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Responsibility Gaps and Black Box Healthcare AI: Shared Responsibilization as a Solution
Benjamin H Lang1,2, Sven Nyholm3,4, Jennifer Blumenthal-Barby2
1University of Oxford, Oxford, UK.
Summary
Artificial intelligence (AI) in healthcare creates "responsibility gaps" when errors occur. Stakeholders must voluntarily assume moral responsibility to permit AI use in patient care.
Area of Science:
- Medical Ethics
- Artificial Intelligence
- Healthcare Administration
Background:
- Increasing integration of sophisticated artificial intelligence (AI) into healthcare raises questions about accountability for AI actions.
- Responsibility gaps emerge when AI errors occur in automated tasks, leaving a void in moral blame attribution.
Purpose of the Study:
- To examine the generation of responsibility gaps by "black box" AI in healthcare.
- To address the moral implications of unaddressed responsibility gaps.
- To propose a solution for the ethical integration of AI in healthcare.
Main Methods:
- Philosophical analysis of AI-induced responsibility gaps.
- Ethical examination of accountability in healthcare AI.
- Proposal of stakeholder "responsibilization" as a solution.
Main Results:
- "Black box" healthcare AI demonstrably generates responsibility gaps.
- Unaddressed gaps pose significant moral challenges in healthcare.
- Voluntary assumption of responsibility by stakeholders is a viable solution.
Conclusions:
- Stakeholders can "responsibilize" AI gaps, assuming moral responsibility.
- This approach permits the use of "black box" healthcare AI.
- Ethical frameworks must adapt to AI integration in critical sectors like healthcare.
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