One of my two major projects is a long-term reporting system on a sustainability initiative to help managers figure out whether their unit is compliant (definitely not for control, of course, nooo… though they are expected to talk to their respective subordinates if their results deviate too much, which probably filters up the chain when a given higher level breaks down their subordinate units’ figures).
Probably a PR push (I swear, if I ever see a figure calculated by my model in the newspaper, my impostor syndrome is gonna thoroughly shit my pants for me), maybe a move to get ahead of competitors in the face of legal stuff I’m not in the loop about, but doing the right thing for selfish reasons is still the right thing.
The other project… Well, I’m trying to push for measures that prevent user-level evaluations, but it’s a kind of corporate limbo right now. I’m doing my best, but that’s not a whole lot in this case.
it is the right moment for everyone who builds systems of control to reflect. It’s the right moment to pierce those layers of abstraction that allow you to get through each day, and question why it’s so financially lucrative for the system you’re building to exist.
Because there is no abstraction as leaky as a man waiting outside your hotel at 6:45 in the morning with a gun and murderous intent
Amazingly written article, last line giving me chills
Someone please make a bot that posts articles from this author.
Can’t you subscribe to substack writers/sign up for email notifications?
I could, I guess. I miss when RSS was the norm.
I didn’t recognise the ‘10 seconds of human consideration’ claim. I found this ProPublica report on it: How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
There a former Cigna doctor says “It takes all of 10 seconds to do 50 at a time.” They claim to have seen documents for a two month period that put the average at 1.2 seconds per review. That’s using a specific review system that processed 300,000 claims over that period.
They don’t mention if there were other claims processed with different methods but still, the OP article seemed to be generous with that claim.
I don’t know what the “90%-error-rate AI” claim is about though. It’d be nice if the sources were actually cited.
First time I’ve heard of the “Leaky Abstraction” concept, makes a lot of sense. Good metaphor too.
The Hacker News crowd uses this phrase every other sentence so it was almost humorous to see it used here. I thought this was a shitpost
Yup. Fortunately, I’ve been away from HN long enough that I didn’t immediately avoid the article, and I’m glad I didn’t.
Damn good article
More precisely, medical business strategy is a leaky abstraction; the assassination is the leak.
Good article