🧵
> The more honest diagnosis would be that the responses are the result of a broken political system that offers no real way for people to have their healthcare grievances addressed—but that would call not for scolding screwed-over patients, but rather demanding political reform that challenges entrenched political and corporate interests that the Times has little interest in challenging.
https://fair.org/home/nyt-panics-over-outrage-at-insurance-companies/
#UnitedHealthCare #uspol #AISalami #AgenticShift #AIinMedicine
@bsmall2@fedibird.com

> Senate Democrats accused the company of “denying claims to a growing number of patients as it tried to leverage artificial intelligence to automate the process,” a kind of capitalist nightmare with a sci-fi twist (Fox Business, 12/6/24).
https://fair.org/home/nyt-panics-over-outrage-at-insurance-companies/

#AIinHealthcare #AISalami #AgenticShift #UnitedHealthCare #uspol #FairOrg

> ... the company illegally deployed "artificial intelligence (AI) in place of real medical professionals to wrongfully deny elderly patients care owed to them under Medicare Advantage Plans by overriding their treating physicians’ determinations as to medically necessary care based on an AI model."
https://www.foxbusiness.com/markets/unitedhealthcare-accused-relying-ai-algorithms-deny-medicare-advantage-claims
#uspol #AISalami #AgenticShift #AIinMedicine #AIinHealthCare #UnitedHealthCare

As a teacher of budding scientific and technical professionals, I’m again and again struck by how little sense of personal autonomy is part of today’s education, our modern ›Paideia.‹ Students hope to master the fundamentals of, say, one of the branches of engineering, get a ›good job,‹ come up with some lucrative ›innovation‹ and live happily ever after. Very often they simply lack any sense that they might reflect upon, talk about, and seek to realize an independent, personal understanding of life’s possibilities. Thus, the autonomy of technology often comes to the fore when ascertaining people’s sense of basic priorities. But the intellectual and moral autonomy of today’s students, employees and citizens? Not so much.

... surprises and troubles attributed to technologies that seem to have become ›autonomous‹ can often be traced back to the persons and groups that are ›in charge.‹ Marx describes the kinds of mechanical apparatus that fully claimed the bodies and minds of factory workers in his day. As he explains such calamities in his h#TheoryOfCapital, it’s clear that the owners of the #MeansOfProduction bear full responsibility for what happens.

> .. insurers are using unregulated predictive algorithms, under the guise of scientific rigor, to pinpoint the precise moment when they can plausibly cut off payment for an older patient’s treatment. The denials that follow are setting off heated disputes between doctors and insurers, often delaying treatment of seriously ill patients who are neither aware of the algorithms, nor able to question their calculations.
https://www.statnews.com/2023/03/13/medicare-advantage-plans-denial-artificial-intelligence/
#AISalami #AgenticShift #MedicareAdvantage #Medicare

> An #algorithm, not a doctor, predicted a rapid recovery for Frances Walter, an 85-year-old Wisconsin woman with a shattered left shoulder and an allergy to pain medicine...
> On the 17th day, her #MedicareAdvantage insurer, #SecurityHealthPlan.. cut off payment for her care.. Meanwhile, medical notes in June 2019 showed Walter’s pain was maxing out the scales and that she could not dress herself, go to the bathroom, or even push a walker without help.
https://www.statnews.com/2023/03/13/medicare-advantage-plans-denial-artificial-intelligence/
#AgenticShift

> Why blame people? We may call this line of thinking an “#AgenticShift,” a term.. from #StanleyMilgram to name the process whereby humans transfer responsibility for an outcome from themselves to a more abstract agent. When this happens, we have relinquished control, which in the case of #TheComputer [#AI] means that we may, without excessive remorse, pursue ill-advised or even #InhumanGoals because the computer can accomplish them or be imagined to accomplish them.
#NeilPostman #Technopoly