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The Medical Information Response Audit (MIRA), a bilingual, controlled benchmark that assesses whether LLMs provide comparable medical information across user-side language, register, and health literacy signals, is introduced.
A constrained mixed-strategy GroupDRO framework for system-prompt selection that reduces the Overall Mean, Worst 25% Mean, and Worst by 13.7% on average relative to no mitigation while keeping overall quality close to Average selection.
A post hoc robustness audit of the same 1,179 confirmatory answer-phase tutor turns under the frozen helpfulness and pedagogy rubrics finds that general-purpose helpfulness is not a reliable pedagogy signal.
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