Tuesday, May 13, 2025

Can "Articulate Medical Intelligence Explorer" Outperform Primary Care Physicians?

A study suggests Articulate Medical Intelligence Explorer, a large language model (LLM)-based AI system optimized for diagnostic purposes, might perform better than primary care physicians.

 

The study included 159 case scenarios from providers in Canada, the United Kingdom and India, 20 primary care physicians compared to AMIE, and evaluations by specialist physicians and patient-actors. 

“AMIE demonstrated greater diagnostic accuracy and superior performance on 30 out of 32 axes according to the specialist physicians and 25 out of 26 axes according to the patient-actors,” researchers say. 

The randomized, double-blind crossover study found AMIE achieved higher top-1 and top-3 “differential diagnosis accuracy,” with the correct diagnosis ranked first in 29 percent of cases and within the top 10 in 59 percent of cases, the study found. 

Ever Had to Explain "Cloud" to a Non-Technical User?

Many of us have had the experience of explaining what “cloud” means, or comparing a traditional legacy telecom network architecture to the internet’s design. 


The simple answer likely remains the best: it’s a way, on a network diagram, to show non-specific parts of the network or parts one specific participant does not own or control. In other words, the cloud symbol abstracts all the rest of the network that is out of scope from the standpoint of a particular participant. 

Since the internet uses a virtualized infrastructure, the cloud symbol is a convenient way to show that other devices, network elements and processes are running, but a particular participant does not need to know the details, or actually care very much. 


All that is quite different from past representations of the legacy voice network, which is highly structured, even if many of its processes likewise can be abstracted.


How Will AI Assistants Affect Search, Really

It’s difficult to predict precisely how AI assistants are going to reshape ad-supported search, except to note that some substitution is going to happen. More queries will rely on the summary AI responses, without users navigating to source websites. 


As AI assistants handle a growing number of user queries, there will be measurement challenges around user engagement and therefore advertising effectiveness.



Attribution is a clear issue. When AI assistants are used, it is harder to track the user's path from initial query to final conversion (purchase or sign-up, for example). 


AI assistants synthesize information without direct clicks on specific links, making traditional last-click attribution models less effective or even obsolete. In other words, the consumer journey is largely invisible.

.

Referral tracking likewise is more difficult. While some traffic might be identifiable on some AI platforms, AI assistants will generally not make measurement easy or even possible. 


Also problematic are ways to correlate AI interactions with real-world outcomes such as in-store visits.


Click-through rates lose relevance when there is no click-through to measure.


Platforms are experimenting with ads within AI results, including sponsored links or products in Google SGE.


Monday, May 12, 2025

If You Haven't Given Up on Investing in AI

Wedbush analysts pick 30 public firms they believe will " define the future of the AI theme over the coming years."


Analysts led by Daniel Ives argue the “AI revolution” represents the biggest technology transformation in over 40 years


"The start of this $2 trillion of AI spending all began with the launch of ChatGPT at the end of 2022 and built out by Godfather of AI Jensen (Nvidia's CEO Jensen Huang) and Nvidia as they are the only game in town with their chips the new gold and oil," said Wedbush. 


Here’s the list:


Hyperscalers: Microsoft (NASDAQ:MSFT), Google (NASDAQ:GOOG) (NASDAQ:GOOGL), Amazon (NASDAQ:AMZN) and Oracle (NYSE:ORCL).


Software: Palantir Technologies (NASDAQ:PLTR), Salesforce (NYSE:CRM), IBM (NYSE:IBM), ServiceNow (NYSE:NOW), Snowflake (NYSE:SNOW), Adobe (NASDAQ:ADBE), Pegasystems (NASDAQ:PEGA), MongoDB (NASDAQ:MDB), C3.ai (NYSE:AI), Elastic (NYSE:ESTC), Innodata (NASDAQ:INOD), AND SoundHound AI (NASDAQ:SOUN).


Consumer Internet: Apple (NASDAQ:AAPL), Meta (NASDAQ:META), Alibaba (NYSE:BABA) and Baidu (NASDAQ:BIDU).


Cybersecurity: Palo Alto Networks (NASDAQ:PANW), Zscaler (NASDAQ:ZS) and CyberArk Software (NASDAQ:CYBR).


Autonomous/Robotics: Tesla (NASDAQ:TSLA) and Oklo (NYSE:OKLO).


Semiconductor/Hardware: Nvidia (NASDAQ:NVDA), Advanced Micro Devices (NASDAQ:AMD), Taiwan Semiconductor Manufacturing (NYSE:TSM), Broadcom (NASDAQ:AVGO) and Micron Technology (NASDAQ:MU).


"It's all about the use cases exploding," said Ives.


AI Boosts "Data Center to Data Center" Traffic, Not Home Broadband Needs

Current evidence and expert opinion suggests AI use is unlikely to dramatically increase home broadband data consumption in the near term, while driving new needs for bandwidth between data centers. While that might change in the future if new bandwidth-intensive applications develop, for the moment the impact of AI processing seems focused on "data center to data center" capacity.


For starters, AI query traffic Is comparable to that of search engine use. When consumers interact with AI (asking questions to an AI chatbot), the data exchanged is typically limited to short text queries and responses. That is similar in scale to current web searches, meaning the volume of data transferred to and from homes is not substantially greater than existing activities like Google searches.


In some ways, AI chatbots might also reduce some amount of web browsing,  if users rely on AI to summarize information instead of visiting multiple websites.


To the extent there is more processing, that happens within data centers, not across the access network.


Source/Study

Year

Key Findings on Home Data Consumption

Notes on Scope/Methodology

CircleID / POTs and PANs

2024

AI queries use similar bandwidth to search engines; may even reduce home data use by condensing information

Industry analysis, references Scientific American for energy use, not data volume 12

Dell’Oro Group

2023

AI’s main impact is network optimization, not increased home data use; future metaverse/AI combo could drive growth

Industry report, focuses on network-level effects 4

Fiber Broadband Association / Futurum Group

2024

AI is driving fiber deployment and network investment, but impact on household data volumes not specified

Industry survey, focus on infrastructure 3

BroadbandProviders UK

2024

AI can optimize home network usage and plans, improving efficiency rather than increasing consumption

Consumer-facing analysis, focus on network management 5


On the other hand, AI processing operations are very likely to increase the need for additional bandwidth between data centers. 


AI workloads, especially model training and large-scale inference, require the movement of massive datasets between data centers, cloud regions, and enterprise sites (sources: 1,3,4,6,7), so orders for fiber capacity have increased by an order of magnitude, with standard requests jumping from 8 to 12 fibers to 144 to 432 fibers per route in recent years, some analysts say. .


Traditional static wavelength provisioning also might be inadequate for AI’s dynamic and often bursty traffic patterns. AI training and inference workloads may require large-scale but temporary bandwidth, some argue.


Impact Area

Evidence or Argument

Source(s)

Bandwidth Demand

Orders for fiber have increased 10-50x; AI-driven data centers need petabit-scale data transfer

1,3,4,6,7

Latency & Symmetry

AI requires ultra-low latency, symmetrical speeds for real-time inference and distributed training

1,4,7

Network Agility

Shift from static to dynamic, automated provisioning; need for temporary, large-scale bandwidth

2

Data Center Placement

New builds in power-rich regions, requiring new long-haul and middle-mile routes

4,6,8

Bottleneck Risk

Insufficient fiber could cause congestion, limiting AI growth

4,7


Unlike traditional north-south (server to end user) traffic, AI data centers prioritize server-to-server (east-west) communication for parallel processing, requiring 2–4x more fiber density than traditional hyperscale facilities, observers note.


The bottom line is that additional bandwidth demand will be focused on “data center to data center”` portions of the network, not the access network.


Saturday, May 10, 2025

Why Ruin Ride Sharing Business Model?

Ensuring that a new law produces more benefits than costs seems a rare consideration for lawmakers. 

To be fair, it quite often is difficult, if not impossible, to do so. We never quite know whether some other approach would solve the problem at less cost, or be more effective. 

So Uber argues about a proposed new law in Colorado aimed at passenger safety, but considered onerous enough that Uber has said it would cease operations rather than comply. 

Some might instinctively dismiss such assertions. Sure, all participants in a value chain can be expected to defend their perceived interests. 

But good intentions are not enough. Proposed policies must actually deliver intended benefits at reasonable cost, with a minimum of unintended consequences.

Destroying the business model for ride sharing seems unwise.

Friday, May 9, 2025

Bye Bye Skype

As Microsoft retires Skype in favor of Teams, it might be useful to recall just how impactful “voice over IP” services such as Skype were in dismantling the telco profit engine.


For example, looking only at revenue, in 2000 global international call revenues were in the range of $80 billion to $100 billion, with very-high profit margins. By 2020, international calling revenues had dropped to about $15 billion to $20 billion, with profit margins compressed. 

 

Decline in International Calling Revenue with VoIP Adoption (2000–2020)

Year

Est. Int'l Calling Revenue (Billion USD)

VoIP Adoption & Skype Milestones

Notes

2000

~80–100

Minimal VoIP presence; traditional PSTN dominates

High tariffs for international calls; telecom monopolies prevalent.

2003

~75–90

Skype launched; 11M users by 2004

Skype introduces free VoIP calls and low-cost PSTN calls, challenging telecom pricing.

2005

~70–85

Skype acquired by eBay ($2.6B); 54M users

VoIP gains traction; telecoms begin lowering rates to compete.

2008

~60–75

Skype grows to 405M users

Economic recession impacts telecom revenue; VoIP alternatives expand (Viber, WhatsApp emerging).

2010

~50–65

Skype disables third-party integrations; 663M users

Telecoms lose market share to VoIP; mobile data plans begin reducing VoIP dependency.

2013

~40–55

Skype-to-Skype int’l traffic up 36% (214B minutes)

TeleGeography notes VoIP capturing significant call volume; traditional revenue continues to decline.

2015

~30–45

WhatsApp, Viber, and others compete with Skype

Mobile apps erode Skype’s dominance; telecoms shift to data-driven models.

2018

~20–35

Skype daily users at 40M (2020 peak)

VoIP services saturate the market; telecom firms  focus on broadband and mobile data revenue.

2020

~15–25

Skype usage spikes 70% during COVID-19

Despite Skype’s decline to 36M daily users by 2023, VoIP remains dominant; traditional int’l calling revenue nears obsolescence.


Profit margins were an important part of the early, pre-VoIP story. Net profit margins on international voice were as high as 25 percent back in 2000. Current net margins are in the range of three percent to possibly five percent. 


In a real sense, VoIP services including Skype disrupted the telecom industry profit driver. 


Year

Domestic Long-Distance Margin (%)

International Long-Distance Margin (%)

Discussion

2000

~12–18%

~15–25%

High margins due to limited competition and high per-minute rates. Domestic margins are slightly lower than international due to local competition. Estimated from telecom sector data and peak long-distance revenue.

2001

~12–17%

~15–24%

Stable margins but early pressure from mobile and VoIP adoption. International margins are higher due to termination fees. Estimated from sector trends.

2002

~11–16%

~14–23%

Decline in domestic voice revenue began as mobile plans offered "bucket" minutes. International margins remained higher but faced VoIP competition. Estimated from sector data.

2003

~10–15%

~13–22%

Continued erosion from mobile and VoIP (e.g., Skype). International margins supported by high termination rates. Estimated from sector trends.

2004

~9–14%

~12–20%

VoIP and internet-based calling reduced costs and rates, squeezing margins. Domestic margins lower due to flat-rate plans. Estimated from sector data.

2005

~8–13%

~11–18%

Long-distance business peaked in 2000; by 2005, revenues were declining rapidly. International margins are higher due to mobile international calling demand. Estimated from sector data.

2006

~7–12%

~10–17%

Domestic margins hit by unlimited calling plans and VoIP. International margins supported by slower price erosion in mobile long-distance. Estimated from sector trends.

2007

~6–11%

~9–16%

Domestic long-distance became commoditized; international margins pressured by OTT apps (e.g., WhatsApp). Estimated from sector data.

2008

~5–10%

~8–15%

Long-distance revenues halved from 2000 peak. Economic recession and VoIP adoption further reduced margins. Estimated from sector data.

2009

~5–9%

~8–14%

Smartphone adoption and VoIP apps (e.g., Skype) eroded margins. International mobile long-distance retained higher margins. Estimated from sector trends.

2010

~4–8%

~7–13%

Domestic long-distance margins near sector average (~4.82%). International margins are higher due to termination fees and mobile demand. Estimated from sector data.

2011

~4–7%

~7–12%

Domestic margins low as carriers bundled unlimited long-distance. International margins declined due to VoIP growth. Estimated from sector trends.

2012

~3–7%

~6–11%

Domestic long-distance fully commoditized; international margins affected by outsourcing and fraud. Estimated from sector data.

2013

~3–6%

~6–10%

Mobile data surpassed voice revenue; domestic long-distance margins were minimal. International margins supported by the wholesale voice market. Estimated from sector trends.

2014

~3–6%

~5–10%

Voice over LTE and VoIP reduced standalone voice profitability. International margins pressured by low-cost VoIP providers. Estimated from sector data.

2015

~3–5%

~5–9%

Domestic long-distance margins were negligible as unlimited plans dominated. International margins declined due to OTT apps. Estimated from sector trends.

2016

~3–5%

~4–8%

Voice services bundled with data; domestic margins near zero. International margins are low but supported by wholesale carriers. 

2017

~2–5%

~4–8%

Domestic long-distance margins minimal; international margins affected by grey routes and fraud. Estimated from sector trends.

2018

~2–4%

~4–7%

Domestic margins near zero as voice bundled with data plans. International margins low due to VoIP and 5G adoption. Estimated from sector data.

2019

~2–4%

~3–7%

Voice commoditization is complete; international margins slightly higher due to wholesale voice demand. Estimated from sector trends.

2020

~2–4%

~3–6%

COVID-19 increased communication demand, but voice margins remained low due to free VoIP apps. Estimated from sector data.

2021

~2–4%

~3–6%

Domestic long-distance margins negligible; international margins low but supported by enterprise demand. Estimated from sector trends.

2022

~2–4%

~3–6%

Telecom services margin ~4.82%; domestic voice margins near zero. International margins are low due to wholesale price wars. Estimated from sector data.

2023

~2–4%

~3–5%

North America wholesale voice market faced intense competition, eroding international margins. Domestic margins are negligible. Estimated from sector trends.

2024

~2–4%

~3–5%

Wholesale voice market valued at $40.26 billion in 2025, but margins low due to VoIP and 5G. Domestic margins near zero. Estimated from sector data.


Also, VoIP was not the only huge driver of a shift in consumer behavior. “Calling” became something most people did on their mobile phones. 


Fixed-network revenue dropped from $200 billion globally in 2000 to under $50 billion by 2020, while mobile revenue grew from $500 billion to $1.6 trillion, for example. U.S. telco revenues likewise shifted from fixed to mobile; legacy voice to VoIP. 


U.S. Telco Revenues 2000 to 2024

Year

Mobile Voice

PSTN Voice

VoIP

2000

10

100

1

2010

60

60

21

2020

110

20

41

2024

130

4

49


Can "Articulate Medical Intelligence Explorer" Outperform Primary Care Physicians?

A study suggests Articulate Medical Intelligence Explorer, a large language model (LLM)-based AI system optimized for diagnostic purposes, m...