[HN Gopher] Garmi, a robot nurse and companion for Germany's eld...
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       Garmi, a robot nurse and companion for Germany's elderly population
        
       Author : mennaali
       Score  : 30 points
       Date   : 2023-03-20 17:50 UTC (5 hours ago)
        
 (HTM) web link (www.popsci.com)
 (TXT) w3m dump (www.popsci.com)
        
       | lnsru wrote:
       | An elderly lady just died in the neighborhood at the age of 67
       | from something diabetes related. It shocked me to see me how well
       | dressed and with which expensive car their kids arrived to clear
       | the rented place. The lady could barely walk, but was living in
       | the 1st floor. She wasn't able to reach ground floor alone in
       | most days.
       | 
       | What I want to say is I am still shocked from the heartless
       | western society where it is the norm to put one's parents into
       | ugly understaffed, but very expensive care facility waiting them
       | to die. Even a modern one with a crate on wheels with a display
       | in it.
        
         | tester756 wrote:
         | Have you considered what was the dynamic between them? how
         | mentally stable that elderly people are?
         | 
         | I've spent over one year living with person with alcoholic
         | dementia
         | 
         | and I've heard stories of other people with similar problems
         | and this is pure terror that you cannot even imagine unless you
         | live thru it.
        
           | lnsru wrote:
           | Sorry to hear your story. But I don't think, that it is a
           | major population problem. I am rather from East, there were
           | hard cases but or complex medical needs of the elderly in my
           | childhood, but most parents died in the same living space
           | with their kids. Here in Germany it is standard to put old
           | people in care homes and complain how expensive they are.
        
             | [deleted]
        
         | thombat wrote:
         | My elderly mother is determined to end her days in the city she
         | spent most of her life in. Fair enough, but that's at least
         | five hours drive away from where I'm living with my family and
         | job. She has had a couple of minor strokes already and has
         | dizzy spells that make continuing to walk up the stairs
         | increasingly perilous, and she routinely forgets to take her
         | medicines. So she needs routine hands-on care. I could provide
         | a poor version of this by incessantly shuttling across the
         | country (destroying my own family - her grandchildren - in the
         | process), I could try to browbeat her into moving cities &
         | become public enemy #1, or I can keep with the current project
         | of moving her into the nicest & most supportive residential
         | care I can find.
        
       | version_five wrote:
       | We need laws to prevent pawning off people we dont care about
       | onto automated care. Everybody should be against this.
       | 
       | Related comment: https://news.ycombinator.com/item?id=35199966
        
         | ragebol wrote:
         | But we do care about those people, but if there's not enough
         | people to properly take care of all people we want to care for,
         | shifting some of the tasks (not all, that is not desirable nor
         | possible) seems the best solution. Giving more care in total
         | with the same amount of people.
         | 
         | In an ideal world, there's enough care for everyone, but in an
         | aging population, that is not possible.
        
           | version_five wrote:
           | It's not care, it's pawning them off, it's the opposite of
           | care.
           | 
           | Read Bullshit Jobs. An easy fix for countries with socialized
           | healthcare would be to get rid of bureaucrats and hire front
           | line workers that actually contribute something. Programs
           | like this are the end-state of bureaucrat-run societies,
           | where nobody who actually does any useful work is left.
           | 
           | The point of caring for someone is caring, through real
           | interaction. It's one thing, if horrible, to force people to
           | interact with a voice-menu system when they call in
           | somewhere. This is like a nightmare version of that.
           | 
           | The fact that people seem to now think a chatbot that strings
           | word patterns together is sentient will only make this worse,
           | as the ignorant (just saw a sibling comment) will believe
           | that "AI" will fix the problem, instead of actual personal
           | interaction.
        
             | rocket_surgeron wrote:
             | By 2055, Japan's population is projected to fall to 90
             | million, with (medium fertility/medium mortality):
             | 
             | 8 million being children aged 0-14
             | 
             | 46 million being "working aged" 15-64
             | 
             | 36 million being 65 or older
             | 
             | Population Projections for Japan: 2006-2055 Outline of
             | Results, Methods, and Assumptions (PDF)
             | https://www.ipss.go.jp/webj-
             | ad/WebJournal.files/population/2...
             | 
             | Let's ignore the assertion that 15 and 16 year olds are
             | "working aged" no matter how you allocate resources 46
             | million workers cannot support 36 million retirees.
             | 
             | Today there are around 3 million healthcare workers in
             | Japan out of a working aged population of 80 million. In 30
             | years the number of retirees will be the same but the
             | working aged population will roughly halve. This is just
             | people working in hospitals, in-home care specialists are
             | not counted. Nor are bureaucrats, only workers in 24
             | categories of direct-support healthcare fields are counted.
             | 
             | Human Resources for Health Country Profiles: Japan (PDF)
             | https://apps.who.int/iris/rest/bitstreams/1147882/retrieve
             | 
             | There are already critical shortages of healthcare workers
             | and in 30 years the demand will be the just about the same
             | (most healthcare resources are consumed by the elderly) but
             | the labor pool will be smaller.
             | 
             | If there were 0 bureaucrats there still wouldn't be enough
             | people.
             | 
             | Many European nations face the same demographic challenges
             | that Japan does, to a very slightly less severe degree.
             | 
             | Robots are one solution.
        
               | version_five wrote:
               | If there were 0 bureaucrats there still wouldn't be
               | enough people
               | 
               | Whether or not that's true, making the denial of basic
               | human interaction the front line of creating "efficiency"
               | is not the place to start. Not only is it dehumanizing,
               | it encourages all of the wrong kind of behaviors,
               | particularly administrative bloat, and ignores the reason
               | we have social programs in the first place. If we've
               | collectively decided we want to care for a group, we have
               | to actually do it, not pay administrators to pretend it's
               | being done.
        
               | hypertele-Xii wrote:
               | Like your computer is pretending you're submitting a
               | comment, rather than _actually_ coming to my house to
               | explain your point of view?
        
             | ragebol wrote:
             | > Read Bullshit Jobs
             | 
             | Read my comment again
             | 
             | > hire front line workers
             | 
             | What if you already got rid of the bureaucrats, hired
             | everyone you can and still don't have enough people? Pay
             | more? Sure, but that also has limits in both the amount of
             | people you can pay and the money running out.
             | 
             | Let those robot distribute fresh clothes and collect
             | laundry, stock the fridges, clean the bathroom, all those
             | menial tasks that allow people to have a decent life. Clear
             | up the time from humans to actually interact with people.
             | 
             | I don't like the prospect of needing someone to wipe my ass
             | when I'm old, I'd feel ashamed. Maybe not when a robot does
             | it. Not sure about that yet, I hope that day is far far
             | away.
        
           | Night_Thastus wrote:
           | This is the same problem healthcare has in general. There
           | just _are not enough_ healthcare workers to see to every
           | person carefully.
           | 
           | Even if we massively raised the incentives and lowered the
           | barriers for entry, the situation would still be nearly as
           | bad. The human body is incredibly complicated and each person
           | has a long medical history. Each person needs personalized
           | care, but we can't devote 50% of the population to healthcare
           | either.
           | 
           | The only viable long-term solution is automated tools. We're
           | no-where near it yet (maybe in a hundred years) but gAI will
           | eventually be our solution.
        
         | luckylion wrote:
         | What's the alternative? No care at all? Devote all assets to
         | only care for the elderly? End people's lives at 75 so we don't
         | have too many old people to care for? Have forced labor take
         | care of it?
        
           | dmn322 wrote:
           | The monetary system works by (a) government spending (b)
           | lending from banks. The money from the banks pretty much just
           | gloms onto the supply chain that grows up around the
           | government spending... banks just lend to things that already
           | have money, and the things that already have money before
           | banks tend to get it from direct government spending. As debt
           | is paid off, liquidity is removed from the system. Also as
           | the filthy rich stock money into their hedge funds, it is
           | also removed from the system for practical purposes. So
           | without a constant inflation pressure, we instead get
           | deflation. Now imagine if instead of supplying that inflation
           | pressure by keeping a low interest rate for banks, we
           | supplied it by spending money on an army of caretakers? Well
           | you'd end up with people having money in their pockets for a
           | change which would cause short term inflation like we just
           | saw from the stimulus, but then once people had their needs
           | supplied m, it would calm down and we'd just have more people
           | employed. The downside for the rich would be that more of the
           | population would have savings and thus be harder to
           | manipulate. But i think lots of people would find more
           | satisfaction at that than their current jobs, many of which
           | only exist for the sake of "We need to create jobs," or
           | because of some bloated financial middleman industry we
           | created through government spending that had lobbyists get in
           | the mix
        
       | tomalaci wrote:
       | I am sure robot assistants will be quite integral to our society
       | later but am I just uninformed or does there seem to be lack of
       | progress for the actual mechanical engineering of robots? They
       | all still seem these big, hulking and clunky metal pieces with
       | very rigid movements (not very flexible). One of them might also
       | just slip on a banana peel and crush someone.
        
         | comfypotato wrote:
         | They're just very complicated.
         | 
         | A good exercise is to think of all of the computations required
         | to point at something across the room. From a biomechanics
         | perspective, there is a lot going on. Even if you just model
         | each muscle in your arm/hand/finger as attached at two points
         | and contracting, the force diagram of all the bones/joints
         | quickly becomes exhausting.
         | 
         | The biomechanics of what humans do for basic locomotion is
         | extremely complicated to model/recreate. While robots don't
         | need all the details (wheels, for example, make things easier)
         | there is still a lot to deal with to make machines that can
         | interact with our world.
         | 
         | It's one thing to design an assembly-line robot that performs a
         | single task. Making a robot that can do multiple useful things
         | quickly explodes in complexity. There is steady progress in the
         | field, but it's slow.
        
       | iancmceachern wrote:
       | Let's just take care of eachother like human beings
        
         | uniqueuid wrote:
         | That will be a tough order with the projected demographic
         | development, according to which elderly will soon outnumber
         | working population.
        
           | sva_ wrote:
           | Having a short look at the population pyramid of Germany
           | makes this pretty clear:
           | 
           | https://commons.m.wikimedia.org/wiki/File:Population_Pyramid.
           | ..
           | 
           | https://en.m.wikipedia.org/wiki/Demographics_of_Germany#/med.
           | ..
        
         | standardUser wrote:
         | If we get our shit together and tax the people with all the
         | money at a rate that allows us to handle basic care for the
         | vast majority of people without a lot of money, we can do this.
         | Otherwise, we cannot.
        
           | adaml_623 wrote:
           | What are you proposing the community does with the collected
           | money to help the elderly?
        
         | version_five wrote:
         | Not a popular opinion here apparently. "Disruption" I guess.
         | When VC tech touches on caring for people, the psychopathy
         | becomes more evident.
        
           | luckylion wrote:
           | It's not "an unpopular opinion", it's equivalent to "let's
           | just all be friendly, we won't need a police", "let's just
           | all promise to not access other people's email, we don't need
           | passwords" etc: naive to a dangerous degree.
           | 
           | Elderly care is expensive. Resources are limited. Denying
           | basic reality doesn't work.
        
             | standardUser wrote:
             | I read no lies in this comment.
        
       | badcppdev wrote:
       | I have very little experience with old people.
       | 
       | When I grow up I want a robot who can pick me up when I fall over
       | because the lady in the flat above me had to bang on the floor
       | for ages at 2am before I woke up and organised help for her.
       | 
       | And I'd like the robot to be able to take dinner off the stove if
       | I get distracted while I'm cooking my dinner because the nice old
       | man in the flat a few doors down burnt his dinner and there was
       | tons of smoke. He was fine but his dinner wasn't.
       | 
       | I don't know what the robot will be able to do to help with
       | social isolation but I've got some time to figure out ideas. I
       | don't really want my kids to take care of me when they are in
       | their 50s and 60s. They should be able to enjoy themselves.
        
         | andrei_says_ wrote:
         | Until a hundred or so years ago globally, and still almost
         | everywhere - with the exception of the richest countries - kids
         | enjoy themselves in their 50s and 60s while sharing space and
         | time with the elderly.
         | 
         | No isolation, no robots, no aimlessness for the elderly as they
         | continue contributing while imprinting the history of their
         | lineage into the younger generations.
         | 
         | The fast food approach to birth, living, aging and dying may
         | not be the best possible approach.
        
           | [deleted]
        
       | ragebol wrote:
       | Years ago I worked in a startup also trying to develop such
       | robots, to care for both disabled and elderly people. We were too
       | early, but alas.
       | 
       | The complaint this would increase loneliness was often heard,
       | mostly by the human caretakers employed by the care homes we were
       | testing in.
       | 
       | Especially the younger disabled people did not have much issue
       | with the robots: they hoped to get a way to be more independent.
       | Friends & family enough to not be lonely anyways. And sometimes
       | you just want to get a drink, grab a dropped pen or go to the
       | bathroom without needing to push a button and wait for someone to
       | come help you.
       | 
       | IIRC, this held true for the elderly as well, to a lesser extent.
       | Ideally, robot clear up time from menial, mechanical labor to
       | offer more social interaction to avoid loneliness. This is far
       | off though and our world is far from ideal...
        
         | version_five wrote:
         | Ideally, robot clear up time from menial, mechanical labor to
         | offer more social interaction to avoid loneliness. This is far
         | off though and our world is far from ideal...
         | 
         | That has never happened in the history of "efficiency", it's a
         | lie people use to pretend that jobs won't be cut. What actually
         | happens is the savings are repurposed for administrative bloat.
        
           | ragebol wrote:
           | Our dishwasher, washing machine and vacuum robot have all
           | given my wife and I more quality time with our kids and
           | ourselves.
        
             | smolder wrote:
             | It could be argued that those modern conveniences just made
             | it possible for both parents in a family to work. Nowadays,
             | dual full time income is normal.
        
             | layer8 wrote:
             | And, to the GPs point, they obsoleted the job of a
             | housemaid that well-off (and even not-so-well-off) families
             | used to employ a hundred years ago or so.
        
             | Analemma_ wrote:
             | They didn't, though. What they actually did was allow your
             | wife to have the second full-time job which is now required
             | in order to own a home.
        
               | thombat wrote:
               | Still makes them a benefit to that family: if his wife
               | was at home doing more housework the 1920s way then they
               | wouldn't have the same house.
        
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