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Cake day: June 25th, 2023

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  • All fair points, and I don’t deny predictive text generation is at the core of what’s happening. I think it’s a fair statement that most people hear “predictive text” and think it’s like the suggested words in a text message, which it’s more than that.

    I also don’t think Turing Tests are particularly useful long term because humans are so fallible. We too hallucinate all the time with our convictions based on false memories. Getting an AI to have what seems like an emotional response or show uncertainty or confusion in a Turing test is a great way to trick people.

    The algorithm is already a black box as is the mechanics of our own intelligence. We have no idea where the ceiling is for this technology yet. This debate quickly goes into the ontological and epistemological discussion about what it means to be intelligent…if the AI predictive text generation is complex enough where you simply cannot tell a difference, then is there a meaningful difference? What if we are just insanely complex algorithms?

    I also don’t trust that what the market sees in AI products is indicative of the current limits. AGI isn’t here yet, but LLMs are a scary big step in that direction.

    Pragmatically, I will maintain that AI is a different form of intelligence because I think it shortcuts to better discussions around policy and how we want this tech in our lives. I would gladly welcome the news that tells me I’m wrong.



  • First, we don’t understand our own neurons enough to model them.

    AI’s “neuron” or node is a math equation that takes a numeric input with a variable “weight” that affects the output. An actual neuron a cell with something like 6000 synaptic connections each and 600 trillion synapses total. How do you simulate that? I’d argue the magic of AI is how much more efficient it is comparatively with only 176 billion parameters in GPT4.

    They’re two fundamentally different systems and so is the resulting knowledge. AI doesn’t need to learn like a baby, because the model is the brain. The magic of our neurons is their plasticity and our ability to freely move around in this world and be creative. AI is just a model of what it’s been fed, so how do you get new ideas? But it seems that with LLMs, the more data and parameters, the more emergent abilities. So we just need to scale it up and eventually we can raise the.

    AI does pretty amazing and bizarre things today we don’t understand, and they are already using giant expensive server farms to do it. AI is super compute heavy and require a ton of energy to run. So, the cost is a rate limiting the scale of AI.

    There are also issues related to how to get more data. Generative AI is already everywhere and what good s is it to train on its own shit? Also, how do you ethically or legally get that data? Does that data violate our right to privacy?

    Finally, I think AI actually possess an intelligence with an ability to reason, like us. But it’s fundamentally a different form of intelligence.


  • Speaking as a designer, it’s important to separate the style/trend of a UI from its function. I think what you’re looking for is actually UX design.

    As a discipline, User Experience uses evidence-based research to understand how and why users behave they do. This leads to specific design patterns and principles that underlie all the good UI design seen from the giants like Apple, Google, Microsoft, etc. It gives you the language to evaluate designs. This is the foundation of your UI and the rest is just style — fonts, colors, imagery and icons which is subjective and less important. I lost ambition to be a trendy UI designer, so every design looks the same, but usability will shines through. Clean, simple and accessible is timeless.

    Study the articles from nngroup.com. They pretty much established the field of UX Design, with content talking about user behavior in the 1990s. https://lawsofux.com is a more attractive and consumable option, also heavily influenced by NN Group. Finally, accessible design is good design for all, not just those with disabilities. Understand the guidelines set by the W3C for accessibility, like minimum font sizes or contrast ratios for colors.


  • If others sing your praises, then you’re golden. To this day, I despise performance reviews and dread them every year and yet, every year they’re glowing reviews from my peers.

    Being high-functioning often means you’re blind to your own contributions and more critical of your own work than others perceive. In time, I learned to accept the praise from others and blindly trust that things are ok even when every fiber of my being says I’m fucking up.

    Sounds like you need validation more than anything. The points are bullshit if they don’t reflect the effort. Unfortunately, the corporate world is full of bullshit metrics to gauge productivity. I felt this at the bottom and nothing changed moving into “senior leadership”. It’s all bullshit and I encourage everyone to collect a paycheck and just go home.


  • I tell anyone entering the job market or is a young professional that absolutely no job is worth losing yourself over. Your skills change over time and will never leave you completely. I’m a competent designer, a reasonable developer but the most marketable skill that I didn’t actually develop until my late 20’s was soft skills—mostly developed by gently explaining to tech illiterate coworkers why what they wanted developed was impossible, impractical or just a bad idea.

    I did this by treating every coworker as if they were the client. Be polite, professional and let them know that you want to solve their problems. It’s sounds stupid but people just put their guard down if you lead with, “I’m here to help you”. You can then have more honest conversation about all the bullshit keeping you from doing your job, provided it’s phrased as matter of fact and sprinkle in niceties.

    The cruel irony is that this same disposition that started as a way to make me a more effective developer ended up pushing me into a position where I don’t get time to develop.


  • Over the 16 years since graduating, I learned that defining yourself by your career is often a trap. At least it doesn’t sound like you’re getting deep satisfaction from your work.

    I burnt myself pretty bad going into the field thinking I was perusing a passion career and just kept getting kicked down for 5 years chasing a passion career until I found a work environment that paid decent and valued work/home life balance. In school I thought I’d never sell my soul, but now I’ve been working with the same people for a decade now and pretty happy about it, even with if the actual work is utterly boring.

    Unless you’re a fortunate few that are truly passionate, driven, and lucky enough to land a career that fills your entire bucket, look for a job you can tolerate BUT with group of people that support you and your growth. In the end 2 years in is a drop in the bucket and you’ll see your career change directions over and over. You can always learn new skills or relearn them, so if this new job is something different to get you out of a slump, I say go for it. No one can answer for yourself but you.





  • Your body and mind is just a bag of chemical soup, undergoing a constant reaction. Your tangle of nerves and synapses feed a mess of neurons that are wired in a circuit that gives you that spark of consciousness. But none of this is a fixed system, and your body goes through constant change. As one neural pathway dies, another one is rewired and the circuitry is now different.

    You can play the game of debating the Ship of Theseus, but who you “are” or “were” is just an illusion. Our memories are just the old circuits powering up, but even those change over time. Your memories are a false representation of the past because they only ever exist in the present and you’re at the mercy of your own perceptions.

    You “are” until you are not. So do what feels good —Kiss your loved ones, hug a tree, and be kind to yourself and others while your bag of soup ain’t leaking.



  • Obviously the insurance company actually dictates your healthcare and the prescriptions you receive, not your doctor. If you have great insurance, more physicians and treatments will be covered. Under insured is just having insurance that doesn’t cover your treatment.

    Anytime a drug comes to market, manufacturers need to make sure drugs are covered by insurers. So, pharma companies go out to the “payers” (it’s what’s we call them at work) and vie to get a good position on the payer’s “formulary” (the list of drugs covered by insurance).

    In this negotiation, you have things like “prior authorization” where the prescriber needs to make a case to the insurance company before a drug can be prescribed. There’s also different tiers for a class of drugs. This means the payers allow certain drugs to be covered only after a patient steps through other (cheaper) treatments. If it’s not covered, you can pay out of pocket but none of this shit is priced for an individual.

    There’s a cold calculus on both sides where the pharma company has sunk $300 million to $5 billion dollars to bring a drug to market that can sometimes take a decade to go through clinical trials and receive FDA approval — they need to charge a lot to recoup their investment and hopefully become profitable. Meanwhile, insurers have a population they need to cover and a set pool of money and they don’t need a new $50,000 therapy when there’s a generic that will treat 80% of patients. The other 20% can jump through the hoops or get stuffed…


  • PSA from someone who works in the industry. Drug manufacturers offer “patient assistance programs” where people who are under insured or uninsured can receive treatments at a discount or sometimes free. They are not broadly advertised and I had no idea they existed until I started working in the space. Just search the drug + patient assistance or financial assistance.

    Also to state the obvious… The US healthcare system is fucked — mostly insurance companies but also pharmaceutical companies and hospital systems in the US are all doing everything they can to increase their profits at your expense.

    1. Hospitals and pharma set high menu prices in order to negotiate with insurance companies. 2) Insurance companies make money by NOT paying. So you’re fucked unless you’re fortunate to have a cushy white collar job with good benefits. The people that get fucked the most are the ones that can’t afford the premiums



  • Yep, I spent a month refactoring a few thousand lines of code using GPT4 and I felt like I was working with the best senior developer with infinite patience and availability.

    I could vaguely describe what I was after and it would identify the established programming patterns and provide examples based on all the code snippets I fed it. It was amazing and a little terrifying what an LLM is capable of. It didn’t write the code for me but it increased my productivity 2 fold… I’m a developer now a getting rusty being 5 years into management rather than delivering functional code, so just having that copilot was invaluable.

    Then one day it just stopped. It lost all context for my project. I asked what it thought what we were working on and it replied with something to do with TCP relays instead of my little Lua pet project dealing with music sequencing and MIDI processing… not even close to the fucking ballpark’s overflow lot.

    It’s like my trusty senior developer got smashed in the head with a brick. And as described, would just give me nonsense hand wavy answers.




  • I work as hired hands for satan himself (not directly for insurance companies but a consulting company specializing intelling pharma companies how to market themselves to insurance companies) and the industry is a shit show across the board.

    The entire system is for-profit. Hospital systems make money by getting as much from insurance companies as possible. Pharmaceutical companies make money by selling drugs to insurance companies for as much money as they can. And the companies that hold the purse strings are the insurance companies of course (definitely the most evil).

    Why is everything so damn expensive? Well, pharmaceutical company creates drug X and in order to recoup years of R&D and the strict rigor of government regulation, they need to charge a LOT of money—high skilled/high salaries positions to develop the drugs, many years clinical trials (most of which fail), government regulation, market strategy/assessment etc. You can’t get to the finish line without dumping a shit ton of money into development. So yeah, new drugs cost a lot. This doesn’t excuse corporate greed or all the schemes to keep exclusivity on a drug in order to maintain a monopoly, which is rampant and makes the situations worse.

    New groundbreaking rare cancer treatment comes out—$1 million per patient. All the diseases that are easily treated with a pill are gone. So you’re left with rare disorders or ones requiring cutting edge treatment with a much much smaller market. So they have to charge an extraordinary amount to be profitable. Pharma companies don’t price drugs based on who can’t afford it, so they price it based on well insured patients that can. Insurance companies also can’t pay for everyone, so they come up with limits and preexisting conditions.

    Meanwhile hospital systems, like any other corporation, seek profits by cutting costs, consolidating expenses (your treatment) and charging as much as they can for your treatment. What the public isn’t aware of is that when negotiating prices, hospital systems come up with an inflated menu of costs as a bargaining chip. So that MRI that is listed as $5,000 a pop doesn’t is negotiated down behind closed door’s with insurance companies (in-network vs out-of-network). But what price do you pay when you don’t have insurance or your insurance company doesn’t want to pay it? You guessed it!

    Insurance companies pay for the whole lot and they too are out there to make money by NOT paying so they can hold onto your insurance premiums.

    Oh and let us not forget that manufacturers operate at a global scale and all those countries that have single payer systems do the reasonable thing (this does include Medicare and Medicaid too) and tell everyone that they will only pay a fair price based on Real World Evidence. Guess who picks up the slack? USA! Greatest country in the fucking world, with congress paid for by everyone of these corporations.