A major US hospital network faced a class-action lawsuit in 2025 after an AI diagnostic system was found to systematically underestimate pain levels in Black patients, leading to lower rates of opioid prescription and delayed treatment. An independent audit revealed the training data was 78% from white patients, causing a 40% higher rate of under-treatment for Black patients compared to white patients. Compared to #6 on this list, this scandal demonstrates more immediate human harm from biased AI, as it directly impacted medical outcomes rather than just regulatory fines.

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