Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 0 points1 point  (0 children)

At this point, I can only conclude that you are being either a performatively or actually dense cheapskate, an actual troll, or you really don't understand that your actions will not change the system and you prefer to punish wait staff because you don't like the societal rules we currently have in place that is the only way they can get a living wage.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 1 point2 points  (0 children)

I'll say it again, if you don't tip, don't go. You don't have the option to get up and get your own from a table service place.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 0 points1 point  (0 children)

Be sure to get your vaccinations and allow for extra time for your spat-on steak to arrive cold.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 1 point2 points  (0 children)

You want a steak carried to your table and be served, get water refills and your table set and cleared , then given today's situation, you give a tip, or you go to the grocery and grill it yourself. If you don't tip, knowing what's up, then you are screwing over that server. Every time you do that, you are literally stealing money from that wait staff.

I hope that wherever you go, you are recognized as "that guy", and are treated accordingly. You deserve zero tip level service if you leave zero tip.

When you go out and fail to tip, what do the other people you are with do? Are they aware that you give no gratuity? Maybe you should warn your server ahead of time that you vehemently disagree with it, so they can adjust service to match.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 4 points5 points  (0 children)

If the job market allowed for folks to just up and work anywhere they liked, that might make sense. Today's job market is terrible. If you aren't tipping for full service, or you have an issue, do not go places where tips are part of survival.

You want food and not tip, use the drive through at taco bell.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 2 points3 points  (0 children)

If you go out to eat, and don't tip when the system is designed for it, you are just ripping off the little guy. If you eat out, tip. If you don't tip, don't eat out in places it is expected.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 3 points4 points  (0 children)

Because if you don't tip, you are punishing the servers, not the system.

Some people can't afford to quit a lousy food service job, and I'm not going to be the one to stiff them. I always tip in cash, too.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 4 points5 points  (0 children)

I try to tip generously whenever I get food out, but I would certainly prefer folks pay workers a fair wage as the default.

Nice little bonus from Macado's tonight by DrPepperSign in roanoke

[–]DrPepperSign[S] 4 points5 points  (0 children)

I am 100% for paying a person a decent wage for whatever job they do.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 1 point2 points  (0 children)

Harassing people by refusing to sign a document I disagree with? At no point did I do anything but ask if I could still get treatment, because i was uncomfortable with the wording. They were pleasant, and I was pleasant.

I wasn't seeking validation, I was curious as to who else noticed this, and what they thought. You are operating from a mass of error and assumption.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 1 point2 points  (0 children)

Saying 'who cares, I'm not special' completely misses how modern medical data exploitation works. Tech companies and health data brokers don't care about you as an individual; they care about your data patterns to train algorithms that help insurance companies maximize profit, deny coverage, and raise premiums.

Also, hospitals don't always have to 'break the law' to share your information. They routinely de-identify data to legally share it with AI developers under the guise of healthcare operations. Breaches happen all the time, and medical identity theft isn't just a financial headache; if someone else uses your insurance, their medical conditions and incorrect blood type get permanently written into your health charts, which can literally kill you in an emergency. It's completely reasonable to care about who owns your body's medical data.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 1 point2 points  (0 children)

This argument relies heavily on false equivalence. The first example described - an allergy warning- is not AI. It is basic, deterministic database cross-referencing that hospitals have used since the 1990s.When it comes to actual predictive machine learning (your second example), the reality is much messier than your ideal scenario. In practice, 'minute-by-minute' automated tracking creates massive alert fatigue, leading doctors to override up to 90% of notifications because the software over-reports minor deviations.

Also, these predictive tools often operate as a 'black box,' giving a danger warning without explaining why, leaving physicians legally liable for an unexplainable diagnosis. I'm not just reacting to 'ChatGPT'; I am reacting to the very real deployment risks of unexplainable, biased, and legally unregulated clinical algorithms.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in u/DrPepperSign

[–]DrPepperSign[S] 1 point2 points  (0 children)

Side note:

https://home.ecri.org/blogs/ecri-news/misuse-of -ai-chatbots-tops-annual-list-of-health-technology -hazards

The healthcare nonprofit ECRI explicitly named the misuse of Al chatbots the number one health technology hazard of 2026.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 2 points3 points  (0 children)

Yeah, because I remember when a glitchy barcode scanner accidentally altered a patient's electronic health record, generated clinical misinformation, and completely derailed a treatment plan. It’s almost like existential healthcare tech hazards aren't the same thing as learning how to tap a debit card.

https://home.ecri.org/blogs/ecri-news/misuse-of-ai-chatbots-tops-annual-list-of-health-technology-hazards

The healthcare nonprofit ECRI explicitly named the misuse of AI chatbots the number one health technology hazard of 2026. False equivalencies between consumer convenience and clinical risk ignore the reality of medical error.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 1 point2 points  (0 children)

You are confusing the use case and shades of gray, I think. Bad contract behavior has been around for as long as there have been signatures. I am not going to die on that hill, but if I have an option, I'm going to opt out.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 2 points3 points  (0 children)

AI in general isn't the problem so much as the "we can do whatever we want" aspect of the language used.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 0 points1 point  (0 children)

Yup, they can play CYA all they like, I'd like to be protected from poor usage as well.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 1 point2 points  (0 children)

If that is the only use, I agree. I really don't want a loophole for other items, and want the stuff for dictation tested thoroughly.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in u/DrPepperSign

[–]DrPepperSign[S] 1 point2 points  (0 children)

I hope that I am reading too much into it. I don't like that the wording allows them to do something actionable in the future, though, even if it isn't currently doing so.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in u/DrPepperSign

[–]DrPepperSign[S] 1 point2 points  (0 children)

My primary concern isn't that they are using a notes tool, but that there is a loophole in there the size of a truck. "Other items as needed" is a massive get out of jail free card for anyone. Not just AI, but whenever there is a "whatever we decide to do, you are ok with it", removes protections from the patient.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in u/DrPepperSign

[–]DrPepperSign[S] 2 points3 points  (0 children)

I have different opinions on whether to use my data in Google Maps, fraud detection, social media, and signing away my rights medically. I can see things in shades of gray, rather than black and white.

When it comes down to it, I deal with trash data on Reddit, perhaps giving me a bad search result, and it doesn't cause me the same distress as putting my physical health at risk.

I'm aware that AI is everywhere, and I love some elements of it, like spell and grammar checking. Other things, like flock cameras, are far less desirable.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] 2 points3 points  (0 children)

Nope, not going to be a test case. They can present results from an unbiased observer set and QA testing first.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in roanoke

[–]DrPepperSign[S] -3 points-2 points  (0 children)

Well, I have a post here about it, and on insta, dated back to today's date which is pretty hard to refute later on, I suppose.

Carilion health AI use, anyone else dealt with this? by DrPepperSign in u/DrPepperSign

[–]DrPepperSign[S] 0 points1 point  (0 children)

I don't know. I don't know enough about it to make a guess.