Two 3GB models plus an arbiter: 64% of clinical decisions run locally at 91.9% accuracy

MaziyarPanahi · x · 2026-10-08

Developer MaziyarPanahi demoed a single-machine model cascade: two 3GB local models answered 669 clinical decisions, with Mistral Large 4 stepping in only on disagreements or urgency/red-flag questions. Result: 64% answered fully locally, 91.9% accuracy, zero severe misses — level with Mistral alone. Scoring followed the same strict rubric as the reference board, computed from each model's logged answers. The escalate-only-when-needed pattern is a practical blueprint for cost- and privacy-sensitive deployments.

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