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First he held a superspreader event. Then he recommended fake cures.

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3 years ago

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First he held a superspreader event. Then he recommended fake cures.


According to the FDA, “covid-19 fraudulent products” are ones that are promoted and sold using misleading “claims to prevent, treat, mitigate, diagnose, or cure coronavirus.” Not only do they have no tangible effect in treating or preventing covid, but they could “cause Americans to delay or stop appropriate medical treatment, leading to serious and life-threatening harm.”

An agency representative confirmed it has sent out at least 150 warning letters to companies marketing such products but declined to comment on the list of products offered by Diamandis’s affiliates.

“The FDA cannot speak to any specific products, cases, or its approaches regarding possible or ongoing investigations,” a spokesman said by email.

Cook: “I was aware of the risks” of A360

Cook demonstrates a nebulizer during his January 30 webinar.

Over the course of the 84-minute webinar, which was uploaded as an unlisted video to Diamandis’s YouTube channel and later shared with MIT Technology Review by an attendee, Cook told participants how he had developed his treatments for covid-19 based on his own experience with the virus.

He contracted the novel coronavirus “in the first week of covid,” he said, and after treating himself and his best friend, he’d “been on a journey of taking care of people who’ve had it.”

Some of those patients traveled great distances to see him, despite stay-at-home orders limiting nonessential travel. “A steady group of people in LA … would just get on their plane and fly up when they got sick [with covid-19],” he said.

Cook spent much of his webinar giving product recommendations—even going as far as discussing specific dosages for prevention or treatment that he claimed had worked for his patients. At times, Diamandis and Fountain Life’s chief medical officer, George Shapiro, a licensed physician, also provided advice to viewers; Daniel Kraft, a nonpracticing pediatrician who chairs a pandemic task force that Diamandis created last year, chimed in as well. All three had attended the A360 event.

Only once did the webinar discuss widely accepted preventive measures recommended by the CDC, like wearing masks, avoiding nonessential travel, and social distancing (all of which Diamandis’s Abundance 360 conference had ignored). Even then, it was only to suggest that Cook’s treatments could be an effective alternative. “Any time somebody gets on a plane … any time they are going to be in a group, or have any exposure on that front, I have them dose up,” he said.

He followed his own advice when it came to A360. “I was fairly aware of the risks when it came to that conference,” he said. “I triple-treated myself with peptides in the morning, and then I walked out, and then I treated myself again.”

“People were scared”

Diamandis, a Silicon Valley fixture, is perhaps best known for founding Singularity University, an unaccredited educational group that started out as an unofficial grad school for entrepreneurs before shifting its focus to teaching corporate executives to be more “disruptive.” He also started the X Prize Foundation, which runs competitions to encourage innovation, and has funded or helped found a range of other businesses, in areas from space to anti-aging and regenerative medicine to covid-19 vaccine development.

The annual A360 event, which he has hosted since 2012, is part of a membership-based community where individuals pay $30,000 or more for a year-long “mastermind” program with two months of personal coaching by Diamandis himself.

“Being a health-care professional is not a magic ‘Get out of FDA free’ card. Federal law still applies.”

Health law professor Patti Zettler

I first heard of the webinar in mid-February, when I was reporting the story of how A360 turned into a superspreader event. In a phone interview on February 12, Diamandis told me that the webinar was an attempt to settle the worries of those who had been exposed—including many paying members of the A360 community.

“People were scared and … didn’t know where to go,” Diamandis told me. Cook, he said, was “an amazing, amazing soul” who “came down [to Los Angeles], provided support during the event and … post-event treatments.”

In that conversation, he said that physicians from Fountain Life, as well as Matt Cook, were among the small group that advised him on his plans to hold A360 in spite of public health orders banning all gatherings in California at the time. When we spoke, he had just published a public admission about the outbreak at his event, in which he blamed the spread on his trust in testing and his failure to enforce mask wearing.

“We were using the very best that science had to offer,” he wrote then, adding that he “engaged a professional medical organization” to provide licensed physicians, immunity-boosting vitamins and minerals, and regenerative treatments for the event. In our interview, he confirmed that the organization in question was Fountain Life, with its senior leadership, including Shapiro and the CEO, Bill Kapp, in attendance.

But in March, when I reached out to Diamandis again for comment on the specific products recommended in the webinar, he emailed multiple, sometimes contradictory statements.

The webinar was not meant to constitute medical treatment, he said, nor was it a “marketing or sales pitch,” and he said neither he nor the physicians who took part gained financially from any of the products or companies they were promoting. Cook’s clinic and Fountain Life had not sold any peptides or memberships at all, he said, despite the order form that attendees received, but Diamandis himself “paid 100% of all costs for any treatments provided by Dr. Cook/BioReset to any of the A360 attendees or staff.”

And despite an earlier statement about following “the best” science, Diamandis emailed that he was “unaware that products mentioned might be on the FDA’s list.”

Diamandis has also changed his public statements about the involvement of physicians. His blog post has now been edited to say that Cook was engaged only after the event, despite his telling me in the interview that Cook had come down to support it. In an email, Diamandis said that Shapiro “did not treat anyone for covid following A360.”

In June 2020, Shapiro was censured and reprimanded by the New York State Medical Board for “professional misconduct” after a disciplinary panel found that he had failed to perform appropriate tests and treatments for a number of patients over a four-year period. He was fined $50,000 and is currently under a 36-month probation that allows him to practice medicine only when monitored by a board-certified internist or cardiologist. In 2005, he was arrested, fined, and put on probation by the FBI on charges that he had provided Viagra and other drugs to members of the Gambino drug family, as Bloomberg reported.

Cook did not respond to multiple requests for comment. Shapiro’s lawyers, who declined to comment on their client’s behalf, said that at no point during A360 did Shapiro serve in a physician’s capacity.

But during the webinar, both men made multiple offers to help participants access their recommended treatments. Fountain Life has “national accounts … with four of the five peptide companies,” Shapiro said. “We have good prices that we can get … to our members.”

“Deeply troubling”

Whether they were treating patients or simply promoting unapproved or fraudulent covid-19 “cures,” there are federal rules that apply, says Patti Zettler, an associate law professor at the Ohio State University Moritz College of Law, who focuses on health regulation.

The FDA does not typically regulate how physicians practice medicine, Zettler says, but because many covid-19 treatments were approved under emergency-use authorizations, “there are greater restrictions on what exactly they can be used for.” An FDA fact-sheet last updated in December lists only eight covid-19 treatments that have received emergency use authorization; none of which were on offer during the webinar.

Michelle Mello, a professor of law and medicine at Stanford University, says that state medical boards can also be prompted to investigate such cases. “Promoting cures for which there’s no evidence, or scant evidence, is very unlikely, in my view, to meet what we’ve called a reasonable standard of care,” she says.

In an emailed statement, Carlos Villatoro, a spokesperson for the state medical board in California, where Cook practices, spoke to the importance of “following the standard of care when treating patients.”

“The Board’s mission is consumer protection and it takes that mission seriously,” he said. “For physicians that do not follow the standard of care, the Board’s discipline may include a public reprimand, probation, license suspension, or license revocation.”

“Any time somebody gets on a plane … any time they are going to be in a group, or have any exposure on that front, I have them dose up.”

Information provided in a webinar does not necessarily constitute medical advice or a doctor-patient relationship, according to both Zettler and Mello, but even if “they’re just selling crap … they would be regulated like just other kinds of product sellers,” Mello says.

“The prospect of health-care professionals encouraging patients to use products that the FDA has specifically identified as fraudulent … is deeply troubling,” says Zettler.

“Being a health-care professional is not a magic ‘Get out of FDA free’ card. Federal law still applies.”

“Makes our entire community look bad”

As far-fetched as many of the treatment options hawked by Cook and Shapiro were, some of the drugs they recommended are being researched for their potential to treat covid-19.

A team at the University of Utah, for example, is conducting randomized clinical trials in 60 patients on the efficacy of human amniotic fluid as a potential coronavirus treatment. Earlier this year it released initial findings from a much smaller study of 10 patients, but the principal investigator, Craig Selzman, cautioned, “You can’t really make any firm conclusions from 10 patients.”

Mello, the Stanford professor, recognizes that “the sciences move really fast and not always … in a linear way,” especially when it comes to covid. “There have been reversals where early research results suggested one thing and then later we learned something else,” she says.

But, she adds, this does not seem to be what happened with the treatments offered by the physicians affiliated with Diamandis. “It just doesn’t seem that different to me from other kinds of quackery,” she says.

Besides the ethics, many physicians and public health experts are concerned about the broader impact that medical misinformation proffered by professionals could have on the public’s trust in scientists. It “makes our entire community look bad,” says Selzman.

When I approached Diamandis in early March with a list of questions for this story, he initially did not address specific questions but responded with an emailed statement.

“As an MD and scientist, I have a special responsibility to learn from mistakes, lead by example, and use the resources at my disposal to make a positive difference and improve the health and safety of everyone on this planet,” he wrote.

When I asked how flouting public health guidance or federal laws was part of this contribution, however, he had no response.

Correction: We amended a statement to clarify that the FDA has given emergency authorization to eight covid-19 treatments, not two as we originally reported.

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Why I became a TechTrekker

Published

8 months ago

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22 August 2023

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group jumps into the air with snowy mountains in the background


My senior spring in high school, I decided to defer my MIT enrollment by a year. I had always planned to take a gap year, but after receiving the silver tube in the mail and seeing all my college-bound friends plan out their classes and dorm decor, I got cold feet. Every time I mentioned my plans, I was met with questions like “But what about school?” and “MIT is cool with this?”

Yeah. MIT totally is. Postponing your MIT start date is as simple as clicking a checkbox. 

Sofia Pronina (right) was among those who hiked to the Katla Glacier during this year’s TechTrek to Iceland.

COURTESY PHOTO

Now, having finished my first year of classes, I’m really grateful that I stuck with my decision to delay MIT, as I realized that having a full year of unstructured time is a gift. I could let my creative juices run. Pick up hobbies for fun. Do cool things like work at an AI startup and teach myself how to create latte art. My favorite part of the year, however, was backpacking across Europe. I traveled through Austria, Slovakia, Russia, Spain, France, the UK, Greece, Italy, Germany, Poland, Romania, and Hungary. 

Moreover, despite my fear that I’d be losing a valuable year, traveling turned out to be the most productive thing I could have done with my time. I got to explore different cultures, meet new people from all over the world, and gain unique perspectives that I couldn’t have gotten otherwise. My travels throughout Europe allowed me to leave my comfort zone and expand my understanding of the greater human experience. 

“In Iceland there’s less focus on hustle culture, and this relaxed approach to work-life balance ends up fostering creativity. This was a wild revelation to a bunch of MIT students.”

When I became a full-time student last fall, I realized that StartLabs, the premier undergraduate entrepreneurship club on campus, gives MIT undergrads a similar opportunity to expand their horizons and experience new things. I immediately signed up. At StartLabs, we host fireside chats and ideathons throughout the year. But our flagship event is our annual TechTrek over spring break. In previous years, StartLabs has gone on TechTrek trips to Germany, Switzerland, and Israel. On these fully funded trips, StartLabs members have visited and collaborated with industry leaders, incubators, startups, and academic institutions. They take these treks both to connect with the global startup sphere and to build closer relationships within the club itself.

Most important, however, the process of organizing the TechTrek is itself an expedited introduction to entrepreneurship. The trip is entirely planned by StartLabs members; we figure out travel logistics, find sponsors, and then discover ways to optimize our funding. 

two students soaking in a hot spring in Iceland

COURTESY PHOTO

In organizing this year’s trip to Iceland, we had to learn how to delegate roles to all the planners and how to maintain morale when making this trip a reality seemed to be an impossible task. We woke up extra early to take 6 a.m. calls with Icelandic founders and sponsors. We came up with options for different levels of sponsorship, used pattern recognition to deduce the email addresses of hundreds of potential contacts at organizations we wanted to visit, and all got scrappy with utilizing our LinkedIn connections.

And as any good entrepreneur must, we had to learn how to be lean and maximize our resources. To stretch our food budget, we planned all our incubator and company visits around lunchtime in hopes of getting fed, played human Tetris as we fit 16 people into a six-person Airbnb, and emailed grocery stores to get their nearly expired foods for a discount. We even made a deal with the local bus company to give us free tickets in exchange for a story post on our Instagram account. 

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The Download: spying keyboard software, and why boring AI is best

Published

8 months ago

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22 August 2023

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🧠


This is today’s edition of The Download, our weekday newsletter that provides a daily dose of what’s going on in the world of technology.

How ubiquitous keyboard software puts hundreds of millions of Chinese users at risk

For millions of Chinese people, the first software they download onto devices is always the same: a keyboard app. Yet few of them are aware that it may make everything they type vulnerable to spying eyes. 

QWERTY keyboards are inefficient as many Chinese characters share the same latinized spelling. As a result, many switch to smart, localized keyboard apps to save time and frustration. Today, over 800 million Chinese people use third-party keyboard apps on their PCs, laptops, and mobile phones. 

But a recent report by the Citizen Lab, a University of Toronto–affiliated research group, revealed that Sogou, one of the most popular Chinese keyboard apps, had a massive security loophole. Read the full story. 

—Zeyi Yang

Why we should all be rooting for boring AI

Earlier this month, the US Department of Defense announced it is setting up a Generative AI Task Force, aimed at “analyzing and integrating” AI tools such as large language models across the department. It hopes they could improve intelligence and operational planning. 

But those might not be the right use cases, writes our senior AI reporter Melissa Heikkila. Generative AI tools, such as language models, are glitchy and unpredictable, and they make things up. They also have massive security vulnerabilities, privacy problems, and deeply ingrained biases. 

Applying these technologies in high-stakes settings could lead to deadly accidents where it’s unclear who or what should be held responsible, or even why the problem occurred. The DoD’s best bet is to apply generative AI to more mundane things like Excel, email, or word processing. Read the full story. 

This story is from The Algorithm, Melissa’s weekly newsletter giving you the inside track on all things AI. Sign up to receive it in your inbox every Monday.

The ice cores that will let us look 1.5 million years into the past

To better understand the role atmospheric carbon dioxide plays in Earth’s climate cycles, scientists have long turned to ice cores drilled in Antarctica, where snow layers accumulate and compact over hundreds of thousands of years, trapping samples of ancient air in a lattice of bubbles that serve as tiny time capsules. 

By analyzing those cores, scientists can connect greenhouse-gas concentrations with temperatures going back 800,000 years. Now, a new European-led initiative hopes to eventually retrieve the oldest core yet, dating back 1.5 million years. But that impressive feat is still only the first step. Once they’ve done that, they’ll have to figure out how they’re going to extract the air from the ice. Read the full story.

—Christian Elliott

This story is from the latest edition of our print magazine, set to go live tomorrow. Subscribe today for as low as $8/month to ensure you receive full access to the new Ethics issue and in-depth stories on experimental drugs, AI assisted warfare, microfinance, and more.

The must-reads

I’ve combed the internet to find you today’s most fun/important/scary/fascinating stories about technology.

1 How AI got dragged into the culture wars
Fears about ‘woke’ AI fundamentally misunderstand how it works. Yet they’re gaining traction. (The Guardian) 
+ Why it’s impossible to build an unbiased AI language model. (MIT Technology Review)
 
2 Researchers are racing to understand a new coronavirus variant 
It’s unlikely to be cause for concern, but it shows this virus still has plenty of tricks up its sleeve. (Nature)
+ Covid hasn’t entirely gone away—here’s where we stand. (MIT Technology Review)
+ Why we can’t afford to stop monitoring it. (Ars Technica)
 
3 How Hilary became such a monster storm
Much of it is down to unusually hot sea surface temperatures. (Wired $)
+ The era of simultaneous climate disasters is here to stay. (Axios)
+ People are donning cooling vests so they can work through the heat. (Wired $)
 
4 Brain privacy is set to become important 
Scientists are getting better at decoding our brain data. It’s surely only a matter of time before others want a peek. (The Atlantic $)
+ How your brain data could be used against you. (MIT Technology Review)
 
5 How Nvidia built such a big competitive advantage in AI chips
Today it accounts for 70% of all AI chip sales—and an even greater share for training generative models. (NYT $)
+ The chips it’s selling to China are less effective due to US export controls. (Ars Technica)
+ These simple design rules could turn the chip industry on its head. (MIT Technology Review)
 
6 Inside the complex world of dissociative identity disorder on TikTok 
Reducing stigma is great, but doctors fear people are self-diagnosing or even imitating the disorder. (The Verge)
 
7 What TikTok might have to give up to keep operating in the US
This shows just how hollow the authorities’ purported data-collection concerns really are. (Forbes)
 
8 Soldiers in Ukraine are playing World of Tanks on their phones
It’s eerily similar to the war they are themselves fighting, but they say it helps them to dissociate from the horror. (NYT $)
 
9 Conspiracy theorists are sharing mad ideas on what causes wildfires
But it’s all just a convoluted way to try to avoid having to tackle climate change. (Slate $)
 
10 Christie’s accidentally leaked the location of tons of valuable art 🖼📍
Seemingly thanks to the metadata that often automatically attaches to smartphone photos. (WP $)

Quote of the day

“Is it going to take people dying for something to move forward?”

—An anonymous air traffic controller warns that staffing shortages in their industry, plus other factors, are starting to threaten passenger safety, the New York Times reports.

The big story

Inside effective altruism, where the far future counts a lot more than the present

" "

VICTOR KERLOW

October 2022

Since its birth in the late 2000s, effective altruism has aimed to answer the question “How can those with means have the most impact on the world in a quantifiable way?”—and supplied methods for calculating the answer.

It’s no surprise that effective altruisms’ ideas have long faced criticism for reflecting white Western saviorism, alongside an avoidance of structural problems in favor of abstract math. And as believers pour even greater amounts of money into the movement’s increasingly sci-fi ideals, such charges are only intensifying. Read the full story.

—Rebecca Ackermann

We can still have nice things

A place for comfort, fun and distraction in these weird times. (Got any ideas? Drop me a line or tweet ’em at me.)

+ Watch Andrew Scott’s electrifying reading of the 1965 commencement address ‘Choose One of Five’ by Edith Sampson.
+ Here’s how Metallica makes sure its live performances ROCK. ($)
+ Cannot deal with this utterly ludicrous wooden vehicle. 
+ Learn about a weird and wonderful new instrument called a harpejji.



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Why we should all be rooting for boring AI

Published

8 months ago

on

22 August 2023

By

Why we should all be rooting for boring AI


This story originally appeared in The Algorithm, our weekly newsletter on AI. To get stories like this in your inbox first, sign up here.

I’m back from a wholesome week off picking blueberries in a forest. So this story we published last week about the messy ethics of AI in warfare is just the antidote, bringing my blood pressure right back up again. 

Arthur Holland Michel does a great job looking at the complicated and nuanced ethical questions around warfare and the military’s increasing use of artificial-intelligence tools. There are myriad ways AI could fail catastrophically or be abused in conflict situations, and there don’t seem to be any real rules constraining it yet. Holland Michel’s story illustrates how little there is to hold people accountable when things go wrong.  

Last year I wrote about how the war in Ukraine kick-started a new boom in business for defense AI startups. The latest hype cycle has only added to that, as companies—and now the military too—race to embed generative AI in products and services. 

Earlier this month, the US Department of Defense announced it is setting up a Generative AI Task Force, aimed at “analyzing and integrating” AI tools such as large language models across the department. 

The department sees tons of potential to “improve intelligence, operational planning, and administrative and business processes.” 

But Holland Michel’s story highlights why the first two use cases might be a bad idea. Generative AI tools, such as language models, are glitchy and unpredictable, and they make things up. They also have massive security vulnerabilities, privacy problems, and deeply ingrained biases.  

Applying these technologies in high-stakes settings could lead to deadly accidents where it’s unclear who or what should be held responsible, or even why the problem occurred. Everyone agrees that humans should make the final call, but that is made harder by technology that acts unpredictably, especially in fast-moving conflict situations. 

Some worry that the people lowest on the hierarchy will pay the highest price when things go wrong: “In the event of an accident—regardless of whether the human was wrong, the computer was wrong, or they were wrong together—the person who made the ‘decision’ will absorb the blame and protect everyone else along the chain of command from the full impact of accountability,” Holland Michel writes. 

The only ones who seem likely to face no consequences when AI fails in war are the companies supplying the technology.

It helps companies when the rules the US has set to govern AI in warfare are mere recommendations, not laws. That makes it really hard to hold anyone accountable. Even the AI Act, the EU’s sweeping upcoming regulation for high-risk AI systems, exempts military uses, which arguably are the highest-risk applications of them all. 

While everyone is looking for exciting new uses for generative AI, I personally can’t wait for it to become boring. 

Amid early signs that people are starting to lose interest in the technology, companies might find that these sorts of tools are better suited for mundane, low-risk applications than solving humanity’s biggest problems.

Applying AI in, for example, productivity software such as Excel, email, or word processing might not be the sexiest idea, but compared to warfare it’s a relatively low-stakes application, and simple enough to have the potential to actually work as advertised. It could help us do the tedious bits of our jobs faster and better.

Boring AI is unlikely to break as easily and, most important, won’t kill anyone. Hopefully, soon we’ll forget we’re interacting with AI at all. (It wasn’t that long ago when machine translation was an exciting new thing in AI. Now most people don’t even think about its role in powering Google Translate.) 

That’s why I’m more confident that organizations like the DoD will find success applying generative AI in administrative and business processes. 

Boring AI is not morally complex. It’s not magic. But it works. 

Deeper Learning

AI isn’t great at decoding human emotions. So why are regulators targeting the tech?

Amid all the chatter about ChatGPT, artificial general intelligence, and the prospect of robots taking people’s jobs, regulators in the EU and the US have been ramping up warnings against AI and emotion recognition. Emotion recognition is the attempt to identify a person’s feelings or state of mind using AI analysis of video, facial images, or audio recordings. 

But why is this a top concern? Western regulators are particularly concerned about China’s use of the technology, and its potential to enable social control. And there’s also evidence that it simply does not work properly. Tate Ryan-Mosley dissected the thorny questions around the technology in last week’s edition of The Technocrat, our weekly newsletter on tech policy.

Bits and Bytes

Meta is preparing to launch free code-generating software
A version of its new LLaMA 2 language model that is able to generate programming code will pose a stiff challenge to similar proprietary code-generating programs from rivals such as OpenAI, Microsoft, and Google. The open-source program is called Code Llama, and its launch is imminent, according to The Information. (The Information) 

OpenAI is testing GPT-4 for content moderation
Using the language model to moderate online content could really help alleviate the mental toll content moderation takes on humans. OpenAI says it’s seen some promising first results, although the tech does not outperform highly trained humans. A lot of big, open questions remain, such as whether the tool can be attuned to different cultures and pick up context and nuance. (OpenAI)

Google is working on an AI assistant that offers life advice
The generative AI tools could function as a life coach, offering up ideas, planning instructions, and tutoring tips. (The New York Times)

Two tech luminaries have quit their jobs to build AI systems inspired by bees
Sakana, a new AI research lab, draws inspiration from the animal kingdom. Founded by two prominent industry researchers and former Googlers, the company plans to make multiple smaller AI models that work together, the idea being that a “swarm” of programs could be as powerful as a single large AI model. (Bloomberg)

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