Healthy Mistrust: Medical Black Box Algorithms, Epistemic Authority, and Preemptionism

Wolkenstein, Andreas (2024): Healthy Mistrust: Medical Black Box Algorithms, Epistemic Authority, and Preemptionism. In: Cambridge Quarterly of Healthcare Ethics, Vol. 33, No. 3: pp. 370-379

Abstract

In the ethics of algorithms, a specifically epistemological analysis is rarely undertaken in order to gain a critique (or a defense) of the handling of or trust in medical black box algorithms (BBAs). This article aims to begin to fill this research gap. Specifically, the thesis is examined according to which such algorithms are regarded as epistemic authorities (EAs) and that the results of a medical algorithm must completely replace other convictions that patients have (preemptionism). If this were true, it would be a reason to distrust medical BBAs. First, the author describes what EAs are and why BBAs can be considered EAs. Then, preemptionism will be outlined and criticized as an answer to the question of how to deal with an EA. The discussion leads to some requirements for dealing with a BBA as an EA.

• Item Type: Journal article
• Faculties: Medicine > Institute of Ethics, History and Theory of Medicine
• Subjects: 600 Technology > 610 Medicine and health
• ISSN: 0963-1801
• Language: English