1/ I suspect we are days away from hearing Elon is "using AI" to “streamline” benefits programs. You should know why fully automating decisions about who gets critical assistance is a terrible idea that will have disastrous consequences. A 🧵 based on work I’ve done with the great @awhf.bsky.social
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3/ In 2016, during an attempt to automate eligibility processes, Indiana denied *a million* public assistance apps in 3 years—a 54% rise. Those who lost benefits: a 6 y/o with cerebral palsy and a woman who missed an appointment with her case worker b/c she was in the hospital with terminal cancer.
4/ That same year, an Arkansas assessment algorithm cut thousands of Medicaid-funded home health care hours from people with disabilities.
5/ And in Michigan, a new automated system for detecting fraud in unemployment insurance claims identified fivefold more fraud compared to the older system—causing some 40,000 people to be wrongly accused of unemployment insurance fraud.
8 / Before ChatGPT, Virginia Eubanks showed how child welfare, social assistance, and law enforcement agencies were using faulty and biased AI to make decisions affecting vulnerable communities. Her prescient work shows the result: a system plagued not by oversubscription, but by chronic underuse.
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