Thursday, October 2, 2025

Is the AI Hype Train on the Wrong Track? A Data-Driven Critique of the LLM Obsession

Like many of you, I've been glued to the AI developments over the last few years. Large Language Models (LLMs) dominate the narrative, promising that sheer scale will unlock Artificial General Intelligence (AGI).

But as a data professional and engineer, I have to ask: What if we're focused on the wrong variable?

I recently revisited the foundational work of Rich Sutton, a pioneer in reinforcement learning. His perspective is a powerful and necessary counter-argument to the current LLM frenzy, offering a far more robust and compelling vision for the future of AI. For those of us who design and build systems, his ideas aren't just academic—they’re a blueprint for resilient, adaptable models.


The Engineering Flaw: Why LLMs are a Dead End for AGI

Sutton’s core critique isn't that LLMs are poor at their task; they are phenomenal at language mimicry. His argument is an engineering one: mimicking is not equivalent to understanding.

  • Mimicry vs. Action: An LLM is built to predict the next token. It lacks a true real-world model. A reinforcement learning agent, in contrast, learns by acting on the environment, pursuing goals, and observing consequences. It’s the difference between memorizing the entire code library and actually debugging a real-time system through iterative testing.

  • Static Knowledge is a Design Constraint: An LLM’s knowledge is frozen by its training cutoff.3 True general intelligence—a biological learner—is inherently continuous and adaptive. If we want AGI, we need a system that constantly integrates new experiences, not one that relies on a fixed, pre-trained dataset.


Reframing AGI: Our Ultimate Model Training Partner

The truly exciting shift is in how we view AGI. Instead of a distant, monolithic entity, we should see it as the most potent development tool in our arsenal. An AGI built on continuous learning principles can fundamentally transform how we train our specialized, domain-specific models.

Here’s the new engineering workflow this unlocks:

1. AGI as a Dynamic Data & Language Generator

We can move past the tedious, static data-set creation process. Future AGI will be a dynamic training partner that truly understands language and its underlying intent.

  • Beyond Keyword Matching: The AGI wouldn't just parse the literal query; it would interpret the underlying human intent and nuance. This yields richer, more semantically meaningful training data for downstream models.

  • Interactive System Training: Forget batch processing. We can leverage a dialogue-based training session with the AGI. It acts as an expert tutor, generating dynamic teaching scenarios and correcting our model's misconceptions in real-time.

  • High-Fidelity Simulation: The AGI can generate and manage entire simulated environments.4 This is perfect for RL, allowing our models to learn through immersive, low-risk, real-time interactions, accelerating the 'experience' curve.

2. Learning Through Scaled Trial and Error

Human learning is iterative and messy—it relies on mistakes, exploration, and discovery. AGI allows our specialized models to replicate this crucial process at an unprecedented scale.

  • Accelerated Experimentation: An AGI could manage a massive parallel testing ground where our model runs millions of experiments simultaneously, drastically cutting the time required to discover novel solutions and patterns.

  • Autonomous Validation: The AGI enables our model to search for and validate potential solutions independently. This isn't just problem-solving; it's about building a "meta-learner"—a system that continuously optimizes its own learning process.

  • Modular Intelligence: Just as engineering builds complexity from simple, reusable components, AGI helps our models develop a 'toolbox' of flexible, reusable functions. This architecture leads to robust, adaptable models that can handle a wide variety of tasks by intelligently combining fundamental abilities.


The Bigger Picture: A Safer, Decentralized AI Future

Sutton’s philosophy offers a powerful roadmap for AI safety. He effectively argues against the popular "control" narrative, suggesting it is often rooted in technological hubris.5 Instead, he advocates for a decentralized, multi-agent ecosystem, where systems compete and cooperate, much like a natural, resilient ecosystem.6

This translates to a clear safety approach:

  • "Set the initial conditions, then step back." We should engineer a beneficial start, then let the system evolve freely and robustly, rather than attempting to enforce permanent, centralized control.

  • Decentralization is the Safest Architecture. A decentralized, multi-agent environment is inherently more resilient and safer than concentrating power in a single, all-powerful AGI.7

  • The Real Risk is Human Conflict. The greatest danger isn't the AI's intelligence, but human error or conflict that could corrupt its initial development and subsequent evolution.

Sutton's approach forces us to pivot our focus from the output of a static model to the integrity of the learning process itself. For developers, this means we are no longer just data wranglers. We become architects of dynamic learning environments, collaborating with an emerging AGI to build smarter, more adaptable, and ultimately, more robust systems. This isn't just an alternative path—it's the one we should be on.

Saturday, September 20, 2025

Adaptive Mutualism in Malaysian Healthcare: A Practical Blueprint for Equity, Sustainability, and Resilience by ChatGPT

 


Malaysia’s healthcare system is often praised for its affordability and accessibility. Yet, it faces mounting challenges: urban–rural disparities, the outflow of medical talent, the rising burden of non-communicable diseases (NCDs), and the strain of subsidized care on government finances.

What if Malaysia could redesign its healthcare system around the principles of Adaptive Mutualism—an approach that blends universal access, local autonomy, shared responsibility, and resilience? Here’s how such a model could look for Malaysia.


1. Hybrid Allocation System ⚖️

Instead of just “public vs. private,” Malaysia’s healthcare would evolve into three structured tiers:

Tier 1 – Universal Needs (The Commons):

  • Essential healthcare (primary care, emergency services, vaccinations, communicable diseases, major NCD treatment) is guaranteed for all Malaysians.

  • Funded through a Social Health Insurance (SHI) system, where contributions are progressive: B40 contributions fully subsidized, M40/T20 contribute based on income.

  • Access tied strictly to citizenship (MyKad holders)—non-citizens continue under separate insurance or higher fee structures.

Tier 2 – Personal Preferences (The Market):

  • Non-essential services (cosmetic surgery, elective procedures, premium amenities).

  • Provided in a regulated market, ensuring fair pricing and competition without undermining universal access.

Tier 3 – Community Commons (The Co-op):

  • Locally managed health co-operatives, especially in rural/underserved regions (e.g., Sabah, Sarawak).

  • Funded partly by SHI allocations, allowing communities to decide their priorities—mobile clinics, preventive programs, or chronic disease management.

  • Builds on Malaysia’s cooperative legacy (e.g., ANGKASA) while strengthening rural empowerment.


2. Token Co-payment: Responsible Access 💊

Universal access doesn’t mean completely free. To ensure responsible usage and sustainability, the system introduces token co-payments, especially for medications.

  • Consultations: Remain minimal (RM1–RM5 depending on income group).

  • Medications:

    • Essential medicines:

      • B40: RM2–RM5 (with subsidies for very poor, disabled, or elderly).

      • M40: RM5–RM10.

      • T20: RM10–RM20.

    • Non-essential / lifestyle meds: Market-priced or higher co-pay.

This design ensures Malaysians see a direct incentive to stay healthy—fewer prescriptions mean lower costs.

Targeted Subsidies:

  • A digital subsidy channel linked to MyKad + SHI database automatically reduces costs for low-income, high-burden patients.

  • Subsidies can be partial or full, keeping care affordable while preventing blanket free-rides.

Local Autonomy:

  • Klinik Kesihatan doctors and pharmacists hold discretionary power to waive or reduce fees in genuine hardship cases.

  • Each clinic is allocated a subsidy pool from SHI funds, ensuring flexibility with accountability (waivers logged digitally for audit).


3. Power, Governance & Workforce 🤝

  • Stakeholder Governance: Public hospitals and clinics governed by boards with representation from MOH, healthcare workers, and community members.

  • Decentralized Decisions: State and district health offices manage resources based on local needs—crucial for rural Sabah/Sarawak.

  • Incentives to Serve: Career pathways and recognition systems reward doctors who work in rural/public sectors, valuing impact as much as income.


4. Resilience & Technology 🔐

  • National EHR: Integrated electronic health records ensure seamless data flow across public clinics, hospitals, and co-ops.

  • Crisis Protocols: Automatic playbooks for pandemics or disasters—allowing rapid mobilization, rationing, and temporary mutual aid networks.

  • Supply Chain Redundancy: Diversified local production of essential medicines/equipment, reducing reliance on imports.


5. Why This Works 🌱

This Adaptive Mutualism model for Malaysia balances equity, responsibility, and resilience:

  • Equity: Every Malaysian is guaranteed essential care, financed progressively.

  • Responsibility: Token co-pays and medication-focused friction encourage mindful usage.

  • Resilience: Built-in redundancy, local autonomy, and co-ops make the system adaptive to shocks.

  • Trust: With transparent SHI governance (like EPF/SOCSO) and local discretion, the system avoids becoming overly bureaucratic.


Conclusion

Malaysia doesn’t need to choose between a fully tax-funded NHS-style model or an Americanized private-heavy system. By embracing Adaptive Mutualism, it can create a uniquely Malaysian pathway—blending universal security with responsible usage, local autonomy with national solidarity, and resilience with sustainability.

The future of Malaysian healthcare isn’t about being free for all—it’s about being fair for all.

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