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> Why should one child get an LLM teacher or doctor while others get individualized attention by a skilled human being?

Is the value in the outcome of receiving medical advice and care, and becoming educated, or is the value just in the co-opting of another human being's attention?

If the value is in the outcome, the means to achieving that aren't of much consequence.

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The supply/demand picture here is more complicated than it looks.

If AI displaces human educators, yes, their supply shrinks -- but we can't assume what direction its demand will go.

We've seen this pattern before: as recorded music became free, live performance got more expensive, and therefore much less accessible than it used to be.

What's likely to happen is that "worse" (read: AI) education will become much cheaper, while "better" (read: in-person) education that involves human connection-driven benefits will become much less accessible compared to what it is today.

Most people may be consider it a win. It's certainly not a world I'm looking forward to.

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Important follow-up to my comment: as fewer people do X -- live music, medicine, education, you name it -- fewer talented people do it as well.

Fields need a large base of participants to produce great ones. This is exactly why software has been so extraordinary over the past 30 years: an unusual concentration of gifted minds across the entire humankind committed themselves to it.

In my view, Bach, Rachmaninoff, Cole Porter equivalents today probably aren't writing symphonies. They've decided to write code for a living. Which is why any Great American Songbook made today won't hold a candle next to one from 1950s.

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More subtly, what is an education? What is care? As you point out, the LLMs are (or probably will become) perfectly good at the measurable parts of those services; but I think the residual edge of “good” education/care is more than just the other human’s co-opted attention.

How many of us have a reminiscence that starts “looking back, the most life-changing part of my primary or secondary education was ________,” where the blank is a person, not a curriculum module? How many doctors operate, at least in part, on hunches—on totalities of perception-filtered-through-experience that they can’t fully put into words?

I’m reminded of the recent account of homebound elderly Japanese people relying on the Yakult delivery lady partly for tiny yoghurt drinks, but mainly for a glimmer of human contact [0]. Although I guess that cuts to your point: the value in that example really is just co-opting another human’s attention.

In most of these caring professions, some of the value is in the measurable outcome (bacterial infection? Antibiotic!), but different means really do create different collections of value that don’t fully overlap (fine, I’ll actually lay off the wine because the doctor put the fear of the lord in me).

I guess the optimistic case is, with the rote mechanical aspects automated away, maybe humans have more time to give each other the residual human element…

[0] https://news.ycombinator.com/item?id=47287344

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The premise of your argument is that "the outcome" can be separated from the process. This is true enough for manufacturing bricks: I don't much care what processes was used to create a brick if it has certain a compressive strength, mass, etc.

But Baumol's argument, which you introduced to the conversation, is that outcome and process cannot actually be distinguished, even if a distinction in thought is possible among economic theorists.

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> But Baumol's argument, which you introduced to the conversation, is that outcome and process cannot actually be distinguished

How is that Baumol's argument? How is 'outcome' vs 'process' relevant to his argument at all?

'Cost disease' is just the foundational truth that the cost of the output from industries with stagnant productivity will increase due to the fact that the workers in that industry can be more valuable in other industries, reducing the number of relative workers in the stagnant industry.

If you want to make the output from a stagnant industry available to a broader spectrum of the population then you have to improve the productivity of that industry.

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It's very true for healthcare (especially mental healthcare) and education today as well, because for most people, the choice isn't LLM vs. human attention - it's LLM vs. no access at all.
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Even if you have perfect medical information and advice through an LLM, can you perform surgery on yourself? Can you prescribe yourself whatever medication you think you need?

For education, if you know as much as the average Harvard grad, can you give yourself a Harvard degree that will be as readily accepted in a job application or raising funds for a new business?

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Interesting perspective; medical regulation as a business moat
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> the value just in the co-opting of another human being's attention?

Thats a weird way of describing it.

A machine telling me to exercise and eat right will be ignored, even if the advice is correct. A person I trust taking me aside, looking me in the eye and asking me the same would be taken far more seriously.

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That may well be true if you need to be persuaded to exercise and eat right.

OTOH, if you don't need to be persuaded and just want information on how best to go about doing it, then I think it makes little difference where the information comes from as long as it's of reasonable quality.

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It also seems like the value of quality tutoring that doesn't primarily function as social/class signaling goes down as tools capable of automating high quality intellectual work are more widely available.
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It depends on outcome again: is the value of tutoring the social class elevation, or is it in the outcome of becoming more skilled and knowledgable?

There's also the deeper philosophical question of what is the meaning of life, and if there's inherent value in learning outside of what remunerative advantages you reap from it.

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If I described my symptoms to an AI and it suggested a diagnosis, I would defintely get a second opinion.
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