there's an interesting point that I I've noted and it still blows me away um I think of generative AI today as the world's most powerful technology and I um I think the right word is flabbergasted that it's free that effectively the world's most powerful technology is available to for free to anyone with a smartphone you know if I gone back 20 years ago and and described what we' have today with Gemini and and and chat GPT and all of that and said how much do you think it's going to cost per month to use this technology um I would have never guessed uh zero does that surprise you this is astonishing I mean what is we have this concept of he I want to make a picture I want to make music I want to write an essay and it costs X number of man woman hours right yeah yeah all of a sudden it costs nothing the thought to the creation process sure you can spend a week and make it even better but to get to an at20 now is almost instant for any modality yeah like again we're not talking about perfection but you don't expect your graduates to be perfect on their output from drawing to coding to anything that rapid iteration is just something that's beyond belief because again when you look at these models it's just a few gigabytes and they can run on your smartphone and it does seem something's wrong with that energy equation right energy is that much much down to nothing the economic equation is what really bugs me the value we're extracting I mean Google did that and it monetized on Advertising but it also uplifted Humanity in such an extraordinary World um you know I just came back from India where uh Gio their 5G network has demonetized data and Communications an extraordinary rate and so we're we are seeing this this abundance equation of digitization dematerialization demonetization democratization over and over and over again and this is the ultimate one um and I'm just you know it feels like we haven't been able to even understand a fraction of 1% of the implications of this so you think about the energy that's taken to put a doctor through school right and the cost of that millions of dollars in the US yeah and a decade a decade that expertise can suddenly be available and replicable at the push of a button through an digital Ai and soon an AI doctor and surgeon that outperforms human doctors and empathy there's this relationship between energy and GDP per capita so that's pretty much a straight line yeah energy when you mean by energy is is output of power available to the society per person yeah per person yes so the more energy you have per person the higher your GDP because you could build stuff but then more than that you can support service Industries and things like that you can support the million dooll doctors with a decade of work yet all of a sudden the energy equation for intelligence has collapsed to nothing Google and the previous internet reduce the cost of consumption of content down to nothing and that's why they could have ad and other models to have that go they want your attention shall we say and you're purchasing on the other side now the cost of creation almost has dropped to nothing not creativity necessarily but the creation of information of knowledge you know and again not novel knowledge it's just how can we distribute this because we never have enough doctors we never have enough good doctors mhm and again we're not talking about great doctors I think all these discussions of AGI are like superhumans and the top 0.1% I just want an average doctor to be available to everyone an average teacher to be available to everyone but the average level to be really much better than it is right now well I I get it but I believe you know I we spent a lot of my time in the intersection of AI and health as do you we have that in common that there is no way that any human doctor can integrate the the gigabits of data that come out of a current uh you know digital upload um understanding all of the blood chemistries your genomics your Imaging data but in AI Can it can contextualize all of that and then give you uh some root cause analysis so I I think that that we're not far away from having the average AI doctor be better than most all Physicians um out there I think we're we're there pretty much now it just hasn't been integrated if you look at the benchmarks from Radiology to this to that and the long context window work but again this is the exciting thing as you go from Individual models to pulling them together so you have your own medical team yeah you're not just calling on one doctor and we see this with the technology as well like we had gigantic models and we still got them with the B new llama but now we're moving to mixture of experts and routing two expert models that are experts these are these are agents and sub agents there's an there's an AI Radiology you know x-ray uh radiologist agent and one for MRIs and one for CTS um and one for blood chemistries and one for genomics and all of them are being pulled together as your medical team yeah and they have common language to talk to each other and you know the out are checked as well like in medicine before we get do AI doctors making diagnosis every diagnosis by a human doctor should be checked by AI there's no argument against that well I think it's going to be malpractice to not have ai in the loop um in in some number of single-digit years because it will save will save lives humans make mistakes um they just can't deal with the amount of data it's not the way it used to be um and if you can know because you can't access access to the data I I think there's an obligation to do that yeah I mean it's because because we could we could only have I mean we all know that physician scroll is unintelligible AI is just catching up with that right now right the information flow from that hourong b teach you that in medical school by the way it's just a few lines right we lose all that context and all that rich context so is anywhere in the world maybe found Fountain Health that you can go and see your lung Radiology over time and how it progresses we just saw I think a paper come out that showed that you could detect breast cancer up to 5 years before CU they just dumped it and it just analyzed every smallest piece of things you can't see how the world evolves because the lack of context from black and white scroll made it so our Medical Systems assume ergodicity a thousand tosses of the coin are the same as single coin cost a thousand times but humans are individual we're complex systems but every gets 500 Mig of paracetamol you know we don't care about things like cyto p450 abnormalities that mean you metabolize Codine into morphine or fenil into death you know yeah I mean there there really needs to be a a genomics agent before you take anything other other thing which people don't realize you feel like when you get prescribed a particular medicine for a particular situation that you assume it's going to work but the fact of the matter is it works in about a third of the individuals if you're lucky it was enough for the FDA to approve it uh but no guarantee it works for you