This paper provides the first comprehensive analysis of ethical issues raised by artificial intelligence (AI) in veterinary medicine for companion animals. Veterinary medicine is a socially valued service, which, like human medicine, will likely be significantly affected by AI. Veterinary AI raises some unique ethical issues because of the nature of the client–patient–practitioner relationship, society’s relatively minimal valuation and protection of nonhuman animals and differences in opinion about responsibilities to animal patients and human clients. The paper examines how these distinctive (...) features influence the ethics of AI systems that might benefit clients, veterinarians and animal patients—but also harm them. It offers practical ethical guidance that should interest ethicists, veterinarians, clinic owners, veterinary bodies and regulators, clients, technology developers and AI researchers. (shrink)

The paper presents an ethical analysis and constructive critique of the current practice of AI ethics. It identifies conceptual substantive and procedural challenges and it outlines strategies to address them. The strategies include countering the hype and understanding AI as ubiquitous infrastructure including neglected issues of ethics and justice such as structural background injustices into the scope of AI ethics and making the procedures and fora of AI ethics more inclusive and better informed with regard to philosophical ethics. These measures (...) integrate the perspective of AI justice into AI ethics, strengthening its capacity to provide comprehensive normative orientation and guidance for the development and use of AI that actually improves human lives and living together. (shrink)

The progressive dissemination of artificial intelligence (AI) systems in work settings raises numerous questions and concerns regarding their consequences, whether positive or negative, on work activities and organizations. This paper presents an empirical study that was designed to identify and analyze these consequences in radiology. This study focuses on two AI systems: a voice recognition dictation system for radiological reports and a system for detecting fractures on X-rays images. Based on a qualitative analysis of field observations of work activities and (...) interviews with radiologists, emergency physicians, and medical secretaries, our findings help to provide a nuanced view on how AI may affect work in this sector. In contrast to the speculative discourse where AI is seen as a “positive” technology or as “threat” for workers, this study shows, on the one hand, how these kinds of AI systems help or may help these workers in their activities, and, on the other hand, how these systems raise problematic issues regarding their consequences not only for physicians but also for other workers such as medical assistants. (shrink)

Artificial intelligence (AI) has attracted an increasing amount of attention, both positive and negative. Its potential applications in healthcare are indeed manifold and revolutionary, and within the realm of medical imaging and radiology (which will be the focus of this paper), significant increases in accuracy and speed, as well as significant savings in cost, stand to be gained through the adoption of this technology. Because of its novelty, a norm of keeping humans “in the loop” wherever AI mechanisms are deployed (...) has become synonymous with good ethical practice in some circles. It has been argued that keeping humans “in the loop” is important for reasons of safety, accountability, and the maintenance of institutional trust. However, as the application of machine learning for the detection of lumbar spinal stenosis (LSS) in this paper’s case study reveals, there are some scenarios where an insistence on keeping humans in the loop (or in other words, the resistance to automation) seems unwarranted and could possibly lead us to miss out on very real and important opportunities in healthcare—particularly in low-resource settings. It is important to acknowledge these opportunity costs of resisting automation in such contexts, where better options may be unavailable. Using an AI model based on convolutional neural networks developed by a team of researchers at NUH/NUS medical school in Singapore for automated detection and classification of the lumbar spinal canal, lateral recess, and neural foraminal narrowing in an MRI scan of the spine to diagnose LSS, we will aim to demonstrate that where certain criteria hold (e.g., the AI is as accurate or better than human experts, risks are low in the event of an error, the gain in wellbeing is significant, and the task being automated is not essentially or importantly human), it is both morally permissible and even desirable to kick the humans out of the loop. (shrink)

Despite the importance of discussions over the epistemic role that artificially intelligent decision support systems ought to play, there is currently a lack of these discussions in both the AI literature and the epistemology literature. My goal in this paper is to rectify this by proposing an account of the epistemic role of AI decision support systems in medicine and discussing what this epistemic role means with regard to how these systems ought to be utilized. In particular, I argue that (...) AI decision support systems are not epistemic superiors, inferiors, or peers. Instead, I recommend that they be classified in an epistemic category of their own, as “epistemic nudges.” With my proposed account of the epistemic role of AI decision support systems, I aim to provide answers the following two questions: 1. How ought disagreements between a clinician and an AI decision support system be handled? 2. How ought responsibility and accountability be allocated when an AI decision support system used by a human clinician in decision-making results in harm? (shrink)