Abstract
When is it ethically acceptable to use artificial agents in health care? This article articulates some criteria for good care and then discusses whether machines as artificial agents that take over care tasks meet these criteria. Particular attention is paid to intuitions about the meaning of ‘care’, ‘agency’, and ‘taking over’, but also to the care process as a labour process in a modern organizational and financial-economic context. It is argued that while there is in principle no objection to using machines in medicine and health care, the idea of them functioning and appearing as ‘artificial agents’ is problematic and attends us to problems in human care which were already present before visions of machine care entered the stage. It is recommended that the discussion about care machines be connected to a broader discussion about the impact of technology on human relations in the context of modernity.
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References
Anderson, Michael, and Susan Leigh Anderson. 2007. Machine ethics: creating an ethical intelligent agent. AI Magazine 28(4): 15–26.
Wallach, Wendell, and Colin Allen. 2009. Moral machines: teaching robots right from wrong. Oxford: Oxford University Press.
Sharkey, Amanda, and Noel Sharkey. 2010. Granny and the robots: ethical issues in robot care for the elderly. Ethics and Information Technology 14(1): 27–40.
Sparrow, Robert, and Linda Sparrow. 2006. In the hands of machines? The future of aged care. Minds and Machines 16: 141–161.
Whitby, Blay. 2011. Do you want a robot lover? In Robot ethics: the ethical and social implications of robotics, ed. Patrick Lin, Keith Abney, and George A. Bekey, 233–249. Cambridge, MA: MIT Press.
Beauchamp, Tom, and James F. Childress. 2001. Principles of biomedical Ethics, 5th ed. New York: Oxford University Press.
Benner, Patricia (ed.). 1994. Interpretive phenomenology: embodiment, caring, and ethics in health and illness. Thousand Oaks: Sage.
Gilligan, Carol. 1982. In a different voice. Cambridge, MA: Harvard University Press.
Noddings, Nel. 1982. Caring: a feminine approach to ethics and moral education. Berkeley: University of California Press.
Tronto, Joan. 1994. Moral boundaries: a political argument for an ethic of care. New York: Routledge.
Coeckelbergh, Mark. 2013. E-care as craftsmanship: virtuous work, skilled engagement, and information technology in health care. Medicine, Healthcare and Philosophy 16(4): 807–816.
Dreyfus, Hubert L., and Stuart E. Dreyfus. 1991. Towards a phenomenology of ethical expertise. Human Studies 14(4): 229–250.
MacIntyre, Alasdair. 1999. Dependent rational animals: why human beings need the virtues. Chicago: Open Court.
Ihde, Don. 1990. Technology and the lifeworld: from garden to earth. Indianapolis: Indiana University Press.
Asaro, Peter M. 2006. What should we want from a robot ethic? International Review of Information Ethics 6(12): 9–16.
Coeckelbergh, Mark. 2009. Virtual moral agency, virtual moral responsibility. AI & Society 24(2): 181–189.
Coeckelbergh, Mark. 2010. Robot rights? Towards a social-relational justification of moral consideration. Ethics and Information Technology 12(3): 209–221.
Coeckelbergh, Mark. 2010. Moral appearances: emotions, robots, and human morality. Ethics and Information Technology 12(3): 235–241.
Torrance, Steve. 2008. Ethics and consciousness in artificial agents. AI & Society 22: 495–521.
Sullins, John. 2006. When is a robot a moral agent? International Review of Information Ethics 6(12): 23–30.
Marx, Karl. 1959 [1927]. Economic and philosophic manuscripts of 1844. Moscow: Progress Publishers.
Heidegger, Martin. 1977. The question concerning technology. In The question concerning technology and other essays, trans. W. Lovitt, 3-35. New York: Harper & Row.
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Coeckelbergh, M. Artificial agents, good care, and modernity. Theor Med Bioeth 36, 265–277 (2015). https://doi.org/10.1007/s11017-015-9331-y
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DOI: https://doi.org/10.1007/s11017-015-9331-y