Make money doing the work you believe in
Two stories about AI in medicine this week. Opposite directions.
A paper in Science: o1 outperformed attending physicians on a prospective ER arm. 67% correct at the top of the differential at triage, vs 55% and 50% for the attendings.
An Ontario Auditor General report: 20 AI medical-scribe systems audited, used by ~5,000 physicians. 9 of 20 fabricated information. 12 of 20 captured the wrong drug. 17 of 20 missed mental health details.
Both verified. Both shipping in production right now.
The instinct is to pick one. The discipline is not picking.
Three questions worth keeping sharp:
What question survives the headline?
2. Who’s on the hook when it’s wrong?
3. What moves if the answer flips?
The questions don’t change. The answers do. The asking is the muscle.
Today’s Sunday Deep Dive walks both stories, the shadow on each, and the three questions in detail.
