r/technology • u/McFatty7 • 14h ago
Artificial Intelligence Doctors, Lawyers, and Engineers Are Joining AI’s $400-an-Hour Gig Economy
https://www.bloomberg.com/news/articles/2026-10-16/ai-training-jobs-are-attracting-doctors-lawyers-and-engineers2.0k
u/CuseinFL 14h ago
They're training their replacements. Every time they transfer some of their knowledge to the model they become less valuable.
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u/HeKnee 13h ago
Every big company is likely training their model while you work too.
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u/joesighugh 11h ago
Had a friend who worked at meta and he was forced to train the model every week with what work they did. He realized quickly they were planning his replacement and intentionally trained it wrong. When he was laid off, at least he had that.
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u/mx3goose 12h ago
Myself and my team was let go about two years ago from a non profit because all our funding was delayed and tied up with the bead funding. Oh and the president called what we were doing racist, that's neat.
Hasn't been a whole lot of demand for helping people these last couple years I got quickest job I could, mark utility lines for 22 bucks an hour.
Last month an AI firm reached out and wanted to pay me 115 an hour with an extendable 1 year at a time contract for my hyper specific knowledge of all the USDA forms used for the food and lunch programs for schools.
They hired me in at 165 and hour with performance bonuses up to almost 20k if I meet the metrics which I am flying by them honestly
I will make more this year than I have almost the last decade combined of my life helping underserved family's get food assistance.
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u/GoingOffRoading 11h ago
Make sure you save that extra money... Because I've that knowledge transfer is over, your getting dumped
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u/Bojanggles16 11h ago
That's his entire point tho. He already got dumped and this is at least letting him cash in in the meantime.
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u/RickSt3r 10h ago
What happens when the USDA changes the forms. Complex human run organizations always be changing. It the human aspect creates the inefficiencies. Like do these forms even exist. The problem is how do you feed children healthy. It’s a simple canned answer but we create these complex systems that are more a jobs programs then actually solving the problem.
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u/axonxorz 10h ago
Then you pay a contractor to update your model training. In most cases, it takes less work than [last time], as changes and updates are typically iterative, not complete replacements.
Zucc waited forever to hop on the AI bandwagon, and the person he tapped to run Meta's initiative ran a company providing exactly that service.
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u/theotherwhiteafrican 9h ago
Yes but OP is literally already that contractor you're referring to. If everything you said will happen happens, thats great for OP. Even if they pay less each time and require shorter terms, that's still a steady series of gigs in OPs future each offering dramatically more than OPs former career. And companies like reusing past contractors. Known quantities and all that.
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u/modernknightly 8h ago
And as the dynamism in pricing and wages gets further and further away from baseline, what happens to everyone else who don't have specialized skills?
Feels like old school simcity. You think about tax and zoning decisions that will affect the game in terms of in game years sheen the road.
What we're talking about is a version of this long term pattern to me. If we keep seeing companies abs industries going through waves of reducing human labor to pay the remaining labor less and less due to iteration based changes, we're going to end up with humans being wholly unnecessary to the new economic paradigm of automated consolidation and efficiency driving.
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u/RickSt3r 10h ago
So back to human labor. Also model training is super data intensive. You are better off writing a deterministic software than having an LLM with probabilistic output behind it.
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u/RollingMeteors 5h ago
Then you pay a contractor to update your model training.
Then you call your POC at USDA and tell them you got your work in and they should update the forms on their end next Monday.
Wash, rinse, repeat profit.
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u/delicious_pubes 10h ago
It’s a sad situation but if they don’t train their replacements then someone else will and they would have made less money when they could have. I’m in similar shoes with front row seats to the end of my career but I’m not about to be a martyr when I have a family to support.
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u/medievalPanera 7h ago
It's no different than a firm outsourcing their people. Gotta love capitalism.
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u/Shivin302 9h ago
How did you negotiate from 115 to 165?
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u/mx3goose 9h ago
115 was the floor from HR for general recruitment of interests I assume. 20+_years of experience in exactly what they wanted I assume is why they offered me more.
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u/hewkii2 12h ago
Not as long as ChatGPT has “owo we can make mistakes! You can’t sue us :3 “ at the bottom of their page
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u/digiorno 4h ago
In the ideal world, this would just mean that we had as many medical resources as needed for everyone. And the people who trained these bots would be heroes for helping make it happen.
Automation could set humanity free from so much labor, skilled or otherwise.
Instead it’ll just make people like Musk a whole lot richer.
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u/coconutpiecrust 11h ago
Maybe they believe they can accumulate enough wealth before it all crashes and burns? It’s a popular trope. Cash out and run while you still can.
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u/kl0 9h ago
Yea, but every time you pay a bullshit ticket instead of fighting in court for what’s right, society becomes slightly more vulnerable to police overreach. But it’s easier and likely cheaper just to pay the fine. Every time you pull up to a gas pump that advertises price X and dispenses price X+Y and you just go with it instead of reporting them and moving to the next station, the local community becomes a tad more vulnerable to their deceptive business practice.
What I mean is, there’s a seemingly infinite list of things people SHOULD stand up for, but don’t or can’t. In 2026, I tend to think it’s more laziness than inability that allows the bigger guy to get away with it, but that’s just a guess.
The point is that sure, we all SHOULD be fighting this, but we won’t. So if it’s going to happen either way, why not at least take the easy road and cash out what you can? …just like we do with those two examples above and hundreds of other such cases.
I don’t think we ought blame the people for being victims of a system that we’ve all but lost control of.
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u/TheWesternMythos 12h ago
No different than most people who choose their 9 to 5 and/or entertainment over learning and political action
Wealth inequality isn't increasing despite our efforts , its increasing because of our efforts. But everyone just say "not my problem" or "nothing I can do"
Thus the state of things. Even noe most are wasting time being anti AI completely ignoring nothing they are working towards will matter if we fuck this up
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u/modernknightly 7h ago
By that metric, one could come up with an extremely reasonable assumption that everything we know and have known is going to change in the near future.
Companies are racing each other to beat other companies and make line go up. People are training their replacements but no one has any power to stand on to push back against it all. People are also too conditioned to say not my problem or nothing we can do about it so whatever.
What's going to happen is that there will be a lot of distress for a lot of people. The news of the day is so ridiculous and overwhelming that we're just handing our autonomy to big companies without even thinking about it.
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u/jinsoo186 11h ago
Tragedy of the commons. This is happening anyway and somebody's going to get paid so it might as well be you
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u/AP3Brain 8h ago
It really is unavoidable though when you think about it. There would be a lot less damage if we didn't actively accelerate it though.
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u/yolo-yoshi 7h ago
And thee worst part is their replacements will always be worse than a human. Just “ good enough”
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u/Vexelbalg 11h ago
Even $400 is a bit cheap for digging your own grave.
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u/Brave_Speaker_8336 11h ago
“Four years ago, Brixey received a message from one of these companies seeking radiologists who could interpret chest, lung and heart scans for an AI company. By then, she’d encountered the technology at a medical center where she worked: A model designed to catch lung nodules was prone to false positives. Still, Brixey believed AI could help radiologists deal with an ever-increasing demand for scans00148-1/fulltext).
That’s why, after a long week of work, she sometimes spends her weekends labeling data, highlighting areas where she can see calcium in a heart scan, for example. She signs up for at most two projects a year motivated less by the pay than by the technology’s potential. “I’m doing it for improved patient care,” she says.”
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u/ohfml 10h ago
“I’m doing it for improved patient care,” she says.”
“That’s not going to happen” - Cory Doctorow
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u/saml01 9h ago
If you think it's all chat bots, think again. Lotta ai tools in the imaging space, not just radiology either it's coming for pathology. There is a lot of money being spent on these tools and they are getting better, faster and more useful.
I totally believe in the patient care aspect too. There's an application that looks for stroke the moment imaging is taken. If it sees it, it automatically alerts a team of doctors.
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u/baked_potato_ 11h ago
Grave will be dug regardless. Might as well be the one to profit off it.
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u/Unfair-League-3204 8h ago
Obviously it’s a tiny gain for automating away an over $100k a year job
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u/baked_potato_ 8h ago
It’s going to be automated regardless. This is what the goons at the top want. They want to maximum profits at any cost. So sure it’s a tiny gain, but it’s a tiny gain that won’t be available for long.
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u/organichipsta 9h ago
My lawyer aunt got cut via DOGE State department cuts. She couldn’t find a job for 6 months and eventually sold her soul to training Metas AI model. Desperate times
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u/Unfair-League-3204 8h ago edited 6h ago
Craziest part is how silent it is. I thought data annotation(scale ai, which meta owns about half of) is selling it to Facebook / meta. Not even sure how many companies are involved, and many of them started by 20 year olds at micro1, mercor, no idea the others
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u/_highfidelity 3h ago
Used to tell this to the anesthesia residents I used to train: a small part of what you get paid is for your skills and expertise; a larger part of what you get paid is your ability to assume liability for the hundreds of thousands of cases you facilitate.
One thing that I think people are underestimating from the healthcare side is who assumes the liability in an all-AI healthcare system? The hospital who purchased and implements the AI platform? Anthropic, OpenAI, or OpenEvidence? Unlikely in my opinion.
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u/echoshatter 2h ago
Well considering how many times we've heard of these AI agents breaking the law and yet nothing is happening, I think the concept of "liability" might be getting real fuzzy.
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u/emilNYC 1h ago
So basically all of the money they’d be saving by not hiring humans would go into an AI liability fund 🤗
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u/DriveSlowSitLow 13h ago
Good luck with replacing dentists. Sure, eventually. But nowhere near there now
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u/sexytokeburgerz 9h ago edited 8h ago
I mean it’s easier to do dental surgery than most other surgeries, right?
You don’t have to cut a hole, it’s already in your face.
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u/kchendental 8h ago
This really isn’t true. Dental surgeries are one of the only surgeries where you are performing on patients that usually aren’t sedated. This means not only are you working out of a hole that’s the size of a cup or smaller, you have to make even smaller holes the sizes of pin holes within that, all while the patient is moving, tongues, cheeks, saliva, blood all in the way taking up 80% of that hole’s space. Robotic surgeries in dental are not really a thing yet. Yes, there’s research in companies like Yomi, but it’s so primitive that 99% of dentists can’t use it at all effectively.
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u/DriveSlowSitLow 8h ago
As stated by someone who really
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u/thelocalsdude 8h ago
Don't dentists cut tiny little holes in your gums and jaw bone and all that mess? Root canal? Tooth extraction? Drilling for implants? Etc ...
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u/TFPaulMorphy 5h ago
AI could start analyzing x-rays to determine if a filling is actually needed, instead of patients having to just trust the dentist. Valuable given you can get very different answers from different dentists. Maybe it could even look at the filling afterward to determine how well it was done.
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u/Coffee_Transfusion 7h ago
The race to the bottom.
“Here’s a shovel. Start digging, and make it big enough a person could fit inside.”
We need a labor movement, pronto.
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u/gizamo 5h ago
As someone who's been automating work for 40+ years only to see all of the benefits funnel up every single time, I absolutely do not believe US workers will properly organize in my lifetime.
I got into my line of work to make life easier for everyone and to try to make us all work less. Thousands of others got into it for the same reasons back then. I think it's safe to say that we all feel betrayed by workers and voters who've failed to organize or elect worker-friendly politicians. We should have had a 30-hour work week at least 20 years ago. It should be a 20-hour work week at most by now. Seriously, 20 hours is more than even half of society would need to work to make the things we all need or want.
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u/CaptainPajamaShark 8h ago
The free market innovated so hard that I can get a giant ass TV for cheap and make my own job obsolete.
Praise capitalism
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u/Illustrious-Film4018 11h ago
You would think doctors, lawyers and engineers would be smart enough to see they're training their own replacement. This is quite disappointing.
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u/turquoiseblues 10h ago
They’re trying to maximize income before they’re completely deprived of income.
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u/KevineCove 10h ago
Tragedy of the commons. "If I don't do it, someone else will. At least if I do it I can get paid before it happens."
This is the problem that government regulation was made to solve.
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u/MerlinTrashMan 7h ago
This times 1000. Just need the people that do it to poison it a little so it never quite gets to replacement quality.
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u/actuarally 11h ago
Turns out almost none of us give a shit about the next generation. We're as cheap to be "paid off" as the smarmy politicians doing the same. We just don't get as many opportunities.
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u/crispydukes 11h ago
I used to care about the future. Everyone else has proven to me that nothing matters but the here and now.
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u/Phugasity 9h ago
"Someone else will be awful so it might as well be me" /s?
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u/quickclickz 8h ago
More like someone else will have an awful time in the future and it might as well not be me
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u/AsstronaughtToUranus 10h ago
Lawyers and doctors are the most lobbied professions in the world. They give zero fucks for the next generation and actively gatekeep to prevent the next generation from climbing the ladder.
This has been the case for decades.
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u/odris000 7h ago
This is just not true though? Can’t speak to the lawyer side, but doctors are not even close to the most lobbied groups. One of the biggest issues plaguing doctor groups is that for their entire history, they haven’t lobbied together to make things better for their profession, and instead compete with each other. It’s part of why they’ve been having a shrinking role in healthcare policy decisions, and a shrinking percentage of the insane money spend on healthcare in this country going to them. Frankly, if they lobbied better, people would probably have better opinions about them; as of now, the messaging from all other parties is much louder. That said, because of this in-fighting, you’re right about not caring about the next generation of their own
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u/quickclickz 8h ago edited 2h ago
Extremely narrow minded for you to think that ai will replace all jobs or that your stubbornness will do anything. Technology has made advancements for over 200 years
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u/PapaEchoLincoln 9h ago
I’m a doctor and this is what I told everyone else I work with about AI. We are literally training AI on how we handle patient cases.
You can see the progression too. It used to be bad but now it suggests a decent plan after you input the symptoms and history.
No one realized the connection that we are training our replacements.
They all still use it because it does make the day to day work easier.
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u/mysilenceisgolden 9h ago
I mean it’s a question of timeline right? The AI Models will replace most people and physicians … eventually
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u/MerlinTrashMan 6h ago
But they won't. Until there is a legal reform and a formal assumption of patient responsibility by the AI provider, these systems will only be tools. In the medical field, they should help a lot and it is possible that the patient count is going to go up. In some areas of the country that will be bad and in others, good. I could see a world where there is just one doctor with an army of cheap PAs just churning through patients. Luckily, this can be solved with a simple law being passed that a doctor license can not be responsible for more than X number of patients per week.
AI tools will probably make more testing throughput be needed because doctor's are going to just be copy pasting instructions from the AI and the AI wants good data before making decisions since their entire industry is about lowering error rate and maximizing outcomes. This will chase down non-standard cases far better than most general practioners and lead to huge expansions in the medical testing field.
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u/pstbo 7h ago
If it provides better care, cheaper, more widely available in such an important field, as medicine is, how is this a bad thing? It’s baffling anyone would say that. I am a physician myself.
Post AI job replacement, it is up to the government and society to figure out how life works. You shouldn’t keep your job, especially in such a strained and important field, at the detriment of worse care, drastically lower availability, and more expense.
Also, if you think everyone will lose their jobs except us and therefore we will be fine economically, that’s a fantasy.
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u/redaemon 7h ago
It's only bad if billionaires control the means of production and they won't share enough to keep the masses from starving to death.
So... pretty bad lol.
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u/pstbo 6h ago
There will be no choice in a democracy. If everyone is losing their jobs, they’re not just going do nothing a die on the streets. People govern themselves in a democracy indirectly by voting. It is not going to be some vague bipartisan gridlock like most issues because it will directly and drastically affect everybody regardless of party.
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u/SylvesterStapwn 5h ago
There is a party with quite a lot of influence who is doing everything they can to not be answerable to democracy. They run blatantly corrupt candidates, suppress fact checking, run AI ads against opponents, gerrymander districts to keep power, blatantly favor states who supported their side for the Presidency versus those who didn’t, and are working to disenfranchise more voters… Hell the president took kickbacks and rushed a government job (the reflecting pool), the countries richest man paid $200 mil to swing the election and then unilaterally went in and dismantled a ton of government infrastructure, and when it started falling apart due to said rushed jobbed blamed American citizens, and even after determining that the accusations against them were unfounded and the issue was his own doing, he still pushed the justice department to prosecute them and try to get them sentenced to decades in jail. And his constituents just stood by.
I would be skeptical unless something changes soon that the US continues to operates as a democracy in the next 10 years.
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u/Mr_meowmers00 7h ago
What terrifies me is what are we all going to do when the jobs are gone? There are no winners in this game - eventually the AI companies are going to be spending billions upon billions on compute but there won't be any consumers left to buy anything. Companies will shrink, stocks crash (because again, no buyers), and there won't be anyone around to pick up the pieces. Is the end goal just universal basic income for everyone that's barely enough to keep us subservient to our feudal tech lords? I really don't understand how we actually make it out of this that doesn't end in a literal fucking dystopia.
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u/nickilous 9h ago
If you are at the front of your field there will always be novel data to study, create, etc. if I was a phd, high level engineer, or a the top of some field I would do this.
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u/PureCauliflower6758 9h ago
I was roped into a consulting business on a contract with unclear deliverables. Turns out they were doing precisely this: hiring senior software developers to build training data for coding assistants. As soon as I realized what was happening, I bolted for the exit.
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u/J_Bright1990 9h ago
The reality is, while the people involved in these positions are generally thought of as "really smart" they are specialized..they are really schooled in one thing but can be surprisingly empty headed about other topics.
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u/Khandakerex 7h ago edited 5h ago
Assuming that people aren’t smart enough to see this is completely wrong imo. It’s basic human psychology and it has been this way since forever, if they don’t capitalize and make money on this someone else will. We have been hearing the concept of "corporate sellout" for as long as corporations have existed, acting like this is some new class of "sell outs" makes no sense, people want money.
Also it’s insane that this sub is against technology being able to help for medical reasons and would prefer people gate keeping it even if it means healthcare is less accessible. Good to know to avoid this sub in the future, it went from “stop stealing data, make companies pay people for it for they want it so bad, also where are the medical use cases why are they only focusing on artists” to “anyone who let’s Ai buy their time and data is a sell out also stop using it to train health care we don’t want our doctors replaced.” You guys don't even know what you are fighting for, lawyers, healthcare and insurance all work together to lobby to have their professions gate kept, to have YOU pay as high of fees as possible, but "ai = bad" has poisoned your mind to actually fight to continue to make things less accessible against your everyone's own interests and you somehow convinced yourself helping train AI to diagnose things earlier and faster will be a bad thing.
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u/Important-Ad1871 10h ago
I do expert calls sometimes and in about 2023 started refusing ones that included AI training clauses for this exact reason.
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u/RickSt3r 10h ago
LLMs can’t reason. The tech stack is fundamentally a dead end. Any job in the informational world requires too much reasoning for an LLM to functionally complete. It’s not like an LLM doesn’t already posses the encyclopedic knowledge of those professions it just can’t reason to solve real life human problems.
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u/compute_fail_24 10h ago
If you believe this, 2027 is gonna be a tough year for you.
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u/yawn_solo- 9h ago
lol he’s right.
LLMs have such a far way to go when it comes to abstract decision making and it’s hard to articulate what I mean by abstract but anyone that knows, knows.
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u/MeanShibu 10h ago
They really can’t though and it’s a hard scientific fact. The world is infinitely more complex than you probably realize and sure the easy run of the mill problems with heavily documented solutions are easy for AI, novel problems are well out of its reach. All of these professions had search engines to find the out of the box solutions for a couple decades already so I’m not sure what you’re hinting at.
Honestly the Anthropic IPO will be the beginning of the end of AI valuations and all those data center build outs will come to a grinding halt as the financial orobouros propping it all up implodes
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u/Phugasity 9h ago
The thing is, the vast majority of businesses are fine just copying what the leader in their field is doing. AI lets them do that more easily.
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u/trer24 9h ago
Yes but the point is that eventually there will be no leader in the field to follow because no one will know how to create anything because we will rely on AI for everything. And that's when AI will stall when humans don't create anything new for it to train on.
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u/MeanShibu 8h ago
This will last a couple years until it’s all homogenized slop…business leaders have been laying off accordingly but the reckoning is coming.
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u/Fmeson 9h ago
How have you evaluated it as a "scientific fact"?
Im interested in anyone who claims to have some insight into llms potential, but usually the arguements are not very rigorous.
Do you think you have some evidence that can withstand scrutiny?
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u/Mr_meowmers00 7h ago
I agree that the Anthropic IPO will likely end the AI supercycle and will be the last chance for those at the top to unload their bags, but I don't see the technology going anywhere. There's no putting the genie back in the bottle at this point and that terrifies me. We're heading down the path of a feudal tech dystopia
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u/KobeBean 7h ago
You do realize that 99.99% of the work your average doctor,lawyer or engineer is doing is not novel right?
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u/WE_SELL_DUST 9h ago
I can’t speak for law or engineering but any patient facing medical provider knows their job is safe for the long haul. I can’t fathom AI in its current form ever replacing a medical provider. The nuances of each patient encounter need a human touch. I’d be shocked if AI could perform at the level of a doctor in our lifetime.
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u/Helenium_autumnale 7h ago
It couldn't. But in this scenario, you're forgetting the private equity shareholders.
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u/RickSt3r 10h ago
Okay show me the ability for them to reason and solve real life problems. Even for the things they can do well like FAQ chat bots humans still prefer another human for customer service.
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u/Pepawtom 10h ago
Dude, did you not see the news of them solving like 300 unanswered math problems?
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u/compute_fail_24 10h ago
I am a software engineer using AI every day for work since 2023. The things the AI is doing today felt like a pipe dream just a year ago. Humans are exceptionally bad at extrapolating into the future, but this next year is going to be a wild ride.
Also, chatbots intentionally use lower-powered models because they can produce answers faster. But the models powering the chats today are overpowered compared to the best reasoning model 2 years ago. Eventually even the chatbot will be more intelligent than the frontier today.
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u/The3rdGodKing 10h ago
Even if the software catches up that doesn’t mean the infrastructure has. It took Taiwan a decade to build a grid.
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u/RickSt3r 10h ago
Does the chat bot sit in on requirements and scope of work meeting with stakeholders. The code was the easy part it’s the collaboration that’s a challenge.
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u/txdsl 9h ago
Well yes it does. All my meetings are transcribed and made available as context.
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u/ExodusPHX 9h ago
Yeah I’ve found AI incredibly capable of identifying underlying themes when analyzing transcripts over time. It’s quite effective at burning through the noise and drilling down to root cause issues and extrapolating summaries that even I’d overlooked.
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u/cptnamr7 8h ago
I'm passively looking for a new job. I CONSTANTLY get postings for training an AI to replace me. 1- good luck with that because it's simply not straightforward why I made the decisions I did on a design and 2- any engineer smart enough to train the model is smart enough to know exactly this- that they are in fact training themselves out of a job if it does work.
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u/medalxx12 9h ago
Ppl always cry about the boomers greed and pulling the ladder up lol but here we are.
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u/Free-Constant999 5h ago
Lawyers and doctors have enough influence on the upper echelon ( or are apart of it already ) to carve out protections through legislation. Their workforce and support staff will be reduced but they will be protected along with legislators by legislators. Everyone else is fucked. AI and robotics will take most jobs, and if the majority can't/ won't focus on safeguarding " the great transition " post capitalism it's going to get real ugly.
There is hope, and I encourage everyone who can see this happening to focus on people and not profit because we will soon reach a point where robots build robots and AI trains and improves AI.
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u/ConLawHero 9h ago
As a lawyer married to a doctor, no.
I use AI everyday and it's good for a lot of things but terrible for most in the hands of someone who doesn't know what they are doing. AI generated contracts are obvious and awful.
It is however very useful for combing through and categorizing huge amounts of data without a lot of oversight. AI helped me write scripts to scrape a bunch of websites and assemble a cross referencing database categorized using machine learning. There's no other resource available that has done that and it's definitely useful. But, the key is, it's useful in my hands. If I gave it to a non-lawyer, it would just be slop.
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u/Optimal-Detective-87 8h ago
The question is till when, what happens after 4-5 years?
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u/AP3Brain 8h ago
Do you think it will stay like that though? What if a group of people spent a lot of time training a specific LLM agent on the nuances of your job and the creation of those contracts?
Any of the non face-to-face work can potentially be replaced.
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u/Zakkar 8h ago
Because of the link to context.
I also am a lawyer and use AI extensively. Weve had powerful automation tools (e.g for discovery) for a long time, this is not unusual for our industry.
While AI drafting is broadly fine (but obviously AI), its not really saving much time as we just used automated precedent docs before anyway.
If I'm writing advice, Im probably covering a situation (context) or law that hasn't been considered in detail before. So no training data to help it, and no amount of training seems to make it any better- they are as bad now at that when they first came out.
If I'm not covering something unique, its probably an arse covering exercise we would have just recycled a precedent for anyway.b
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u/nightwood 8h ago
Do you realize that by doing this, you are training the AI how to do this work instead of you?
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u/EveryAccount7729 8h ago
do you realize the US government knows climate change is an apocalypse but are still trying to build as many data centers as possible before it hits regardless of how much that accelerates it
as this the logical clear ass way to "have the most drones in the apocalypse"
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u/PaintshakerBaby 6h ago
BINGO
This is the unabashed truth, and I think about it all the time.
Countless AI scientists have warned about the "2027" scenario. In which the government will invoke The War Powers Act, in order to gear the entire economy towards total drone war, producing millions of units a month in gargantuan factories. Beating China to AGI will be the false existential pretense, hammered into the population 24/7.
The truth will remain the same as it ever was; the ultra-wealthy are all gas (literally) and no brakes off a cliff.
They don't give a flying fuck that we are barreling into a Mad Max future, so long as they can turn a profit in the interim, and annoint themselves lords of the ashes when the dust settles.
Leviathan drone armies will be first used to butcher millions of climate migrants before being turned on local populations to uncermoniously "cull the herd."
Many of these data centers are popping up in metropolitan areas percisely because the infrastructure is already in place to turn them into citadels for a population of aristocracy and slaves.
In a total war economy, the only liviable jobs to be had will be in these cities, and it will draw the population out of the woodworks of the country... Making them that much easier to cull and control.
We all know the end goal; Curtis Yarvins techbro wet dream of "The Dark Enlightenment."
They want to live as God emperors within their own private fiefdoms, while the rest of humanity is left to starvation and relentless drone swarms.
They will call themselves saviors of the very planet they took out back and shot with their unquenchable avarice.
One can only hope, it blows up in their face spectacularly.
The only real question remains, will they take our entire species down with them?
I think the answer is going to be up to each and every one of us is in our liftimes.
We will all come to a crossroads, sooner or later, where we will choose to either go quietly into the night... or RAGE against the dying light.
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u/Biotech_wolf 7h ago
No more interns or juniors. Law, engineering, and medicine will become lost arts.
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u/actuarally 2h ago
This is the first of a creeping reverse waterfall of job extinction. The last 3 companies I've worked for have TOUTED goals of eliminating junior analysts via AI. Meanwhile I'm trying to figure out who takes my job when I retire in 10-15 years. I guess the hope is AI can outrun the need for experience and development to promote to principal roles?
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u/followmarko 7h ago
That's what they're saying though. "doing work" is not enough
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u/Ginoblee 7h ago
Whether you like it or not, AI is the future for tasks like this. If you’re skilled enough certain things won’t be replaced. Better more profitable efficiencies are ALWAYS going to win ethical or not. This person is wise to use it to their advantage to keep/get better at their job. It will never 100% take over certain positions even if AI utilization is a requirement of said position.
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u/bgibbz084 5h ago
I generated a contract with Sonnet that held up to lawyer scrutiny. The agent specifically ensured that all local laws were correctly applied, and used real legal documents as references for specific wording and to take similar clauses.
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u/vooglie 8h ago
It will be slop. For now.
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u/bgibbz084 5h ago
It’s honestly not even slop today. I have lawyer friends who have asserted that the majority of contracts could easily be handled by AI today.
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u/arouseandbrowse 7h ago
I recently went through an asset sale and liquidation of my company. I was quoted 12k by the legal firm to run the process. I put my constitution, SHA and other forms into Claude, gave it access to my inbox and Xero, it created every doc, payment schedule, exact amounts, and outlined the process which was instead reviewed by my lawyer in 2 hours at a total cost of $750. He had no notes, everything was done as needed.
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u/ChodeCookies 7h ago
The amount of people churning out pretty HTML dashboards and thinking they’re now engineers is going to keep me employed for a while in tech
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u/bgibbz084 5h ago
Why? I couldn’t fathom being a front-end dev anymore. AIs can create better websites for cheaper than a front-end engineer.
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u/profhnryhiggins 10h ago
I work in mortgage loan processing, and new AI "tools" keep getting pushed by upper management.
Thankfully, everyone I know who's been in the business for a while knows to stay away from it. Only the newbies use the new tools, and have to reach out to senior processors for confirmation on if the new tool is reading their input correctly (it doesn't...but I know given time, it will).
It sucks, but I'm fairly confident that AI will be able to do my entire job eventually. Which is taking a persons application/documentation and ensuring it satisfies any/all loan requirements for the specific loan type being applied for.
My current goal is to stay employed long enough to pay off my house, keep my paid-for car in tip-top shape, and hope like hell I can spend my late years employed enough to afford the nessesities and taxes/insurance.
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u/FleshlightModel 9h ago
I'm out here charging 175-250 for pharma engineering and MFs bitch that's too expensive. How do I get 400???
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u/nfeijoo69 6h ago
I get r/technology is anti-ai, but the conversations are so unserious in here. You’d think yall would understand scaling laws.
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u/jmartino2011 8h ago
I'm an orthopedic surgeon specializing in replacing hips and knees in the US. 99.9% of my clinic work could easily be done by a computer with an algorithm, text/voice input, camera, and ability to read X-rays. I could be in the OR every day while the computer did all of the preop work, clinical follow up, and phone/computer touches patients need. About the only thing I do daily in clinic that requires a human being is injections and aspirations. And you could hire a PA to do those when the computer identifies it as the next logical treatment step. The only reason I say 99.9 and not 100% is because there are still some zebras out there.
I hope the American public is getting ready for this transition. In my lifetime, this will become reality. Maybe not for orthopedics but definitely for primary care, pediatrics, internal medicine, emergency medicine. The majority of medical work is rote and a lot of it will be done by computers with humans switching for the mechanical tasks (intubations, IVs, reduction of fractures, joint reductions, etc). Doctors who aren't proceduralists should start thinking of how to learn a new skill set based on using their hands.
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u/CausalDiamond 8h ago
But will healthcare costs decrease? I doubt it. There has been an explosion of mid levels which should have helped costs but consumers haven't seen the savings.
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u/Mr_meowmers00 8h ago
Of course not. All of that extra money from not paying doctors is pure profit babyyyyy (minus the fat bonuses paid to the MBA's at the top, of course). Oh and if AI gets something wrong? Sorry, you can't sue for malpractice because the document you signed beforehand waived all your rights away and it included a clause that AI generated decisions may not always be accurate and shouldn't be taken as fact.
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u/fist_my_dry_asshole 8h ago
Are you surprised? Healthcare is largely for profit in the US, they'll never pass on savings as long as the population can bear the cost.
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u/Winter_Map5459 3h ago
I am also a surgeon and I couldn't disagree more. First of all, without seeing my patients, I can't develop a relationship/ trust. Second, outcomes are feedback about how my previous decisions were right or wrong. No post-op visits -> no learning, and no improvement. (nothing destroys your confidence like long term follow-up, hahahha). Third, ... well, i think i'll stop here. I'm droning.
Because we are experts at what we do, we think it is trivial and logical. It is not. There is no 'computer with an algorithm' that can replace what we do. It is a craft; it iis not linear, it is not deterministic. And I say this as someone who codes (my research in is building computer models of medical domains) 2-3 days per week.
Like William Osler said: "If not for the variation between individuals, medicine might be a science and not an art"
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u/hybriduff 2h ago
Thank you for bringing some primary care experience into this. There are studies that show bed side care makes a huge difference in patient outcomes.
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u/Equanimous_Ape 1h ago
In his defense, he’s an orthopod. Why would he think seeing patients and forming relationships has any tangible benefit?
Somewhat tongue in cheek from across the hospital in psychiatry 😜
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u/DarthTheta 7h ago
EM here— our specialty dies last. learning which parents need a 40k workup and which patients need a shot of droperidol and a nap is not being automated to AI anytime soon.
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u/AwkwardButton7928 5h ago
Any time I hear people who think that medical specialties will fall quickly have never had to conduct a subjective interview with a human subject.
Just because most surgeons have the people skills of an actual robot doesn’t mean that it’ll go away. In my opinion, there will be a huge market for those craving human connection.
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u/KindBench2700 5h ago
Are you sure ? Pretend the LLM has same inputs you do (relay it in words). You don't think it makes the same decisions (probably better because it has better memory) than you?
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u/Professional_Many_83 4h ago
And how is the LLM going to get those inputs? Real pt encounters aren’t exam questions. One of the hardest parts of EM/peds/psych/primary care is translating patient history into real data. Patients have no idea what they’re talking about. Does that 22 year old complaining of 10/10 pain have appendicitis and need a CT stat, or is their pain overblown because they have anxiety and no resilience? I’d love to see a LLM do that
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u/Interesting-Act-8282 4h ago
Currently it does not. In my experience as a stroke doc when I have queried management decision it has confused arteries in the head and neck, for example, leading to recommendations that would be…unorthodox and harmful. The imaging interpretation software is also right 85-90 about percent of the time, which is pretty much an unacceptable error rate for stroke care
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u/Winter_Map5459 3h ago
that's the rub though -- the magic is in turning raw exam data (photons from light, pressure from touch, etc) INTO those words. What kinds of things do i see before I use the words "infected" or "compressible". Sure, once I turn that raw data into words typed into a discrete form in a computer then, yes, the machine can work with it and help out.
But the magic comes in making the words out of thin air. It requires a mental model that has been trained on countless instances of previous input.
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u/Randvek 2h ago
One of the things people can do much, much better than LLMs is deal with morons, so the medical field is safe a while longer.
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u/jmartino2011 7h ago
Agree, a lot of true emergency care will last. But how much of what the ED sees is true emergency care? A lot of what I saw as a resident doing ED rotations was primary care for the uninsured or under insured
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u/Perfect-Resist5478 7h ago
As a Hospitalist I look forward to becoming the most over educated dog walker that ever walked dogs 🤣
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u/RevolutionaryGas652 3h ago
I don’t know…. I understand that AI might be able to do the task but I still prefer a human to do it. Especially something like answering the phone is a fucking pain in the ass. I don’t know which consultant is selling those freaking systems but I hate them with a passion, something that could be resolved in 5 minutes takes 15 because the machine doesn’t understand what Im saying
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u/sir_captain 5h ago
No offense but I think you’re being really disrespectful to other medical disciplines. You might be a highly skilled car mechanic who doesn’t give a crap about your clinic, but not every doctor is like you. Practicing actual quality medicine cannot be replaced by an algorithm. Good luck getting a computer and a microphone to figure out how to practice high quality pediatric medicine with kids who are unreliable historians or who can’t speak intelligibly yet. That sort of medicine is an art.
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u/panna__cotta 4h ago
Right like let me know when AI can intubate a 27 weeker, reliably recognize abuse, and actually get a teenager to agree to go to rehab. I’ll wait. Glad AI can autopopulate your ancef order, ortho bro.
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u/Palolo_Paniolo 7h ago
As a patient, that sounds like a garbage experience. The fact that you're ok with a computer doing all of the icky hands on "talking to patients" work is troubling. I want to know my surgeon and trust that they have my best interests at heart. I want them to know my name and what my voice sounds like. When I'm cut open and they are drilling my fucking bones, they know they are working on a real person with whom they have a connection.
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u/rapsfordinner 6h ago
would seriously argue most doctors are just putting on fronts based on their training for bedside manner. most do not/ cannot connect with their patients as real people
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u/Consistent_Lab_3121 4h ago
What professions do you think connect with their clients as real people. This is an absurd take. Even if they're nice, it's just a front. What a great logic
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u/sir_captain 5h ago
Jesus. Way to paint with a broad brush. Doctors are humans just as much as you are. And they are well aware of how many patients think of them the way you obviously do.
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u/jmartino2011 7h ago
Couldn't agree more. But do you think the insurance agencies that drive healthcare policy in this country care? I'm not endorsing this future, it's what I predict is coming.
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u/Drivenby 6h ago
Spoken like an ortho bro . You should sit down in a modern primary care clinic and understand why it could never be done by AI lol
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u/Consistent_Lab_3121 6h ago
You have to understand, their brains are made of bones
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u/thatirishguyyyyy 6h ago edited 5h ago
I work as an IT consultant and I've worked in IT for 20 years.
While there are obvious Pros people are still ignoring the fact that AI is wrong up to 60% of the time.
I can't for the life of me trust a doctor that uses AI that is wrong 60% of the time for my treatments. And it's not like my cost is coming down because you're working less. And very few are even talking about how expensive it's going to do once the rug is pulled out from under everyone.
I spend more time arguing with clients about Ai and trying to fix what they broke.
Edit: This video sums it up
https://m.youtube.com/watch?v=PL4VktU0SgY&t=881s&pp=2AHxBpACAQ%3D%3D
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u/five3x11 4h ago
What % of the time is a doctor wrong? Because I know a lot of really fucking dumb, incompetent doctors.
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u/Similar-Low-3114 4h ago
Yup I would not trust any ai result on my xray. Yall wild for trusting that lmao. The hallucinations wil never be solved. It’s part of the deal
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u/justintime06 4h ago
What’s a zebra? Just some type of crazy case?
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u/Professional_Many_83 4h ago
A rare diagnosis. If you hear hoofbeats, it’s usually best to assume it’s from a horse (not a zebra)
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u/0xd3ad54311 3h ago
Why do radiologists still have jobs? AI enabled radiology systems started to become a thing like 20 years ago.
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u/seeSharp_ 4h ago
This is beyond dumb. Medical care can never be outsourced to a probabilistic algorithm.
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u/eng514 3h ago
It’s funny because everyone says “oh, it can do every specialty… except mine.”
It can’t do any of them. Not a single one. You saying that about IM or Peds or whatever isn’t any different than me saying “any robot can get fluffed by a rep, hit things with a hammer, turf patients to medicine, and ask for Ancef.”
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u/Winter_Body4794 2h ago
Ortho, sure, and probably some EP/Cardio/IR shops that specialize.And this SHOULD lower cost to patient and increase availability of care. A lot of procedures, in fact, will be robotic soon. Ortho is probably the most exposed/smallest most when it comes to being replaced by robots. Good luck.
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u/xxxxxfgggjiuy 2h ago
Idk. I’ve thought about this a lot.
Yeah, a lot of the current, rote, necessary work could be automated.
You know what would be nice? If patients got more than they currently do - which is (with all due respect) - the bare minimum.
What if when I broke my finger my splint was better at urgent care so I wasn’t uncomfortable for a week before seeing the orthopedist? What if I could see an orthopedist faster? What if I could have gotten a better answer (with more evidence) on whether I need surgery - what if I didn’t have to come in for three visits (all delayed) before an MD consult (vs PA) where he immediately said I needed surgery?
What if a faster road to surgery meant my finger wasn’t still messed up, or that I didn’t break a SECOND finger because I was splinted for so so long. What if that second break was caught earlier, instead of me sitting in OT with a thumb that wouldn’t work well? Aaaand what if we had an actual treatment for my thumb
What if my experience had been entered by me with the doctor with scans and imaging to help the next patient make surgical decisions? What if I could have gotten into see a second opinion or follow up visit faster? What if the old lady next to me in OT, who had dementia and three horrible finger breaks, could have had someone call her and help her remember her exercises and her appointments or worked on her hand at home a few days a week?
I get that you probably work in a FFS environment and this is all a pipe dream, and you and others are thinking about your income and stability and other things. But I am so pissed at everyone for not making the top line fight “look at all the things that we all wish we could have been doing all along, that we can afford to do now (time wise) that burned my time before”
You’re worried about primary care doctors after automation? I’m worried about the state of primary care! Why is the story not “imagine if everyone could have a primary care doctor now, or a version of one, or one they could speak to more than 15 minutes once a year” yes sure maybe ai is better at decision making and better at other things but I don’t want to hear I have cancer from an AI, I don’t want an AI deciding what specialist I go to, I don’t want an AI answering my concerns! I want diagnostic accuracy and a human to help me with the uncertainty “. Ugh!!
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u/jmartino2011 2h ago
Agree, I don't want AI to take over medicine. I just think it will because the insurance companies control medicine and the government is beholden to their masters. Everyone else gets shafted.
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u/Fulham-Enjoyer 7h ago
Is this a joke? I would never accept this as a patient
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u/jmartino2011 7h ago
It's just my prediction... But I think it will happen slowly over 20 years and become the norm. Just like checking yourself out at the grocery store and bagging your own groceries.
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u/ActivePowerMW 3h ago
If i walk into a medical clinic and they sit me down with an AI agent i'm immediately walking the fuck out
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u/nusuth31416 3h ago edited 3h ago
This is going to be such a good time for medical negligence litigation. 😍
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u/FocusFlukeGyro 10h ago
I got invited to do this for my industry and after looking into it, it seemed to much of a scam and had negative reviews (i.e., not getting paid, ghosting, etc.).
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u/slingbladde 8h ago
With ai..lawyers should be extinct..govts waste so much with lawyers and consultants..
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u/aReelProblem 1h ago
I already deal with AI from my families group of doctors and it’s real damn annoying at the moment. I know it’ll get better but it’s got a ways to go. The automated appointment calls are nice though.
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u/CanvasFanatic 12h ago
People who do this should be treated the same as people who cross picket lines.
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u/Best_Cup_8326 3h ago
I, for one, welcome our artificially intelligent, robotic doctors and nurses.
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u/ej788 3h ago
I actually just looked at this. The max pay for a lawyer or doctors 150 bucks an hour according to the ads they are currently running. No one in either profession with two brain cells to rub together who is going to work for that amount of money. But if you wanna pay me 500 bucks an hour to sit on my ass at home and try to train your stupid model. I’m all for it. These models will take another decade to get anywhere close to what I can do as a practitioner. By then I will be retired.
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u/YugoB 9h ago
It doesn't matter how much you train it, it will never replace a human being. Yes, it can reach conclusions and work through stuff that it knows, but it'll never work unknowns, any case that's a completely new thing it will not know how to do it.
Everyone thought AI was going to do our work, but someone needs to validate it, and it can't prompt itself into perfection.
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u/ApeApplePine 6h ago
Ahh beautiful! We all standing the hope that will be used to kill us all. Outstanding.
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u/SwiftySanders 4h ago
Im fine with us not subjecting ourselves to being guinea pigs for yet another tech billionaire social experiment.
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u/Double0Jamo 1h ago
There is a way to license your individual knowledge to the AI economy. Your terms, instantly revocable.
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u/otherwisepandemonium 14h ago
Without the Bloomberg paywall