• billwashere@lemmy.world
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    2 months ago

    You don’t need AI for that….

    
    #!/usr/bin/env python3
    
    def main():
        try:
            _ = input("Enter reasoning for claim: ")  # read but ignore the input
            print("denied")                # always respond "denied"
        except (EOFError, KeyboardInterrupt):
            # Even if input is interrupted, still respond "denied"
            print("denied")
    
    if __name__ == "__main__":
        main()
    
    
  • TuffNutzes@lemmy.world
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    2 months ago

    So bribe the private sector to deny all claims routed through them first for government healthcare and then claim ‘gUbmEnT dEAtH pANEls!’ are the problem.

    • humanspiral@lemmy.ca
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      2 months ago

      So bribe the private sector to deny all claims routed through them first

      The AI models getting paid most the most they deny is private sector grift built in here.

      • nomy@lemmy.zip
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        2 months ago

        Death panels always existed they just wanted them to be employees at a for-profit.

        It’s the lack of profit that scares them I guess.

  • Fedizen@lemmy.world
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    2 months ago

    It should be illegal for anyone but a doctor to deny a claim. This isn’t even going to be AI, its just going to be a program that denies everything.

  • FlyingCircus@lemmy.world
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    2 months ago

    I’m so tired of living under capitalism. Can you all please get some fucking class consciousness so we can get out of this hellscape?

    • floofloof@lemmy.ca
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      2 months ago

      The ethics of sabotaging AI are even less murky than the ethics of what Luigi did. We need tech Luigis.

    • Possibly linux@lemmy.zip
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      2 months ago

      As it turns out murdering a random CEO doesn’t fix the deep issues with out healthcare.

      CEOs are just cogs in the machine at the end of the day. Investors, the rest of the company leadership and the government are all to blame as well.

      It is crazy that it is ok to profit off of denying people care.

    • Blackmist@feddit.uk
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      2 months ago

      Violence is like duct tape. If it hasn’t solved your problem, you didn’t use enough of it.

      • finitebanjo@lemmy.world
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        2 months ago

        Just keep hitting your laptop, I’m sure it will turn on again eventually.

        Violence can solve a problem if you have the correct targets, maybe.

  • selokichtli@lemmy.ml
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    2 months ago

    Fucking bots, they started disallowing us from browsing the web. Sure they’ll be more careful with our lives.

  • Possibly linux@lemmy.zip
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    2 months ago

    What I time to be alive

    The only way to actually get decent coverage is to get it though an employer.

  • humanspiral@lemmy.ca
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    2 months ago

    This is definitely the wrong “motive structure” for administrative decisions from agency supposed to provide healthcare. Proof of grift as a goal.

    By all means, use AI assistance to determine claims validity. But the AI service should be paid per query, or to licence whole model for unlimited use with medicare paying for the computers/gpus. Medicare should be choosing a model that is accurate instead of one that is paid to deny everything, because Homer Simpson’s birdy automation can do that ultra cheap.

    • traceur301@lemmy.blahaj.zone
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      2 months ago

      Taking claim validity away from the doctor that’s actually in charge of the patient’s care is already fucked. AI cost cutting doesn’t belong in medicine full stop. It shouldn’t be a for-profit “industry” in the first place. We’re so fucked nobody can even think about this without insane, anti-human framing coloring everything

      • humanspiral@lemmy.ca
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        2 months ago

        Private medical insurance is corrupt as starting point. A public health insurance/payer system can still be subject to ineligible or fraudulent claims. Every medical provider demand for money automatically accepted is not the perfect model either. Systems, AI or not, should avoid improper denials is a standard only possible in public health systems.