BackgroundArtificial intelligence has been described as the “fourth industrial revolution” with transformative and global implications, including in healthcare, public health, and global health. AI approaches hold promise for improving health systems worldwide, as well as individual and population health outcomes. While AI may have potential for advancing health equity within and between countries, we must consider the ethical implications of its deployment in order to mitigate its potential harms, particularly for the most vulnerable. This scoping review addresses the following question: (...) What ethical issues have been identified in relation to AI in the field of health, including from a global health perspective?MethodsEight electronic databases were searched for peer reviewed and grey literature published before April 2018 using the concepts of health, ethics, and AI, and their related terms. Records were independently screened by two reviewers and were included if they reported on AI in relation to health and ethics and were written in the English language. Data was charted on a piloted data charting form, and a descriptive and thematic analysis was performed.ResultsUpon reviewing 12,722 articles, 103 met the predetermined inclusion criteria. The literature was primarily focused on the ethics of AI in health care, particularly on carer robots, diagnostics, and precision medicine, but was largely silent on ethics of AI in public and population health. The literature highlighted a number of common ethical concerns related to privacy, trust, accountability and responsibility, and bias. Largely missing from the literature was the ethics of AI in global health, particularly in the context of low- and middle-income countries.ConclusionsThe ethical issues surrounding AI in the field of health are both vast and complex. While AI holds the potential to improve health and health systems, our analysis suggests that its introduction should be approached with cautious optimism. The dearth of literature on the ethics of AI within LMICs, as well as in public health, also points to a critical need for further research into the ethical implications of AI within both global and public health, to ensure that its development and implementation is ethical for everyone, everywhere. (shrink)

This paper addresses ethical challenges posed by a robot acting as both a general type of system and a discrete, particular machine. Using the philosophical distinction between “type” and “token,” we locate type-token ambiguity within a larger field of indefinite robotic identity, which can include networked systems or multiple bodies under a single control system. The paper explores three specific areas where the type-token tension might affect human–robot interaction, including how a robot demonstrates the highly personalized recounting of information, how (...) a robot makes moral appeals and justifies its decisions, and how the possible need for replacement of a particular robot shapes its ongoing role. We also consider how a robot might regard itself as a replaceable token of a general robotic type and take extraordinary actions on that basis. For human–robot interaction robotic type-token identity is not an ontological problem that has a single solution, but a range of possible interactions that responsible design must take into account, given how people stand to gain and lose from the shifting identities social robots will present. (shrink)

According to a widespread view, people often anthropomorphize machines such as certain robots and computer and AI systems by erroneously attributing mental states to them. On this view, people almost irresistibly believe, even if only subconsciously, that machines with certain human-like features really have phenomenal or subjective experiences like sadness, happiness, desire, pain, joy, and distress, even though they lack such feelings. This paper questions this view by critiquing common arguments used to support it and by suggesting an alternative explanation. (...) Even if people’s behavior and language regarding human-like machines suggests they believe those machines really have mental states, it is possible that they do not believe that at all. The paper also briefly discusses potential implications of regarding such anthropomorphism as a popular myth. The exercise illuminates the difficult concept of anthropomorphism, helping to clarify possible human relations with or toward machines that increasingly resemble humans and animals. (shrink)

Background Gerontechnologies are increasingly used in the care for older people. Many studies on their acceptability and ethical implications are conducted, but mainly from the perspective of principlism. This narrows our ethical gaze on the implications the use of these technologies have. Research question How do participants speak about the impact that gerontechnologies have on the different phases of care, and care as a process? What are the moral implications from an ethic of care perspective? Research design Secondary analysis of (...) semi-structure interviews, whose segments on specific technologies were analysed through reflexive thematic analysis. Participants and research context Sixty-seven Swiss stakeholders involved in the use of gerontechnologies, including professional caregivers, informal caregivers, and older persons themselves. Ethical considerations The research study was evaluated by the Ethics Commission of Northwest and Central Switzerland (EKNZ). All participants received an information document before the interview date detailing the purpose, procedure, and anonymization measures. After explaining the study during the agreed upon interview time and upon receiving their written informed consent, the interview process began. Findings/results Four themes are identified: Identifying care needs, Taking responsibility, Hands-on work, Responding to care. As part of these themes, many codes highlighting the ambivalent impact of gerontechnologies are created, ranging from ‘Expanded capacity for…identifying care needs’ to ‘Create new & (un)necessary…hands-on work’. The moral implications of these results from the care ethics perspective are discussed, through the ethical elements of: attentiveness, responsibility, competence, and responsiveness. Conclusions The moral implications of gerontechnologies on care phases from the care ethics perspective open up several questions on whether they actually help give care a central role in social life and provide more competent care. (shrink)