
卫生部长罗伯特·F小肯尼迪'奥巴马对人工智能的意外拥抱激怒了他在“让美国再次健康”运动中的一些盟友。华盛顿卫生部长罗伯特F。Kennedy Jr.通过引导担心公司影响力的美国人的能量,包括疫苗、药品、加工食品和杀虫剂制造商。在由人工智能和硅谷高管参加的MAHA峰会上,肯尼迪宣布该技术将使美国人摆脱“医疗暴政”,允许他们“事实核查自己的医疗建议”。肯尼迪对仅受邀的观众说:“我们永远不会再被那些告诉我们:‘相信专家’的政府官员所主导。”
Health Secretary Robert F. Kennedy Jr.’s unexpected embrace of artificial intelligence has rankled some of his allies in the “Make America Healthy Again” movement. MATTHEW PERRONE WASHINGTON — Health Secretary Robert F. Kennedy Jr. has built a national following by channeling the energy of Americans who are worried about the influence of corporations, including makers of vaccines, drugs, processed foodsand pesticides At a MAHA summit featuring AI and Silicon Valley executives, Kennedy declared that the technology would free Americans from “medical tyranny” by allowing them to “fact check their own medical advice.”“We’re never ever again going to be able to be dominated by public officials who tell us: ‘Trust the experts,’” Kennedy told the invite-only audience.
一些著名的MAHA声音很快批评了肯尼迪对人工智能的拥抱,称该运动的领导人越来越迎合他们曾经审查的企业利益。
Some prominent MAHA voices quickly criticized Kennedy’s embrace of AI, saying the movement’s leaders are increasingly cozying up to the corporate interests they once scrutinized.
与此同时,医学专家表示,肯尼迪将人工智能作为对医疗机构的制衡的愿景是存在根本性缺陷的。
At the same time, medical experts say Kennedy’s vision of AI as a check against the medical establishment is fundamentally flawed.
宾夕法尼亚大学癌症专家兼生物伦理学家泽克·伊曼纽尔博士说:“他显然不明白人工智能是如何工作的。”“人工智能汇总了我们在医学文献和案例研究中拥有的信息。这意味着你实际上得到的是医学专业知识。”OpenAI Anthropic都提供以健康为中心的聊天机器人,可以分析用户的医疗记录并回答他们的医疗保健问题。他们的模型经过数千份同行评审的医学论文和专业指南的训练,并结合了医生的反馈。
“He obviously doesn’t understand how AI works,” said Dr. Zeke Emanuel, a cancer specialist and bioethicist at the University of Pennsylvania. “AI aggregates the information we have in the medical literature and in case studies. And that means what you’re actually getting is medical expertise.”Both OpenAI Anthropic offer health-focused chatbots that can analyze users’ medical records and answer their healthcare questions. Their models are trained on thousands of peer-reviewed medical papers and professional guidelines and incorporate feedback from doctors.
“他希望人工智能模仿他所说的话,”伊曼纽尔说。“但这不是好的人工智能要做的事情。”美国卫生与公众服务部发言人艾米丽·希利亚德表示,伊曼纽尔描述的是该技术的“一种狭隘用途”。
“He wants AI to mimic what he says,” Emanuel said. “But that’s not what good AI is going to do.”HHS spokesperson Emily Hilliard said Emanuel was describing “one narrow use” of the technology.
希利亚德说,肯尼迪希望通过使用人工智能来让美国人更好地控制自己的健康数据,“帮助他们理解数据、询问数据、将其与证据进行比较,并与医生一起做出更好的决定”。她补充说,这项技术将帮助医生更快地工作,让他们“有更多时间治疗和护理患者”。
Kennedy wants to give Americans more control of their own health data by using AI “to help them understand it, interrogate it, compare it with the evidence, and make better decisions with their doctors,” Hilliard said. The technology will help doctors work faster, giving them “more time to treat and care for patients,” she added.
MAHA领导人捍卫企业赞助OpenAI和Anthropic是上周MAHA峰会的赞助商之一。其他十几家在美国政府面前悬而未决的业务的公司也是如此,包括迷幻药物健身可穿戴设备和实验性癌症测试的开发商。赞助商支付了高达30万美元的费用,许多公司获得了小组的发言机会,小组成员包括政府的一些高级卫生官员,其中包括医疗保险和医疗补助服务中心的穆罕默德·奥兹博士。
MAHA leader defends corporate sponsorships OpenAI and Anthropic were among the sponsors of last week’s MAHA Summit. So were more than a dozen other companies with pending business before the U.S. government, including developers of psychedelic drugs fitness wearables and an experimental cancer test Sponsors paid up to $300,000 and many received speaking slots on panels that included some of the administration’s top health officials, including Dr. Mehmet Oz of the Centers for Medicare and Medicaid Services.
“这是典型的付费游戏,”罗伯特·马龙博士说,他是一名疫苗研究人员,曾质疑mRNA注射的安全性,最近在肯尼迪领导下的一个联邦疫苗小组任职。
“It was classic pay-to-play,” said Dr. Robert Malone, a vaccine researcher who has questioned the safety of mRNA shots and recently served on a federal vaccine panel under Kennedy.
马龙和MAHA运动的其他人士说,这次峰会表明,大公司正在取代“MAHA妈妈”和其他基层活动家谁最初推动运动。
Malone and other figures in the MAHA movement say the summit showed how big companies are replacing the “MAHA moms” and other grassroots activists who originally powered the movement.
马龙说:“无论是医生、病人还是病人的拥护者,MAHA及其创建的核心人物都没有代表。”
“There was no representation of people that have been at the core of MAHA and its creation, whether it be physicians or patients or patient advocates,” Malone said.
这次峰会是由MAHA中心公司组织的,肯尼迪同事经营的致力于促进他的议程的众多非政府组织之一。其他机构包括智库MAHA Institute和政治筹款机构MAHA PAC。
The summit was organized by MAHA Center Inc., one of a number of nongovernment groups run by Kennedy associates that are dedicated to promoting his agenda. Others include the MAHA Institute, a think tank, and MAHA PAC, a political fundraising operation.
经营MAHA中心、MAHA PAC和几个相关团体的出版商托尼·莱昂斯(Tony Lyons)在峰会前的招待会上发表了对企业赞助的批评。
Tony Lyons, a publisher who runs the MAHA Center, MAHA PAC and several related groups, addressed criticisms about corporate sponsorships at a reception ahead of the summit.
莱昂斯说:“事实是,我们正在努力建立我们所能建立的最大规模的运动,以真正完成任务。”
“The truth is we’re trying to build the biggest movement we can possibly build to actually get things done,” Lyons said.
特朗普政府已拥抱人工智能,肯尼迪与硅谷的结盟与特朗普政府更广泛的努力保持一致。
The Trump administration has embraced AI Kennedy’s alliance with Silicon Valley is consistent with broader efforts across the Trump administration.
特朗普总统强力抵制加强对人工智能公司监管的努力,这些公司帮助推动股市创下历史新高。特朗普重返白宫后的首项行动之一,就是废除拜登政府关于人工智能监管的行政命令。该政府花费了16个多月才以自己的命令取而代之。
President Donald Trump has vigorously resisted efforts to bring greater oversight to AI companies, who have helped drive the stock market to record highs. One of Trump’s first actions after returning to the White House was revoking a Biden administration executive order on AI oversight. It took the administration more than 16 months to replace it with its own order.
近几周,特朗普宣布让人工智能行业自我监管,试图将该技术重新包装为“超级智能”,并无视两党对数据中心对周边居民影响的担忧。
In recent weeks, Trump announced a move to let the AI industry police itself tried to rebrand the technology as “super intelligence” and brushed aside bipartisan concerns about the impacts of data centers on nearby residents.
与此同时,奥兹博士和其他政府官员大力宣扬人工智能是解决美国一系列健康问题的答案,包括不断上涨的医疗成本、医疗欺诈、医生短缺和农村医院关闭。
Meanwhile, Dr. Oz and other administration officials have touted AI as the answer to a litany of U.S. health problems, including rising medical costs, healthcare fraud physician shortages and the shuttering of rural hospitals.
联邦医疗保险官员一直在与几家医疗聊天机器人公司进行讨论,其中包括一家支持犹他州项目的公司,该项目提供人工智能支持的处方续方服务。
Medicare officials have been in discussions with several medical chatbot companies, including one behind a Utah program that provides AI-enabled refills of prescriptions.
哈佛法学院生物伦理学专家格伦·科恩表示,肯尼迪和其他官员上周的言论反映了对人工智能潜在益处的“技术乌托邦”观点。
The remarks from Kennedy and other officials last week reflect a “techno-utopian” view of AI’s potential benefits, says Glenn Cohen, a Harvard Law School bioethics expert.
科恩指出,过去一年里,小肯尼迪的大部分议程都集中在试图遏制他视为有害消费者的食品行业做法,包括使用人工色素和未申报的化学添加剂。考虑到肯尼迪对“大食品”的怀疑态度,科恩表示惊讶这位卫生部长没有看到“市场激励可能偏离公共利益的风险”。一些最著名的“让美国再次健康”(MAHA)组织正在积极组织反对人工智能利益集团。
Cohen notes that much of RFK’s agenda over the past year has focused on trying to curb food industry practices he views as harmful to consumers, including the use of artificial colors and undeclared chemical additives. Given Kennedy’s skepticism of “big food,” Cohen said he was surprised the health secretary didn’t see “the risk that market incentives may diverge from the public good.”Some of the most prominent MAHA organizations are actively organizing against AI interests.
例如,“Moms Across America”(美国妈妈联盟)发起了地方性和全国性的宣传活动,呼吁人们警惕数据中心建设所带来的污染问题、水资源消耗以及电力成本。该组织由曾为肯尼迪总统竞选团队工作过的泽恩·亨尼卡特(Zen Honeycutt)创立。“美国妈妈联盟”未回应我们的采访请求。
For example, Moms Across America operates local and national campaigns warning against pollution, water use and electricity costs associated with data center construction The group was founded by Zen Honeycutt, a former staffer for Kennedy’s presidential campaign. Moms Across America did not respond to a request for comment.
目前尚不清楚人工智能(AI)将如何融入美国的医疗体系。AI专家们一致认为,这项技术将从根本上改变医生和患者做出医疗决策的方式。
It’s not yet clear how AI will integrate into US healthcare AI experts don’t dispute that the technology will fundamentally change how doctors and patients approach medical decisions.
加州大学旧金山分校的医疗技术专家罗伯特·瓦赫特(Robert Wachter)博士表示:“肯尼迪的观点是正确的——人工智能确实能让患者更深入地了解自己的健康状况。”不过瓦赫特认为,人工智能的广泛应用很可能会进一步强化医疗专业人员的建议,而非肯尼迪所倡导的那些‘反对传统医疗方式’的观点。
Kennedy is correct when he says AI will empower patients with more insights about their health, says Dr. Robert Wachter, a medical technology expert at University of California, San Francisco. But AI adoption is likely to further bolster the recommendations of medical professionals, rather than the contrarian views often favored by Kennedy, according to Wachter.
“‘民主化’是一件好事,”瓦赫特说,“但这意味着我们需要传播最可靠的科学知识——而这些知识通常是由真正了解相关领域的人所创造的。”专家们对于人工智能何时能够完全取代医生的决策权存在分歧。
“Democratization is good,” Wachter said. “But that means disseminating the best science we have, which generally means science created by people who know what they’re talking about.”Experts disagree over how soon AI may be able to take over decision-making from physicians.
多项最新研究表明,在处理关键医疗决策时,人工智能的表现优于单独工作的医生或与人工智能合作的医生。不过这些研究通常都为人工智能提供了详细的书面问题情境(相当于医学考试中的试题)。
Several recent studies have found that AI alone outperformed doctors working alone or doctors working with AI on critical decisions. But those studies generally presented AI with detailed, written scenarios to solve — the equivalent of a medical exam.
当研究人员观察患者在实际生活中与人工智能的互动情况时,发现了一些问题:患者往往无法提供足够的信息,导致人工智能无法准确诊断他们的病情;同时,聊天机器人给出的建议也常常包含正确与错误的成分。
When researchers looked at how patients interact with AI in real-time they found a number of problems: People often don’t provide enough information for the AI to correctly diagnose their medical issue and chatbots often respond with a combination of good and bad advice.
“我们需要在现实生活中验证这些技术是否真的有效,”瓦赫特说,“尤其是在患者处于压力之下、或无法理解人工智能输出结果的情况下,这些技术究竟会带来什么后果?”
“We need to figure out in real life: Do these things actually work?”Wachter said. “What actually happens when they’re used in circumstances where people are under stress or don’t know how to interpret the outputs?”