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      The Oxford Handbook of Digital Ethics 

      Algorithmic Bias and Access to Opportunities

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      Oxford University Press

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          Abstract

          The chapter discusses the problem of algorithmic bias in decision-making processes that determine access to opportunities, such as recidivism scores, college admission decisions, or loan scores. After describing the technical bases of algorithmic bias, it asks how to evaluate them, drawing on Iris Marion Young’s perspective of structural (in)justice. The focus is in particular on the risk of so-called ‘Matthew effects’, in which privileged individuals gain more advantages, while those who are already disadvantaged suffer further. Some proposed solutions are discussed, with an emphasis on the need to take a broad, interdisciplinary perspective rather than a purely technical perspective. The chapter also replies to the objection that private firms cannot be held responsible for addressing structural injustices and concludes by emphasizing the need for political and social action.

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          Dissecting racial bias in an algorithm used to manage the health of populations

          Health systems rely on commercial prediction algorithms to identify and help patients with complex health needs. We show that a widely used algorithm, typical of this industry-wide approach and affecting millions of patients, exhibits significant racial bias: At a given risk score, Black patients are considerably sicker than White patients, as evidenced by signs of uncontrolled illnesses. Remedying this disparity would increase the percentage of Black patients receiving additional help from 17.7 to 46.5%. The bias arises because the algorithm predicts health care costs rather than illness, but unequal access to care means that we spend less money caring for Black patients than for White patients. Thus, despite health care cost appearing to be an effective proxy for health by some measures of predictive accuracy, large racial biases arise. We suggest that the choice of convenient, seemingly effective proxies for ground truth can be an important source of algorithmic bias in many contexts.
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            CRITICAL QUESTIONS FOR BIG DATA

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              Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics

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                November 10 2021
                10.1093/oxfordhb/9780198857815.013.21
                fcc27f2f-0e7a-47c6-8b0a-726022d140b7
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