[HN Gopher] ChatGPT Health
       ___________________________________________________________________
        
       ChatGPT Health
        
       Author : saikatsg
       Score  : 109 points
       Date   : 2026-01-07 19:29 UTC (3 hours ago)
        
 (HTM) web link (openai.com)
 (TXT) w3m dump (openai.com)
        
       | zxor3 wrote:
       | I really feel like no one should trust open ai with their health
       | data.
        
         | threecheese wrote:
         | I barely trust them with any personal info. Are we (HN crowd)
         | biased in a way that will cause us to miss out? I wonder if we
         | are insiders - having a privileged perspective given our
         | industry is on the front lines - or if we're just becoming
         | jaded.
        
           | wrs wrote:
           | I missed out on having my transactions publicly posted on
           | Venmo, too. I'm just a slow adopter, I guess.
        
       | usefulposter wrote:
       | >purpose-built encryption and isolation
       | 
       | Repeated 2x without explanation. Good start.
       | 
       | ---
       | 
       | >You can further strengthen access controls by enabling multi-
       | factor authentication
       | 
       | Pushing 2fac on users doesn't remove the need for more details on
       | the above.
       | 
       | ---
       | 
       | >to enable access to trusted U.S. healthcare providers, we
       | partner with b.well
       | 
       | >wellness apps--like Apple Health, Function, and MyFitnessPal
       | 
       | Right...?
       | 
       | ---
       | 
       | >health conversations protected and compartmentalized
       | 
       | Yet OAI will share those conversations with enabled apps, along
       | with "relevant information from memories" and your "IP address,
       | device/browser type, language/region settings, and approximate
       | location"? (per
       | https://help.openai.com/en/articles/20001036-what-is-chatgpt...)
        
       | minimaxir wrote:
       | > Health is designed to support, not replace, medical care. It is
       | not intended for diagnosis or treatment.
       | 
       | I suspect that will be legally-tested sooner than later.
        
         | observationist wrote:
         | As long as the liability precedents set by prior case law and
         | current regulations hold, there should be no problem. OpenAI
         | and the hordes of lawyers working for and with them will have
         | ensured that every appropriate and legally required step has
         | been taken, and at least for now, these are software tools used
         | by individuals. AI is not an agent of itself or the platform
         | hosting it; the user's relative level of awareness of this fact
         | shouldn't be legally relevant as long as OpenAI doesn't make
         | any claims to the contrary.
         | 
         | You also have to imagine that they've got their zero guardrails
         | superpowered internal only next generation bot available to
         | them, which can be used by said lawyer horde to ensure their
         | asses are thoroughly covered. (It'd be staggeringly stupid not
         | to use their AI for things like this.)
         | 
         | The institutions that have artificially capped levels of
         | doctors, strangled and manipulated healthcare for personal
         | gain, allowed insurance and health industries to become
         | cancerous - they should be terrified of what's coming. Tools
         | like this will be able to assist people with deep, nuanced
         | understanding of their healthcare and be a force multiplier for
         | doctors and nurses, of which there are far too few.
         | 
         | It'll also be WebMD on steroids, and every third person will
         | likely be convinced they have stereochromatic belly button
         | cancer after each chat, but I think we'll be better off,
         | anyway.
        
         | plasticeagle wrote:
         | It also doesn't make any sense. It's like self-driving cars
         | that require you to pay attention at all times anyway.
        
       | thisislife2 wrote:
       | I pity the doctors who will now have to deal with such self-
       | diagnosed "patients". Wonder if General Medicine doctors will see
       | a drop in patient, as AI convinces you to see a specialist with
       | its diagnosis?
        
         | satvikpendem wrote:
         | _> researchers found that searching symptoms online modestly
         | boosted patients' ability to accurately diagnose health issues
         | without increasing their anxiety or misleading them to seek
         | care inappropriately [...] the results of this survey study
         | challenge the common belief among clinicians and policy-makers
         | that using the Internet to search for health information is
         | harmful._ [0]
         | 
         | For example, "man Googles rash, discovers he has one-in-a-
         | million rare disease" [1].
         | 
         |  _> Ian Stedman says medical professionals shouldn 't dismiss
         | patients who go looking for answers outside the doctor's office
         | - even if they resort to 'Dr. Google.'_
         | 
         |  _> "Whenever I hear a doctor or nurse complain about someone
         | coming in trying to diagnose themselves, it boils my blood.
         | Because I think, I don't know if I'd be dead if I didn't
         | diagnose myself. You can't expect one person to know it all, so
         | I think you have to empower the patient."_
         | 
         | [0] https://pmc.ncbi.nlm.nih.gov/articles/PMC8084564/
         | 
         | [1] https://www.cbc.ca/radio/whitecoat/man-googles-rash-
         | discover...
        
           | BeetleB wrote:
           | Indeed. My doctor likes it when people search the Internet -
           | as long as they come to him before doing anything drastic.
        
             | observationist wrote:
             | If there's a reasonable audit trail for the doctor to
             | verify that valid differential reasoning was done that they
             | can quickly verify, there's relatively few downsides and
             | lots of upsides for them.
        
         | iknowstuff wrote:
         | Happy for the millions of people who are getting misdiagnosed
         | due to rush, dismissal, and missed clues
        
         | avgDev wrote:
         | Then you have not dealt with doctors.
         | 
         | Some physicians are absolutely useless and sometimes worse than
         | not receiving any treatment at all. Medicine is dynamic and
         | changes all the time. Some doctors refuse to move forward.
         | 
         | When I was younger I've had a sports injury. I was misdiagnosed
         | for months until I did my own research and had the issue fixed
         | with a surgery.
         | 
         | I have many more stories of doctors being straight up wrong
         | about basics too.
         | 
         | I see physicians in a major metro area at some of the best
         | hospital networks in the US.
        
           | AppleBananaPie wrote:
           | I sadly have to agree with you. I had a 30+ year orthopedic
           | surgeon confidently tell me my ACL wasn't torn.
           | 
           | Two years later when I got it fixed the new surgeon said
           | there was nothing left of the old one on the MRI so it must
           | have been torn 1.5-2+ years ago.
           | 
           | On the other hand, to be fair to doctors, I had a phase of
           | looking into supplements and learned the hard lesson that you
           | really need to dig into the research or find a very trusted
           | source to have any idea of what's real because I definitely
           | thought for a bit a few were useful that were definitely not
           | :)
           | 
           | And also to be fair to doctors I have family members who are
           | the "never wrong" types and are always talking about whatever
           | doctor of the day is wrong about what they need.
           | 
           | My current opinion is using LLMs for this, in regards to it
           | informing or misinforming, is no different than most other
           | things. For some people this will be valuable and potentially
           | dramatically help them, and for others it might serve to send
           | them further down roads of misinformation / conspiracies.
           | 
           | I guess I ultimately think this is a good thing because
           | people capable of informing themselves will be able to do so
           | more effectively and, sadly, the other folks are
           | (realistically) probably a lost cause but at the very least
           | we need to do better educating our children in critical
           | thinking and being ok with being wrong.
        
         | mcast wrote:
         | This is not much different than a smarter WebMD, if anything,
         | more doctors are using ChatGPT with their patients today than
         | you realize anyway.
         | 
         | Not to mention, doctors are absolutely fallible and misdiagnose
         | constantly.
        
         | giancarlostoro wrote:
         | I usually look up my symptoms (not on ChatGPT) and when I
         | finally go to a doctor I just let them do their job, but I
         | usually do it just to have some idea of what's going on by the
         | time I go there. My wife's a nurse (not a Doctor) so sometimes
         | she can tell me if what I read sounds crazy or what have you
         | based on her own personal experience with patients.
        
         | glerk wrote:
         | I hope this puts at least some of the scam artists known as
         | psychiatrists out of a job.
        
       | tummler wrote:
       | Absolutely not.
        
       | ZeroCool2u wrote:
       | Yeah, gotta say I'm not enthusiastic about handing over any
       | health data to OpenAI. I'd be more likely to trust Google or
       | maybe even Anthropic with this data and that's saying something.
        
       | mrstone wrote:
       | Not a chance.
        
       | satvikpendem wrote:
       | Another nail in the coffin for apps that depend on AI APIs
       | because the AI companies themselves are working on products using
       | their own APIs (unless you can make the UX significantly better).
       | UX now seems like the prime motivator when building apps.
        
         | TeMPOraL wrote:
         | LLMs themselves are the coffin for most apps, because by its
         | very nature, AI subsumes _products_.
         | 
         | UX is not going to be a prime motivator, because the product
         | itself is the very thing that stands between user and the thing
         | they want. UX-wise, for most software, it's better for users to
         | have all these products to be reduced to tool calls for AI
         | agents, accessible via a single interface.
         | 
         | The very concept of product itself is limiting users to
         | interactions allowed by the product vendor[0] - meanwhile, used
         | as tools for AI agents allows them to be combined in ways user
         | need[1].
         | 
         | --
         | 
         | [0] - Something that, thanks to move to the web and switching
         | data exchange model from "saving files" to "sharing documents",
         | became the way for SaaS businesses to make money by taking user
         | data hostage - a raison d'etre for many products. AI
         | integration threatens that.
         | 
         | [1] - And vendors would very much like users to not be able to.
         | There's going to be some interesting fights here, as general-
         | purpose AI tools are an existential threat to most of the
         | software industry itself.
        
           | satvikpendem wrote:
           | Depends on the product itself. For example I use an LLM for
           | tracking calorie data by telling it or providing a picture of
           | the food I had, and it does a web search to find those
           | details. The problem is it doesn't actually remember past
           | meals, so I wrapped this API call in a simple app that just
           | tracks the calorie numbers like a traditional app.
           | 
           | Just having an LLM is not the right UX for the vast majority
           | of apps.
        
       | egorfine wrote:
       | > you can sign up for the waitlist
       | 
       | Waitlist: 404 page not found.
        
         | 6510 wrote:
         | the future is now
        
         | chairhairair wrote:
         | Vibedeployments
         | 
         | Embarrassing
        
         | moffkalast wrote:
         | Just like regular healthcare then I see.
        
       | rsyring wrote:
       | "Join the Waitlist" button -> 404.
       | 
       | :o/
        
         | leobg wrote:
         | Vibe coded.... /s
        
         | nadis wrote:
         | It looks like it's fixed now but had the same initial
         | experience.
        
       | password54321 wrote:
       | yikes: https://news.ycombinator.com/item?id=46524382
       | 
       | [Teenager died of overdose 'after ChatGPT coached him on drug-
       | taking']
        
         | EForEndeavour wrote:
         | An estimated 371,000 people die every year following a
         | misdiagnosis, and 424,000 are permanently disabled.
         | https://qualitysafety.bmj.com/content/33/2/109?rss=1
         | 
         | Admittedly I am basing this on pure vibes: I'd bet that adding
         | AI to the healthcare environment will, on balance, reduce this
         | number, not increase it.
        
           | ares623 wrote:
           | Spoken like a true techbro
        
         | emodendroket wrote:
         | The article is paywalled but appears to concern abusing a
         | cocktail of kratom, alochol, and xanax. I don't really think
         | that's the same. Also, this feature isn't really about making
         | ChatGPT start answering medical questions anyhow, since people
         | are already doing that.
        
       | bicepjai wrote:
       | This is going to be fun to watch :)
        
         | BigTTYGothGF wrote:
         | Really? Because I was thinking it was going to be tragic.
        
           | 6510 wrote:
           | It could be interesting, the medical industry is fine with
           | everyone being deficient in everything. And then people
           | miraculously get ill?
        
       | BeetleB wrote:
       | What could possibly go wrong?
        
       | roger_ wrote:
       | I personally don't care who has access to my health data, but I
       | understand those who might.
       | 
       | Either way, I'm excited for some actual innovation in the
       | personal health field. Apple Health is more about aggregating
       | data than actually producing actionable insights. 23andme was
       | mostly useless.
       | 
       | Today I have a ChatGPT project with my health history as a system
       | prompt and it's been very helpful. Recently I snapped a photo of
       | an obscure instrument screen after taking a test and was able to
       | get more useful information than what my doctor eventually
       | provided ("nothing to worry about", etc.) ChatGPT was able to
       | reference papers and do data analysis which was pretty amazing,
       | right from my phone (e.g fitting my data to a model from a paper
       | and spitting out a plot).
        
         | MattDaEskimo wrote:
         | I'm sorry, but seriously? How could you not care who has your
         | health data?
         | 
         | I think the more plausible comment is "I've been protected my
         | whole life by health data privacy laws that I have no idea what
         | the other side looks like".
         | 
         | Quite frankly, this is even worse as it can and will override
         | doctors orders and feed into people's delusions as an "expert".
        
           | roger_ wrote:
           | I'd rather have all my health data be used in a way that can
           | actually help me, even with a risk of a breach or misuse,
           | than having it in a folder somewhere doing nothing.
        
             | SiempreViernes wrote:
             | You're supposed to share it with a doctor you trust, if
             | nobody qualified asked for it it's probably because it's no
             | longer relevant.
        
               | roger_ wrote:
               | I've had mixed experiences with doctors. Often times
               | they're glancing at my chart for two minutes before an
               | appointment and that's the extent of their concern for
               | me.
               | 
               | I've also lived in places where I don't have a choice in
               | doctor.
        
             | ThatMedicIsASpy wrote:
             | It can also help you in not getting a job because your
             | health data says you'll be sick in 6 months.
        
           | dmmartins wrote:
           | I don't care either. Why should I? I go to the doctor once a
           | year and it's always the same. Not much to do with that data
        
             | lionkor wrote:
             | Your health data could be used in the future, when
             | technology is more advanced, to infer things about you that
             | we don't even know about, and target you or your family for
             | it.
        
               | 9x39 wrote:
               | Health data could also be used now to spot trends and
               | problems that an assembly-line health system doesn't
               | optimize for.
               | 
               | I think in the US, you get out of the system what you put
               | into it - specific queries and concerns with as much
               | background as you can muster for your doctor. You have to
               | own the initiative to get your reactive medical provider
               | to help.
               | 
               | Using your own AI subscription to analyze your own data
               | seems like immense ROI versus a distant theoretical risk.
        
         | rightbyte wrote:
         | Are you giving your vitals to Sam Altman just like that? What
         | instrument?
        
           | roger_ wrote:
           | Yes, if it will help me and others. Again, I understand those
           | who disagree.
        
             | midldei wrote:
             | But this is a 'cart before the horse' situation.
             | 
             | What evidence do you have that providing your health
             | information to this company will help you or anyone (other
             | than those with financial interest in the company)?
             | 
             | There is a very real, near definite, chance that giving
             | your, and others', health data to this company will _hurt_
             | you and others.
             | 
             | Will you still hold this, "I personally don't care who has
             | access to my health data", position?
        
               | cyberpunk wrote:
               | I'm definitely a privacy fist person, but can you explain
               | how health data could hurt you, besides obvious things
               | like being discriminated against for insurance if you
               | have a drug habit or whatever. Like, i'm a fitness
               | conscious 30 something white male, what risk is there of
               | my appendix operation being common knowledge or that i
               | need more iron or something?
        
               | idiotsecant wrote:
               | Is your point 'I have no major health conditions, so
               | nobody could be hurt by releasing health data'? If so, I
               | don't think I need to point out the gap in this logic.
        
               | cyberpunk wrote:
               | Actually you maybe do. I am extremely privacy conscious;
               | so i'm on your side on this one but health data is a bit
               | different from handing over all your email and purchase
               | information to google -- in that scenario the danger is
               | that the political or religious or whatever attributes i
               | may have could be exposed to a future regime who
               | considers what is acceptable today to no longer be so,
               | uses them to profile and ... whatever me, right? What
               | actual danger is there from a government or a us tech
               | company having my blood work details when i actually have
               | nothing to hide like drug abuse or alcohol etc? health
               | data seems much less risky than my political views,
               | religion, sexuality, minor crimes committed and so on.
        
         | websiteapi wrote:
         | If an insight led you or a family member to being misdiagnosed
         | and crippled would you just say it's their or your own fault?
         | If it were a doctor would you have the same opinion?
        
           | roger_ wrote:
           | I understand enough about these systems to know they're not
           | perfect but I agree some people might be misled.
           | 
           | But I don't know if I should be denied access because of
           | those people.
        
             | piva00 wrote:
             | > But I don't know if I should be denied access because of
             | those people.
             | 
             | That's the majority of people though, if you really think
             | that I assume you wouldn't have a problem with needing to
             | be licenced to have this kind of access, right?
        
               | roger_ wrote:
               | If they pepper it with warnings and add safe guards, then
               | I'm fine.
               | 
               | I think they can design it to minimize misinformation or
               | at least blind trust.
        
               | piva00 wrote:
               | People are very good at ignoring warnings, I see it all
               | the time.
               | 
               | There's no way to design it to minimise misinformation,
               | the "ground truth" problem of LLM alignment is still
               | unsolved.
               | 
               | The only system we currently have to allow people to
               | verify they know what they are doing is through
               | licencing: you go to training, you are tested that you
               | understand the training, and you are allowed to do the
               | dangerous thing. Are you ok with needing this to be able
               | to access a potentially dangerous tool for the untrained?
        
         | nozzlegear wrote:
         | > _Recently I snapped a photo of an obscure instrument screen
         | after taking a test and was able to get more useful information
         | than what my doctor eventually provided ("nothing to worry
         | about", etc.) ChatGPT was able to reference papers and do data
         | analysis which was pretty amazing, right from my phone (e.g
         | fitting my data to a model from a paper and spitting out a
         | plot)._
         | 
         | If you don't mind sharing, what kind of useful information is
         | ChatGPT giving you based off of a photo that your doctor didn't
         | give you? Could you have asked the doctor about the data on the
         | instrument and gotten the same info?
         | 
         | I'm mildly interested in this kind of thing, but I have a
         | severe health anxiety and do _not_ need a walking hypochondria-
         | sycophant in my pocket. My system prompts tell the LLMs not to
         | give me medical advice or indulge in diagnosis roulette.
        
           | roger_ wrote:
           | In one case it was a urinary flow test (uroflowmetry). The
           | results go to a lab and then the doctor gets the summary. Was
           | able to diagnose the issue, prevalence, etc. and educate
           | myself about treatment and risks before seeing a doctor.
           | Papers gave me distributions of flow by age, sex, etc. so I
           | knew it was out of range.
           | 
           | In another case I uploaded a CSV of CGM data, analyzed it and
           | identified trends (e.g. Saturday morning blood sugar spikes).
           | All in five minutes on my phone.
        
       | coffeebeqn wrote:
       | High risk high reward? Or just the level of regulation companies
       | can expect in the year 2026 that they're not afraid to take this
       | path?
        
       | vimda wrote:
       | This reads like desperation to get a headline more than an actual
       | product, especially when half the links don't even work
        
         | barbazoo wrote:
         | I heard the links are lazily auto vibe coded when enough people
         | click on them /s
        
           | lionkor wrote:
           | I made something like that https://github.com/lionkor/ai-
           | httpd
        
             | barbazoo wrote:
             | Love it!
        
       | jostmey wrote:
       | The old chat gpt models scanning the nih pub med repositories
       | with proper prompting (e.g. ...backed by randomized control trial
       | data) was an amazing health care tool. The stripped down cheaper
       | versions today are junk and I've had to start relying on grok :-(
       | I'm not convinced OpenAI can make this work
        
       | paulgrimes1 wrote:
       | Here's something: my chatGPT quietly assumed I had ADHD for
       | around 9 months, up until October 2025. I don't suffer from ADHD.
       | I only found out through an answer that began "As you have
       | ADHD.."
       | 
       | I had it stop right there, and asked it to tell me exactly where
       | it got this information; the date, the title of the chat, the
       | exact moment it took this data on as an attribute of mine. It was
       | unable to specify any of it, aside from nine months previous. It
       | continued to insist I had ADHD, and that I told it I did, but was
       | unable to reference exactly when/where.
       | 
       | I asked "do you think it's dangerous that you have assumed I have
       | a medical / neurological condition for this long? What if you
       | gave me incorrect advice based on this assumption?" to which it
       | answered a paraphrased mea culpa, offered to forget the
       | attribute, and moved the conversation on.
       | 
       | This is a class action waiting to happen.
        
         | dunk010 wrote:
         | Perhaps you do ;-)
        
         | rafram wrote:
         | > nine months previous
         | 
         | It likely just hallucinated the ADHD thing in this one chat and
         | then made this up when you pushed it for an explanation. It has
         | no way to connect memories to the exact chats they came from
         | AFAIK.
        
         | roger_ wrote:
         | Disable memories so each chat is independent.
         | 
         | If you want chats to shared info, then use a project.
        
         | soared wrote:
         | It doesn't have itself as a data source to reference, so asking
         | "tell me when you said this" etc will never work
        
         | usmanity wrote:
         | this seems to be a memory problem with ChatGPT, in your case, I
         | bet it was changing a lot of answers due to that. For me, it
         | really liked referring to the fact that I have an ADU in my
         | backyard, almost pointlessly, something like "Since you walk
         | the dogs before work, and you have a backyard ADU, you should
         | consider these items for breakfast..."
        
       | mikelitoris wrote:
       | https://giphy.com/gifs/the-office-mrw-d10dMmzqCYqQ0
        
       | zsolt224 wrote:
       | LLMs were actually not that great so far in the preventative side
       | / risk prediction. They are very good if you already have the
       | disease but if you are trending there they were chill about it.
       | The better way would be to first calculate the risks via
       | deterministic algos and then do differential diagnosis. So
       | something that specialized doc would do. This is an example of an
       | online tool, that does it like that: https://www.longevity-
       | tools.com/liver-function-interpreter
        
       | seltzered_ wrote:
       | Something to note here is that just yesterday (January 6 2026)
       | the FDA announced changes around regulation of wearable & AI
       | enabled devices: https://www.statnews.com/2026/01/06/fda-pulls-
       | back-oversight... (" FDA announces sweeping changes to oversight
       | of wearables, AI-enabled devices The changes could allow
       | unregulated generative artificial intelligence tools into
       | clinical workflows")
        
       | lionkor wrote:
       | This was expected. People are going to be convinced that this AI
       | knows more than any doctor, will self medicate, and will die,
       | harm others, their kids, etc.
       | 
       | Great work, can't wait to see what's next.
        
       | jacekm wrote:
       | There's "Ask ChatGPT" overlay at the bottom of the page, so I
       | asked "how risky is giving my medical data to OpenAI?"
       | Interestingly ChatGPT advised caution ;) In short it said: 1.
       | Safer than standard AI chats, 2. Not as safe as regulated
       | healthcare systems (it reminded that OpenAI is not regulated and
       | does not follow e.g. HIPAA), 3. Still involves inherent cloud
       | risks.
        
       | defphysics wrote:
       | There's a lot of negativity here. I'll just say I'm extremely
       | glad I had ChatGPT when I was going through some health issues
       | last year.
        
         | cyberpunk wrote:
         | Yep same, with the caveat that any actionable advice requires
         | actual research from reliable sources afterwards (or at least
         | making it cite sources).
         | 
         | i mean; i kinda get the concerns about misleading people but
         | ... are people really that dumb? okay if it's telling you to
         | drink more water, common sense. If you're scrubbing up to
         | perform an at home leg amputation because it misidentified a
         | bruise then that's really on you.
        
         | probably_wrong wrote:
         | I know someone who used ChatGPT to diagnose themselves with a
         | rare and specific disease. They paid out of pocket for some
         | expensive and intrusive diagnostics that their doctor didn't
         | want to perform and it came out, surprise, that they didn't
         | have this disease. The faith of this person in ChatGPT remains
         | nonetheless just as high.
         | 
         | I'm constantly amazed at the attitude that doctors are useless
         | and that their multiple years of medical school and practical
         | experience amounts to little more than a Google search. Or as
         | someone put it, "just because a doctor messed up once it
         | doesn't mean that you are the doctor now".
        
       | plasticeagle wrote:
       | This is absolutely going to kill people. In a country that had
       | even a modicum of regulation around providing healthcare this
       | would be illegal.
        
         | oldjim798 wrote:
         | Completely agree. It is deeply irresponsible for OpenAI to
         | release this product.
         | 
         | They should held liable for malpractice for every incorrect
         | statement and advice provided by it.
        
       | theptip wrote:
       | Integration with Function is a great use-case. There is a huge
       | category of pre-diagnostic health questions ("Medicine 3.0" as
       | Attia puts it) where personalization and detailed interpretation
       | of results is important, yet insurance typically won't cover
       | preemptive treatment.
       | 
       | Not to mention that doctors generally don't have time to explain
       | everything. Recently I've been doing my own research and
       | (important failsafe) running the conclusions by my doctor to
       | validate. Tighter integration between physician notes, ChatGPT
       | conversations, and ongoing biomarkers from e.g. function and
       | Apple Health would make it possible to craft individualized
       | health plans without requiring six-figure personal doctor
       | subscriptions.
       | 
       | A great opportunity to improve the status quo here.
       | 
       | Of course - as with software, quality control will be the crux.
       | We don't want "vibe diagnosing".
        
         | zsolt224 wrote:
         | What you described already exists:
         | 
         | - for liver: https://www.longevity-tools.com/liver-function-
         | interpreter - for insulin resistance: https://www.longevity-
         | tools.com/glucose-metabolism-interpret...
         | 
         | etc
        
       | fnoef wrote:
       | I'm kind of torn on this. From one side, I can't seem to trust
       | doctors any more. I recently had a tooth removed (by the advice
       | of two different doctors), in a claim that it will resolve my
       | pain, which it did not, and now 3 different doctors don't know
       | what's causing my pain.
       | 
       | Most doctor advice boil down to drink some water and take a
       | painkiller, while glancing for 15 seconds at my medical history
       | before they dedicate me 7 minutes, after which they move to yet
       | another patient.
       | 
       | So compared to this, AI that can analyze all my medical history,
       | and has access to the entirety of medical researches that are
       | publicly available, could be a very good tool to have.
       | 
       | But at the same time technofeudalism, dystopia, etc.
        
         | __lain__ wrote:
         | This is part of the reason that alternative medicine has become
         | so popular, there are definitely still some trustworthy doctors
         | out there, but I share the same experience as you where I feel
         | left with no recourse but to take care of things myself after
         | seeing multiple doctors who make it very clear that they have
         | no interest or time to listen to me.
        
         | sallveburrpi wrote:
         | All the downsides you listed can be solved by public open
         | source models. The ones we have are pretty good already and I
         | would hope that they only get better in the near future. Once
         | you can it on your machine you can safely give it all your data
         | and much more. Of course i would still like a human doctor but
         | it might be a better tool for personal research before you see
         | an expert than what we had in the past.
        
         | whalesalad wrote:
         | most doctors - like most mechanics - are the worst debuggers in
         | humankind.
         | 
         | I once went to the UCSF er 2x in the same weekend for an issue.
         | On day one, I was told to take some ibuprofen and drink water -
         | nothing to worry about. I went home, knowing this was not a
         | solution. Day two I returned to the ER because my situation had
         | gotten 10x worse. The (new) doctor on day 2 said "we need to
         | resolve this asap" and I was moved into a room where they gave
         | me a throat-numbing breating apparatus and then shoved a
         | massive spinal tap needle in my throat to drain 20ml of fluid
         | from behind my tonsil. I happened to bump into the doctor from
         | the previous day on my way out and gave him a nice tap on the
         | shoulder saying, thanks for all the help, doc. UCSF tried to
         | bill me 2x for this combined event, but I told them to get
         | fucked due to the negligence on day one. The billing issue
         | disappeared.
         | 
         | I had a Jeep that I took into the shop 2, 3, 4 times for a
         | crazy issue. The radio, seat belt chime, and emergency flashers
         | all become possessed at the same time. Using my turn signal
         | would cause the radio to cut in and out. My seat belt kept
         | saying it was disconnected. No one could fix it. What was the
         | issue? A loose ground on the chassis that all of those
         | different systems were sharing.
         | https://www.wranglerforum.com/threads/2015-rubicon-with-elec...
         | 
         | These are just two examples from my life, but there are
         | countless. I just do everything myself now, because I trust no
         | one else.
        
           | jcmfernandes wrote:
           | I have a very similar story. It went from ibuprofen and water
           | to antibiotics the following day, to different antibiotics
           | the next day, and finally to having my tonsils purged (i.e.,
           | cut open) with local anesthesia in 4 days. By this time I no
           | longer could speak. It was the most pain I felt in my life.
           | 
           | I still trust doctors, but this made me much more demanding
           | towards them.
        
             | whalesalad wrote:
             | That (peritonsular abscess) was also the most painful thing
             | I have ever experienced in my life. I was genuinely hoping
             | a lightning bolt would come out of the heavens and kill me.
        
           | idiotsecant wrote:
           | Ah, the rare 'HN person who knows more about everything than
           | everyone', what a joy to see one in the wild.
           | 
           | If you're getting bad troubleshooting it's because you're
           | going to places that value moving units (people) as fast as
           | possible to pay the rent. I assure you neither most mechanics
           | nor most doctors are 'the worst debuggers in humankind'.
           | There are plenty of mechanics and doctors that will apply a
           | 65% solution to you and hope that it pays off, but they're
           | far from the majority.
        
         | Y_Y wrote:
         | Unfortunately doctors are fallible humans, but also the
         | infallible gatekeepers of pharmaceuticals and surgeries.
         | Unfortunately I've become relatively knowledgeable about a
         | condition I have myself, to the extent where I'll ofyen have
         | much more subject knowledge than a given nonspecialist doctor.
         | All the same they have to make on-the-spot decisions about me
         | that will have serious consequences for both of us, in between
         | twenty similar cases on either side.
         | 
         | As an aside, I'm very sorry for what you're going through.
         | Empathy is easy when you've had something similar! I'll say
         | that in my case removing a tooth that was impinging on a nerve
         | did have substantial benfits that only became clear months down
         | the line. I'm not saying that will happen for you, but a bit of
         | irrational optimism seems to be an empirically useful policy.
        
         | blibble wrote:
         | > I'm kind of torn on this. From one side, I can't seem to
         | trust doctors any more.
         | 
         | that's alright, if this idea takes off your insurance won't see
         | any need to pay for you to speak to one, when they can dump you
         | onto "AI" instead
        
         | _qua wrote:
         | > Most doctor advice boil down to drink some water and take a
         | painkiller
         | 
         | Forgive my brusqueness here, but this could only be written by
         | someone who has not yet been seriously ill.
        
         | Traubenfuchs wrote:
         | Doctors are usually just normal people that had the means,
         | memory, drive and endurance to get through an exclusive
         | education that will guarantee them a life in relative affluence
         | and maximized adoration.
         | 
         | Connected thinking, interest in helping and extensive depth or
         | breadth of knowledge in anything beyond what they need for
         | their chosen specializations day to day work are rare and
         | coincidental.
        
       | crmd wrote:
       | I would not trust a company with no path to profitability with my
       | medical health records, because they are more likely to do
       | something unethical and against my interests, like selling
       | insights about me to other companies, out of desperation for new
       | revenue streams.
        
       | XorNot wrote:
       | America can't afford public healthcare and now can't afford RAM
       | so OpenAI can offer a bad version of healthcare.
        
         | RodgerTheGreat wrote:
         | To be more precise: America could _easily_ afford healthcare,
         | but American elites regularly accept pathetically tiny bribes
         | to pretend that universal healthcare is impossible. They also
         | accept pathetically tiny bribes to allow companies like OpenAI
         | to do whatever they please without meaningful legal
         | consequence, so OpenAI is able to keep getting away with
         | shipping products that _cannot_ work as advertised and _will_
         | kill people.
        
       | kenjackson wrote:
       | ChatGPT has become an indispensable health tool for me. It serves
       | as a great complement to my doctor. And there's been at least two
       | cases in our house where it provided recommendations that were of
       | great value (one possibly life saving and the other saving from
       | an unnecessary surgery). I think that specialized LLMs will
       | eventually be the front-line doctor/nurse.
        
       | flipbrad wrote:
       | "we built foundational protections (...) including (...) training
       | our models not to retain personal information from user chats"
       | 
       | Can someone please ELI5 - why is this a training issue, rather
       | than basic design? How does one "train" for this?
        
         | SAI_Peregrinus wrote:
         | I assume they want to retain all other info from user chats,
         | and they're using an LLM to classify the info as "personal" or
         | not.
        
         | ipnon wrote:
         | I used to work in healthtech. Information that can be used to
         | identify a person is regulated in America under the Health
         | Insurance Portability and Accountability Act (HIPAA). These
         | regulations are much stricter than the free-for-all that
         | constitutes usage of information in companies that are
         | dependent on ad networks. These regulations are strict and
         | enforceable, so a healthcare company would be fined for failing
         | to protect HIPAA data. OpenAI isn't a healthcare provider yet,
         | but I'm guessing this is the framework they're basing their
         | data retention and protection around for this new app.
        
         | data-ottawa wrote:
         | Could be telling the memory feature not to remember these
         | specific details
        
         | dust42 wrote:
         | This is just marketing nonsense. You don't have to train models
         | to not retain personal information. They simply have no memory.
         | In order to have a chat with an LLM, every time the whole
         | conversation history gets reprocessed - it is not just the last
         | answer / question gets send to the LLM but all preceding back
         | and forth.
         | 
         | But what they do is exfiltrate facts and emotions from your
         | chats to create a profile of you and feed it back into future
         | conversations to make it more engaging and give it a personal
         | feeling. This is intentionally programmed.
        
       | namesbc wrote:
       | Such a dystopian nightmare we live in now. The US is cutting our
       | actual healthcare services to subsidize this shit so billionaires
       | can become trillionares while the rest of us suffer
        
       | sys32768 wrote:
       | Most doctors are just people who had a strong ability to pass
       | tests and finish medical school.
       | 
       | Most of the ones I've worked with aren't passionate about their
       | specialty or their patients, and their neglect and mistakes show
       | it.
        
       | nadis wrote:
       | Was anyone able to get past the 404 page to actually join the
       | waitlist or try this?
       | 
       | I hit the 404 and seems like most folks on X did too, e.g.
       | replies to Greg Brockman's announcement here:
       | https://x.com/gdb/status/2008984705723719884
        
         | nadis wrote:
         | Argh of course I posted this and then when I tried one more
         | time after the page finally worked. Ignore the above; the page
         | seems to work now (points to a waitlist).
        
       | option wrote:
       | this is great. I've been using AI for health optimization
       | (exercise routine, diet, etc.) based on my biomarkers for a while
       | now.
       | 
       | Once ChatGPT recommended me a simple solution to a chronic health
       | issue - a probiotic with a specific bacteria strand. And while I
       | used probiotics with before, apparently they have all different
       | stands of bacteria. The one ChatGPT recommended me really worked.
        
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