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IT之家 8 月 23 日消息，据《商业内幕》20 日报道，亿万富翁企业家马克 · 库班近期反驳了 AI 会取代医生的说法，并提出医生应该主动帮助患者在治疗过程中使用 AI。    CONCORD, N.H. -- The New Hampshire presidential primary filing period starts Wednesday, a ritual unruffled by either a changing of the guard or changes to the nominating calendar elsewhere.For the first time in more than four decades, candidates will file paperwork with a new secretary of state thanks to the retirement last year of longtime elections chief Bill Gardner. But his successor, David Scanlan, is carrying on the tradition of ensuring New Hampshire remains first, waiting for the dust to settle in other states before scheduling the 2024 contest.“I’m really in no hurry,” he said in an interview Tuesday.In contrast, the candidates themselves — particularly the longshots — often are in a race to sign up first in hopes that a bit of media attention will boost their campaigns. In 1991, a writer from New York drove 11 hours in a snowstorm only to find another perennial candidate waiting at the door. In 2007, a Minnesota fugitive living in Italy sent a package by courier that arrived just before an ex-convict embarked on a 90-minute rant that included five costume changes.Current candidates have until Oct. 27 to sign up, and dozens are expected to do in part because it’s relatively cheap and easy. They need only meet the basic requirements to be president, fill out a one-page form and pay a $1,000 filing fee.In 2020, 33 Democrats and 17 Republicans signed up. The all-time high was 1992, when 61 people got on the ballot. But this cycle could be notable instead for whose name isn’t on the ballot.New Hampshire, with its state law requiring its primaries to be held first, is defying the Democratic National Committee’s new primary calendar which calls for South Carolina to kick off voting on Feb. 3, followed by New Hampshire and Nevada. The shakeup came at the request of President Joe Biden in a bid to empower Black and other minority voters crucial to the party’s base.Biden’s campaign won’t comment on whether he will be on the ballot in New Hampshire. But he wouldn’t be the first reelection-seeking incumbent missing from the primary ballot: President Lyndon Johnson won the 1968 Democratic primary as a write-in, though a shockingly strong-second place showing by Sen. Eugene McCarthy helped push him out of the race.Scanlan, who served as deputy secretary of state for 20 years, said he was excited to welcome candidates starting Wednesday. Like his predecessor, he plans to greet them with a few encouraging words, but don’t expect the obscure trivia Gardner often added.“I don’t have any history lessons planned,” Scanlan said. “That was Bill’s style, and he was really, really good at it.”。库班认为，患者病情突然变化时，医生需要实时观察、沟通、共情并作出判断，这些能力并非 AI 可以复制。

二 | 不仅如此，他同时指出，放射科医生绝不可能被取代，不过预计未来每一名放射科医生都会使用 AI。库班表示，AI 确实会接手医生目前承担的许多工作，但并不是因为机器可以独立行医，而是临床医生被医疗集团制造的大量“狗屁行政杂务”占用了太多时间。对此，他给出的解决办法很直接：“用 AI 取代中间商。”库班还提出了医生在 AI 广泛应用后的另一项职责：帮助患者学会使用这些工具。私人诊所医生可以和患者一起设置 Claude、ChatGPT、Gemini 和 Grok 等 AI 工具，根据患者情况配置个性化指令、技能和提示词。

三 | 大模型完成处理后，可以向医生分享结果，让医生同时了解患者本人及其所使用的 AI 提供的信息。库班长期关注医疗体系中的中间环节。据IT之家了解，2022 年，他参与创办 Mark Cuban Cost Plus Drug Company，通过透明定价和绕过传统药品福利管理机构的方式经营网络药房。挑战医疗行业不透明的药品定价体系，也由此成为库班最具代表性的商业项目之一。库班此前认为，AI 可能在医疗服务提供者和保险公司之间引发一场军备竞赛：医生利用 AI 智能体改善治疗，医疗集团则用自己的智能体“拖延并拒绝”。

四 | 他还建议雇主把医疗保健合同交给聊天机器人检查一遍，找出隐藏成本和对自身不利的条款。

五 |