YouSaid · the spoken record
Ben Hwang
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- 113
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- 2023-01-10
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- 2023-01-10
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Every line below is reproduced as it was said and linked to the record it came from. Nothing here is summarised or generated. Directory · Search · Corrections
“Well, Mark, I mean, that's such a sort of beautiful, optimistic view of how this could go, right? Because the future we're talking about is actually much more engineer driven that if an engineer can build this, and it really, really works, it really helps patients. It really changes things. It will get adopted as it gets adopted cultural work around it. And we'll love to it. And we'll want to go back. And then the future will just be right in front of us.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“One would think. And to your point, like step one for changing the system might be retaliation, which is all of a sudden the safe teams will be bots. And so maybe the bots will be arguing with the bots. But at least it gets you out of this kind of Kafka-esque thing you're in today where when you deal with these big companies, you're dealing with this, you're individual dealing with giant bureaucracy. At least it equalizes the power.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Until finally, the other guy gives up and says, okay, fine. I'll do it. Yeah, I'll stop charging you And so it's like, okay, you know, it was a precondition of the system that that worked the way that it did. It was a burden on people to have to deal with that. AI can now step in and equalize the power imbalance between the customer and the customer.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“So, the way a lot of consumer subscription companies work is you can subscribe online, you can't actually unsubscribe online, you have to call any attendant number, and you have to argue with a person. And there's actually this thing in these companies called Save Teams, where they're actually paid specifically to prevent you from unsubscribing. And they'll try to cut special deals with you and they'll try to talk you out of it. And so he has this thing wired up where now he has an AI generated text within text-to-speech. And it talks to the customer service person”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“That's right. And it basically will basically get you, it started to get you out of like basically sort of BS traffic tails. And then he did this thing a while ago where it will unsubscribe you know all these consumer subscription services like Comcast or whatever like they all make it hard to like ever turn off a subscription and so he has this way to the bot will do it for you and so he just started using AI in the bot and so he now”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Yeah, and that could be because no one's working within the system, you can have the transformation immediately. But then eventually someone has to read all those letters. When someone has to validate them, it's probably some sort of NLP on the other side.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“In a system working has you within the system. And so that was just the one where it's just like, oh, in retrospect, that's obvious. I just haven't thought about it. One guy thinks about it. All the other doctors start to do that. The whole system upgrades function one time. I think that kind of thing, I think, is a real possibility”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“The rabbis, yes, with the scientific references like full on, right? Yeah. And so you've got this. That's another way to think about it is you've got this bureaucratic process, which is legitimate and required and yet to exist. And that data needs to be submitted. And honestly, it does not matter to that process whether that document is written by human or machine.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“So now look, having said that, healthcare is very sophisticated, right? There's lots of regulations, there's lots of payment, right? All these things. So I saw this thing on Twitter the other day. It blew my mind, right? Because this whole time I've been thinking in terms of like, you know, diagnosis and stuff in my life. So this doctor posted a video. And I think I saw that. So the doctor posted a video. And he said, look, he said, the problem whatever diagnosing. So whatever, like, I do the diagnosis. I do the prescription. Then it's a question of whether or not I can get the insurance company to reimburse and pay for the thing. To do that for anything even slightly out of the ordinary, I have to write a letter. I, the doctor, has to write a letter of the insurance company. And that letter needs to be in a specific format and it needs to make the case, make the case, and it needs to have the scientific citations. And if I do the letter really well, it's going to get paid for. And if I don't do the letter really well, it's not going to get paid for it. It's going to matter possibly to the life of the patient. Yes.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Yes. Well, the future of paint is really intriguing because from an engineer point of view, it's the engineer's dream that if we make it good enough so they can get to a point where people just love it and it's helpful and it does what it needs to do, the rest will take care of itself.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“It's like at some point it just was like taken for granted. And then at that point, if you just said, literally, are we going to take Uber away? People would have said, no, we can't. It's over. And that's what happened. And then later what happened is they changed the laws to accommodate that behavior. And so I actually think part of it here is just like having these tools. Okay, here's the thing. Here's a good news thing. These tools are becoming widely available up front, right? So like 50 years ago, a new technology like this would have been employed in the government first and then in big companies and then years later in the form of something individual people could use the model today is like it's just online. Yeah. Like GPD is online right now.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Like he wants to go back. Like, it's the system adapts. And so there was this famous Uber fought all these regulatory wars and all the cities that they were in because it was not technically allowed under the taxi limo charters in the beginning. So one of the things they did early on was they just made sure that there were always lots of Uber cars available around state houses and city halls. And so whenever somebody, you know, so you literally have somebody who's like in, you know, sort of giving this like roaring speech, you know, in city hall about shutting down Uber. And then they would come out and they'd have to get home really fast and the Uber would show up 20 seconds later.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“I mean, ideally, I mean, I think it's cultural orientation towards new technology. And then ideally, it's education of people learning and kind of Or, you know, the CP snow two cultures. Yes, yes, yes, the aircraft's coming together and kind of educating each other. Honestly, a big part of it also, I think, is when things become a fait accompli. Yeah. And this is what Tesla has done with self driving cars. Yeah. Like if it's just happening.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Can I tell you every aspect how they work? No, like, do they, do I understand how they work? Do I understand the basic foundations? Do I understand the basic math? Yes. This is why I make the comment about regulating math. Yes. To somebody who's not a coder, right? This whole stuff is weird. It's like weird magic. Yeah, right. And so there is a, yeah. I have to remind myself to be patient and tolerant of people who don't understand the mechanics of what's happening. That said, I think the people who are going to be, I think they also have to get into the mechanics to try to understand us. And there's always slippage there.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Not yet hit the current vlog of me. It's never this elaborate thing. It's always a very simple thing. And so it's not a question of whether the machine can ideally solve this sort of idealized complex problem. It's kit the brakes faster, right, when it's about to crash in the car directly in front of it. And so properly, logically kind of containing the expectation here to actual real world and not having this spin off into these like basically fantasy narratives that you can then criticize. Yeah, so that the absolute limits. And then, yeah, look, I think just the generalized fear, right? And what I always have to remind myself is like, you know, like you say, I'm a software developer by background. It's like, okay, I can actually, like the algorithms that do this, like.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“As it's been marketed. But yeah, the trolley problem, the trolley problem always gets the trolley problem gets always mooted about for self-driving cars, which is, you know, you have a choice between killing, you know, I don't know, it's like, I don't know, five grandmas or one little kid or all these different, like, you have to.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Me, look, then the big thing that goes wrong, I mean, look, the big thing, I think two things. So one is just the expectation of perfection, right? And look, it's very, it's very easy to generate the negative headline. It's very easy to set off the scare of the moral panic basically. It was a single essence goes wrong and it gets extrapolated. We talk a lot about phalidomide. It'd be very easy to have that kind of mold.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Like I show up with the doctor and I have all of that thought out. Basically, that might equalize the patients. Such that they can actually come much more educated and come from much more thoughtful and they become much more in the process as well. Yeah. Okay. So what goes wrong? Double-edged sword. I mean, you”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And by the way, patients using GPT, if it hasn't started, it's going to start imminently. Yeah, yeah, probably. So the patients are going to show up with the results of GPT queries, and the doctors are going to have to respond to that. And so they're going to end up being in this world whether they want to be or not.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And there's no way, like, you're not practically speaking, got to regulate that out of reason. Yeah, yeah, yeah, yeah, yeah. That's going to happen. I think doctors are using these new tools as augmented something that they can just do. It doesn't require approval.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And my self-driving cars, if it makes me, if some other doctor in some other state had a patient last week and made a mistake and they fixed them mistake, it will not make a mistake again you're a patient. Yeah.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And they're right, it's a great thing is it is a machine. It will riff with you as much. Yes, I'm like, you know, sit there at three in the morning. Yeah, yeah, it has a hundred times for you. It's happy to just get bored. It doesn't get tired”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Well, here would be an example. So let's use our screenwriting example of the plant in medicine, which is a given set of conditions, maybe many possible diagnoses, an experience I've had is there's a set of symptoms. One doctor comes up with one diagnosis, another doctor comes up with a different diagnosis. You read the literature, and it's like, actually, both of those diagnoses in theory are. But like for some reason, the one guy only thought of the one, the other guy only thought of the other. So a way for doctors to start using this technology today would be plugging the symptoms, give me five possible diagnoses. Yes. Okay. Oh, I didn't even realize, right, that, you know, because maybe this is a new.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Yeah. Well, that might be like you start empowering doctors, you give them tools, they start using them, and you start empowering patients. Patients start using them. And actually here, I think it's even different than a car because you know I'm on a road. And it's your body or whatever. And actually, patients are driving their own healthcare more than ever. I think COVID was another sort of tailwind there. So maybe you start, maybe it's just about developing the tools and giving them out.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“I suspect we're going to give their medicine pretty quick. Yeah, yeah, yeah, yeah. I'm going to optimist on that. And again, I'm not an optimist because I think the AI is going to be perfect. I'm optimist because I think the status quo is not that good.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And do you think you get to the tipping point where let's look at the statistics? We have because we have all this happening right now. We have the statistics and it's like so much better than humans. Why wouldn't we do it?”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Binary 0 number one, wait for permission, wait for perfection thing versus the incremental, let's get better and better and better, and the threshold is, is it better than humans? Is it an improvement? I mean, clearly in self-driving cars, that second approach is the approach that's working. You just observe.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And you don't expect the car to drive itself in from the very beginning, the car is like an autopilot kind of thing. The expectations that you pay attention. Tesla's the company I'm alluding to. And if you turn on full driving on Tesla, you're still told, like you're not supposed to be watching a movie. You're supposed to be actually paying attention. And the car will alert you when it's time to pay attention. But notwithstanding that, Tesla has been climbing the ladder on self-driving car functionality capability. They do new software releases, push live to car at night, anytime they want. Those new releases are not being tested by any of these things. There's no actual test happening. And that has led to incredible progress, including, as I said, clearly in the data, this is now stiff.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Because, well, yes, it turns out because the cars are driving. So there was okay. So here was an intervention. Okay, so here's how that played out in self driving cars. There was one category company that said we're going to basically wait until it's perfect and it's going to basically try to validate. We're going to work with regulators and we're going to build this stuff.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“I think that's true. And so I actually think fear may be the shift ruff FDR, fear may be the actual biggest threat. Fear leads to the. Kind of reach for regulation A skeptic. It's like, I don't know, right? Regulat”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Yes, yes. Well, on behalf of existence. Yeah, so I think generally it's this, it's just you get these fears. If you look at the history of, we talked about some of this, if you look at the history of new technologies, you actually only have these fears every step along the way. Every technology has been created with some prediction that it's going to upend the social order and cause the...”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And so, you know, Prometheus famously goes and retrieves fire from the gods. And his punishment for it is to be chained to a rock and if his liver pecked out every day for the rest of eternity. Embedded in there is like the anxiety about the new technology and then the revelative technology maybe is like you know the fear right is that it's not bad and the person who does that should be punished and and so I always find that myth kind of plays out over and over again in all these discussions about regulation that this stuff you know especially it's the gods who punish it right”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“So I think it's mostly fear. So this is where maybe I'm a radical on it. This is usually where people start talking about regulation I think it's like we have these fear driven reactions. I always think of it as this deep seated myth in human societies, the Prometheus myth, right? The Prometheus myth is all about new technology, right? The Prometheus myth is like basically this new technology of fire. And fire is one of these classic technologies where it can be used for good. We can burn light. Or it can be used very badly, right? And yeah, it can destroy your whole world.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Wait, your comment about music is really interesting because now we got Spotify, so we got everything in your pocket. Can imagine like the AI Spotify, which is like the doctor, the personal trainer, the educator, like all those different things in my pocket available right now for whatever I need to do.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Exactly. So it pushes creativity. All of a sudden, every individual screenwriter can do that without having to have a whole writer serve to brainstorm and just plug that in. It gives it back to you in two seconds. You're just like, okay, not those things. I'm going to do something else. And now I am more creative than I was before.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“I think AI is going to play out in a very similar way. There are people who will argue AI is different because data is keep climbing that slider and will replace everything. I actually think it's going to be basically it's the ultimate superpower. It's the ultimate pairing. We were talking about creating screenplays and scripts. A good example, if I'm a Hollywood screenwriter today, like GPT is my best friend, and I'm just sitting there all day long and I'm just saying, you know, playing out. It's like, okay, reach this plot point dot dot dot. Give me a list of like 10 ideas for what to do. And it's like, oh, okay, that's an interesting one. I'll give you an example of how this could work. So mad men is one of my favorite shows. Matthew Weiner, you know, ran that show. And he was always praised. He's like, wow, that show is so unpredictable. Like, you know, you never knew where it was going. And he said, yeah, well, the technique we had in the writers room was at any given time, we had to figure out what happened next in the plot. We would race around. We would come up with the five sort of things, obviously, five obvious things that rule all those dudes.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Yes, to a much larger audience online. Or, like, my favorite thing for art is like, you know, photography comes online and that dramatically changes art because being photorealistic isn't that interesting anymore. But so that creates modern, which actually is maybe.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Yeah, exactly. Or, like, you know, the dream of like an isoskeleton, any of these things. Yeah. I mean, look, artists are much more productive today with digital tools than they were with just, you know, paint and canvas. Yeah. And by the way, even artists that still work on paying canvas are much more productive today because they can sell their much larger audience online.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And so the augmentation. And so the way if you just look at the history of new technologies, the way it plays out is everything, freight is going to be a replacement, and it turns out it's an augmentation. Yes. So you take a human being and you give them the technological tools, they therefore are much more productive.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“So it's sort of another way to think about it is you could imagine two acronyms for AIs and artificial intelligence, which kind of implies replacement. Yeah. The one I actually like much better is augmented intelligence. Yes. Like the old Doug Engelbart idea. And augmented intelligence is, you know, another example term would be Steve Jobs, a bicycle for your mind. Right. Or, you know, a bullet train for your mind.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Well, that speaks to something really interesting because I think We're probably a little nervous, at least short term, to just unleash this and not pay attention to it. And so you'll have the doctor using this as a tool, but keeping an eye on it. You'll have the teacher maybe scaling dramatically for all this one-on-one, but keeping an eye on it. Do you think that's actually the way it's going to?”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Part of that, but also, yeah, maybe the AI is the one on one, and maybe in that case, the teacher is supervising the AI, right? And maybe, and maybe the teacher is making sure that the AI is on the right track and doing the right things and is able to kind of sit at the control panel and watch all that happen.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Is very right, which is the ritual form of Asian. Yeah, that's literally how people used to get educated. And so maybe this industrial, you know, the education system we have today is artifact of the industrial age. If the industrial age components of it become automated, the teacher becomes freed up to actually work more one-to-one with students. The result might actually be a significant breakthrough in how education works.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Kind of correspondingly. I think the same thing is true in education, like the teacher 10 or 20 years from now, I hope, is not doing the same things the teacher is doing today. I hope they're doing much better things. So for example, one-to-one tutoring education example, like there's only one in the last like 50 years, there's basically only one known education intervention at scale that actually improves outcomes after thousands of experiments, it's one-to-one tutoring. Yes.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“No, right. Yeah, exactly. Maybe doctors should be, maybe, you know, maybe the doctor in the future will be more of a life coach of which there will be a pharmacological, you know, sort of a biological or pharmacological component, right? But maybe it's like it's more of the holistic, the dream was sort of holistic medicine. And so maybe the Doctor of the Future is actually a much more important and sort of fundamental figure in your life than he or she is today. That sounds fantastic. Yeah, that sounds great. So if I'm a doctor, that's where I would want to be towards, right? And then that's probably a bigger and more important market, right? And then in terms of like the size of that industry will probably expand.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And it speaks to compliance as well as other issues. Yeah, I mean, compliance is behavioral issues. Like, why don't people do this or that? But then also there's all the health issues. Which is probably one of the biggest catastrophes that we have coming out of COVID. Exactly. No, right. Yeah.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Yeah, exactly. That person of the future probably like the technologically empowered doctor from now is highly unlikely to be spending their day doing that. They are probably going to be spending their day doing things that are actually much more important than that. Yes. Right. And so, for example, maybe they have more time with patients because the machine is a time-saving device. Maybe they have more data to draw on to be able to make their decisions. They've got the machine as a partner in making the decisions. Maybe they're able to spend more time in their conversation with the patient talking about psychological issues as compared to just physical issues. And as, you know, in a lot of medical conditions involve two sides of that or behavioral issues.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“And the reason for that is Algae makes possible things that were not possible before, which is what growth. And so specifically, for example, the role of the doctor, you know, it's like, okay, the doctor of the future is probably not going to be doing the same. We have a term in IT, break fix. That's kind of what doctors, you know, the core motion of a lot of doctors, as you said, diagnose, prescribe, diagnose, prescribe.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Or it's not being done something that all of a sudden becomes permissible. And this comes, this always comes up in any sort of discussion about employment. People doing jobs versus machines doing jobs. People get worried about technological displacement of jobs. But technological displacement of jobs, like technology never actually creates unemployment. Technology only ever creates jobs in that. Yeah.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source
“Deliberately kind of fallen into a trap already, which is we've only been using a single kind of example, and we've used it both in our discussions on medicine and also in education, which is basically a something is done today. People are doing something today, and then maybe the machine can do it instead. That's an important thing, and it is worth thinking about. But the way the technological impact actually plays out in human society is not just that. The way it plays out is let's basically revisit more fundamental assumptions.”
2023-01-10 · a16z Podcast · Expert AI as a Healthcare Superpower · IDENTIFIED FROM THE TRANSCRIPT · source