Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Are we making artificial intelligence biased?

Iyesatta Massaquoi Emeli, MD
Tech
May 12, 2019
Share
Tweet
Share

The tale is told of a large realm, of 1.4 billion, the largest nation in the world. It has a culture that is old, rich and grounded. A citizen’s worth can be understood, determined, exalted or decried. In modern times said country has a visionary leader for life. His foresight includes the automation of culture through the use of big datasets, mass surveillance, facial recognition, and artificial intelligence. A citizen’s value can be determined by their actions. Did they jaywalk? We’ll know. Machine learning starts in kindergarten. There now is a system that reports on many facets of everyday life to determine the model citizen.

This is not a futuristic episode of Black Mirror. This is 2019. This is China’s social credit score: a standardized, integrated electronic national reputation system with real implications, rewards, and punishments. It is an example of the use of AI to automate existing cultural norms.

Let us now make an analogy to health care in the U.S.

The United States health care system is among the most advanced in the world. Fetuses can have life-saving operations in-utero, organ transplants are routine, and medical advances continue to bring new promise to patients with previously incurable and/or untreatable conditions. But it is also a system that is wrought with inequity and inaccessibility. Examples of disparity abound: Black children have a 500% higher death rate from asthma than their white counterparts. Hispanics are 50% more likely to die from diabetes as compared to non-Hispanic whites. Women are 50% more likely of getting a missed diagnosis when they are having a heart attack.

These health disparities are, of course, multifactorial. Lack of timely access to the right care, environmental factors/exposures, systemic socio-economic barriers, bias, under-representation of women and minorities in research and clinical trials that guide diagnostic practices and several other factors are all contributors. To be clear, then, health care inequity in the U.S. is a reflection of a larger society in which social and economic biases are entrenched: a mirror of this country’s societal norms, rather than an indicator of an inherent perversion solely centered in medicine.

That being said, given such disparities do exist, will AI be made in this flawed image? Who will teach the machines? What will they teach them?

AI and machine learning use large amounts of data to recognize patterns that may otherwise go unnoticed, and, as such, it has the potential to revolutionize the way we diagnose, treat and prevent diseases. As mentioned earlier, it is well understood that women and minorities are often underrepresented in research studies that could prove to be a source for such databases. And, in this manner, AI has the potential to codify already existing biases and limitations in our diagnostic practices. The problem is that AI would do so in a manner that is automated, integrated and, if used incorrectly, potentially considered above reproach.

AI holds immense promise. In the developing world it has the potential to allow countries to leap over hurdles of lack of medical infrastructure and manpower. In public health it can predict, model and slow the spread of epidemics. And, in the U.S., it has the potential to correct for our disparities rather than bake or code them in — but only if we teach it to.

Iyesatta Massaquoi Emeli is an emergency medicine physician.

Image credit: Shutterstock.com

Prev

The brutal emotional challenge of medical training

May 12, 2019 Kevin 1
…
Next

Questions about physician disability insurance answered

May 12, 2019 Kevin 0
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
The brutal emotional challenge of medical training
Next Post >
Questions about physician disability insurance answered

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Iyesatta Massaquoi Emeli, MD

  • Don’t go to the hospital alone

    Iyesatta Massaquoi Emeli, MD

Related Posts

  • a desk with keyboard and ipad with the kevinmd logo

    MKSAP: 45-year-old woman with type 2 diabetes mellitus

    mksap
  • Type 1 diabetes is no fun

    Ryan Ritchie
  • America leads the world in high tech care and health care costs

    Mark Kelley, MD
  • A Black Panther for diabetics

    Ariel Lawrence
  • Minorities and medical research: Who is still excluded?

    Katie Kinsella and Ximena Verduzco-Villanueva
  • How Hurricane Harvey changed this medical student

    Ryan Jacobs

More in Tech

  • How AI is revolutionizing health care through real-world data

    Sujay Jadhav, MBA
  • Ambient AI: When health monitoring leaves the screen behind

    Harvey Castro, MD, MBA
  • Closing the gap in respiratory care: How robotics can expand access in underserved communities

    Evgeny Ignatov, MD, RRT
  • Model context protocol: the standard that brings AI into clinical workflow

    Harvey Castro, MD, MBA
  • Addressing the physician shortage: How AI can help, not replace

    Amelia Mercado
  • The silent threat in health care layoffs

    Todd Thorsen, MBA
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Why so many physicians struggle to feel proud—even when they should

      Jessie Mahoney, MD | Physician
    • If I had to choose: Choosing the patient over the protocol

      Patrick Hudson, MD | Physician
    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
    • Why adults need to rediscover the power of play

      Anthony Fleg, MD | Physician
    • How collaboration across medical disciplines and patient advocacy cured a rare disease [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Why so many physicians struggle to feel proud—even when they should

      Jessie Mahoney, MD | Physician
    • If I had to choose: Choosing the patient over the protocol

      Patrick Hudson, MD | Physician
    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
    • Why adults need to rediscover the power of play

      Anthony Fleg, MD | Physician
    • How collaboration across medical disciplines and patient advocacy cured a rare disease [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...