Globally, there has been a recent surge in 'citizens' assemblies', which are a form of civic participation in which a panel of randomly selected constituents contributes to questions of policy. The random process for selecting this panel should satisfy two properties. First, it must produce a panel that is representative of the population. Second, in the spirit of democratic equality, individuals would ideally be selected to serve on this panel with equal probability. However, in practice these desiderata are in tension owing to differential participation rates across subpopulations. Here we apply ideas from fair division to develop selection algorithms that satisfy the two desiderata simultaneously to the greatest possible extent: our selection algorithms choose representative panels while selecting individuals with probabilities as close to equal as mathematically possible, for many metrics of 'closeness to equality'. Our implementation of one such algorithm has already been used to select more than 40 citizens' assemblies around the world. As we demonstrate using data from ten citizens' assemblies, adopting our algorithm over a benchmark representing the previous state of the art leads to substantially fairer selection probabilities. By contributing a fairer, more principled and deployable algorithm, our work puts the practice of sortition on firmer foundations. Moreover, our work establishes citizens' assemblies as a domain in which insights from the field of fair division can lead to high-impact applications.
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http://dx.doi.org/10.1038/s41586-021-03788-6 | DOI Listing |
PLoS One
January 2025
Department of Public Health, The Research Unit for General Practice and Section of General Practice, University of Copenhagen, Copenhagen, Denmark.
Background: Many medical organisations recommend continuing with existing mammography screening programmes but some recommend stopping or de-intensifying them. In Denmark women aged 50-69 are offered biennial mammograms free-of-charge.
Objectives: The aim of this study was to determine whether or not an informed public would recommend continuation of the Danish mammography screening programme, and to determine whether this recommendation was in line with what participants considered to be acceptable levels of mortality reduction and overdiagnosis.
J Prev Interv Community
January 2025
Department of Psychology, California State Polytechnic University, Humboldt, Arcata, CA, USA.
Democratic innovations offer a promising set of interventions to empower citizens, reduce polarization, and reimagine participatory governance. This article examines the Petaluma Fairgrounds Advisory Panel (PFAP), a citizens assembly convened to deliberate the future of a locally significant property. This qualitative study consisted of 15 panelist interviews exploring panelist experiences of nine equity strategies incorporated into the PFAP design as well as broader themes around how equity was conceptualized.
View Article and Find Full Text PDFEClinicalMedicine
January 2025
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Im Neuenheimer Feld 581, Heidelberg, 69120, Germany.
Background: We aimed to evaluate the incremental predictive value of metabolomic biomarkers for assessing the 10-year risk of type 2 diabetes when added to the clinical Cambridge Diabetes Risk Score (CDRS).
Methods: We utilized 86,232 UK Biobank (UKB) participants (recruited between 13 March 2006 and 1 October 2010) for model derivation and internal validation. Additionally, we included 4383 participants from the German ESTHER cohort (recruited between 1 July 2000 and 30 June 2002 for external validation).
BMC Public Health
October 2024
Institute for Interdisciplinary Research On Social Issues (IRIS), Université Sorbonne Paris Nord, Aubervilliers, Bobigny, France.
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