Comment by jacquesm
18 hours ago
There are a lot of people hacking on insulin pumps and they are lightyears ahead of commerce. If you want a very interesting rabbit hole to dive into try 'artificial pancreas hacking' as google feed.
One interesting link:
https://www.drugtopics.com/view/hacking-diabetes-the-diy-bio...
I would trust the people that hack on these systems to be even more motivated than the manufacturers to make sure they don't fuck up, it's the equivalent of flying a plane you built yourself.
> it's the equivalent of flying a plane you built yourself
A great analogy because people die that way. I personally would never push code to another person’s insulin pump (or advertise code as being used for an insulin pump) because I couldn’t live with the guilt if my bug got someone else killed.
I know people die that way (GA). But someone is working for the companies that make insulin pumps and they are not as a rule equally motivated so I would expect them to do worse, not better.
And to the best of my knowledge none of the closed-loop people have died as a result of their work and they are very good at peer reviewing each others work to make sure it stays that way. And I'd trust my life to open source in such a setting long before I'd do it to closed source. At least I'd have a chance to see what the quality of the code is, which in the embedded space ranges from 'wow' all the way to 'no way they did that'.
> I would expect them to do worse, not better.
which is why lots of systems and processes (sometimes called red tape) exist to try and prevent the undesired outcome, and dont rely on the competency of a single person as the weak link!
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Anytime anybody does something himself, there is a risk. People die because of welding parts cleaned with break-cleaner, people die driving, diving, sky-diving, doing bungee jumping...
Advertising that code, IMHO would be as showing of you doing extreme sports, for example. I do not think is any bad. A good disclaimer should be enough to take away any guilt.
I'm not aware of any deaths attributed to open source artificial pancreas systems. Meanwhile there have been multiple attributed to closed source glucose monitors.
And yet someone IS pushing code to these devices. Every single one.
So the question really becomes - Are these people working on their own pumps with open source more or less invested than the random programmers hired by a company that pretty clearly can't get details right around licensing, and is operating with a profit motive?
More reckless as well? Perhaps. But at least motivated by the correct incentives.
So flying in a plane you built yourself is in fact safer than flying commercial because the motivations line up. Got it.
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> I would trust the people that hack on these systems to be even more motivated than the manufacturers to make sure they don't fuck up
I would think it's the opposite. People that hack on this only risk their own life. Companies risk many people's lives and will get sued. Of course the person doing the hacking doesn't want to die but they're also willing to take the risk.
>People that hack on this only risk their own life
Yeah, only their own life, yknow, something not particularly valuable or motivating to conserve for them, as opposed to the companies financials!
The absolute worst-case scenario of messing this up as a company is that you get sued and they win, or you're forced to settle. You pay out some money, post a public apology, whatever. If things get really bad, the company goes under. But you're likely still far richer than the average person, and the blame is distributed enough that no one gets a criminal sentence - not that it was a realistic option to begin with.
The baseline worst-case scenario of messing this up on yourself is that you die.
> People that hack on this only risk their own life.
Provided they do not risk anyone elses, that is entirely their right.
Right, but getting sued is basically the least risky activity ever. Okay, a little dramatic but: you won't go to jail, and if you're rich and become less rich you're still better off than most people. In pure absolutionist terms, being a business owner is basically always less risky than being labor.
A lot of the other responses say something along the lines of "of course people have more incentive not to mess up, they care about their own lives more than corporations care about getting sued" and sure, that's true in general, but:
- people try to wingsuit through narrow obstacles and miss
- people try to build their own planes and helicopters and die
- people try to build submersible vehicles to go see the titanic and, uh, don't have a 100% success rate
- people try to build steam-powered rockets and die
"It's their life, they won't fuck it up" doesn't exactly cover a lot of behaviors.
I'd argue home-rolling your own medical device firmware is closer to daredevil/"hold my beer" behavior than normal.
None of these have anything to do with your average diabetic loop hacker. You are comparing people that live for the thrills with people that are just trying to live.
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