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| ▲ | tclancy 4 minutes ago | parent | next [-] |
| What we are talking about is the conclusion you leapt to from 20 seconds of looking for evidence to suit a conclusion. Nothing in their comment "These are largely friends and peers, so they ultimately own their own risks" insists these are all people working in or on healthcare. Friends could be ... friends? Like the kind outside of work. And if someone is a peer (again, we have to assume the "at work" part), there isn't much you can do to prevent them from doing what they will. Educating them about trigger safety may be the best thing you can do. |
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| ▲ | foobar10000 40 minutes ago | parent | prev | next [-] |
| I think the one thing you are not taking into account is that the investors on average fundamentally don’t care. Scale arbitrage means that small companies are fundamentally about velocity - and if they get sued due to regulations that do not pierce the corporate veil, they just fold. And the ones that did not get sued make money for the vc. And figure out later how to be hipaa etc compliant. Basically, I’ve been seeing over the last 10 years VCs are not caring about insurance or corporate liability - sink rate is so high it is irrelevant. For big corps - this is different. But modulo hipaa - this is why they are gung ho hi about binding arbitration - they are trying to match velocity to some degree - and mostly failing… |
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| ▲ | Ucalegon 16 minutes ago | parent [-] | | VCs and investors are a massive issue, which is ironic saying that here, but once you get into contracts with other businesses, it changes things for the business and the leadership within who do carry liability when things go wrong, especially when they have made attestations. |
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| ▲ | dumfries an hour ago | parent | prev | next [-] |
| You have to understand that people like you, that you that keep talking about enterprise governance and risk, should facilitate business users to do these things securely. This should have always been the case but somehow it has ended up more with restricting rather than facilitating. Hopefully tools like claude code will prove the value add more easily, changing everything I hate about corp IT. |
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| ▲ | Ucalegon 44 minutes ago | parent [-] | | I appreciate the feeling but this isn't so much driven by principle but by business risk through contract liability or other liability that exists within whatever place you happen to be doing business. 'Adding value' is a very interesting statement and way to judge the worth of something. Adding value to who? And if that value add also causes massive harms, how do we reconcile that? So you build a brand new app with does all of the things that all of your total addressable market wants, but it also exposes all of the IP your existing clients, does that mean you will be able to achieve that TAM? Corp IT does not exist in a vacuum. Understanding the why of that isn't a 'you should just accept this' but more 'how can we make this better and avoid mistakes already made by others'. I will always point to aviation and 'bold text is written in blood' as a great model to understand all of this not as a blocker but, instead, as a building block. |
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| ▲ | criley2 an hour ago | parent | prev [-] |
| There is no way to facilitate untrained users in the healthcare space to vibe code real applications touching patient data. There is no magic policy, firewall, or "facilitation technique" which can make vibe coded software reliably meet contractual and regulatory obligations with a high degree of security in the healthcare space. If you care about data privacy, especially your own protected health information, that sentence should give you a lot of comfort. In a HIPAA environment, people who are sufficiently trained on how to develop regulated software securely are called "software engineers". In my opinion, agents will replace the majority of the rest of businesses before they are good enough at agentic engineering to be able to autonomously develop software that safely and reliably can manage PHI without a single mistake. It goes without saying: never trust your PHI to any company who is vibe coding in production. |
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