Preprint
Aug 2026
Rare Diseases, Common Dilemmas: LLMs Prioritize Equal Resource Distribution over Patient Benefit in Decision-Making
This work presents a benchmark of 208 clinically grounded rare disease vignettes and identifies a strong authority-framing effect: models favor justice in committee-based contexts and shift toward beneficence and autonomy only when final decisions are framed as being made by clinicians or patients respectively.
Min-Da Zhao, Xuheng Han, R. Goel et al.
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