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$32B for what, exactly? | Healthcare AI newsmakers

Thursday, May 16, 2024
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bipartisan house task force on artificial intelligence

About that bipartisan $32B ‘roadmap’ for AI policy: What’s in it for healthcare?

This week Washington took a major step toward nailing down a solid game plan on federal AI spending for everything outside of defense.

On Wednesday, Senate Majority Leader Chuck Schumer, flanked by two Senate Republicans and another Senate Democrat, released a 30-page “roadmap” to guide fiscal deliberations in congressional committee meetings to come.

The document calls for plunking down “at least” 32 billion taxpayer dollars in 2026. That will be a massive increase from the $1.7 billion allocated for nondefense R&D spending on AI in 2022. Then too the 2026 amount is consistent with the dollar figure proposed in 2021 by the independent National Security Commission on Artificial Intelligence.

Schumer’s four-member AI Working Group—the other three senators are Indiana Republican Todd Young, New Mexico Democrat Martin Heinrich and South Dakota Republican Mike Rounds—stated their intention to remain “steadfast in our dedication to harnessing the full potential of AI while minimizing the risks of AI in the near and long term.”

In a section of the document focused on concerns unique to healthcare, the group exhorts the relevant congressional committees to do five things:

1. Consider legislation that both supports further deployment of AI in healthcare and implements appropriate guardrails and safety measures to protect patients.

Patients must be front and center in any legislative efforts on healthcare and AI. This includes consumer protection, preventing fraud and abuse, and promoting the usage of accurate and representative data.

2. Support the NIH in the development and improvement of AI technologies.

In particular, data governance should be a key area of focus across the NIH and other relevant agencies, with an emphasis on making healthcare and biomedical data available for machine learning and data science research, while carefully addressing the privacy issues raised by the use of AI in this area.

3. Ensure that the Department of Health and Human Services (HHS)—including the Food and Drug Administration (FDA) and the Office of the National Coordinator for Health Information Technology—has the proper tools to weigh the benefits and risks of AI-enabled products.

The purpose of this item is to help HHS provide a predictable regulatory structure for product developers.

4. Consider legislation that would provide transparency for providers and the public.

Transparency is critical to the safe and efficacious use of AI in medical products and clinical support services. It’s equally important in regard to the data used to train the AI models.

5. Consider policies to promote innovation of AI systems that meaningfully improve health outcomes and efficiencies in healthcare delivery.

This should include examining the Centers for Medicare & Medicaid Services’ reimbursement mechanisms as well as guardrails to ensure accountability, appropriate use and broad application of AI across all populations.

The four roadmap authors note that much of the document’s material traces to the AI forums convened by Schumer in 2023 with numerous AI experts and stakeholders.

“We hope this roadmap will stimulate momentum for new and ongoing consideration of bipartisan AI legislation, ensure the United States remains at the forefront of innovation in this technology, and help all Americans benefit from the many opportunities created by AI,” they write. 

We [also] hope committees will continue to seek outside input from a variety of stakeholders and experts to inform the best path forward for this quickly advancing technology.

Read the whole thing.

 

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Industry Watcher’s Digest

Buzzworthy developments of the past few days.

  • The ink wasn’t even dry on that expensive roadmap. Disappointed detractors wasted no time before throwing shade on Schumer and colleagues’ request for $32 billion in federal AI funding by 2026. Several news outlets suggested the bipartisan group had “punted” by leaving detailed rulemaking to future congressional committees. Other watchers went considerably further. The roadmap document shows far too much deference to the tech industry, says Alondra Nelson, former acting director of the White House Office of Science and Technology Policy. “It is, in fact, striking for its lack of vision,” Nelson says in prepared remarks reported by Fast Company. “What it does is point to government spending, not on accountability, but on relieving the private sector of their burdens of accountability.” The same article quotes computer scientist Suresh Venkatasubramanian, PhD, a former White House tech advisor who’s now with Brown University. While participating in the Senate’s forums leading up to the drafting of the roadmap, he recalls, he and other experts consulted were “concerned this would be a dancing monkey show, and we’re the monkeys.” Now that a working document has come of the time and trouble, he adds, it’s even worse than that: “I feel betrayed.”
     
  • If the $32B road mappers are as lacking in leadership as the critics are saying, nongovernmental bodies will need to pick up some of the slack. As it happens, some already are. The Lucian Leape Institute of the independent, nonprofit Institute for Healthcare Improvement (IHI), for one, was busy stepping up when the Senate document was still a work in progress. This week the Leape think tank released a fairly sweeping guidance and use-case report on patient safety in a world bursting with healthcare GenAI. (The publication’s unveiling coincides with this week’s IHI Patient Safety Congress in Orlando.) Announcement with download links here.
     
  • Backseat drivers aren’t just unhelpful. They’re also annoying. Might the same be said of image-interpretation AI used in radiology? Some radiologists would probably say so if they didn’t have to be polite. “If you want to help me drive, then you take the wheel so I can sit back and relax.” That’s from radiologist Saurabh Jha, MD, of the University of Pennsylvania. Jha gave the quote to the Associated Press, which asks and answers an aging question that may never die: “Will AI replace doctors who read X-rays and other medical images?”
     
  • Here’s another saying about AI in healthcare that’s getting a bit long in the tooth: “AI will be as common as the stethoscope.” Then again, when the axiom is reiterated by as esteemed an expert as a Stanford lecturer in medicine and business who’s also the author of a current bestseller titled Chat GPT, MD and a former longtime CEO of Kaiser Permanente, you’d do well to listen. Get more of what Robert Pearl, MD, has to say about the present and future of GenAI in healthcare here.
     
  • Now where did someone go and leave that missing gurney? Hospital transport teams won’t ever have to ask that question if they have real-time locating system (RTLS) and/or Internet of Things (IoT) technologies augmented with AI. Meanwhile hospital staff know when sheets are ready for changing, hands need more washing and all sorts of helpful (if sometimes a tad Big Brother-ish) things. RFID Journal has a quick overview.
     
  • Nvidia is No. 6, Intel No. 5 and Microsoft Cloud for Healthcare No. 2. Find out which tech outfits make up the rest of the top 10 healthcare AI companies in the estimation of Healthcare Digital magazine.
     
  • Be on the lookout for artificial history. Defining this as “highly credible but entirely fictional” chronicles of the past, writers at TechPolicy.Press warn that such bogus narratives “can empower nefarious actors to distort the truth in an effort to confuse, radicalize or recruit.” Ya think?
     
  • The United Arab Emirates is in the GenAI game and rising fast. The Abu Dhabi-based Technology Innovation Institute says its latest series of large language models outperformed Meta’s Llama 3 and equaled Google’s Gemma 7B in independent testing. The series, called Falcon 2, is open-source, multilingual and multi-modal. Learn more here. And see the research news item from UAE below.
     
  • Google’s Project Astra isn’t ready for prime time. Asked by a Business Insider reporter to critique his choice of clothes, the work-in-progress AI agent responded with, “I can’t provide stock quotes right now.” Am I the only AI enthusiast who feels oddly relieved when even the most uncannily intelligent bots turn out to be, in a certain sense, only human?
     
  • Recent research roundup:
     
  • Funding news of note:
     
  • From AIin.Healthcare’s news partners:
     

 

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