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vineyardmiketoday at 3:21 AM1 replyview on HN

> That is not a plausible outcome given the current technology or of any of OpenAI's demonstrated capabilities

OpenAI has said that medical advice was one of their biggest use-cases they saw from users. It should be assumed they're investigating how to build out this product capability.

Google has LLMs fine tuned on medical data. I have a friend who works at a top-tier US medical research university, and the university is regularly working with ML research labs to generate doctor-annotated training data. OpenAI absolutely could be involved in creating such a product using this sort of source.

You can feed an LLM text, pictures, videos, audio, etc - why not train a model to accept medical-time-series data as another modality? Obviously this could have a negative performance impact on a coding model, but could potentially be valuable for a consumer-oriented chat bot. Or, of course, they could create a dedicated model and tool-call that model.


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elzbardicotoday at 4:40 AM

They are going to do the same thing they do with code.

They are going to hire armies of developing world workers to massage those models on post-training to have some acceptable behaviors, and they will create the appropriate agents with the appropriate tools to have something that will simulate the real thing in a most plausible way.

Problem is, RLVR is cheap with code, but it can get very expensive with human physiology.