Open Source AI Has an Intelligence Problem (That Isn't the Model)

Your Llama-3 instance is running in a hospital. It is processing thousands of clinical queries a day. It is making useful inferences. When it gets something wrong, a clinician corrects it. When it gets something right, a physician notes the reasoning. None of that goes anywhere. Across the city, another Llama-3 instance is running at a different hospital - same base model, different deployment, zero connection. The oncologist there is seeing the exact same failure modes. The same corrections are being made. The same patterns are emerging.