fragmentation b/c we haven't solved any of the systemic flaws.

1 week ago 0 0 1 0

Footnote: Fragmenting insurance does nothing to address hospital pricing, Rx pricing, medical device pricing, or MedEd pricing. Those are some of the biggest drivers and there's a big risk that fragmenting insurance will RAISE prices - not lower them.

1 week ago 0 0 1 0

That's the theory - no evidence it will lower costs b/c:

1) Fragmenting h/c doesn't change our for-profit Casino Healthcare model

2) We have anti-trust laws. We just need to use them.

1 week ago 0 0 1 0
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'Single-Payer' Healthcare Isn't Necessary -- But Single Pricing Is America can easily afford any healthcare system it chooses - except one. The one we have.

... and FWIW ... single-payer isn't necessary - likely - or a good fit for US.

What we need is single PRICING. In that world (which is most industrialized countries), the actual number of payers is irrelevant.

#Medsky

hc4.us/oneprice

1 week ago 0 0 0 0
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Perfect.

1 week ago 0 0 0 0
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Breaking up “Big Medicine” sounds good - until you look at consequences.

Risks:
* raising costs, not lowering them
* blows up care coordination
* adds more bureaucracy
* ignores real cost drivers: Rx pricing, hospital monopolies, and uncapped prices.

We already have antitrust laws - use them.

1 week ago 0 0 1 0
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True. Disruption can be good or bad - AND - it's often claimed when it doesn't exist.

That's my point.

Just adding another option in our Casino RX doesn't qualify as "disruption."

1 week ago 0 0 1 0
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... seen at the Portland "No Kings" march yesterday.

"Regime Change Begins At Home"

1 week ago 2 0 0 0

Again, we should have started upholding the core tenets of the Constitution back in 2017, when he started openly monetizing his hotel three blocks from the White House. 👇 is literally Republic 101 stuff.

1 week ago 164 45 1 2
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... and lobbying is why our Casino Healthcare is running at $5+ trillion/yr (18% of GDP).

The incumbents are all *heavily* entrenched AND well-funded to PREVENT systemic reform.

All the "tweaking" we hear about is just rearranging deck chairs.

#Medsky

2 weeks ago 0 0 0 0
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Ossoff: I get why people voted for him Jon Ossoff is the only Democratic U.S. Senator up for re-election in a state Trump won. This is the most important Senate race in the country. He needs our support, join at ElectJon.com Subscribe…

#JonOssoff is always the clearest on just why #ItsTheCorruptionStupid:

2 weeks ago 15 6 3 0
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Standing on a balcony watching the lines. Very helpful.

2 weeks ago 3093 676 307 70
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“.. Mohammad Bagher Qalibaf wrote on X that “No negotiations have been held with the US, and fakenews is used to manipulate the financial and oil markets and escape the quagmire in which the US and Israel are trapped.”

@apnews.com

2 weeks ago 837 337 46 31
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Just spit ballin' here - but how about we make taxes fully transparent?

You know - like the GINORMOUS tax on wages for healthcare benefits through an employer (~165M Americans).

FWIW - the tax exclusion is the Gov's largest tax expenditure.

#Medsky

3 weeks ago 2 1 0 0
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‘God, It’s Terrifying’: How the Pentagon Got Hooked on AI War Machines An excerpt from the coming book Project Maven shows how the US enlisted Silicon Valley in its vision for AI warfare, now playing out in Iran.

US Military's project Maven:

“There’s really nothing quite like seeing a machine aim. There is an alien aspect, some otherworld feeling. I don’t want to say ‘religious,’ that’s not the right word. God, it’s terrifying.”

www.bloomberg.com/news/feature...

4 weeks ago 0 0 0 1
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Exclusive: AI Error Likely Led to Iran Girl's School Bombing Pentagon investigators believe a bombing of a girls' school in Iran on Saturday likely resulted from inaccurate information provided by AI.

Local Massachusetts weekly says it's confirmed that the Pentagon was relying on Claude for strike targeting, which is how they came to bomb a girls' school.
thisweekinworcester.com/exclusive-ai...

1 month ago 1160 600 89 284

Totally normal stuff

1 month ago 608 98 50 2

Ok, NOW the US is doing war crimes.

1 month ago 617 160 20 5

The list of billionaires aiming to "disrupt" healthcare is long:

Gates, Page/Brin, Bezos/Buffet/Dimon, Soon-Shiong - and now Cuban.

But the framing is fatally flawed b/c moving fast and breaking things in healthcare isn't disruptive - it's just rearranging deck chairs.

#Medsky

1 month ago 7 0 1 0