I agree that GPT-3 should not be used for medical applications, but I disagree that it's "not very good" as a dialog system. I've found it to be insanely good though it may require effective prompt engineering to work well.
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The nice thing about Patreon is it explicitly is structured for tiered subscription support and removes the need for creators to do any payment system managing.
I've had companies straight up pay me for doing a take home project as part of an interview. I think that's the ideal way as it gets rid of the potential for exploitation/excessive burden that can come from take home projects.