this post was submitted on 08 Mar 2025
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[–] FaceDeer@fedia.io 48 points 3 weeks ago

Yeah, I'd much rather have random humans I don't know anything about making those "moral" decisions.

If you're already answered, "No," you may skip to the end.

So the purpose of this article is to convince people of a particular answer, not to actually evaluate the arguments pro and con.

[–] roguetrick@lemmy.world 40 points 3 weeks ago (2 children)

What are you going to train it off of since basic algorithms aren't sufficient? Past committee decisions? If that's the case you're hard coding whatever human bias you're supposedly trying to eliminate. A useless exercise.

[–] Giooschi@lemmy.world 16 points 3 weeks ago (1 children)

A slightly better metric to train it on would be chances of survival/years of life saved thanks to the transplant. However those also suffer from human bias due to the past decisions that influenced who got a transpant and thus what data we were able to gather.

[–] roguetrick@lemmy.world 6 points 3 weeks ago* (last edited 3 weeks ago)

And we do that with basic algorithms informed by research. But then the score gets tied and we have to decide who has the greatest chance of following though on their regimen based on things like past history and means to aquire the medication/go to the appointments/follow a diet/not drink. An AI model will optimize that based on wild demographic data that is correlative without being causative and end up just being a black box racist in a way that a committee that has to clarify it's thinking to other members couldn't, you watch.

[–] optissima@lemmy.ml 10 points 3 weeks ago (1 children)

Nah bud, you just authorize whatever the doctor orders are because they are more knowledgable of the situation.

[–] corsicanguppy@lemmy.ca 2 points 3 weeks ago

That makes logical sense, but what about the numbers? They can't go up if we keep spending the money we promised to spend on the 69th most effective and absolutely most expensive healthcare system in the world. What is this, an essential service? Rubes.

[–] Imgonnatrythis@sh.itjust.works 30 points 3 weeks ago (4 children)

That's not what the article is about. I think putting some more objectivety into the decisions you listed for example benefits the majority. Human factors will lean toward minority factions consisting of people of wealth, power, similar race, how "nice" they might be or how many vocal advocates they might have. This paper just states that current AIs aren't very good at what we would call moral judgment.

It seems like algorithms would be the most objective way to do this, but I could see AI contributing by maybe looking for more complicated outcome trends. Ie. Hey, it looks like people with this gene mutation with chronically uncontrolled hypertension tend to live less than 5years after cardiac transplant - consider weighing your existing algorithm by 0.5%

[–] MsPenguinette@lemmy.world 16 points 3 weeks ago (1 children)

Tho those complicated outcome trends can have issues with things like minorities having worse health outcomes due to a history of oppression and poorer access to Healthcare. Will definitely need humans overseeing it cause health data can be misleading looking purely at numbers

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[–] phdepressed@sh.itjust.works 9 points 3 weeks ago (1 children)

Creatinin in urine was used as a measure of kidney function for literal decades despite African Americans having lower levels despite worse kidneys by other factors. Creatinine level is/was a primary determinant of transplant eligibility. Only a few years ago some hospitals have started to use inulin which is a more race and gender neutral measurement of kidney function.

No algorithm matters if the input isn't comprehensive enough and cost effective biological testing is not.

[–] Imgonnatrythis@sh.itjust.works 2 points 3 weeks ago (1 children)

Well yes. Garbage in garbage out of course.

[–] phdepressed@sh.itjust.works 2 points 3 weeks ago (1 children)

That's my point, this is real world data, its all garbage, and no amount of LLM rehashing fixes that.

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[–] sunzu2@thebrainbin.org 8 points 3 weeks ago (1 children)

I agree with you but also

It seems like algorithms would be the most objective way to do this

Algo is just another tool corpos and owners use to abuse. They are not independent, they represent interest of their owners and they oppress pedon class.

[–] CherryBullets@lemmy.ca 2 points 3 weeks ago (2 children)

Yep, basically. How it's gonna go: instead of basing the transplant triage on morals, priority and the respect of human life as being priceless and equal, the AI will base it on your occupation within society, age, sex and how much money you make for the rich overlords if you recover. Fuck that noise.

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[–] StructuredPair@lemmy.world 7 points 3 weeks ago

Everyone likes to think that AI is objective, but it is not. It is biased by its training which includes a lot of human bias.

[–] Fades@lemmy.world 27 points 3 weeks ago

The death panels Republican fascists claim Democrats were doing are now here, and it's being done by Republicans.

I hate this planet

[–] HexesofVexes@lemmy.world 20 points 3 weeks ago (1 children)

"Treatment request rejected, insufficient TC level"

[–] cm0002@lemmy.world 8 points 3 weeks ago (1 children)

A Voyager reference out in the wild! LMAO

[–] HexesofVexes@lemmy.world 4 points 3 weeks ago

Had to be done. It's just too damn close not to.

[–] kemsat@lemmy.world 17 points 3 weeks ago (1 children)

Yeah. It’s much more cozy when a human being is the one that tells you you don’t get to live anymore.

Human beings have a soul you can appeal to?
Not every single one, but enough.

Transplant Candidates:

Black American Man who runs a charity: Denied ❌️

President: Approved ✅️

All Hail President Underwood

[–] mechoman444@lemmy.world 15 points 3 weeks ago (1 children)

I still remember "death panels" from the Obama era.

Now it's ai.

Whatever.

[–] Grass@sh.itjust.works 14 points 3 weeks ago

everything republicans complained about can be done under Trump twice as bad, twice as evil and they will be 'happy' and sing his praises

[–] SabinStargem@lemmings.world 12 points 3 weeks ago (2 children)

I don't mind AI. It is simply a reflection of whoever is in charge of it. Unfortunately, we have monsters who direct humans and AI alike to commit atrocities.

We need to get rid of the demons, else humanity as a whole will continue to suffer.

[–] RangerJosey@lemmy.ml 5 points 3 weeks ago (1 children)

If it wasn't exclusively used for evil it would be a wonderful thing.

Unfortunately we also have capitalism. So everything has to be just the worst all the time so that the worst people alive can have more toys.

[–] SabinStargem@lemmings.world 2 points 3 weeks ago

Thing is, those terrible people don't enjoy the everything that they already own, and don't understand that they are killing cool things in the crib. People make inventions and entertain if they can...because it is fun, and they think they got neat things to show the world. Problem is, prosperity is needed to allow people to have the luxury of trying to create.

The wealthy are murdering the golden geese of culture and technology. They won't be happier for it, and will simply use their chainsaw to keep killing humanity in a desperate wish of finding happiness.

[–] TankovayaDiviziya@lemmy.world 5 points 3 weeks ago

Say what you will about Will Smith, but his movie iRobot made a good point about this 17 years ago.

(damn I'm old)

[–] psycho_driver@lemmy.world 4 points 3 weeks ago (2 children)

I would rather have AI deciding it than bank account balances.

[–] trougnouf@lemmy.world 10 points 3 weeks ago* (last edited 3 weeks ago)

What do you think the AI would be trained on?

See also: UnitedHealthCare

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[–] egidighsea@lemmy.dbzer0.com 4 points 3 weeks ago

The kidney would still be transplanted at the end, be the decision made by human or AI, no?

[–] jsomae@lemmy.ml 3 points 3 weeks ago

Let's get more kidneys out there instead with tax credits for donors.

[–] faythofdragons@slrpnk.net 3 points 3 weeks ago

What's with the Hewlett Packard Enterprises badging at the top?

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