Given the potential for bias in any given system it is possible that these systems would "create inequality" in certain aspects. Such inequality would have been influienced mostly by political aspects and motivations of poloticians and companies responsible for such policies and their implementations. 

It is important to remember not all systems designed to assist the less fortunate are inherantly "Bad Ideas", a chain is only as "Strong" as its "Weakest" link they say. In this case the system is only as "good" or "efficent" as those people who implement such systems. 

I hope this has been helpful. Would you like to know more?
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