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Culture War Roundup for the week of February 27, 2023

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The guy who presses his finger into your muscle and asks if it hurts before recording it doesn’t need a decade of training and a $300,000 salary.

Is this the GP everyone usually goes to first you mean, or hospitals? Because sure, you can have a minimum wage triage clerk taking pulse, heart rate, breathing and blood samples, and recording the data.

But then you need someone to interpret the findings. Is that muscle pain due to what? There's a lot of things it can be, and that's where the decade of training comes in. For a hospital, having the intake clerks do the grunt work while they then park you for six hours in the waiting room until the blood work comes through and The Consultant has had the chance to look at everything for five minutes before he decides to send you home is very doable. If you want to replace The Consultant with the AI, first I don't think it will do much to cut down on the six hours waiting time (organic chemical reactions go along at their own pace, plus however many tests are ranged up to be done) and second, that's fine right up until there's a mix-up in the blood work or the right test wasn't done and it turns out to be the sign of something more serious. That already happens in hospitals.

I'm not saying AI in medicine is a bad idea, I'm saying that we're likely to see it used first the way the insurance company triage phone lines are now used, and all it takes is one unfortunate death to set back the adoption of the technology. I could see it being adopted in hospitals, but for the local practitioner where people go first, you do need the level of training and expertise that can recognise "this is a muscle strain" from "this is something more serious, you need to go to the hospital right now".