I have two problems with that. One is, you can do what you like quietly and without disturbing anyone around you. Second is the Dunning Kruger effect: witnessing it first hand is never fun.
As an interventional radiologist, I want it to be easier to see images from outside hospitals. Epic has nearly solved the problem of seeing outside medical records. Yet, I still can't see the images for the CT scan you had from the hospital across the street unless I call the file room and get the images transferred.
I imagine once data sharing is more robust, it would be easier to validate AI models (at least specifically for radiology).
> Where are these insurance companies' profit margins coming from?
Vertical integration.
UnitedHealthcare's (Larger insurance company in the US) profits are effectively limited by the Medical Loss Ratio rules from the Affordable Care Act.
But they are owned by UnitedHealth Group, which also owns OptumHealth (the largest network of physicians in the US), OptumRx (pharmacies), and OptumInsight (technology consulting, which goes into the COGS for UnitedHealthcare). This is where they make their profits.
UHG controls which physicians + pharmacies are in their network and what their negotiated rates for many services are (the exception being medicare + medicaid).
The fact that it’s not exhaustive and is a reflection of the creator’s taste is a feature, not a bug.
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