The Emerging Hazard of AI‐Related Health Care Discrimination

Hastings Center Report 51 (1):8-9 (2020)
  Copy   BIBTEX

Abstract

Artificial intelligence holds great promise for improved health‐care outcomes. But it also poses substantial new hazards, including algorithmic discrimination. For example, an algorithm used to identify candidates for beneficial “high risk care management” programs routinely failed to select racial minorities. Furthermore, some algorithms deliberately adjust for race in ways that divert resources away from minority patients. To illustrate, algorithms have underestimated African Americans’ risks of kidney stones and death from heart failure. Algorithmic discrimination can violate Title VI of the Civil Rights Act and Section 1557 of the Affordable Care Act when it unjustifiably disadvantages underserved populations. This article urges that both legal and technical tools be deployed to promote AI fairness. Plaintiffs should be able to assert disparate impact claims in health‐care litigation, and Congress should enact an Algorithmic Accountability Act. In addition, fairness should be a key element in designing, implementing, validating, and employing AI.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 91,088

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Genetic Nondiscrimination and Health Care as an Entitlement.B. M. Kious - 2010 - Journal of Medicine and Philosophy 35 (2):86-100.
Artificial Intelligence and Medical Humanities.Kirsten Ostherr - 2020 - Journal of Medical Humanities 43 (2):211-232.
Direct Discrimination, Indirect Discrimination and Autonomy.Oran Doyle - 2007 - Oxford Journal of Legal Studies 27 (3):537-553.
The duty to hire the most qualified applicant.Stephen Kershnar - 2003 - Journal of Social Philosophy 34 (2):267–284.

Analytics

Added to PP
2020-12-15

Downloads
19 (#705,026)

6 months
2 (#785,137)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references