A growing body of work in Ethical AI attempts to capture human moral judgments through simple computational models. The key question we address in this work is whether such simple AI models capture {the critical} nuances of moral decision-making by focusing on the use case of kidney allocation. We conducted twenty interviews where participants explained their rationale for their judgments about who should receive a kidney. We observe participants: (a) value patients' morally-relevant attributes to different degrees; (b) use diverse decision-making processes, citing heuristics to reduce decision complexity; (c) can change their opinions; (d) sometimes lack confidence in their decisions (e.g., due to incomplete information); and (e) express enthusiasm and concern regarding AI assisting humans in kidney allocation decisions. Based on these findings, we discuss challenges of computationally modeling moral judgments {as a stand-in for human input}, highlight drawbacks of current approaches, and suggest future directions to address these issues.

How we should design and interact with social artificial intelligence depends on the socio-relational role the AI is meant to emulate or occupy. In human society, relationships such as teacher-student, parent-child, neighbors, siblings, or employer-employee are governed by specific norms that prescribe or proscribe cooperative functions including hierarchy, care, transaction, and mating. These norms shape our judgments of what is appropriate for each partner. For example, workplace norms may allow a boss to give orders to an employee, but not vice versa, reflecting hierarchical and transactional expectations. As AI agents and chatbots powered by large language models are increasingly designed to serve roles analogous to human positions - such as assistant, mental health provider, tutor, or romantic partner - it is imperative to examine whether and how human relational norms should extend to human-AI interactions. Our analysis explores how differences between AI systems and humans, such as the absence of conscious experience and immunity to fatigue, may affect an AI's capacity to fulfill relationship-specific functions and adhere to corresponding norms. This analysis, which is a collaborative effort by philosophers, psychologists, relationship scientists, ethicists, legal experts, and AI researchers, carries important implications for AI systems design, user behavior, and regulation. While we accept that AI systems can offer significant benefits such as increased availability and consistency in certain socio-relational roles, they also risk fostering unhealthy dependencies or unrealistic expectations that could spill over into human-human relationships. We propose that understanding and thoughtfully shaping (or implementing) suitable human-AI relational norms will be crucial for ensuring that human-AI interactions are ethical, trustworthy, and favorable to human well-being.

In response to the pressing challenge of kidney allocation, characterized by growing demands for organs, this research sets out to develop a data-driven solution to this problem, which also incorporates stakeholder values. The primary objective of this study is to create a method for learning both individual and group-level preferences pertaining to kidney allocations. Drawing upon data from the 'Pairwise Kidney Patient Online Survey.' Leveraging two distinct datasets and evaluating across three levels - Individual, Group and Stability - we employ machine learning classifiers assessed through several metrics. The Individual level model predicts individual participant preferences, the Group level model aggregates preferences across participants, and the Stability level model, an extension of the Group level, evaluates the stability of these preferences over time. By incorporating stakeholder preferences into the kidney allocation process, we aspire to advance the ethical dimensions of organ transplantation, contributing to more transparent and equitable practices while promoting the integration of moral values into algorithmic decision-making.

AI systems are often used to make or contribute to important decisions in a growing range of applications, including criminal justice, hiring, and medicine. Since these decisions impact human lives, it is important that the AI systems act in ways which align with human values. Techniques for preference modeling and social choice help researchers learn and aggregate peoples' preferences, which are used to guide AI behavior; thus, it is imperative that these learned preferences are accurate. These techniques often assume that people are willing to express strict preferences over alternatives; which is not true in practice. People are often indecisive, and especially so when their decision has moral implications. The philosophy and psychology literature shows that indecision is a measurable and nuanced behavior -- and that there are several different reasons people are indecisive. This complicates the task of both learning and aggregating preferences, since most of the relevant literature makes restrictive assumptions on the meaning of indecision. We begin to close this gap by formalizing several mathematical \emph{indecision} models based on theories from philosophy, psychology, and economics; these models can be used to describe (indecisive) agent decisions, both when they are allowed to express indecision and when they are not. We test these models using data collected from an online survey where participants choose how to (hypothetically) allocate organs to patients waiting for a transplant.

As AI is deployed increasingly broadly, AI researchers are confronted with the moral implications of their work. The pursuit of simple objectives, such as minimizing error rates, maximizing resource efficiency, or decreasing response times, often results in systems that have unintended consequences when they confront the real world, such as discriminating against certain groups of people [34]. It would be helpful for AI researchers and practitioners to have a general set of principles with which to approach these problems [45, 41, 24, 16, 33]. One may ask why any moral decisions should be left to computers at all. There are multiple possible reasons. One is that the decision needs to be made so quickly that calling in a human for the decision is not feasible, as would be the case for a self-driving car having to make a split-second decision about whom to hit [13]. Another reason could be that each individual decision by itself is too insignificant to bother a human, even though all the decisions combined may be highly significant morally--for example, if we were to consider the moral impact of each advertisement shown online. A third reason is that the moral decision is hard to decouple from a computational problem that apparently exceeds human capabilities. This is the case in many machine learning applications (e.g., should this person be released on bail?

The efficient allocation of limited resources is a classical problem in economics and computer science. In kidney exchanges, a central market maker allocates living kidney donors to patients in need of an organ. Patients and donors in kidney exchanges are prioritized using ad-hoc weights decided on by committee and then fed into an allocation algorithm that determines who get what—and who does not. In this paper, we provide an end-to-end methodology for estimating weights of individual participant profiles in a kidney exchange. We first elicit from human subjects a list of patient attributes they consider acceptable for the purpose of prioritizing patients (e.g., medical characteristics, lifestyle choices, and so on). Then, we ask subjects comparison queries between patient profiles and estimate weights in a principled way from their responses. We show how to use these weights in kidney exchange market clearing algorithms. We then evaluate the impact of the weights in simulations and find that the precise numerical values of the weights we computed matter little, other than the ordering of profiles that they imply. However, compared to not prioritizing patients at all, there is a significant effect, with certain classes of patients being (de)prioritized based on the human-elicited value judgments.

The generality of decision and game theory has enabled domain-independent progress in AI research. For example, a better algorithm for finding good policies in (PO)MDPs can be instantly used in a variety of applications. But such a general theory is lacking when it comes to moral decision making. For AI applications with a moral component, are we then forced to build systems based on many ad-hoc rules? In this paper we discuss possible ways to avoid this conclusion.

The generality of decision and game theory has enabled domain-independent progress in AI research. For example, a better algorithm for finding good policies in (PO)MDPs can be instantly used in a variety of applications. But such a general theory is lacking when it comes to moral decision making. For AI applications with a moral component, are we then forced to build systems based on many ad-hoc rules? In this paper we discuss possible ways to avoid this conclusion.