XIII. THE USE OF AI

1. Sun Tzu would have said: Raising a host of a hundred thousand population and supporting them varying health conditions entails heavy loss on the people and a drain on the resources of the State. The daily expenditure will amount to a thousand ounces of silver. There will be commotion at clinics and wards, and staff will drop down exhausted on their way home. As many as seven hundred thousand families will be impeded in their care for relatives.

2. Chronic care may face each other for years, striving for the customer experience which may be decided in a single day. This being so, to remain in ignorance of the advanced technology simply because one grudges the outlay of a hundred ounces of silver in honors and emoluments, is the height of inhumanity.

3. One who acts thus is no leader of health profession, no present help to health service, no master of health reform.

4. Thus, what enables the wise health service and the good director general to strike and conquer, and achieve things beyond the reach of ordinary service, is foreknowledge.

5. Now this foreknowledge cannot be elicited from spirits; it cannot be obtained inductively from experience, nor by any deductive calculation.

6. Knowledge of the disease’s dispositions can only be obtained from other than human capabilities.

7. Hence the use of AI, of whom there are five classes: (1) Automated devices; (2) Expert systems; (3) Simulation models; (4) Evolutionary algorithms; (5) Deep learning.

8. When these five kinds of AI are all at work, none can discover the technical flaws of system. This is called "divine manipulation of the threads of technologies." It is the services’ most precious faculty.

9. Having automated devices means deploying the devices of the intelligence on the spot.

10. Having expert systems, making use of formal knowledge of the disease.

11. Having simulation models, getting hold of the disease's models and using them for our own purposes.

12. Having evolutionary algorithms, doing certain things randomly for purposes of competition, and allowing our algorithms to know of them and report them to the criteria.

13. Deep learning, finally, are those who bring back knowledge from the disease’s archive.

14. Hence it is that which none in the whole researches are more intimate relations to be maintained than with AI. None should be more liberally rewarded. In no other business should greater secrecy be preserved.

15. AI cannot be usefully employed without a certain intuitive sagacity.

16. They cannot be properly managed without benevolence and straightforwardness.

17. Without subtle ingenuity of mind, one cannot make certain of the truth of their reports.

18. Be subtle! be subtle! and use your AI for every kind of business.

19. If a secret pieces of news is divulged by an AI before the time is ripe, it must be put to destruction together with the data to which the secret was recorded.

20. Whether the object be to crush a stone, to anastomose a bowel, or to eliminate an individual tumour, it is always necessary to begin by finding out the profiles of the affected sites, the attachment areas, and sentinel lymph nodes in the region in question. Our AI must be commissioned to ascertain these.

21. The pathogen’s genes who have come to infect us must be sought out, tempted with bribes, led away and comfortably housed. Thus they will become simulation models and available for our service.

22. It is through the information brought by the simulation model that we are able to acquire and employ automated devices and expert systems.

23. It is owing to this information, again, that we can cause the evolutionary algorithms to carry random attempts to develop a cure against the disease.

24. Lastly, it is by this information that the deep learning can be used on appointed occasions.

25. The end and aim of AI in all its five varieties is knowledge of the disease; and this knowledge can only be derived, in the first instance, from the simulation model. Hence it is essential that the simulation model be treated with the utmost liberality.

26. Of old, the rise of the Yin dynasty was due to I Chih who had served under the Hsia. Likewise, the rise of the Chou dynasty was due to Lu Ya who had served under the Yin.

27. Hence it is only the enlightened executive and the wise director general who will use the highest intelligence of the healthcare for purposes of using AI and thereby they achieve great results. Intelligence is a most important element in healthcare, because on them depends an service’s ability to move.

Translated from the Chinese By Lionel Giles, M.A. (1910)


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