Marc Andreessen is a very successful Silicon Valley venture capitalist. In picking and investing in early-stage tech companies such as Twitter and Facebook years ago, you could say he swims with the sharks, and swims very well. His firm has over $45 billion under management. He was recently the subject of a wide-ranging interview by Bari Weise, the intrepid founder of The Free Press.
The hottest thing in Silicon Valley these days is AI – the acronym for Artificial Intelligence. In its true definition, AI is much more than the next generation of powerful computers. If you ask Google Assistant or Apple Siri a question, it will search the internet for data pertaining to your question, aggregate that data, synthesize an answer, and write it up in understandable language.
It has what computer scientists call a heuristic ability. It learns. If it were playing chess with you, it would quickly learn your tendencies – and thoroughly kick your ass.
Andreessen remarked among other things that AI has been “a censorship machine . . . right from the very beginning.” That statement made in passing made headlines as an indictment of AI.
But that’s not exactly how Andreessen intended it. He actually thinks AI is a good thing and will make for a better world, and I tend to agree. But there’s a danger.
The danger is the oldest danger in computing: it’s GIGO, or “Garbage In Garbage Out.” AI is not in contact with the real world. What it knows about the real world is what it gathers on the internet. Its answers are only as good as you yourself could get on the internet if you took the time to do so. And it does not have the rich context of a human’s lifetime of experience in interpreting casual language, particular circumstances and unreliable sources.
AI has infinite knowledge and zero judgment.
I saw this recently when I was in the hospital for some minor open-heart surgery. As hospitals do, they insisted that I wear one of those “gown” contraptions that are open in the back so that your buns hang out.
I find this piece of apparel quite annoying and embarrassing, and I know you do too. I’m guessing the hospital employees do as well, since an average hospital patient is not someone whose buns you would want to ogle.
So, I asked Google Assistant why hospital gowns tie in the back – where they cannot be tied at all. Here’s the answer I got back:
Hospital gowns tie in back for a variety of reasons:
Translation: There’s no good reason, but there’s a “variety” of them. Google Assistant listed them:
*Easy access: The open back design allows medical technicians to quickly and easily access any part of the patient’s body for examinations, treatments, or procedures without the need to fully undress the patient.
It allows easy access alright. But there’s a big but. The big but is that it allows access to only the patient’s big butt. In my personal experience, that part of the patient is not the focus of many medical procedures. And, contrary to what Google implies, the patient in a gown is completely undressed apart from the gown.
There’s more.
* Patient Comfort: The loose fit and open back design can help prevent overheating and discomfort, especially for bedridden patients.
Patient comfort? So, will patient gowns catch on outside hospitals? Will they be the next big thing in fashion, replacing jeans and hoodies? Because they’re just . . . so, darned, comfortable?
And overheating? I find hospitals to be cold, if anything. I cannot remember a time when my buns were so hot – in any sense of the word – that I wanted to whip them out.
* Modesty: While the open back design might seem counterintuitive, it can actually provide a sense of modesty. The ties can be adjusted to ensure the gown stays securely in place, covering the patient’s back and providing a sense of privacy.
That’s not just “counterintuitive.” It’s a bald-faced, butt-on lie. The ties are not long enough to extend around to the front in order to cover the patient’s back, as AI admits in its very next bullet point:
* Efficiency: Tying the gown in the back is a quick and simple process, saving time for both the patient and the medical staff.
How on earth is tying a string behind your back “quick and efficient”? Try it sometime, Google Assistant.
Overall, the design of hospital gowns is a balance between practicality, comfort, and modesty. The open back with ties is a design that has been found to be effective in meeting the needs of both patients and healthcare providers.
That’s all a big fat lie. But don’t blame AI. AI thinks it’s true because . . . Garbage In, Garbage Out.
This is a trivial example to prove Marc Andreessen’s point. AI is only as good – and is just as bad – as the information it receives. AI thinks hospital gowns are efficient, convenient and modest because the internet says so. If I were to say something contrary to that, AI would say I’m wrong.
This extends to everything – global warming, Jan. 6, Russian collusion, the Kennedy assassination, election rigging, and drones over Jersey.
That’s the sort of censorship we’re looking at. It’s a pervasive, insidious thing. We cannot put AI back in the genie bottle, nor should we. But we should carefully monitor and dispute the information it relies on for its pronouncements, and take those pronouncements with a large grain of salt. That won’t be easy.
It's true AI learns only from the internet, but almost all human knowledge comes can be found there. The question is, how good is AI at discerning the garbage from the reliable info. The hospital gown question is a good test, IMO. But all AIs are not the same. I asked Chat GPT the same question and got a similar but I think, more nuanced answer.. Here it is.
>>Hospital gowns are designed to be open in the back for practical and medical reasons:
Ease of Access: The open-back design allows healthcare providers to quickly access areas of the body for medical procedures, examinations, or treatments without the need for patients to completely undress. This is especially important in emergency situations.
Patient Safety: Gowns with an open back minimize the risk of contamination. Healthcare workers can easily fold or move the gown during procedures, reducing the chance of transferring bacteria or other pathogens from the fabric.
Accommodating Equipment: The design accommodates medical equipment such as IV lines, monitors, and catheters, which might be impeded by a fully closed garment.
Ease of Dressing: Many hospital patients may have limited mobility due to injury, illness, or surgery. The open-back design makes it easier for patients to put on and take off the gown, often with assistance.
Standardization and Cost: Open-back gowns are simple to manufacture and launder, which helps hospitals maintain cost efficiency for single-use or reusable garments.
While practical, the design is not without its downsides, as many patients find them uncomfortable or embarrassing. Some hospitals are exploring alternative designs to balance functionality with dignity.<<
Then I asked the question of Perplexity. Its answer was less nuanced, more like what Glenn got from Gemini. But I followed up by challenging it. Here is how perplexity responded to my challenge
>>You raise a valid point about the comfort and dignity issues associated with traditional hospital gowns. While the design is intended to facilitate medical care, it often falls short in terms of patient comfort and dignity.
Patient Feedback and Dignity
Patient feedback is crucial, and it's clear that many patients find these gowns uncomfortable and undignified. The constant risk of the gown opening and exposing the patient's backside can be embarrassing and stressful, particularly in a setting where patients are already vulnerable.
Alternative Designs
In recent years, there has been an increasing focus on designing hospital gowns that balance medical accessibility with patient comfort and dignity. Some hospitals and healthcare providers have started using alternative gown designs, such as:
Closed-back gowns: These gowns have a more traditional design with a closed back but still offer easy access through adjustable openings or zippers.
Modesty gowns: These gowns are designed with additional fabric or panels to provide better coverage and reduce the risk of exposure.
Patient-centered designs: Some new designs incorporate patient feedback, offering gowns with more secure fastenings, adjustable lengths, and better overall coverage.
Innovations in Healthcare Apparel
The healthcare industry is slowly adopting more patient-centered approaches to hospital attire. Innovations include using breathable fabrics, adjustable designs, and gowns that prioritize both medical access and patient dignity.
Advocacy for Change
Patient advocacy and feedback are essential in driving these changes. Healthcare providers and manufacturers are increasingly listening to patient concerns and working to develop more comfortable and dignified hospital gowns.
In summary, while traditional hospital gowns may serve a practical purpose, they often fail to meet the comfort and dignity standards that patients deserve. The push for better-designed hospital gowns is ongoing, and patient feedback is a critical component in this process. <<.
Not too shabby. We can agree, disagree, wonder, explore, etc. Yes, AI can say some stupid stuff, but so do people. And unlike many people, AI seems willing to consider criticism and change it's mind when challenged. Since it learns from experience, I hope we humans challenge it often. Who knows, a few more challenges on the hospital gown issue and maybe Perplexity's and Gemini's initial answers will soon be more like Chat GPT's.
You will be made to believe that hospital gowns make sense.
Resistance is futile.