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Comment by ai_fry_ur_brain | Hacker News Reader

I personally will not use a provider who uses llm tools. I know it makes me and my coworkers less careful and lazier. Qualities I dont want in a health care providor.

Ive actually moved primary care physicians over this once already, found the oldest guy I could who barely knows how to use a laptop but spends a bunch of extra time with me.

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Funny how we assess risk. Not criticising you - I'm as irrational as the next guy - but "I found the oldest doctor I could" seems like it has a different set of risks baked in.

The older the doctor the more experience they have, but also their knowledge is more outdated (how many keep up with medical journals?) and their brain is worse at learning and connecting dots so I'm not sure I'd choose the oldest I could find.

The human body is the same as it was before your doctor was born.

Medicine however is not the same. Nor is our understanding of the human body.

For example, a 60 yo doctor would have been born before the first heart transplant, the recipient lasted 18 days. Now 5000 are performed each year and after 5 years 80% of recipients are alive.

The Earth was mostly the same in the 1300's. Let's use material from that time to do engineering.

Our knowledge of it very much is not

My current provider shows me their computer monitor for the entire appointment. I didn’t ask for that treatment but I really appreciate it.

When LLMs stop helping me with my work, I’ll stop going to doctors who use them.

Too bad for me, it’s a real mixed bag. I need a doctor who is an AI-using LLM skeptic, I guess.

This translates to "I'd rather get the traditional types of medical errors instead of the modern types of medical errors."

Better the devil you know ...

Likewise. I basically

- will not see a “provider”. A doctor (MD/DO) only please.

- will not see a doctor who uses LLM tools (or therapists for that matter)

- Make it abundantly clear that if you do then we’re not a match.

- Will pay significantly more/go out of my way for for this.

In a similar vein: Will not go to a doctor who is a DO and not an MD.

We all have our biases.

Regardless of whether your preferences are rational or not, you're quite lucky to be able to pick and choose. There is a shortage of clinicians and it's only going to get worse so most patients will have to take whomever they can get, especially if they're not able to wait months for an appointment.

Indeed, I’m definitely in a privileged position.

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