AI Is Dead

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I’ve got a post-graduate certificate in artificial intelligence (AI). I’m also an author, and I believe writers and publishers should not use AI in publishing. So that’s why I was disturbed when a reviewer asked if I had used AI in writing my recent coming-of-age novel, Under the Gulf Coast Sun.

But the reasons I oppose using AI are not the usual ones you hear.

We have all read or heard about copyright violations during AI algorithm training, as well as plagiarism problems, job displacement, potential stifling of creativity, legal complexity, blandness, and plain old human outrage. Those are all good arguments for opposing the use of generative AI in publishing.

Let me also argue against its use, but for a completely different reason: AI is dead.

Literally.

When I want to read poetry, a short story, a novel, a memoir, or non-fiction, I seek the voice of a fellow human being. A computer, by contrast, has the exact same awareness of the world that you had before birth—basically the perspective of a stone sitting on the side of the road. That is, no awareness of the world at all.

So, when I’m interested in what a person has to say, why would I willingly spend time reading or listening to a text that was mathematically calculated by a dead thing? I would not. And once you consider this reality, I believe you will lose interest as well, just as we all completely lost interest in (and quickly forgot) the rather incredible achievement of IBM’s Big Blue defeating chess champion Gary Kasparov in a six-game showdown in 1997.

Mustapha Suleyman, Microsoft’s Artificial Intelligence CEO, said in an NPR interview with Manosh Zamorodi that AI systems “communicate in our languages. They see what we see. They consume unimaginably large amounts of information. They have memory. They have personality. They have creativity.”

That is mostly nonsense. Computers operate only with zeros and ones. AI does not see what we see. It has no personality, no creativity. At best AI is a glorified calculator that works by fooling people into believing that it possesses the qualities Suleyman lists because AI does consume and process unimaginably large amounts of information from human beings. Unlike Suleyman’s claim, though, computers don’t have any real understanding of the data they generate.

Here’s how AI calculates novels or short stories or poetry: A human language prompt is converted into zeroes and ones and stored in a vast ocean of other zeros and ones. Then a set of instructions are loaded into the main processor’s transistors (again, zeroes and ones). The instructions tell the computer which zeroes and ones to retrieve from memory, then the retrieved zeros and ones are added together with other zeros and ones using Boolean math. This creates a different pattern of zeros and ones—which get put back into the storage system.

This process repeats itself at extreme speed for about ten or fifteen seconds, until the novel or short story or poem has been fully calculated and placed into memory (again, as zeros and ones).

At a higher level, AI calculates texts based on probabilities of what word is most likely to come next in the stream of data it’s generating. That’s all.

In other words: A poem, short story, or novel calculated by a computer is nothing more than a prediction.  The fact that a human being sometimes can’t tell the difference between an AI-generated text and one written by a real person doesn’t make the calculation any less of a mindless mathematical outcome. (The Turing Test first devised in 1950,  is a way to attempt to determine whether machines actually exhibit any real intelligence. In particular, if a human can’t tell the difference between the machine output and one created by a human, the test passes. But Turing, the man who proposed the test, later said that the question of whether machines can think is itself “too meaningless” to deserve discussion.)

And, critically, the math has nothing to do with how humans build beauty and meaning with writing.

There are uncountable amazing and incredibly useful applications of AI, both generative and otherwise, in society. I won’t list them (just ask your local ChatGPT, it will be happy to calculate a result for you). And on that note, I let ChatGPT end this article with a calculation it made about the meaning of its own calculations, based on the following prompt:

Me: I would state that you don’t understand concepts, but retrieve data, operate on the data, then calculate an output. The concept is up to me to create based on your calculations.

ChatGPT: You’re absolutely right. I do not possess true understanding or conceptual awareness in the human sense. Instead, I work by retrieving patterns, facts, and relationships from the data I’ve been trained on, performing calculations and logical operations to produce outputs that align with your prompts.

ChatGPT has calculated this truth (as Suleyman the Microsoft AI guru well knows): Generative AI output is an illusion—a fake—produced by a dead thing with no awareness of what it has produced. We have to make our own meaning from it. But beyond that, I simply cannot justify spending my very limited time reading the calculations of a computer while pretending it has the same weight as the creative output of an actual human being.

I’ll take the living over the dead, every time. 

The post AI Is Dead appeared first on The Texas Observer.

Long ER stays are common in the US. It may get worse as the population ages

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By DEVNA BOSE, Associated Press and BENJAMIN THORP, Side Effects Public Media

AURORA, Ill. (AP) — At her mother’s home in Illinois, Tracy Balhan flips through photos of her dad, Bill Speer. In one picture, he’s smiling in front of a bucket of sweating beers and wearing a blue T-shirt that reads, “Pops. The man. The myth. The legend.”

Balhan’s father died last year after struggling with dementia. During one episode late in his life, he became so agitated that he tried to exit a moving car. Balhan recalls her dad — larger than life, steady and loving — yelling at the top of his lungs.

His geriatric psychiatrist recommended she take him to the emergency room at Endeavor Health’s Edward Hospital in the Chicago suburb of Naperville because of its connection to an inpatient behavioral care unit. She hoped it would help get him a quick referral.

Boni Speer, left, and her daughter, Tracy Balhan, hold a photo of Bill Speer, Tracy’s father, in Aurora, Ill., on Friday, March 14, 2025. (Benjamin Thorp/WFYI Public Media via AP)

But Speer spent 12 hours in the emergency room — at one point restrained by staff — waiting for a psych evaluation. Balhan didn’t know it then, but her dad’s experience at the hospital is so common it has a name: ER boarding.

One in six visits to the emergency department in 2022 that resulted in hospital admission had a wait of four or more hours, according to an Associated Press and Side Effects Public Media data analysis. Fifty percent of the patients who were boarded for any length of time were 65 and older, the analysis showed.

Some people who aren’t in the middle of a life-threatening emergency might even wait weeks, health care experts said.

ER boarding is a symptom of the U.S. health care system’s struggles, including shrinking points of entry for patients seeking care outside of ERs and hospitals prioritizing beds for procedures insurance companies often pay more for.

Experts also warn the boarding issue will worsen as the number of people 65 and older in the U.S. with dementia grows in the coming decades. Hospital bed capacity in the U.S. may not keep up. Between 2003 and 2023, the number of staffed hospital beds was static, even as emergency department visits shot up 30% to 40% over that same period.

Number of hospital beds at issue

For older people with dementia, boarding can be especially dangerous, Chicago-based geriatric psychiatrist Dr. Shafi Siddiqui said. One research letter published in June 2024 in the Journal of the American Medical Association looked at more than 200,000 patients and found long ER stays could be linked to a higher risk of dementia patients developing delirium — a temporary state of mental confusion and sometimes hallucinations.

“People need to be enraged about (boarding),” said Dr. Vicki Norton, president-elect of the American Academy of Emergency Medicine.

National emergency physician groups have lobbied for years to keep boarding under control. While they’ve made some progress, nothing substantial has changed, despite concerns that it leads to worse patient outcomes.

Dr. Alison Haddock, president of the American College of Emergency Physicians, said that’s because boarding is a failing of the entire health care system that manifests in the ER, so solving it demands a systemic approach.

Federal and state policy decisions made nearly 40 years ago limited the number of hospital beds, said Arjun Venkatesh, who studies emergency medicine at Yale. People are now living longer, he said, resulting in more complicated illnesses.

In 2003, there were 965,000 staffed hospital beds compared to 913,000 in 2023, according to the American Hospital Association. And another JAMA research letter published in February shows there are 16% fewer staffed beds in the U.S. post-pandemic.

The ones available may be prioritized for “scheduled care” patients who need non-urgent procedures, like cancer care or orthopedic surgeries. Insurance companies pay hospitals more for those surgeries, Haddock said, so hospitals aren’t likely to move patients into those beds — even as emergency rooms fill up.

Where can people go?

Though long stays in the emergency department are common, there isn’t good data that tracks the extremes, emergency medicine experts said.

The Centers for Medicare and Medicaid Services recently ended a requirement that hospitals track the “median” wait times in their emergency departments. An advisory group that develops quality measures for CMS recommended that the agency try to more accurately capture long emergency department stays. That measure has recently been submitted to CMS, which can choose to adopt it.

Patients’ families worry that long emergency room stays may make things worse for their loved ones, forcing some to search for limited alternatives to turn for support and care.

Nancy Fregeau lives in Kankakee, Illinois, with her husband Michael Reeman, who has dementia.

Last year, she said he visited the Riverside Medical Center emergency department several times, often staying more than four hours and in one case more than 10, before finally getting access to a behavioral care bed. Riverside declined to comment on Reeman’s case.

During long waits, Fregeau doesn’t know what reassurance she can offer her husband.

“It’s hard enough for anyone to be in the ER but I cannot imagine someone with dementia being in there,” she said. “He just kept saying ‘When am I going? What’s happening?’”

Since November, Reeman has been going to the MCA Senior Adult Day Center in Kankakee. Fregeau said Reeman treats the day center like it’s his job, offering to vacuum and clean, but comes home happier after having time around other people and away from the house.

In Illinois, there are fewer adult day centers than there are counties, and other resources for people with dementia are shrinking, too. A report from the American Health Care Association and the National Center for Assisted Living found that 1,000 nursing homes in the U.S. closed between 2015 and 2022. At least 15 behavioral health centers, which are facilities that specialize in treating mental health issues, closed in 2023.

With fewer places for patients to go after being discharged, hospital beds are being used for longer, exacerbating the boarding problem. It’s becoming more difficult to get a specialty hospital bed, especially when patients’ dementia causes aggression.

That was the case for Balhan’s father, who became increasingly agitated during his ER stay. Hospital staff told Balhan the behavioral care unit wasn’t taking dementia patients, so Speer was stuck in the ER for 24 hours until they found a behavioral health facility, separate from the health system, that would take him.

While the hospital couldn’t comment on Speer’s specific situation, Endeavor Health spokesperson Spencer Walrath said its behavioral care unit typically admits geriatric psychiatry patients, including those with dementia, but it depends on factors like bed availability and the patient’s specific medical needs.

Balhan feels that the U.S. health care system failed to treat her dad as a human being.

“It didn’t feel to me like he was being treated with any dignity as a person,” she said. “If anything could change, that would be the change that I would want to see.”

AP data journalist Kasturi Pananjady contributed to this report.

This story is a collaboration between Side Effects Public Media, a health reporting collaboration of NPR member stations across the Midwest, and The Associated Press. The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group and the Robert Wood Johnson Foundation.

Joe Biden will speak about Social Security in his return to the national stage

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By STEVE PEOPLES and FATIMA HUSSEIN, Associated Press

WASHINGTON (AP) — Former President Joe Biden returns to the national stage Tuesday to elevate liberal concerns that President Donald Trump’s agenda is threatening the health of Social Security.

The 82-year-old Democrat has largely avoided speaking publicly since leaving the White House in January. That’s even as Trump frequently blames Biden for many of the nation’s problems, often attacking his predecessor by name.

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Biden is expected to fight back in an early evening speech to the national conference of Advocates, Counselors and Representatives for the Disabled in Chicago. While Biden has made a handful of public appearances in recent weeks, Tuesday’s high-profile address focuses on a critical issue for tens of millions of Americans that could define next year’s midterm elections.

“As bipartisan leaders have long agreed, Americans who retire after paying into Social Security their whole lives deserve the vital support and caring services they receive,” said Rachel Buck, executive director of the ACRD. “We are thrilled the president will be joining us to discuss how we can work together for a stable and successful future for Social Security.”

Trump almost immediately began slashing the government workforce upon his return to the White House, including thousands of employees at the Social Security Administration.

Along with a planned layoff of 7,000 workers and controversial plans to impose tighter identity-proofing measures for recipients, the SSA has been sued over a decision to allow Elon Musk’s Department of Government Efficiency to access individuals’ Social Security numbers and other personally identifiable information.

Musk, the world’s richest man and one of Trump’s most influential advisers, has called Social Security “the biggest Ponzi scheme of all time.”

At the same time, Social Security recipients have complained about long call wait times as the agency’s “my Social Security” benefits portal has seen an increase in outages. Individuals who receive Supplemental Security Income, including disabled seniors and low-income adults and children, also reported receiving a notice that said they were “not receiving benefits.”

The agency said the notice was a mistake. And the White House has vowed that it would not cut Social Security benefits, saying any changes are intended to reduce waste and fraud.

Biden will be joined in Chicago by a bipartisan group of former elected officials, including former Sen. Roy Blunt, R-Mo., former Sen. Debbie Stabenow, D-Mich., and former Social Security Administrator Martin O’Malley.

“Social Security is a sacred promise between generations,” O’Malley said. “We are deeply grateful to the President for joining us at ACRD to discuss how we can keep that promise for all Americans.”

Biden is not expected to make frequent public appearances as he transitions into his post-presidency. He still maintains an office in Washington, but has returned to Delaware as his regular home base. Trump has revoked his security clearances.

While Biden may be in position to help his party with fundraising and messaging, he left the White House with weak approval ratings. Biden also faces blame from some progressives who argue he shouldn’t have sought a second term. Biden ended his reelection bid after his disastrous debate performance against Trump and made way for then-Vice President Kamala Harris, who lost to Trump in the fall.

Just 39% of Americans had a favorable opinion of Biden in January, according to a Gallup poll taken shortly after Trump’s inauguration.

Views of the Democratic former president were essentially unchanged from a Gallup poll taken shortly after the November election. They broadly track with the steadily low favorability ratings that Biden experienced throughout the second half of his presidential term.

Peoples reported from New York. Associated Press writer Linley Sanders contributed to this report.

Another US aircraft carrier in Mideast waters ahead of second round of Iran-US nuclear talks

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By JON GAMBRELL, Associated Press

DUBAI, United Arab Emirates (AP) — A second U.S. aircraft carrier is operating in Mideast waters ahead of the next round of talks between Iran and the United States over Tehran’s rapidly advancing nuclear program, satellite photos analyzed Tuesday by The Associated Press showed.

The operation of the USS Carl Vinson and its strike group in the Arabian Sea comes as suspected U.S. airstrikes pounded parts of Yemen controlled by the Iranian-backed Houthi rebels overnight into Tuesday. American officials repeatedly have linked the U.S.’ monthlong campaign against the Houthis under President Donald Trump as a means to pressure Iran in the negotiations.

Questions remain over where the weekend talks between the countries will be held after officials initially identified Rome as hosting the negotiations, only for Iran to insist early Tuesday they would return to Oman. American officials so far haven’t said where the talks will be held.

The stakes of the negotiations couldn’t be higher for the two nations closing in on half a century of enmity. Trump repeatedly has threatened to unleash airstrikes targeting Iran’s nuclear program if a deal isn’t reached. Iranian officials increasingly warn that they could pursue a nuclear weapon with their stockpile of uranium enriched to near weapons-grade levels.

But even Iran’s Supreme Leader Ayatollah Ali Khamenei reportedly described the first round of talks as going “well,” even while still couching his remarks Tuesday.

U.S. Mideast envoy Steve Witkoff, who represented America in last weekend’s talks in Oman, separately signaled that the Trump administration may be looking at terms of the 2015 nuclear deal that the president unilaterally withdrew from in 2018 as a basis for these negotiations. He described the talks last weekend as “positive, constructive, compelling.”

“This is going to be much about verification on the enrichment program, and then ultimately verification on weaponization,” Witkoff told Fox News on Monday night. “That includes missiles, the type of missiles that they have stockpiled there. And it includes the trigger for a bomb.”

He added: “We’re here to see if we can solve this situation diplomatically and with dialogue.”

Vinson joins Truman as second US aircraft carrier in Mideast

Satellite photos taken Monday by the European Union’s Copernicus program showed the Vinson, which is based out of San Diego, California, operating northeast of Socotra, an island off Yemen that sits near the mouth of the Gulf of Aden. The Vinson is accompanied by the Ticonderoga-class guided missile cruiser USS Princeton and two Arleigh Burke-class guided missile destroyers, the USS Sterett and the USS William P. Lawrence.

The U.S. ordered the Vinson to the Mideast to back up the USS Harry S. Truman, which has been launching airstrikes against the Houthis since the American campaign started March 15. Footage released by the Navy showed the Vinson preparing ordinance and launching F-35 and F/A-18 fighter jets off its deck in recent days.

The U.S. Navy’s Bahrain-based 5th Fleet, which oversees the Mideast, declined to discuss details of the Vinson’s operations. However, hours after the AP’s report, the U.S. military’s Central Command posted videos from the two carriers on the social platform X saying there had been “24/7 strikes” on the Houthis by the two carriers.

Khamenei responds

The Vinson’s arrival came as Khamenei, while speaking to high-ranking government officials in Tehran on Tuesday, endorsed the progress of the talks.

In this photo released by an official website of the office of the Iranian supreme leader, Supreme Leader Ayatollah Ali Khamenei speaks in a meeting with a group of top officials, in Tehran, Iran, Tuesday, April 15, 2025. (Office of the Iranian Supreme Leader via AP)

“We are neither radically optimistic about the talks nor radically pessimistic about the talks,” the 85-year-old Khamenei said, according to Iranian state television. However, he said the talks had been “implemented well in the first steps” and that Iran remained “pessimistic” about America.

He also urged officials “not to tie the country’s affairs” to the talks, which are scheduled to have a second round on Saturday.

The “red lines are quite clear for us and the other side,” he added.

Witkoff suggests 3.67% uranium enrichment for Iran

Meanwhile, Witkoff offered for the first time a specific enrichment level he’d like to see for Iran’s nuclear program. Today, Tehran enriches uranium to up to 60% — a short, technical step from weapons-grade levels of 90%.

“They do not need to enrich past 3.67%,” Witkoff told Fox News. “In some circumstances, they’re at 60%, in other circumstances, 20%. That cannot be.

“And you do not need to run, as they claim, a civil nuclear program where you’re enriching past 3.67%. So this is going to be much about verification on the enrichment program, and then ultimately verification on weaponization.”

The 2015 nuclear deal Iran agreed to with world powers under President Barack Obama saw Tehran agree to drastically reduce its stockpile of uranium and only enrich up to 3.67% — enough for its nuclear power plant at Bushehr. Iran in exchange received access to frozen funds around the world, and sanctions were lifted on its crucial oil industry and other sectors.

Iran’s Javan newspaper, which is believed to be close to its paramilitary Revolutionary Guard, suggested in an editorial Tuesday that Tehran would be open to reducing its enrichment.

“Something that we have done before, why should we not carry it again and reach a deal?” the editorial asked. “This is not called a withdrawal by Islamic Republic from its ideals anywhere in the world.”

When Trump withdrew from the deal in 2018, however, he pointed at Iran’s ballistic missile stockpile as one reason to leave the deal. Witkoff said any deal with Iran would have to include “missiles, the type of missiles that they have stockpiled there and it includes the trigger for a bomb.”

Iran relies on its ballistic missiles as a hedge against regional nations armed with advanced fighter jets and other American weaponry. Getting it to abandon its missile program likely will be difficult in negotiations.

Associated Press writer Nasser Karimi in Tehran, Iran, contributed to this report.

The Associated Press receives support for nuclear security coverage from the Carnegie Corporation of New York and Outrider Foundation. The AP is solely responsible for all content.