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Paternalistic AI: the case of aged care

Author

Listed:
  • Cristina Voinea

    (University of Oxford)

  • Tenzin Wangmo

    (University of Basel)

  • Constantin Vică

    (University of Bucharest)

Abstract

In this paper, we argue that AI systems for aged care can be paternalistic towards older adults. We start by showing how implicit age biases get embedded in AI technologies, either through designers’ ideologies and beliefs or in the data processed by AI systems. Thereafter, we argue that ageism oftentimes leads to paternalism towards older adults. We introduce the concept of technological paternalism and illustrate how it works in practice, by looking at AI for aged care. We end by analyzing the justifications for paternalism in the care of older adults to show that the imposition of paternalistic AI technologies to promote the overall good of older adults is not justified.

Suggested Citation

  • Cristina Voinea & Tenzin Wangmo & Constantin Vică, 2024. "Paternalistic AI: the case of aged care," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-9, December.
    • Handle: RePEc:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-03282-0
    DOI: 10.1057/s41599-024-03282-0
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    References listed on IDEAS

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    1. Rochi, Martin, 2023. "Technology paternalism and smart products: Review, synthesis, and research agenda," Technological Forecasting and Social Change, Elsevier, vol. 192(C).
    2. Ittay Mannheim & Ella Schwartz & Wanyu Xi & Sandra C. Buttigieg & Mary McDonnell-Naughton & Eveline J. M. Wouters & Yvonne van Zaalen, 2019. "Inclusion of Older Adults in the Research and Design of Digital Technology," IJERPH, MDPI, vol. 16(19), pages 1-17, October.
    3. Buchanan, D.R., 2008. "Autonomy, paternalism, and justice: Ethical priorities in public health," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 15-21.
    4. E-Shien Chang & Sneha Kannoth & Samantha Levy & Shi-Yi Wang & John E Lee & Becca R Levy, 2020. "Global reach of ageism on older persons’ health: A systematic review," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-24, January.
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