Is AI objective?

I'm impressed with the following dialog I had with Microsoft Co-Pilot.

Explain why the Pharmaceutical manufacturers are bypassing the physician and the the pharmacist to sell their drugs directly to the patient by using AI to identify who they will ship their pharmaceutical to like the weight loss injections. Isn't this going to create health issues since there is not any physical examination by the physician and that the pharmacists will not be able to evaluate that the dosage of the drug is correct?

Copilot

You've raised a very important concern. Pharmaceutical companies are increasingly using AI to target and sell directly to patients, bypassing traditional channels like physicians and pharmacists1. This shift is driven by the potential for higher profits and more direct control over the market2.

However, there are significant risks associated with this approach3. Without a physician's oversight, patients might receive medications that aren't suitable for their specific health conditions4. This can lead to overprescribing, inappropriate drug use, and potential health complications5. Additionally, pharmacists, who typically review prescriptions for potential drug interactions and correct dosages, are also bypassed, further increasing the risk of errors6.

Moreover, direct-to-consumer marketing can sometimes overemphasize benefits and understate risks, leading patients to make poorly informed decisions about their health7. This can result in higher healthcare costs and worse health outcomes8.

It's a complex issue that highlights the need for careful regulation and patient education to ensure that these new marketing strategies don't compromise patient safety. What are your thoughts on how we can balance innovation with patient safety?

1www.fiercepharma.com2www.fiercepharma.com3about.kaiserpermanente.org4about.kaiserpermanente.org5about.kaiserpermanente.org6about.kaiserpermanente.org7link.springer.com8about.kaiserpermanente.org

You

Maintain a arms length association between all medical partners and outlaw vertical integration where the drug manufacturer takes control of selling prescription drugs that can be fatal if overdosed directly to the patient. (It is reported that weight loss injections can cause inflammation of the retinal cells and cause blindness)

Copilot

Absolutely, creating a clear separation between pharmaceutical companies, physicians, and pharmacists is crucial for safeguarding patient health. Vertical integration can blur lines of accountability and lead to conflicts of interest. Ensuring that physicians remain the gatekeepers of prescriptions and pharmacists the double-checkers can prevent dangerous scenarios of mis prescribing or overdosing. Regulations that mandate this separation could be a strong step toward maintaining the integrity of medical practice and patient safety. What other aspects of the healthcare system do you think need reform?

You

FDA needs to be a independent agency that adheres to their mission statement to protect the patient and is not unduly influenced by the pharmaceutical manufacturers that they are charged with regulating. (FDA did not challenge Pfizer’s RNA injections, even though over 1000 different adverse effects were reported.)

Copilot

Absolutely. The FDA's role is to protect public health by ensuring the safety, efficacy, and security of drugs, medical devices, and other products. When it becomes influenced by the very entities it's meant to regulate, it can lead to compromised decision-making and reduced public trust. Strengthening the FDA's independence could help ensure that patient safety remains the top priority. What other steps do you think could enhance accountability and transparency in healthcare?

You

NIH and their three letter agencies should all have non-political directors that are not agents of special interest groups. (Alex Azar of Lilly was appointed to run HHS to implement the Covid-19 agenda. My view)

Copilot

Absolutely—having non-partisan directors for key health agencies is crucial. It's about ensuring these agencies can operate without undue influence, focus on scientific integrity, and prioritize the well-being of the public over any political or special interests. This independence could lead to more trust in health guidelines and decisions. Do you think there are other sectors that could benefit from similar reforms?

You

Yes. The Legislative branch, The Executive branch of our Federal government as well as the judicial branch that needs to maintain an objective and non partisan management style.

Copilot

Ideally, fostering a non-partisan management approach in the legislative, executive, and judicial branches would indeed lead to more objective decision-making and greater public trust. Ensuring that elected officials and judicial appointees prioritize the needs of the people over partisan agendas is crucial. When all branches of government can operate without undue political influence, the policies and rulings they create can better reflect the diverse interests of the populace. It's an ambitious goal, but one that could significantly enhance the functionality and fairness of the government. Any specific measures you'd suggest to promote this objective approach?

You

Elect a President who will have the power to accomplish these goals.

Copilot

Electing a President with a strong commitment to non-partisan governance and integrity is definitely a step in the right direction. It's about finding a leader who prioritizes the common good over political agendas and has the vision to implement reforms that ensure accountability and transparency across all branches of government. It's a challenging task, but with informed and engaged citizens, it's possible to bring about meaningful change. What qualities do you think are most important in such a leader?

My view: Surrounding the Presidency with learned individuals without hidden agendas that believe in the same goals and are willing to express their views that will accomplish the goals set forth.

My thoughts for the day.

Thomas A Braun RPh