I don’t know quite how (or whether) this translates to the reinforcement learning part of the post, but my thought at the point of “invite you (right now!) to try and come up with something” was to pay by the QALY—regardless of whether good health is obtained by them actively intervening, or just by good luck while they stand back and watch and get paid for doing nothing.
If I have an illness that will reduce length or quality of life, they should want to treat it. If I don’t they should want to avoid burdening me with the quality-of-life reduction of unnecessary treatment. It would seem to align our interests—at least so long as I don’t need medical expertise to tell how well I currently feel.
Although, the possibility of being drugged into blissful inattention might still be an issue, if they inconveniently have good enough pills to mask all of the pain of a chronic condition without me knowing the difference. (But maybe that’s a bullet to bite—if I truly can’t tell the difference then maybe that’s a successful treatment)
I don’t know quite how (or whether) this translates to the reinforcement learning part of the post, but my thought at the point of “invite you (right now!) to try and come up with something” was to pay by the QALY—regardless of whether good health is obtained by them actively intervening, or just by good luck while they stand back and watch and get paid for doing nothing.
If I have an illness that will reduce length or quality of life, they should want to treat it. If I don’t they should want to avoid burdening me with the quality-of-life reduction of unnecessary treatment. It would seem to align our interests—at least so long as I don’t need medical expertise to tell how well I currently feel.
Although, the possibility of being drugged into blissful inattention might still be an issue, if they inconveniently have good enough pills to mask all of the pain of a chronic condition without me knowing the difference. (But maybe that’s a bullet to bite—if I truly can’t tell the difference then maybe that’s a successful treatment)