Proponents of AI and other optimists are often ready to acknowledge the numerous problems, threats, dangers, and downright murders enabled by these systems to date. But they also dismiss critique and assuage skepticism with the promise that these casualties are themselves outliers — exceptions, flukes — or, if not, they are imminently fixable with the right methodological tweaks.
Common practices of technology development can produce this kind of naivete. Alberto Toscano calls this a “Culture of Abstraction.” He argues that logical abstraction, core to computer science and other scientific analysis, influences how we perceive real-world phenomena. This abstraction away from the particular and toward idealized representations produces and sustains apolitical conceits in science and technology. We are led to believe that if we can just “de-bias” the data and build in logical controls for “non-discrimination,” the techno-utopia will arrive, and the returns will come pouring in. The argument here is that these adverse consequences are unintended. The assumption is that the intention of algorithmic inference systems is always good — beneficial, benevolent, innovative, progressive.
Stafford Beer gave us an effective analytical tool to evaluate a system without getting sidetracked arguments about intent rather than its real impact. This tool is called POSIWID and it stands for “The Purpose of a System Is What It Does.” This analytical frame provides “a better starting point for understanding a system than a focus on designers’ or users’ intention or expectations.”
I not disabled, and I've had the same problems with HMO healthcare.
Those organizations drive decisions based on statistics, not the individual. I've seen my doctors working to find ways describe/categorize my problems so they could justify the treatment they felt was most appropriate (only after working through numerous doctors in the organization - one actually said "Well, I guess you're just going to have to learn to live with the pain").
Walking into an independent doctor office is completely different - they're quick to work toward a solution, and move to a different approach when they see things aren't improving. Because they don't have to justify their actions to a risk/cost-management board.
Interestingly, the HMOs don't hesitate to do surgeries. Never had any pushback there, even for things with moderate risk, but relatively low need.