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How should we use AI in medicine ?
I had a discussion recently with folks from health authorities who were testing a chatbot for patient interactions and diagnostics. It is specifically trained on medical data and what they wanted to use it for is initial interactions and preliminary diagnoses. I don't know the specific model they tested, but they did a comparative study with health care providers. The interesting bit is in the patient cohort, folks significantly preferred them over interactions with real family doctors. To a large degree because they didn't feel rushed and could chat at length regarding their issues. And on the diagnostic side, they outperformed humans, because they were able to pick up things that were not mentioned or missed by humans. That being said, I think medicine is a great place for AI, as in many cases the way a healthcare provider works is based on existing diagnoses and there is comparatively little room (or allowance) for creative assessments or trying out new ideas. I think there was one area where AI underperformed by a little bit, but I cannot recall what it was. It is possible that it was related to rare diseases, where overall detection was low to begin with. I thin there are a few things one could gleam from those tests (unfortunately the paper is not written yet). First is benefits to patient satisfaction. Even though it is virtual, the fact that things are at their pace and because AI has unlimited patience, they feel taking seriously. The second is that for routine things, they perform better, as they are less likely to dismiss things. For rare or very difficult diagnoses, it would depend a bit. On the human side, the variance is huge. Some specialist get to the right diagnosis, just because it happens to be in their wheelhouse. Also, in my experience, MDs with an active research program tend to be picking up non-regular things, as they are more used to think in an analytical way, as opposed to going through check lists. I had cases where I had to explain family doctors the etiology of certain diseases and their molecular mechanisms, because they either got it wrong or the references they used (in one case, wiki) was off. I assume an AI system (based on current capacities) will have less variance, but will more likely miss the outliers, though that can be tweaked, of course. But given the system in which healthcare currently operates, AI models are almost certainly to have serious impact here, including on the patient-facing side. Edit: On the diagnostic side the implementation is probably seamless, basically AI-enhanced tools with human oversight The main issue I see there is that these conveniences often lead to a drop in human capacity, especially as trust in the tools themselves increases. As those tools might not be static, it is unclear to me what happens if human capacity decreases.
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China’s solar capacity set to overtake coal in ‘historic’ shift
Yes, though the Ukraine war did cause a surge in private PV installation, as energy prices shot up across much of Europe. Effects such as those likely make it harder to predict the effect on the broader energy grid and given the cost, could partially explain the hesitancy in converting/expanding the grid to accommodate broader solar use.
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Contamination
It is a bit like a news segment. And it has sparked some discussions so I don't see a reason to close it.
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China’s solar capacity set to overtake coal in ‘historic’ shift
From what I remember, they strategically built infrastructure in parallel with building photovoltaic production and installation. They have specific challenges, including vast distances to cover. In one article they described the challenges that the most attractive area for renewable energy production (including solar) was in the West, whereas much of the energy consumption is in the East. From a quick google: So apparently they had a strategy of mixed large-scale production in the West and a scattering of decentralized grids elsewhere. They also upgraded their electrical system which was optimized for one-way delivery (as in the article regarding the Netherlands) to facilitate easier two-way generation, to account for the decentralized delivery. Likewise (and I don't know the specifics), they also upgraded much of their coal-power to be more flexible in power generation and they have heavily invested AI-based energy use forecasting to create a flexible energy generation model. Something similar is planned in Canada, where e.g. SMRs are used to supplement power needs. I think the broader point here is that there was a long-term plan in the background, that informed more than a decade in strategic investment to build this infrastructure up. Economic paper have also focused on how China built up market forces to incentivize this development (including certification programs for renewables, encouraging trans-provincial development and certificate trading. A lot of these things have actually been also been proposed and implemented in the West, but there have been policy changes that seem to complicate things. The final bit, and this is likely less acceptable in the more free-market oriented areas, is massive investments in innovation where they create a kind of artificial competing market (I think I read the term deathmatch or similar) to basically make the best case for massive state funding (which is one of the reasons for tariffs on Chinese PV). That being said, this situation seems to have led to overproduction (one of the dangers of this model). But again, the broader point is that renewable energy use was on the agenda for China for quite a while and they managed to continuously build on it from multiple angles over more than a decade.
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China’s solar capacity set to overtake coal in ‘historic’ shift
I think there are multiple factors that one has to keep in mind. One is that the the adoption in Europe pre 2018 was fairly slow, in part caused by cost. After 2018 tariffs on Chinese solar were reduced contributing to massive acceleration. Another jump happened due to the energy crisis caused by Russia. A number of factors, including incentives phasing out have contributed to a slow down. But as noted, there have been quite a few criticisms how the rollout has lacked strategic investment in infrastructure. I think some reports have characterized that as a blind spot in the market approach to incentivize renewables. In contrast, from what I understand, China's rollout has been more deliberate with high levels of investment in grid, in parallel to incentives for the solar industry as a whole package. That being said, they came at other costs including the reliance on coal energy to enable the increase in the production of photovoltaic units, and so on.
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Mechanism of hidden authoritarianism in Western countries
If someone wrote a wiki on weaponized obtuseness, this post should be in it. a) repeating an unfounded claim does not make it true, especially if you ignore a whole discussion that spawned from it. b) let me think, what else could have happened in China in the last two decades? Was it the introduction of capitalism and massive growth? No, that would be against my narrative. Clearly, they have become much more authoritarian after the death of such liberal figures like Mao. Also, again you ignored examples like Russia.
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China’s solar capacity set to overtake coal in ‘historic’ shift
Oh yes, I didn't meant that Europe is regressing (compared to the US). Rather, as you mentioned, there was a bit of a slowdown and that in spite of significant reduction in cost over the last years.
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China’s solar capacity set to overtake coal in ‘historic’ shift
Not only US, Europe's push for solar also faltered, to some degree due to immense price pressure from China, but also other systemic issues. On the adoption side, once China became dominant, folks were hesitant to buy in and issued tariffs to protect their own companies, raising adoption prices in Western markets. While it might have been strategically prudent, it slowed the building of solar capacity.
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Mechanism of hidden authoritarianism in Western countries
It also depends a bit on how the various coefficients are calculated. E.g., income vs wealth-based calculations. Generally speaking, most indices show increase in both elements across most countries in the world. That being said, among Nordic countries Sweden has been dropping in the rankings, including compared to OECD. They still have a strong social net that limits some of the more extreme outcomes, though. Here is an article from a few years back https://oxfam.se/en/news/globalt-index-visar-sverige-samst-i-norden-pa-att-bekampa-ojamlikhet/ In various reports it was indicated that Norway is doing much better. I believe the Gini Index of Sweden is hovering above 30 while Norway is around 26-ish.
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Mechanism of hidden authoritarianism in Western countries
I don't see how that relates to democracies or to the thesis stated in OP. This is the overarching effect of capitalist economies and is usually amplified under authoritarian rule. There is a progressive point of view, which suggests that inequality might contribute to erosion of democracy but that is perhaps a different point. More importantly, the quote suggest and incredibly American-centric view, whereas the title of this thread is about Western countries, which are emphatically not the same. Using the Gini coefficient as a measure of inequality, the USA is somewhere at the top among high income countries, with much of Europe placing significantly lower. But as OP tends to mix up different thoughts almost randomly, it is really hard to tell what the overarching point is supposed to be. Is it to suggest that the US is inherently more authoritarian, than, say Germany, UK or France? And then are the Netherlands, Iceland and Norway even less so?
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Political Humor
Well, obviously he didn't got crowned to God-Emperor. That is quite a loss.
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Mechanism of hidden authoritarianism in Western countries
Absolutely, and we have come up with none, as far as I can tell. The adage of it being the worst system except for every other one ever tried. One issue is that I think many of us still have the cold war thinking that authoritarianism will ultimately collapse on its own and that democracy will be the state that most will default to. And ultimately I am not so sure about that. Technocratic authoritarianism has shown to be frighteningly effective in keeping the population in check. I.e. my point is that democracy has its weaknesses, but because of that (not despite) it is important to keep improving and fighting for it. For sure. And also the free market thinking might put blinders on younger ones. The tech is not just a simple product, it has the double-whammy of changing elements of human nature as well as making some folks very rich, and hence powerful, who have then a vested interest in keeping things going that way.
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Mechanism of hidden authoritarianism in Western countries
But the issue is that in a democracy the people are the system. It cannot exist or safeguard itself without involving them. If they collectively decide to go for authoritarianism, there is (generally) no separate mechanism to prevent them from doing so. This is why democracy as a system cannot just use system defences to safeguard itself. It requires a constant from the population/voters to fight against authoritarianism. This, to a lesser degree is also true for authoritarian systems, which essentially would need to clamp down the desire for self-determination within the population. Yet here the mechanism would involve cutting out the people out of relevant parts of the system. Moreover, with modern technology the balance makes it easier for an authoritarian system to fight against democracy vs a democractic system fighting against authoritarianism.
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Political Humor
The most artful thing of all that is that it gets treated as joke while being one of the most visible acts of bribery since.... well, with this administration I guess... Wednesday? Edit: my apologies. After reading the newspaper, it seems that I should have said Thursday (https://apnews.com/article/trump-treasury-irs-tax-records-e3a79e1bfdc94a663504754af80ce183?utm_source=copy&utm_medium=share)
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Mechanism of hidden authoritarianism in Western countries
In my mind, democracies inherently have a built-in weakness against authoritarianism as the key tenants includes freedoms that make can be exploited to move society towards authoritarianism. Examples include elements of the freedom of expression, which allowed social media to be used as a very powerful propaganda tool. This freedom cannot be eliminated as it would undermine the principles of democracy itself and is therefore (again, IMO) inherent to the system. Now, this is not to say that this not say that there isn't a compromise that we haven't found yet, to balance these elements. But it the weakness in itself cannot be fundamentally removed or fixed without undermining the system itself. That is why in my reading, democracy is a system that ultimately needs to constantly address this struggle to survive authoritarian overreach. Fully agreed. The issue is that those agencies were given wide-ranging powers (which have been soundly criticized when they were formed, as well as the Patriot act as a whole). However, they were mostly kept in check by the executive and congress. While they have clearly overstepped in some instances (as indicated by court rulings), much of what they are doing and which upsets people is, unfortunately, fully legal. And more power is handed to them via the supreme courts, which have expanded their abilities to deploy certain tactics, such as racial profiling, as long as they pretend it wasn't racial.