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

Camb Q Healthc Ethics

Institute of Ethics, History and Theory of Medicine, Ludwig-Maximilians-Universität (LMU) München, Lessingstr. 3, D-80336Munich, Germany.

Published: January 2024

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In the ethics of algorithms, a specifically 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 (). 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.

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http://dx.doi.org/10.1017/S0963180123000646DOI Listing

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