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Home Innovations & Investing

We Need Open Artificial Intelligence

Machine learning models are not software.

Heather Meeker by Heather Meeker
January 10, 2024
in Innovations & Investing
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We Need Open Artificial Intelligence

Possessed Photography

Machine learning has been around for a long time. But in late 2022, recent advancements in deep learning and large language models started to change the game and come into the public eye. And people started thinking, “We love Open Source software, so, let’s have Open Source AI, too.”

But what is Open Source AI? And the answer is: we don’t know yet.

Machine learning models are not software. Software is written by humans, like me. Machine learning models are trained; they learn on their own automatically, based on the input data provided by humans. When programmers want to fix a computer program, they know what they need: the source code. But if you want to fix a model, you need a lot more: software to train it, data to train it, a plan for training it, and so forth. It is much more complex. And reproducing it exactly ranges from difficult to nearly impossible.

The Open Source Definition, which was made for software, is now in its third decade, and has been a stunning success. There are standard Open Source licenses that everyone uses. Access to source code is a living, working concept that people use every day. But when we try to apply Open Source concepts to AI, we need to first go back to principles.

For something to be “Open Source” it needs to have one overarching quality:  transparency. What if an AI is screening you for a job, or for a medical treatment, or deciding a prison sentence? You want to know how it works. But deep learning models right now are a black box. If you look at the output of a model, it’s impossible to tell how or why the model came up with that output. All you can do is look at the inputs to see if its training was correct. And that’s not nearly as straightforward as looking at source code.

AI has the potential to greatly benefit our world. Now is the first time in history we’ve had the information and technology to tackle our biggest problems, like climate change, poverty and war. Some people are saying AI will destroy the world, but I think it contributes to the hope of saving the world.

But first, we need to trust it. And to trust it, it needs to be open and transparent.

As a consumer, you should demand that the AI you use is open. As a developer, you should know what rights you have to study and improve AI. As a voter, you should have the right to demand that AI used by the government is open and transparent.

Without transparency, AI is doomed. AI is potentially so powerful and capable that people are already frightened of it. Without transparency, AI risks going the way of crypto–a technology with great potential that gets shut down by distrust. I hope that we will figure out how to guarantee transparency before that happens, because the problems AI can help us solve are urgent, and I believe we can solve them if we work together.

Source: Voices of Open Source
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Heather Meeker

Heather Meeker

Heather Meeker is also a Founding Portfolio Partner at OSS Capital, an early-stage venture capital fund specializing in commercial open source development. She was formerly a partner in O’Melveny & Myers’ Silicon Valley office in the Mergers and Acquisitions practice group.

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Videos

In this episode, the host discusses the significance of large language models (LLMs) in healthcare, their applications, and the challenges they face. The conversation highlights the importance of simplicity in model design and the necessity of integrating patient feedback to enhance the effectiveness of LLMs in clinical settings.

Takeaways
LLMs are becoming integral in healthcare.
They can help determine costs and service options.
Hallucination in LLMs can lead to misinformation.
LLMs can produce inconsistent answers based on input.
Simplicity in LLMs is often more effective than complexity.
Patient behavior should guide LLM development.
Integrating patient feedback is crucial for accuracy.
Pre-training models with patient input enhances relevance.
Healthcare providers must understand LLM limitations.
The best LLMs will focus on patient-centered care.

Chapters

00:00 Introduction to LLMs in Healthcare
05:16 The Importance of Simplicity in LLMs
The Future of LLMs in HealthcareDaily Remedy
YouTube Video U1u-IYdpeEk
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AI Regulation and Deployment Is Now a Core Healthcare Issue

Clinical Reads

Ambient Artificial Intelligence Clinical Documentation: Workflow Support with Emerging Governance Risk

Ambient Artificial Intelligence Clinical Documentation: Workflow Support with Emerging Governance Risk

by Daily Remedy
February 1, 2026
0

Health systems are increasingly deploying ambient artificial intelligence tools that listen to clinical encounters and automatically generate draft visit notes. These systems are intended to reduce documentation burden and allow clinicians to focus more directly on patient interaction. At the same time, they raise unresolved questions about patient consent, data handling, factual accuracy, and legal responsibility for machine‑generated records. Recent policy discussions and legal actions suggest that adoption is moving faster than formal oversight frameworks. The practical clinical question is...

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