ETHICS & EQUITY

Ethics is a loss function, not a slide.

The substrate-level rules AURORA refuses to negotiate. Equity audits run inside the training loop. Patient-advocate seats are permanent. Releases that fail the equity gate are blocked, not warned.

equity-as-lossveto rightsopen governance
I · Principles

Six commitments. Non-negotiable.

01

Equity is a feature, not an audit

Stratified performance is part of the loss function. Releases that fail equity thresholds are blocked.

02

The clinician is the override

Every recommendation explains itself; every override is logged with reason.

03

Patient voice is structural

Two permanent patient-advocate council seats with veto rights at release.

04

Consent is a first-class object

Cohort policy travels with the data. Subsystems refuse to run on records without the right consent.

05

Federation, not extraction

Data stays at the institution. Compute travels to data, signed and audited.

06

Open by default

MIT at public alpha. Model cards, equity audits and replication reports ship with the code.

II · Equity-in-loop

What equity-as-loss actually means.

Stratified performance is part of the loss surface, not a post-hoc audit. If a model can only reach its top-line metric by performing badly on a subgroup, training does not converge.

For every released module we define a stratification set — typically ancestry, sex, age band, socioeconomic proxy, and access proxy. During training, the loss function carries a penalty for predictive disparity across those stratifications. At release, the stratified performance is reported per stratum (not just aggregate), and a drop below the equity threshold defined in the module's RFC blocks the release.

There is no exception path for marketing reasons. Thresholds are revisable — but only by RFC, in public.

If we cannot reach the top-line metric without hurting a subgroup, the top-line metric is wrong. Not the subgroup.
IV · Audit & blocking

Three release gates.

Gate 1

Equity threshold

Stratified performance per stratum. If any drops below threshold, the release is blocked. No exceptions.

Gate 2

Consent integrity

Every training record carries a policy. If any record's policy disallows the use, the run is invalid.

Gate 3

Advocate sign-off

Patient-facing surfaces require advocate-seat sign-off. Plain language. No exceptions, no rush.

V · Report a concern

Three ways to raise something.

Ethics-board complaints reach independent ethics-seat holders who are not on the core team. Patient-advocate-desk complaints reach the two permanent council seats. Privacy concerns reach security@ and are triaged within 72 hours.

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