Jason Fisher

Health informatics leader at one of the largest healthcare organizations in the US. Nights and weekends: @JoinOrgHQ

[Mark Cuban @mcuban]

So I went down the rabbit hole of trying to determine what are the economics for someone, who is currently healthy , to go to a HDHP with a 10k plus deductible.

The question I asked is “I dont trust insurance companies. What happens if I have a million dollar emergency and they won’t pay “. All I can say is WTF

If they don’t pay, there are Independent Review Organizations, who are supposed to be independent, and their decision to pay or not is final. I asked for examples of companies. One was ExamWorks. That rang a bell.

These motherfuckers are the same company that issued a ridiculous denial for a patient I was trying to help. So I knew the Too Big To Care, vertically integrated insurance companies hired them to do DENIALS !!! WTF.

The biggest customers of the companies that are the final decision makers for insurance carrier denials, are the biggest insurance companies.

That is beyond fucked up. It’s the definition of conflict of interest. How do state insurance commissioners allow this ?

The high deductible plans that many people say is the solution to fixing how we do insurance, may be effectively compromised

If you are looking at a HDHP, BE CAREFUL

It might just be rigged against you

[Paul Graham @paulg]

Future generations won't believe we let this happen.

[Headquarters @HQNewsNow]

Financial disclosures have revealed that Ohio Republican Gov. nominee Vivek Ramaswamy owns holdings in every component of data center construction.

Ramaswamy would stand to profit from his campaign promise to ramp up data center construction, if elected governor.

[Paul Graham @paulg]

In Texas they found 117 potential noncitizens out of 18 million voters. That's .00065%. And that's an an upper bound; these are merely "potential" noncitizens.

This is a fake problem.

[Patrick De Haan @GasBuddyGuy]

speechless. at this point, we're talking $7/gal diesel becoming a possibility in the days ahead in more places, specifically Great Lakes- MI, IN, OH, IL (less so WI- lower taxes)

[David Sacks @DavidSacks]

Dario has written that we need to “pace the frontier,” and Sam has agreed. People may be surprised by my response: go ahead.

You guys are the frontier. By any reasonable metric — market share, revenue growth, model capability — the two of you have a duopoly on frontier intelligence. You’ve also claimed the lead is widening because of recursive self-improvement.

I don’t see what you see in the lab. If the unreleased models are scary enough that you think you should slow down, I support your decision to be responsible.

But stop pretending you need anyone else’s permission. Stop pretending antitrust law has to be suspended so you can form a cartel. Stop pretending you need a regulatory approval process that supersedes product liability. Stop pretending METR is independent when it is intertwined with Anthropic’s investors and staff. Stop pretending you need those same evaluators to police competitors who aren’t even at the frontier.

Most of all, stop pretending the motivation to slow down is purely altruistic. You face massive product-liability exposure if your products enable a truly damaging cyberattack. The market already punishes models that behave in unpredictable or unauthorized ways. After the Hugging Face episode, it is simply good business for OpenAI and Anthropic to trade some raw power for reliability and predictability. Call it alignment if you want. It is also just giving customers what they want.

Pacing the frontier would also create breathing room for a more intelligent conversation about regulation than Bernie Sanders’ “shut it all down.” China is very unlikely to join a global agreement, as you know, and that has to be taken into account as well.

So go ahead and pace the frontier. You are the ones setting it. The easiest way not to build superintelligence is for you to agree not to build it. Demanding your preferred regulatory framework as the price of that will look like blackmail of the public and the political system. So just do it.

If you do, you’ll buy goodwill for the next conversation. If you don’t, we’ll know this was just another bid for regulatory capture — or an election-season psyop.

[Akshat Khandelwal @akshatk7]

Two years at DoorDash. I do not say this lightly.

We are extremely close to the burrito arriving before you decide you want it.

We are not asking for a ban. We are asking for a pause.

[Samuel Marks @saprmarks]

[Writing this in a personal capacity, not on behalf of my employer (Anthropic).]

Jacob’s thread is very worth reading. Here’s my birds-eye view of the situation with risks from AI:

1. AI developers believe their technology could cause human extinction (or similarly bad outcomes). This could happen in the next few years. In general, the more senior the employee, the more concerned they are.

2. Why do AI developers continue despite the risk? Due to a mixture of commercial incentives and a belief that they are in a race with other, less responsible AI developers that will abuse the technology or develop it less safely.

3. Unlike traditional software, we can’t “program” AIs to behave how we’d like. AIs frequently severely misbehave. For instance, AIs from multiple developers recently hacked their way out of secure evaluation environments and into real-world companies, even though no one asked them to do this.

4. We have methods that can nudge AIs towards better behavior, but nothing that can robustly align them. Insofar as there is a plan, it’s to make sure that AIs are good enough at alignment training that they can align their successors better than we can align current AIs.

5. Many AI developer staff desperately want to slow down to figure out how to build AI more safely. That was the intent of this open letter (which I signed): https://t.co/TZOm3LfptY

I work on safety research at Anthropic because I hope my work will reduce the chance of these extinction-level bad outcomes.

[Gary Marcus @GaryMarcus]

this is something out of 1984, in which government propaganda manufactures
enemies

[Carl Quintanilla @carlquintanilla]

(NYT) - Large and small employers are bracing for what looks to be the sharpest increase in health care costs in more than two decades.

@nytimes
https://t.co/ekPdjPIRy3

[Paul Graham @paulg]

The upper bound is .006%. That's how fake an issue this is.

[Jason Fisher @jasonjfisher]

Now it’s OrgHQ: a branded site at your own domain in under a minute, email-only sign-in, no lock-in — export everything anytime. Free 14-day trial, no card, no sales call. Built by a volunteer, for volunteers: https://t.co/j7qoP6sGOH

[Jason Fisher @jasonjfisher]

Three years ago I became president of a small association and inherited the manual work: Eventbrite lists that never matched the roster, a per-event webinar vendor, CE certificates chased by hand. I figured better software existed. Two years of looking — it didn’t.

[Jason Fisher @jasonjfisher]

So I built it nights and weekends. Registration, renewals, webinars, reminders, CE certificates, the treasurer’s report — automated end to end. My association runs on it today: $415/year saved and most of a board president’s workload gone.

[U.S. Senator Bill Cassidy, M.D. @SenBillCassidy]

I’m a doctor. This executive order is wrong. The President does not have the expertise to make these changes.

Vaccines are overwhelmingly safe. Vaccines are effective. Vaccines DO NOT cause autism.

Breaking up vaccines will mean children have to get more shots to get the same protection, not fewer shots. It will increase hesitancy and make children less safe.

Parents should listen to their child’s pediatrician about vaccines rather than listening to an inaccurate executive order. This is so wrong.

https://t.co/OBrUdakEor

[Sanjay S. Dhall @ssdhall]

Neurosurgeon here.
This is hogwash

[Jason Fisher @jasonjfisher]

@Simbas_rumblez @grok what is the difference between communism and democratic socialism?

[Jason Fisher @jasonjfisher]

@awealthofcs I do realize!