
arXiv:2510.19893v2 Announce Type: replace Abstract: Medical AI systems demonstrated impressive diagnostic performance, yet they routinely show uneven accuracy across demographic groups, disadvantaging underrepresented populations. Although multimodal reasoning foundation models have pushed clinical diagnosis forward, reinforcement learning-based post-training tends to absorb and magnify the biases present in majority-dominated training corpora. We propose Equitable Group Relative Policy Optimization (EQPO), a hierarchical reinforcement learning method that encourages balanced learning across h
The rapid deployment and increasing sophistication of AI in high-stakes fields like medicine highlight existing biases, making equitable AI design a critical and timely concern.
This development addresses ethical and performance challenges in medical AI, ensuring technology benefits all demographic groups rather than exacerbating existing disparities.
The focus moves beyond raw diagnostic accuracy to include fairness and equity as core design principles for medical AI, potentially leading to more trustworthy and widely adoptable systems.
- · Underrepresented demographic groups
- · Healthcare AI developers focusing on ethics
- · Patients in diverse populations
- · Medical institutions seeking equitable outcomes
- · AI developers ignoring ethical considerations
- · Medical AI systems with unaddressed biases
Medical AI systems will become more reliable and fair across diverse populations.
Increased trust in AI-driven diagnostic tools could accelerate their integration into clinical practice globally.
The methodology developed could influence ethical AI design in other critical sectors beyond healthcare.
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Read at arXiv cs.LG