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Biden’s plan for ending the emergency declaration for COVID-19 signals a pivotal point in the pandemic – 4 questions answered

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Biden's plan for ending the emergency declaration for COVID-19 signals a pivotal point in the pandemic – 4 questions answered

Amy Lauren Fairchild, The Ohio State University and Marian Moser Jones, The Ohio State University

President Joe Biden announced on Jan. 30, 2023, that he intends to end both the national emergency and the public health emergency declarations related to COVID-19 on May 11, 2023.

Biden's announcement came on the same day that the World Health Organization said it still considers the COVID-19 pandemic to be a public health emergency of international concern, or PHEIC, a status that is reassessed every three months. The WHO's advisory committee noted that although the pandemic is at a turning point, “COVID-19 remains a dangerous infectious disease with the capacity to cause substantial damage to health and health systems.”

asked public health experts Marian Moser Jones and Amy Lauren Fairchild to put these statements into context and to explain their ramifications for the next stage of the pandemic.

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What does ending the emergency phase of the COVID-19 pandemic mean?

Ending the federal emergency reflects both a scientific and political judgment that the acute phase of the COVID-19 pandemic crisis has ended and that special federal resources are no longer needed to prevent disease transmission across borders.

In practical terms, it means that two declarations – the federal Public Health Emergency, first declared on Jan. 31, 2020, and the COVID-19 national emergency that announced on March 13, 2020 – will be to expire in May 2023.

Declaring those emergencies enabled the federal government to cut through a mountain of red tape, with the goal of responding to the pandemic more efficiently. For instance, the declarations allowed funds to be made available so that federal agencies could direct personnel, equipment, supplies and services to and local governments wherever they were needed. In addition, the declarations made resources available to launch investigations into the “cause, treatment or prevention” of COVID-19 and to enter into contracts with other to meet needs stemming from the emergency.

The emergency status also allowed the federal government to make more widely available by suspending many requirements for accessing Medicare, Medicaid and the 's Health Program. And they made it possible for people to receive COVID-19 testing, treatment and vaccines and enabled Medicaid and Medicare to more easily cover telehealth services.

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What policy changes will occur once the emergency is declared over?

The end to the federal emergency could substantially reduce the number of people insured under Medicaid. Before the pandemic, states required people to prove every year that they met income and other eligibility requirements.

In March 2020, enacted a continuous enrollment provision in Medicaid that prevented states from removing anyone from their rolls during the pandemic. In a December 2022 appropriations bill, Congress passed a provision that will end continuous enrollment on March 31, 2023.

The Biden administration has defended this time frame as sufficient to ensure that “patients do not lose access to care unpredictably” and that state Medicaid budgets – which have been infused with emergency funds since 2020 – “don't face a radical cliff.” But many people with Medicaid may be unaware of these changes until they actually lose their benefits.

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Some states have already indicated that they will begin disenrolling members in April 2023 or require members to apply to be considered for renewal. This could result in between 5 million and 14 million people losing coverage.

People with Medicare do not have to worry about losing their benefits, since this program is age-based, not income-based. The array of telehealth services that Medicare began covering during the pandemic will continue to be covered through December 2023. Medicare coverage for many telehealth services could also be made permanent after this year.

The end of the emergency could additionally curb access to COVID-19 , tests and vaccines. Federal emergency funding for free treatment or vaccination will end when the emergency status is lifted on May 11. If such programs are to continue, the cost will fall to state and local health agencies or insurance companies.

We are concerned that the withdrawal of federal emergency funds for vaccination may further slow the already sluggish uptake of boosters. As of Jan. 25, 2023, about 20% of the population ages 5 and up and only 40.1% of those 65 and older – who are at the highest risk of death from COVID-19 – had received an updated bivalent booster dose. Once the emergency ends, measures that allowed a broad array of health providers – from pharmacist interns to retired nurses and even veterinarians – to administer vaccines will expire, which could lead to decreased access to vaccination in many parts of the U.S.

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What does this mean for the status of the pandemic?

A pandemic declaration represents an assessment that human transmission of a disease, whether well known or novel, is “extraordinary,” that it constitutes a public health risk to two or more states and that controlling it requires an international response.

At some point the WHO will end its pandemic declaration. On Jan. 30, 2023, World Health Organization Director-General Tedros Adhanom Ghebreyesus described the pandemic as being “at a transition point.” But the WHO's assessment is that the risks are still considerable. Ghebreyesus noted that COVID-19 continues to strain health care systems, exacerbate health care workforce shortages and exceed surveillance system capacities.

The U.S. remains one of the global COVID-19 hot spots. With more than 3,500 hospitalizations per week on average in January 2023, and 3,452 deaths per week as of early February 2023, the U.S. has among the highest deaths per capita in the world.

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How does the Biden administration's stance differ from the WHO's position?

In some ways they are very similar. The WHO is looking at the pandemic from a global perspective while the Biden administration is examining it from a national perspective. The WHO's stance reflects the assessment that the world is not sufficiently vaccinated, that health care systems remain vulnerable and that unchecked disease transmission in some parts of the world should remain a source of international concern and attention.

China's massive outbreak after the lifting of its zero-COVID policy in early December 2022 has received a great deal of media attention. But less noted is the fact that vaccination rates across African nations average 40%, and that vaccination rates are very low in countries that are experiencing conflict, such as Syria, where only 15% of the population has received any COVID-19 vaccine.

The WHO's continuation of the global pandemic status signals that there is more international coordination and work to be done. In contrast, the Biden administration is making a social and political judgment that it is time to wind down the federal role.

Biden's order will not affect state-level or local-level emergency declarations. These declarations have allowed states to allocate resources to meet pandemic needs and have included provisions allowing them to respond to surges in COVID-19 cases by allowing out-of-state physicians and other health care providers to practice in person and through telehealth.

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Almost all U.S. states, however, have ended their own public health emergency declarations. Eight states – California, Colorado, Delaware, Georgia, Illinois, New Mexico, Rhode Island and Texas – still have emergency declarations in effect, but all of them will expire by the end of February 2023 unless renewed.

While some states may choose to make permanent some COVID-era emergency standards, such as looser restrictions on telemedicine or out-of-state health providers, it could be a long time before either politicians or the public regain an appetite for any emergency orders directly related to COVID-19.The Conversation

Amy Lauren Fairchild, Dean and Professor of Public Health, The Ohio State University and Marian Moser Jones, Associate Professor and Graduate Director of Family Science, The Ohio State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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The Conversation

‘Dancing’ raisins − a simple kitchen experiment reveals how objects can extract energy from their environment and come to life

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theconversation.com – Saverio Eric Spagnolie, Professor of Mathematics, of Wisconsin- – 2024-05-13 07:29:32

Surface bubble growth can lift objects upward against gravity.

Saverio Spagnolie

Saverio Eric Spagnolie, University of Wisconsin-Madison

Scientific discovery doesn't always require a high-tech laboratory or a hefty budget. Many people have a first-rate lab right in their own homes – their kitchen.

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The kitchen offers plenty of opportunities to view and explore what physicists call soft matter and complex fluids. Everyday phenomena, such as Cheerios clustering in milk or rings left when drops of coffee evaporate, have led to discoveries at the intersection of physics and chemistry and other tasteful collaborations between food scientists and physicists.

Two students, Sam Christianson and Carsen Grote, and I published a new study in Nature Communications in May 2024 that dives into another kitchen observation. We studied how objects can levitate in carbonated fluids, a phenomenon that's whimsically referred to as dancing raisins.

The study explored how objects like raisins can rhythmically move up and down in carbonated fluids for several minutes, even up to an hour.

An accompanying Twitter thread about our research went viral, amassing over half a million views in just two days. Why did this particular experiment catch the imaginations of so many?

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Bubbling physics

Sparkling and other carbonated beverages fizz with bubbles because they contain more gas than the fluid can support – they're “supersaturated” with gas. When you open a bottle of champagne or a soft drink, the fluid pressure drops and CO₂ molecules begin to make their escape to the surrounding air.

Bubbles do not usually form spontaneously in a fluid. A fluid is composed of molecules that like to stick together, so molecules at the fluid boundary are a bit unhappy. This results in surface tension, a force which seeks to reduce the surface area. Since bubbles add surface area, surface tension and fluid pressure normally squeeze any forming bubbles right back out of existence.

But rough patches on a container's surface, like the etchings in some champagne glasses, can protect new bubbles from the crushing effects of surface tension, offering them a chance to form and grow.

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Bubbles also form inside the microscopic, tubelike cloth fibers left behind after wiping a glass with a towel. The bubbles grow steadily on these tubes and, once they're big enough, detach and float upward, carrying gas out of the container.

But as many champagne enthusiasts who put fruits in their glasses know, surface etchings and little cloth fibers aren't the only places where bubbles can form. Adding a small object like a raisin or a peanut to a sparkling drink also enables bubble growth. These immersed objects act as alluring new surfaces for opportunistic molecules like CO₂ to accumulate and form bubbles.

And once enough bubbles have grown on the object, a levitation act may be performed. Together, the bubbles can lift the object up to the surface of the liquid. Once at the surface, the bubbles pop, dropping the object back down. The process then begins again, in a periodic vertical dancing motion.

Dancing raisins

Raisins are particularly good dancers. It takes only a few seconds for enough bubbles to form on a raisin's wrinkly surface before it starts to rise upward – bubbles have a harder time forming on smoother surfaces. When dropped into just-opened sparkling water, a raisin can dance a vigorous tango for 20 minutes, and then a slower waltz for another hour or so.

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Anyone with a few kitchen staples can do their own dancing raisins experiment.

We found that rotation, or spinning, was critically important for coaxing large objects to dance. Bubbles that cling to the bottom of an object can keep it aloft even after the top bubbles pop. But if the object starts to spin even a little bit, the bubbles underneath make the body spin even faster, which results in even more bubbles popping at the surface. And the sooner those bubbles are , the sooner the object can get back to its vertical dancing.

Small objects like raisins do not rotate as much as larger objects, but instead they do the twist, rapidly wobbling back and forth.

Modeling the bubbly flamenco

In the paper, we developed a mathematical model to predict how many trips to the surface we would expect an object like a raisin to make. In one experiment, we placed a 3D-printed sphere that acted as a model raisin in a glass of just-opened sparkling water. The sphere traveled from the bottom of the container to the top over 750 times in one hour.

The model incorporated the rate of bubble growth as well as the object's shape, size and surface roughness. It also took into account how quickly the fluid loses carbonation based on the container's geometry, and especially the flow created by all that bubbly activity.

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Small objects covered in bubbles in carbonated water move upwards towards the surface and back down.

Bubble-coated raisins ‘dance' to the surface and plummet once their lifting agents have popped.

Saverio Spagnolie

The mathematical model helped us determine which forces influence the object's dancing the most. For example, the fluid drag on the object turned out to be relatively unimportant, but the ratio of the object's surface area to its volume was critical.

Looking to the future, the model also provides a way to determine some hard to measure quantities using more easily measured ones. For example, just by observing an object's dancing frequency, we can learn a lot about its surface at the microscopic level without to see those details directly.

Different dances in different theaters

These results aren't just interesting for carbonated beverage lovers, though. Supersaturated fluids exist in nature, too – magma is one example.

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As magma in a volcano rises closer to the Earth's surface, it rapidly depressurizes, and dissolved gases from inside the volcano make a dash for the exit, just like the CO₂ in carbonated water. These escaping gases can form into large, high-pressure bubbles and emerge with such force that a volcanic eruption ensues.

The particulate matter in magma may not dance in the same way raisins do in soda water, but tiny objects in the magma may affect how these explosive events play out.

The past decades have also seen an eruption of a different kind – thousands of scientific studies devoted to active matter in fluids. These studies look at things such as swimming microorganisms and the insides of our fluid-filled cells.

Most of these active do not exist in water but instead in more complicated biological fluids that contain the energy necessary to produce activity. Microorganisms absorb nutrients from the fluid around them to continue swimming. Molecular motors carry cargo along a superhighway in our cells by pulling nearby energy in the form of ATP from the .

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Studying these systems can scientists learn more about how the cells and bacteria in the human body function, and how on this planet has evolved to its current .

Meanwhile, a fluid itself can behave strangely because of a diverse molecular composition and bodies moving around inside it. Many new studies have addressed the behavior of microorganisms in such fluids as mucus, for instance, which behaves like both a viscous fluid and an elastic gel. Scientists still have much to learn about these highly complex systems.

While raisins in soda water seem fairly simple when compared with microorganisms swimming through biological fluids, they offer an accessible way to study generic features in those more challenging settings. In both cases, bodies extract energy from their complex fluid environment while also affecting it, and fascinating behaviors ensue.

New insights about the physical world, from geophysics to biology, will continue to emerge from tabletop-scale experiments – and perhaps from right in the kitchen.The Conversation

Saverio Eric Spagnolie, Professor of Mathematics, University of Wisconsin-Madison

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The Conversation

Why do people hate people?

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theconversation.com – Kristine Hoover, Professor of Organizational Leadership, Gonzaga – 2024-05-13 07:16:27

Biases against certain groups of people can escalate into acts of violence if left unchecked.

Paul Taylor/Stone via Getty Images

Kristine Hoover, Gonzaga University and Yolanda Gallardo, Gonzaga University

Curious Kids is a series for of all ages. If you have a question you'd like an expert to answer, send it to curiouskidsus@theconversation.com.

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Why do people hate people? – Daisy, age 9, Lake Oswego, Oregon


Have you ever said “I hate you” to someone? What about using the “h-word” in casual conversation, like “I hate broccoli”? What are you really feeling when you say that you hate something or someone?

The Merriam-Webster dictionary the word “hate” as an “intense hostility and aversion usually deriving from fear, anger, or sense of injury.” All over the world, researchers like us are studying hate from disciplines like education, history, law, leadership, psychology, sociology and many others.

If you had a scary experience with thunderstorms, you might say that you hate thunderstorms. Maybe you have gotten very angry at something that happened at a particular place, so now you say you hate going there. Maybe someone said something hurtful to you, so you say you hate that person.

Understanding hate as an emotional response can help you recognize your feelings about something or someone and be curious about where those feelings are coming from. This awareness will give you time to gather more information and imagine the other person's perspective.

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So what is hate and why do people hate? There are many answers to these questions.

What hate isn't

Hate, according to the U.S. Department of Justice, “does not mean rage, anger or general dislike.”

Sometimes people think they have to feel or believe a certain way about another person or group of people because of what they hear or see around them. For example, people might say they hate another person or group of people when what they really mean is that they don't agree with them, don't understand them or don't like how they behave or the things they believe in.

View between the arm of a person with their hands on their hips, focusing on a child sitting at table with a glare

Do you hate this person, or are you angry, hurt or afraid?

Lourdes Balduque/Moment via Getty Images

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It is easy to blame others for things you don't believe or experiences you don't like. Think about times you might have heard someone at school say they hate a classmate or a teacher. Could they have been angry, hurt or confused about something but used the word hate to explain or name how they were feeling?

When you don't understand someone else, it can make you nervous and even afraid. Instead of being curious about each other's unique experiences, people may judge others for being different – they may have a different skin color, practice a different religion, come from a different country, be older or younger, or use a wheelchair.

When people judge people as being less important or less human than themselves, that is a form of hatred.

What hate is

The U.S. Department of Justice defines hate as “bias against people or groups with specific characteristics that are defined by the law.” These characteristics can include a person's race, religion, gender, sexual orientation, disability and national origin.

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One way to think about hate is as a pyramid. At the bottom of the pyramid, hate is a feeling that grows from biased attitudes about others, like stereotypes that certain groups of people are animals, lazy or stupid.

Sometimes these biased attitudes and feelings a foundation for people to act out their biases, such as through bullying, exclusion or insults. For example, many Asian people in the U.S. experienced an increase in hate incidents during the pandemic. If communities accept biases as OK, some people may move up the pyramid and think it is also OK to discriminate, or believe that specific groups of people are not welcome in certain neighborhoods or because of who they are.

Near the top of the pyramid, some people commit violence or hate crimes because they believe their own way of being is better than others'. They may threaten or physically harm others, or destroy property. At the very top of the pyramid is genocide, the intent to destroy a particular group – like what Jewish people experienced during World War II or what Rohingya people are experiencing in Myanmar, near China.

Hate at the middle and higher levels of the pyramid happens because no one took action to discourage the biased feelings, attitudes and actions at the lower levels of the pyramid.

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Taking action against hate

Not only can individual people hate, there are also hate groups like the Ku Klux Klan that attack people who are not white, straight or Christian. Sometimes hate has been written into law like the Indian Removal Act or Jim Crow laws that persecuted Native and Black Americans. If we stay silent when we encounter hate, that hatred can grow and do greater levels of harm.

There are many ways you can help stop hate in your everyday life.

Pay attention to what is being said around you. If the people you spend a lot of time with are saying hateful things about other groups, consider speaking up or changing who you hang out with and where. Be an upstander – sit with someone who is being targeted and when you see or hear hate incidents.

Close-up of group of protestors yelling with their fists in the air

Protests are one way people speak up on behalf of a specific group.

FG Trade/E+ via Getty Images

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Start noticing when you are letting hateful words or behaviors into your thoughts and actions. Get to know what hate looks and sounds like in yourself and in others, including what you see online.

Be open to meeting others who have different experiences than you and give them a to let you know who they are. Be brave and face your fears. Be curious and kind.

You are not alone in standing up to hate. Many human rights groups and government initiatives are doing the work of eradicating hate, too. We all have a “response-ability,” or the ability to respond. As civil rights leader the Rev. Martin Luther King Jr. said, “Darkness cannot drive out darkness, only light can do that. Hate cannot drive out hate, only love can do that.”

You just might find that it is easier to love other people than to hate them. Others will see how you behave and will follow your lead.

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Hello, curious kids! Do you have a question you'd like an expert to answer? Ask an adult to send your question to CuriousKidsUS@theconversation.com. Please tell us your name, age and the where you live.

And since curiosity has no age limit – adults, let us know what you're wondering, too. We won't be able to answer every question, but we will do our best.The Conversation

Kristine Hoover, Professor of Organizational Leadership, Gonzaga University and Yolanda Gallardo, Dean of Education, Gonzaga University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Algorithms help people see and correct their biases, study shows

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theconversation.com – Carey K. Morewedge, Professor of Marketing and Everett W. Lord Distinguished Faculty Scholar, Boston – 2024-05-10 07:27:14

Algorithms could serve as mirrors for you to check your biases.

FG Trade/E+ via Getty Images

Carey K. Morewedge, Boston University

Algorithms are a staple of modern . People rely on algorithmic recommendations to wade through deep catalogs and find the best movies, routes, information, products, people and investments. Because people train algorithms on their decisions – for example, algorithms that make recommendations on e-commerce and social media sites – algorithms learn and codify human biases.

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Algorithmic recommendations exhibit bias toward popular choices and information that evokes outrage, such as partisan news. At a societal level, algorithmic biases perpetuate and amplify structural racial bias in the judicial system, gender bias in the people companies hire, and wealth inequality in urban development.

Algorithmic bias can also be used to reduce human bias. Algorithms can reveal hidden structural biases in . In a paper published in the Proceedings of the National Academy of Science, my colleagues and I found that algorithmic bias can people better recognize and correct biases in themselves.

The bias in the mirror

In nine experiments, Begum Celikitutan, Romain Cadario and I had research participants rate Uber drivers or Airbnb listings on their driving skill, trustworthiness or the likelihood that they would rent the listing. We gave participants relevant details, like the number of trips they'd driven, a description of the property, or a star rating. We also included an irrelevant biasing piece of information: a photograph revealed the age, gender and attractiveness of drivers, or a name that implied that listing hosts were white or Black.

After participants made their ratings, we showed them one of two ratings summaries: one showing their own ratings, or one showing the ratings of an algorithm that was trained on their ratings. We told participants about the biasing feature that might have influenced these ratings; for example, that Airbnb guests are less likely to rent from hosts with distinctly African American names. We then asked them to judge how much influence the bias had on the ratings in the summaries.

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The author how algorithms can be useful as a mirror of people's biases.

Whether participants assessed the biasing influence of race, age, gender or attractiveness, they saw more bias in ratings made by algorithms than themselves. This algorithmic mirror effect held whether participants judged the ratings of real algorithms or we showed participants their own ratings and deceptively told them that an algorithm made those ratings.

Participants saw more bias in the decisions of algorithms than in their own decisions, even when we gave participants a cash bonus if their bias judgments the judgments made by a different participant who saw the same decisions. The algorithmic mirror effect held even if participants were in the marginalized category – for example, by identifying as a woman or as Black.

Research participants were as able to see biases in algorithms trained on their own decisions as they were able to see biases in the decisions of other people. Also, participants were more likely to see the influence of racial bias in the decisions of algorithms than in their own decisions, but they were equally likely to see the influence of defensible features, like star ratings, on the decisions of algorithms and on their own decisions.

Bias blind spot

People see more of their biases in algorithms because the algorithms people's bias blind spots. It is easier to see biases in others' decisions than in your own because you use different evidence to evaluate them.

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When examining your decisions for bias, you search for evidence of conscious bias – whether you thought about race, gender, age, status or other unwarranted features when deciding. You overlook and excuse bias in your decisions because you lack access to the associative machinery that drives your intuitive judgments, where bias often plays out. You might think, “I didn't think of their race or gender when I hired them. I hired them on merit alone.”

The bias blind spot explained.

When examining others' decisions for bias, you lack access to the processes they used to make the decisions. So you examine their decisions for bias, where bias is evident and harder to excuse. You might see, for example, that they only hired white men.

Algorithms remove the bias blind spot because you see algorithms more like you see other people than yourself. The -making processes of algorithms are a black box, similar to how other people's are inaccessible to you.

Participants in our study who were most likely to demonstrate the bias blind spot were most likely to see more bias in the decisions of algorithms than in their own decisions.

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People also externalize bias in algorithms. Seeing bias in algorithms is less threatening than seeing bias in yourself, even when algorithms are trained on your choices. People put the blame on algorithms. Algorithms are trained on human decisions, yet people call the reflected bias “algorithmic bias.”

Corrective lens

Our experiments show that people are also more likely to correct their biases when they are reflected in algorithms. In a final experiment, we gave participants a to correct the ratings they evaluated. We showed each participant their own ratings, which we attributed either to the participant or to an algorithm trained on their decisions.

Participants were more likely to correct the ratings when they were attributed to an algorithm because they believed the ratings were more biased. As a result, the final corrected ratings were less biased when they were attributed to an algorithm.

Algorithmic biases that have pernicious effects have been well documented. Our findings show that algorithmic bias can be leveraged for good. The first step to correct bias is to recognize its influence and direction. As mirrors revealing our biases, algorithms may improve our decision-making.The Conversation

Carey K. Morewedge, Professor of Marketing and Everett W. Lord Distinguished Faculty Scholar, Boston University

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