OpenAI CEO Sam Altman warned AI will kill entire job categories, reshape healthcare, and threaten US security in his latest Washington pitch.
Altman told the Federal Reserve’s Capital Framework for Large Banks conference that customer support jobs are “totally, totally gone.” AI already runs those calls, he said, replacing phone trees and agents with “a super-smart, capable person” who “does not make mistakes.”
On healthcare, Altman claimed ChatGPT “most of the time, can give you better – it’s like, a better diagnostician than most doctors in the world.” But he admitted he wouldn’t trust AI alone with his health. 
“ChatGPT today, by the way, most of the time, can give you better – it’s like, a better diagnostician than most doctors in the world,” Altman said.
“Yet people still go to doctors, and I am not, like, maybe I’m a dinosaur here, but I really do not want to, like, entrust my medical fate to ChatGPT with no human doctor in the loop.”
Altman also sounded alarms about AI’s destructive potential, mentioning hostile nations using AI as a weapon to attack US financial systems. He pointed to advances in voice cloning, warning it could fuel fraud since “there are still some financial institutions that will accept the voiceprint as authentication.”
Altman’s Washington push comes as the Trump administration rolls out its “AI action plan” focused on easing regulations and expanding datacenters. OpenAI plans to open its first DC office next year. Altman also faced the Senate commerce committee for his first congressional testimony since May 2023, stepping firmly into the government arena.
This marks a pivot from the Biden years, where the focus was on regulating AI. Now, under Trump, it’s all about accelerating development to beat China.
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