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But this is a 'cart before the horse' situation.

What evidence do you have that providing your health information to this company will help you or anyone (other than those with financial interest in the company)?

There is a very real, near definite, chance that giving your, and others', health data to this company will hurt you and others.

Will you still hold this, "I personally don’t care who has access to my health data", position?



I’m definitely a privacy fist person, but can you explain how health data could hurt you, besides obvious things like being discriminated against for insurance if you have a drug habit or whatever. Like, i’m a fitness conscious 30 something white male, what risk is there of my appendix operation being common knowledge or that i need more iron or something?


Well maybe your health data picks up a heart condition you didn't know about.

Maybe you don't know but your car insurance drops you due to the risk you'll have a cardiac event while driving. Their AI flagged you.

You need a new job but the same AI powers the HR screening and denies you because you'll cost more and might have health problems. You'd never know why.

You try to take out a second on the house to pay for expenses, just to get back on your feet, but the AI-powered risk officer judges your payback potential to be %.001 underneath the target and are denied.

The previously treatable heart condition is now dire due to the additional stress of no job, no car and no house and the financial situation continues to erode.

You apply for assistance but are denied because the heart condition is treatable and you're then obviously capable of working and don't meet the standard.


Is your point 'I have no major health conditions, so nobody could be hurt by releasing health data'? If so, I don't think I need to point out the gap in this logic.


Actually you maybe do. I am extremely privacy conscious; so i’m on your side on this one but health data is a bit different from handing over all your email and purchase information to google — in that scenario the danger is that the political or religious or whatever attributes i may have could be exposed to a future regime who considers what is acceptable today to no longer be so, uses them to profile and … whatever me, right? What actual danger is there from a government or a us tech company having my blood work details when i actually have nothing to hide like drug abuse or alcohol etc? health data seems much less risky than my political views, religion, sexuality, minor crimes committed and so on.


Something that is not yet known to be an indicator that you’re at risk of a condition.

Perhaps you were given some medication that is later proven harmful. Maybe there’s a sign in your blood test results that in future will strongly correlate with a condition that emerges in your 50s. Maybe a study will show that having no appendix correlates with later issues.

How confident are you that the data will never be used against you by future insurance, work screening, dating apps, immigration processes, etc


Absolutely not confident at all; thanks, i hadn’t considered some of those.


Depends on the data - if you had genetic data they might run PGS and infer that even though you are healthy now, your genes might predispose you to something bad and deny insurance based on that. If you truly do not see dangers of health data access remember that they could genotype you even when you came just for ordinary bloodwork.


Fortunately I live in a country where one cannot be denied insurance, but yeah I didnt think of these really, was a bit of a “typed before i really thought” moment maybe i should put the keyboard down ;).

It seems like an easy fix with legislation, at least outside the US, though. Mandatory insurance for all with reasonable banded rates, and maximum profit margins for insurers?


Isn't it more productive to regulate health insurance and make health a protected attribute of a person like disability etc?


Not danger as in being kidnapped by government agents, danger in terms of being denied a job or insurance or anything else.

Your comment is extraordinarily naive.


I wasn’t saying there is no danger — just that I didn’t really think about it or see the problem, your sibling comments have changed that. Maybe i am naive but i was asking genuinely not stating i think otherwise.. Unfortunately i have family members in the us and pretty much all of them happily sent their dna off to various services so im fucked either way at this point…


Good point, you did ask in good faith for an explanation and just fired off a quick comment that didn’t serve to further the discussion!


When your health data can say you are trans, and the government decides to persecute you, then yes, it important to maintain privacy.


I find it really really really hard to believe that there exists a person in this planet who:

1. Is transexual but does not tell anybody they are and it is also not blatantly obvious

2. Writes down in a health record they are transexual (instead of whatever sex they are now)

3. Someone doxxes they/them medical records

4. Because of 3, and only because of 3, people find out that said person is transexual

5. And then ... the government decides to persecute they/them

Let's be real, you're really stretching it here. You're talking about a 0.1% of a 0.1% of a 0.1% of a 0.1% of a 0.1% situation here.


If they're an athlete this situation could literally be happening right now.


@cyberpunk's question is pretty clear.

You could try to answer that instead of making up a strawman.

Dialogue 101 but some people still ignore it.


What if you were a woman seeking medical treatment for an ectopic pregnancy?

‘Being able to access people’s medical records is just another tool in law enforcement’s toolbox to prosecute people for stigmatized care'

They are already using the legal system in order to force their way into your medical records to prosecute you under their new 'anti-abortion' rulings.

https://pennsylvaniaindependent.com/reproductive_rights/texa...


> i’m a fitness conscious 30 something white male

Right. So able bodied, and the gender and race least associated with violence from the state.

> being discriminated against for insurance if you have a drug habit

"drug habit", Why choose an example that is often admonished as a personal failing? How about we say the same, but have something wholly, inarguably, outside of your control, like race, be the discriminating factor?

You medical records may be your DNA.

The US once had a racist legal principle called the "one drop rule": https://en.wikipedia.org/wiki/One-drop_rule

Now imagine an, lets say 'sympathetic to the Nazi agenda', administration takes control of the US gov's health and state sanctioned violence services. They decide to use those tools to address all of the, what they consider, 'undesirables'.

Your DNA says you have "one drop" of the undesirable's blood, some ancient ancestor you were unaware of, and this admin tells you they are going to discriminate against your insurance because of it based on some racist psuedoscience.

You say, "but I thought i was a 30 something WHITE male!!" and they tell you "welp, you were wrong, we have your medical records to prove it", you get irate that somehow your medical records left the datacenter of that llm company you liked to have make funny cat pictures for you and got in their hands, and they claim your behavior caused them to fear for their lives and now you are in a detention center or a shallow grave.

"That's an absurd exaggeration." You may say, but the current admin is already removing funding, or entire agencies, based on policy(DEI etc) and race(singling out Haitian and Somali immigrants), how is it much different from Jim Crow era policies like redlining?

If you find yourself thinking, "I'm a fitness conscious 30 something white male, why should I care?", it can help to develop some empathy, and stop to think "what if I was anything but a fitness conscious 30 something white male?"


These points seem to be arguments against giving your health data to anybody, not just to an AI company.


If there's no evidence that it will help you or others, then that's a pretty hard position to argue against. The parent commenter asked about this, and the response basically was that it didn't seem likely to be harmful, and now you're responding to that.


Yes, of course. "Assuming it's entirely useless, why giving your data to anyone" is a hard position to argue against, but unfortunately it's also completely pointless because of the unproven assumption. Besides, there are already enough indications in this thread alone that it is already very useful to many.


That's a pretty disingenuous take on what I said. To quote from the discussion I responded to:

>>>>>> Are you giving your vitals to Sam Altman just like that?

>>>>> Yes, if it will help me and others

>>>> What evidence do you have that providing your health information to this company will help you or anyone (other than those with financial interest in the company)

>>> I’m definitely a privacy fist person, but can you explain how health data could hurt you, besides obvious things like being discriminated against for insurance if you have a drug habit or whatever.

>> [explanation of why it might be worrisome]

> These points seem to be arguments against giving your health data to anybody, not just to an AI company.

I did not make any claims that it was useless; the context I was responding to was someone being dubious the there were risks after being asked whether they had any reason to assume that it would be beneficial to share specific info, and following that a conversation ensued about why it might make sense to err on the side of caution (independently of whether the company happens to be focused on AI).

To be explicit , I'm not taking a stance on whether the experiences cited elsewhere in the thread constitute sufficient evidence. My point isn't that there is no conceivable benefit, but that the baseline should be caution about sharing medical info, and then figuring out if there's enough of a reason to choose otherwise.


Ok, I might have been to hasty in commenting on your last recap. Your baseline is sound. In any case, we're talking about a medical help/ advice tool. If it's not providing any value, any interaction with it (let alone sharing medical data) is pointless and a waste of time. So I think any convincing argument against sharing private data with it should take in consideration at least a minimum of potentially missed valuable information. Otherwise it's an easy argument to make, but also an empty one.

In this case, I suspect that the classic biases of HN (pro-privacy and anti-ai) might interact to dismiss the value that can be provided by a specialized medical llm/ agent (despite indications that an unspecialised one is already helpful!) while rightly pointing out the risks of sharing sensitive data.


Quite - personal data should remain under your control so it's always going to be a bad deal to "give" your data to someone else. It may well make sense to allow them to "use" your data temporarily and for a specific purpose though.


I personally have been helped by talking to ChatGPT about my healthcare. That's the evidence. I will take concrete positive health outcomes now, over your fears of the future.




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