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start by acknowledging that incredible contribution to the work. and the other thing that's a bit different about the way i tell this story, it...
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which is an invisible institution that profile polices and punishes the poor when they come into contact with public services. in the-
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i talk about a statistical model that's supposed to be able to predict which children might be victims of abuse or neglect in the future in allegheny county, which is the-
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this is also always when i thank my editor, because the book originally started with a 90 page history chapter.
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year annually. so it's like a third of folks who entered them every year died. and the reason i-
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and there's the administrators and other folks involved in the process of creating the systems are really good.
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advertised call centers, there's several of them across the state. they encouraged folks who were applying for public assistance to do so over-
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the next in the queue. from the point of view of applicants and recipients of public assistance in indiana-
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four page application, or the document processing center had scanned in a piece of documentation upside down, or dropped it behind a-
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it also meant that the burden of figuring out what had gone wrong and solving it fell almost entirely on the shoulders of poor working families in-
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of the experiments. a 54...
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against it. they pushed back against the state, and they were so successful that the governor actually canceled the contract with i-
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so i'm going to talk now about the allegheny county algorithm.
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but i'll do bits and pieces of this, and we can reengage in conversation if you feel like there's anything i've missed.
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county. so the data warehouse receives regular data extracts from 29 different agencies across the county. as-
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... reality of experiencing this tool though from parent's point of view-
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may actually exist. now, i also spent a lot of time with-
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frontline case workers in this system, particularly with intake call center workers. intake call center workers are the folks who receive reports of abuse or neglect.
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whether or not they should screen in each case in, for a full investigation. or whether they should screen it out as not rising to the level of abuse and neglect or...
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the suburbs or in isolated housing won't show up in the data warehouse because they're not the folks in allegheny county who are getting county help.
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eligibility rules that didn't fall until they were directly challenged by the national welfare rights movement in the late 60s and early 70s. that's created-
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all sorts of discretionary excesses in the system that are both human and institutional and really important to address.
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african american children are in foster care at rates that far exceed their actual proportion of the popula-.
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8% of children in foster care in allegheny county were black or biracial, and-
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only made up 18% of the youth population. that's more than twice where they should be, given their proportion of the population.
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percentage difference, or 350% percentage difference. i think one of the really interesting questions this begs is-
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bias. is that something we can attack, or address, or confront with automated systems?
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issue, not a data issue. although of course, the two are deeply related.
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angeles county. just for a sense of the scale. and some-
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and so this is a absolutely critical humanitarian crisis in...
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particularly frontline caseworkers want a little help making the incredibly difficult decision of who among the hundred people they see every week gets access to the two or three resources...
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completely understand the impulse to try to create a more efficient, and more rational, and more objective system for matching need to-
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just think of it as a database, is not quite true, but think of it as a database for now.
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absolutely. they have been able to match about 9,000 people with some kind of resource through this system. that doesn't necessarily-
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and why they believed that is because the [inaudible 00:06:29] actually asked some really intense and borderline invasive questions.
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interacting with this process, because coordinated entry has become the front door for pretty much all housing resources in los angeles county. so-
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the system. so though you sign this really sort of intense informed consent that lasts a really long time-
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161 agencies who share this information, who share this data across-
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because of the federal data standards is the los-
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under current federal data stand...
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process, no written record. just a line officer can walk into a social service office and ask for information.
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but i think one thing that's really important to think through-
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in the decision making. so these are actually some of the best tools.
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how we are often sort of invisibly carrying forward this decision we made 200 years ago, that social service is more a moral thermometer than-
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to talk about the intent of the designers. though of course that's interesting and important. then it is to talk about impact...
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Development
acts on targets. so that's one of the sort big picture things i'd like us to talk a little bit about. about how we can move the conversation-
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if you're born poor, if you're caring for other people, if-
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Development
you're desperate enough and deserving enough to receive help. because many of the things, many of the conditions i talk about in the book-
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Development
hear increasingly as systems engineering problems, actually says something very deep and troubling about the state of our national soul.
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Development
i think we need to get our souls right around that in order to really move the needle on these problems. and finally, in the meantime-
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N
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Development
sorry, educating neutral education is education for the status quo, and it's the same around technologies. neutral-
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N
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Development
technologies just means technologies designed to protect and promote the status quo. if we want to...
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Development
very full of twists and turns. now, if you build-
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Development
have the building gears to actually engage with the hills and the turns that exist in your landscape. we have to do that when we're building these-
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N
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4
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Development
-tion of our stories, because the way that stigma and poverty works in the united states makes us all feel like we're the only person this has ever happened to.
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Development
i think we've opened up this really interesting set of questions about...
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Development
too often, these are exactly the people who aren't in the room when we make these decisions. if my book is any indication-
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Development
-parency, accountability and participatory decision-making, or...
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H
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5
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Development
advisors. that always ends up in paragraph 17 of these stories. so it's-
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N
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4.6
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Development
collaboration with these organizations has been thinking about what kind of questions do we want to ask in order to exert some control and power and to bring, like the...
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Development
groups like that.yeah. so i think that's a really crucial question for this political moment.
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Development
talking about our electronic benefits, transfer cards, a long story. i won't go into the whole story there.
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Development
virginia. you all should pay attention to what's happening to us, like folks on public assistance, because they're coming for you next.
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X
3.8
3.4
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Development
think it's another reason to be always starting this work from the folks who are most directly affected, because we're just going to learn more about these systems-
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N
3.6
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Development
moment where the country is trying to dismantle the social safety net entirely.
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N
3.2
3.2
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Development
welfare applications, the rounding error of 100%.
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N
3.8
4
3.8
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Development
folks like grandparents who are in nursing homes. that was a sort of moment where public opinion-
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Development
to that moment right now, but i do really believe we need to be doing the sort of deep work to build the coalition, and to build the connection, and to build an analysis that we'll have.
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3.8
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Development
when one of these systems fails in a spectacular way that it impacts non poor people. that will create a sort of window to start-
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H
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Development
for the health and safety of our people. i mean, from a moral point of view, we should do it earlier than that, because what happens to everyone happens to anyone happens-
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N
4.8
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Development
one is if and in what ways the data set is discriminatory.
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Development
so i think the thing that's hard about that question is going to be different in every example. and it requires sort of knowing about how-
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Development
there's not enough data on actual physical harm to children to predict that actual outcome. they use...
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N
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Development
there's a direct relationship between those two things, but they're no...
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A
4.4
3
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Development
i don't know how you could talk to even two families who have gone through this process and not know about [inaudible 00:00:30] calling. so that's surprising to me.
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N
5.2
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Development
united states. part of the reason is they ended up being really expensive.
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Development
be more clear. so i think the primary issue is this issue around not seeing these as political decisions, and the solution-
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Development
and cost savings on purpose. and sometimes those values will be directly in conflict with one another. and then we have to have political ways to make decisions over what values we...
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N
4
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Development
... directly impacted communities in ways that we can actually hear their questions and concerns and not just be coming to them after the fact.
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Development
forgetting that other people are good for helping people get to a place where they recognize the sort of extraordinary expertise of folks outside the...
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what's your name? lucy suchman is doing some of that work, talking about automated military-
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Development
it takes forever. that can really be a step forward in making it easier to get the resources that you need and that you are entitled to and deserve.
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H
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to build that model. and that's, i think a better kind of question to think about. is like...
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i hope that makes you feel old.
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Development
start getting paid and start meeting the requirements of the state. and also notice there's no red circle. so...
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... abilities, and it's the place where i'm going to focus on when working through some digital health tools.
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the first cut to try to find people with disabilities in the context of a medicaid work requirement program-
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Development
... these processes could be used to help identify people with disabilities in the context of medicaid work requirements.
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N
4
4
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... people in this country when we have employment tied to health insurance, so closely-
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O
5
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Development
they may have a process that's only available to medicaid recipients.
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Development
well. which government agency walks in and.
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3
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Development
seems to be about an issue of bureaucratic capacity, but other-
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4.2
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disciplines will often talk about specifically...
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5
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Development
... problem with politics. and to the extent that politics is involved at all is-
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3.4
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one of them the snap program.
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3.4
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Development
who maybe qualifies for a lot of these benefit...
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X
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3
3.4
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Development
... to start investigating so it could work.
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X
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a lot of work, a lot of time and i'd like to help someone, but it's going to be a lot to...
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became a lawyer, was the closest i could get. this is before-
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i was just wondering if the system makes it easier for the employers to not provide health insurance.
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