Algorithms Trained on Normal Chest X-rays Can Predict Health Insurance Types

Artificial intelligence is revealing what medicine never intended to encode. Deep vision models, trained on chest X-rays, can now detect not only disease but also invisible traces of social inequality. In this study, we show that state-of-the-art architectures (DenseNet121, SwinV2-B, MedMamba) can predict a patient's health insurance type, a strong proxy for socioeconomic status, from normal chest X-rays with significant accuracy (AUC around 0.67 on MIMIC-CXR-JPG, 0.68 on CheXpert). The signal persists even when age, race, and sex are controlled for, and remains detectable when the model is trained exclusively on a single racial group. Patch-based occlusion reveals that the signal is diffuse rather than localized, embedded in the upper and mid-thoracic regions. This suggests that deep networks may be internalizing subtle traces of clinical environments, equipment differences, or care pathways; learning socioeconomic segregation itself. These findings challenge the assumption that medical images are neutral biological data. By uncovering how models perceive and exploit these hidden social signatures, this work reframes fairness in medical AI: the goal is no longer only to balance datasets or adjust thresholds, but to interrogate and disentangle the social fingerprints embedded in clinical data itself.

Predicting the Understandability of Computational Notebooks through Code Metrics Analysis

Computational notebooks have become the primary coding environment for data scientists. However, research on their code quality is still emerging, and the code shared is often of poor quality. Given the importance of maintenance and reusability, understanding the metrics that affect notebook code comprehensibility is crucial. Code understandability, a qualitative variable, is closely tied to user opinions. Traditional approaches to measuring it either use limited questionnaires to review a few code pieces or rely on metadata such as likes and votes in software repositories. Our approach enhances the measurement of Jupyter notebook understandability by leveraging user comments related to code understandability. As a case study, we used 542,051 Kaggle Jupyter notebooks from our previous research, named DistilKaggle. We employed a fine-tuned DistilBERT transformer to identify user comments associated with code understandability. We established a criterion called User Opinion Code Understandability (UOCU), which considers the number of relevant comments, upvotes on those comments, total notebook views, and total notebook upvotes. UOCU proved to be more effective than previous methods. Furthermore, we trained machine learning models to predict notebook code understandability based solely on their metrics. We collected 34 metrics for 132,723 final notebooks as features in our dataset, using UOCU as the label. Our predictive model, using the Random Forest classifier, achieved 89% accuracy in predicting the understandability levels of computational notebooks.