Agree.. But there are things the monoliths can do to advance the science that smaller operations can't do as quickly.

I would like to see GPT5 etc trained on the entire content of Western medical science. Every practice, every specialty and subspecialty. General practice, Family Practice, pharmacology, pathophysiology, psychiatry and psychology, histology, neurology, ophthalmology etc.

The monoliths can do this now. And that's just the tip of the iceberg. But ultimately nothing is superior to open source, and its ability to provide authenticity..👍