This perspective article explores the use of digital twins (DTs) in medicine, highlighting its capacity to simulate risks and personalize treatments while examining the emerging bioethical concerns. Central concerns include power dynamics, exclusion, and misrepresentation. We propose adopting a relational bioethical approach that advocates for a comprehensive assessment of DTs in medicine, extending beyond individual interactions to consider broader structural relations and varying levels of access to power. This can be achieved through two key relational recommendations: acknowledging the impact of (...) uneven relational structures on access to medical care and promoting social justice by evaluating resource allocation. While DTs in medicine offer promising advancements, a relational bioethical lens may provide a nuanced understanding, fostering equitable, inclusive and responsible integration of DTs into medical practice. (shrink)

The development and deployment of machine learning and artificial intelligence (AI) engender “AI colonialism”, a term that conceptually overlaps with “data colonialism”, as a form of injustice. AI colonialism is in need of decolonization for three reasons. Politically, because it enforces digital capitalism’s hegemony. Ecologically, as it negatively impacts the environment and intensifies the extraction of natural resources and consumption of energy. Epistemically, since the social systems within which AI is embedded reinforce Western universalism by imposing Western colonial values on (...) the global South when these manifest in the digital realm is a form of digital capitalism. These reasons require a new conceptualization of AI decolonization. First this paper draws from the historical debates on the concepts of colonialism and decolonization. Secondly it retrieves Achille Mbembe’s notion of decolonization as disenclosure to argue that the decolonization of AI will have to be the abolishment of political, ecological and epistemic borders erected and reinforced in the phases of its design, production, development of AI in the West and drawing from the knowledge from the global South. In conclusion, it is discussed how conceiving of decolonial AI as form of disenclosure opens up new ways to think about and intervene in colonial instantiations of AI development and deployment, in order to empower “the wretched of AI”, re-ecologise the unsustainable ecologies AI depends on and to counter the colonial power structures unreflective AI deployment risks to reinforce. (shrink)