The current boom in AI has been accompanied with tremendous hype, both negative and positive. My goal is to go beneath this surface and provide a better understanding of what AI systems are actually doing, and what concerns I have about where they are going. I am neither an enthusiast nor a doomer. The very real problems created by AI today and in the foreseeable future need to be approached by looking at the ways we (in the broad sense) choose to apply it and the way in which we fit it into our world. The bottom line is that we need to approach all of the issues with the recognition that large language models and similar systems have no real understanding or intention, even though they often promote the image that they do. They can still be useful in many contexts, as long as we recognize the need for humans to provide the foundation of care.