Greenhouse on the Supremes

• Yet another superb essay by Linda Greenhouse in the NYT – “Look at What John Roberts and His Court Have Wrought Over 18 Years“.  An excerpt:

“My focus here on what these past 18 years have achieved has been on the court itself. But of course, the Supreme Court doesn’t stand alone. Powerful social and political movements swirl around it, carefully cultivating cases and serving them up to justices who themselves were propelled to their positions of great power by those movements. The Supreme Court now is this country’s ultimate political prize. That may not be apparent on a day-to-day or even a term-by-term basis. But from the perspective of 18 years, that conclusion is as unavoidable as it is frightening.”

2023-07-11T13:51:40-05:00July 11th, 2023|HomeRecommended|

The Orange Man is Bad

• Matt Yglesias has it right in his The Orange Man is Bad Slow Boring Substack entry.  Excerpted:

“Trump simply stands head and shoulders above the average American politician in his willingness to take things to the edge, to flout the law, and to act with reckless disdain for the consequences his actions will have for anyone. The law is important, and the fact that this particular act of scumbaggery is apparently illegal gives it a special significance. But for my money, the most morally shocking thing about Trump’s post-presidency is still the extent to which he sullenly refused to be a constructive player in promoting Covid vaccination in 2021.

A very large number of people — Trump voters — got sicker than they might have because of this, and a bunch of them died. And I think that’s a crucial fact about Trump that tends to be overlooked despite the volume of coverage he attracts. His efforts to supposedly owns the libs mostly involve deceiving and betraying his own supporters.

Trump markets himself as a down-and-dirty fighter who champions the right’s causes through his refusal to play the game with kid gloves. In truth, he’s a sub-par politician who’s not good at winning elections or advancing a legislative agenda or convincing people of conservative ideas.

He’s a con man, and conservatives are the marks.”

 

2023-06-13T11:18:05-05:00June 13th, 2023|HomeRecommended|

Why All the Subtitles?

• Devin Gordon writes on the rising use of subtitles in his article in The Atlantic – “Why Is Everyone Watching TV With The Subtitles On?” It’s not just the hearing impaired; the group using subtitles the most on Roku are millennials.  There are multiple reasons for doing it, some technical artifacts of streaming compression.  A quick, fun read.

2023-06-07T18:34:29-05:00June 7th, 2023|HomeRecommended|

Some Good News – Really

• Sometimes we lose sight of the fact that there has definitely been significant human progress in many parts of the world – dramatic drops in infant mortality, neonatal and obstetric deaths, cancer mortality, and poverty.  Nicholas Kristof writes about this in his “This May Be the Most Important Thing Happening in the World Today” opinion piece in the NY Times.  Some excerpts:

“We happen to live in a transformational era in which 96 percent of the world’s children now survive until adulthood…

…But one reason the world doesn’t do more to help poor countries is exhaustion, a sense that nothing works. I fear that misperception is driven partly by journalists like me, and by aid workers, advocates and other bleeding hearts.

We pounce upon crises, so what the public hears about in Africa is carnage in Sudan, hunger in Somalia and massacres in Ethiopia. Those are real problems that deserve more attention, not less — but we don’t do enough to illuminate the backdrop of gains in health, education and well-being.

Many people believe that global poverty is hopeless — 87 percent said in a 2016 survey that poverty had stayed the same or gotten worse over the previous two decades — while in fact the share of the world’s people living in extreme poverty has plunged from 38 percent in 1990 to about 8 percent now.”

2023-06-04T13:46:54-05:00June 4th, 2023|HomeRecommended|

David French on DJT’s clenched fist supporters

• David French writes in the NY Times that watching Fox can quite alarmingly demonstrate the intractable hold DJT has on his segment of the electorate. An excerpt:

“When I look back on the Trump years, I see a dark time of division, corruption and social decay. After all, when he left office, the murder rate was higher, drug overdose deaths had increased, and the abortion rate had gone up for the first time in decades. America was more bitterly divided, and deficits increased each year of his presidency. His early Covid lies helped fuel an immense amount of confusion and almost certainly cost American lives. And his entire sorry term was capped by a violent insurrection fueled by an avalanche of lies.

If you watched the town hall, however, you entered an entirely different world. According to Trump’s narrative, everything he did was good. His term was a time of economic prosperity, energy independence, fiscal responsibility, a rejuvenated military, a locked-down border and fear and respect from foreign regimes. The only thing that marred his four years was a stolen election and his unjust persecution by the corrupt Democratic Party and its allies in the F.B.I. In Trumpworld, the Trump past is golden, and the Trump future bright, but the present is a time of misery and darkness.”

Be afraid…

2023-06-04T13:28:39-05:00June 2nd, 2023|HomeRecommended|

Chat GPT vs Real Docs

• Interesting results from at attempt to rate physician generated versus Chat GPT generated responses to patient questions posed on Reddit’s r/AskDocs:

Ayers JW, Poliak A, Dredze M, et al. Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum. JAMA Intern Med. Published online April 28, 2023. doi:10.1001/jamainternmed.2023.1838

“Results  Of the 195 questions and responses, evaluators preferred chatbot responses to physician responses in 78.6% (95% CI, 75.0%-81.8%) of the 585 evaluations. Mean (IQR) physician responses were significantly shorter than chatbot responses (52 [17-62] words vs 211 [168-245] words; t = 25.4; P < .001). Chatbot responses were rated of significantly higher quality than physician responses (t = 13.3; P < .001). The proportion of responses rated as good or very good quality (≥ 4), for instance, was higher for chatbot than physicians (chatbot: 78.5%, 95% CI, 72.3%-84.1%; physicians: 22.1%, 95% CI, 16.4%-28.2%;). This amounted to 3.6 times higher prevalence of good or very goodquality responses for the chatbot. Chatbot responses were also rated significantly more empathetic than physician responses (t = 18.9; P < .001). The proportion of responses rated empathetic or very empathetic (≥4) was higher for chatbot than for physicians (physicians: 4.6%, 95% CI, 2.1%-7.7%; chatbot: 45.1%, 95% CI, 38.5%-51.8%; physicians: 4.6%, 95% CI, 2.1%-7.7%). This amounted to 9.8 times higher prevalence of empatheticor very empathetic responses for the chatbot.

Conclusions  In this cross-sectional study, a chatbot generated quality and empathetic responses to patient questions posed in an online forum. Further exploration of this technology is warranted in clinical settings, such as using chatbot to draft responses that physicians could then edit. Randomized trials could assess further if using AI assistants might improve responses, lower clinician burnout, and improve patient outcomes.”

The article itself has 5 sample questions with physician and Chatbot responses.  I’d agree that the Chatbot’s were better, both in content and tone.  Given the current possibility of hallucination, output should of course be reviewed before real clinical use, but boy, there will be pressure to use this…
2023-05-12T16:54:49-05:00May 12th, 2023|HomeRecommended|
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