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Mario Vega-Barbas

Publications and source records attributed to Mario Vega-Barbas.

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Sixteen models, fewer than two voices: measuring ensemble dispersion where no answer is uniquely correct

Sixteen language models drawn from ten families produced, on average, the semantic diversity of 1.69 distinct formulations of a psychotherapeutic case, against a single-model baseline of 1.43 from one model's own runs. Ensembles place more than one reading before a decision-maker on the premise that several models supply several perspectives. Dispersion over their outputs is measured both as diversity and as uncertainty, and both traditions validate it against a correctness criterion that this task does not admit. Measuring diversity is a solved problem: the Vendi Score, the exponential of the von Neumann entropy of a similarity matrix, is an effective number of distinct elements. What a single aggregate does not say is where the diversity comes from. We define a per-model dissent contribution, the complement of a model's mean similarity to the other members of its ensemble: a magnitude from the same matrix, not a decomposition of the spectral index, whose maximum identifies the most divergent voice. Crossing model and case, we test as a preregistered hypothesis whether model identity accounts for a non-zero share of the variance in dissent, and characterise the structure that test detects. The panel formulated fifteen stratified vignettes, yielding 7,082 formulations for analysis. Model identity was a detectable structuring factor of the dissent that remained, but the usual categories recovered it only partly: scale differences pointed in opposite directions across pairs, family grouped models on only five two-member lines, and the most divergent voice changed with panel composition, so that the surfaced outlier describes the ensemble rather than the model. Dissent did not track the interpretive openness for which the case bank was stratified; it was organised by clinical content instead, leaving the dispersion an ensemble produces a property to measure rather than assume.

cs.CL

Data Poisoning Vulnerabilities Across Healthcare AI Architectures: A Security Threat Analysis

Healthcare AI systems face major vulnerabilities to data poisoning that current defenses and regulations cannot adequately address. We analyzed eight attack scenarios in four categories: architectural attacks on convolutional neural networks, large language models, and reinforcement learning agents; infrastructure attacks exploiting federated learning and medical documentation systems; critical resource allocation attacks affecting organ transplantation and crisis triage; and supply chain attacks targeting commercial foundation models. Our findings indicate that attackers with access to only 100-500 samples can compromise healthcare AI regardless of dataset size, often achieving over 60 percent success, with detection taking an estimated 6 to 12 months or sometimes not occurring at all. The distributed nature of healthcare infrastructure creates many entry points where insiders with routine access can launch attacks with limited technical skill. Privacy laws such as HIPAA and GDPR can unintentionally shield attackers by restricting the analyses needed for detection. Supply chain weaknesses allow a single compromised vendor to poison models across 50 to 200 institutions. The Medical Scribe Sybil scenario shows how coordinated fake patient visits can poison data through legitimate clinical workflows without requiring a system breach. Current regulations lack mandatory adversarial robustness testing, and federated learning can worsen risks by obscuring attribution. We recommend multilayer defenses including required adversarial testing, ensemble-based detection, privacy-preserving security mechanisms, and international coordination on AI security standards. We also question whether opaque black-box models are suitable for high-stakes clinical decisions, suggesting a shift toward interpretable systems with verifiable safety guarantees.

cs.CR