AI Article Synopsis

  • The paper highlights that biases related to group identity, especially concerning disability, lead to significant epistemic errors in the medical field that are often overlooked.
  • It connects medical errors to social epistemology, emphasizing how biased epistemic schemas can harm marginalized patients, particularly those with disabilities.
  • The authors identify four mechanisms—testimonial injustice, epistemic overconfidence, epistemic erasure, and epistemic derailing—that exacerbate these errors and argue for more comprehensive strategies to combat these injustices in healthcare.

Article Abstract

This paper argues that epistemic errors rooted in group- or identity-based biases, especially those pertaining to disability, are undertheorized in the literature on medical error. After sketching dominant taxonomies of medical error, we turn to the field of social epistemology to understand the role that epistemic schemas play in contributing to medical errors that disproportionately affect patients from marginalized social groups. We examine the effects of this unequal distribution through a detailed case study of ableism. There are four primary mechanisms through which the epistemic schema of ableism distorts communication between nondisabled physicians and disabled patients: testimonial injustice, epistemic overconfidence, epistemic erasure, and epistemic derailing. Measures against epistemic injustices in general and against schema-based medical errors in particular are ultimately issues of justice that must be better addressed at all levels of health care practice.

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Source
http://dx.doi.org/10.1353/ken.2019.0023DOI Listing

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